Sec. 30.09.12.04. Staffing

A. A neonatal licensed commercial ambulance, when providing neonatal service, shall be staffed by:

(1) A driver who meets the requirements in COMAR 30.09.07.02A(4)(a); and

(2) At least two individuals, in addition to the driver:

(a) At least one of whom shall be a registered nurse or physician with advanced training in the care of neonates; and

(b) As of July 1, 2014, the second individual shall be a Maryland licensed health care provider, including a physician, registered nurse, respiratory therapist, or paramedic, who is medically qualified to care for the patient and has additional training needed to care for neonatal patients during interfacility transport including:

(i) Knowledge of the Maryland EMS System;

(ii) The effects of transport on the neonate; and

(iii) The operation of neonatal transport equipment and ambulance communications equipment.

B. When more than one patient is transported simultaneously in the same ambulance:

(1) There shall be at least one registered nurse or physician with advanced training in the care of neonates present for each neonatal patient; and

(2) Each patient shall be secured in a separate patient restraint device appropriate for the patient’s age and weight.

C. All personnel attending to neonatal patients shall:

(1) Prior to transporting neonatal patients, successfully complete:

(a) The Neonatal Resuscitation Program; and

(b) The S.T.A.B.L.E. Program;

(2) Maintain a current:

(a) Neonatal Resuscitation Program Provider Course Completion Card; and

(b) S.T.A.B.L.E. Program Completion Certificate; and

(3) If a physician, maintain board certification in neonatology.