Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 30. MIEMSS |
Subtitle 08. DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS |
Chapter 30.08.12. Perinatal and Neonatal Referral Center Standards |
Sec. 30.08.12.08. Other Personnel
Latest version.
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III IV A hospital shall have: A. A physician board-certified or an active candidate for board certification in anesthesiology or nurse-anesthetist who shall be available so that cesarean delivery may be initiated per hospital protocol within 30 minutes of the decision to deliver; E E B. A physician board-certified or an active candidate for board-certification in anesthesiology who shall be present in-house 24 hours a day, readily available to the delivery area; E E C. If the hospital performs neonatal surgery, a board-certified anesthesiologist with experience in neonatal anesthesia who shall be present for the surgery; E E D. A physician on the medical staff with privileges for providing critical interventional radiology services for: (1) Obstetrical patients; and E E (2) Neonatal patients; O E E. Obstetric and neonatal diagnostic imaging available 24 hours a day, with interpretation by physicians with experience in maternal and/or neonatal disease and its complications; E E F. A registered dietician or other health care professional with knowledge of and experience in the management of obstetrical and neonatal parenteral/enteral nutrition on staff; E E G. At least one International Board Certified Lactation Consultant on full-time staff who shall have programmatic responsibility for lactation support services which shall include education and training of additional hospital staff members in order to ensure availability 7 days per week of dedicated lactation support; E E H. A licensed social worker with a Masters degree, (either an LGSW, Licensed Graduate Social Worker, or an LCSW, Licensed Certified Social Worker) and experience in psychosocial assessment and intervention with women and their families dedicated to the perinatal service; E E I. A licensed social worker with a Masters degree (either an LGSW, Licensed Graduate Social Worker, or an LCSW, Licensed Certified Social Worker) and experience in psychosocial assessment and intervention with women and their families dedicated to the NICU; E E J. Respiratory therapists skilled in neonatal ventilator management: (1) Present in-house 24 hours a day; and E NA (2) Assigned to the NICU and not shared with other units 24 hours a day; O E K. At least one occupational or physical therapist with neonatal expertise; E E L. At least one individual skilled in evaluation and management of neonatal feeding and swallowing disorders such as a speech-language pathologist; E E M. Genetic diagnostic and counseling services or written consultation and referral agreements for these services in place; E E N. A pediatric neurodevelopmental follow-up program or written referral agreements for neurodevelopmental follow-up; E E O. On its administrative staff a registered nurse with a Masters or higher degree in nursing or a health-related field and experience in high-risk obstetrical and neonatal nursing who shall have programmatic responsibility for the obstetrical and neonatal nursing services; E E P. On its perinatal program staff a registered nurse with a Master's or higher degree in nursing and experience in high-risk obstetrical and/or neonatal nursing responsible for staff education; E E Q. A perinatal service that shall have: (1) A registered nurse skilled in the recognition and nursing management of complications of labor and delivery readily available if needed to the labor and delivery unit 24 hours a day; (2) A registered nurse skilled in the recognition and management of complications in women and newborns readily available to the obstetrical unit 24 hours a day; (3) A registered nurse with demonstrated training and experience in the assessment, evaluation, and care of patients in labor, present at all deliveries; and (4) A registered nurse with demonstrated training and experience in the assessment, evaluation, and care of newborns, readily available to the neonatal unit 24 hours a day; E E R. A perinatal program that performs neonatal surgery with nurses on staff that shall have special expertise in perioperative management of neonates; and E E S. A written plan for assuring registered nurse/patient ratios as per current Guidelines for Perinatal Care and Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Guidelines. E E