Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.05 - Trauma Center Designation and Verification Standards
Section 30.08.05.05 - Trauma Service

PARC

I

II

III

ED

Trauma Service requirements are as follows:

A. The Trauma Service shall be established by the medical staff and shall be responsible for the care of injured patients.

E

E

E

E

NA

B. Privileges for physicians on the trauma service shall be determined by the medical credentialing process.

E

E

E

E

NA

C. The trauma service attending surgeon shall retain responsibility for the patient and coordinate all therapeutic decisions while the patient is on the Trauma Service.

E

E

E

E

NA

D. Injured patients may be observed by or admitted to an individual surgeon, but the structure of the program shall allow the Trauma Medical Director to have oversight authority for the care of these patients.

E

E

E

E

NA

E. The Trauma Center shall have a clearly defined response requirement for the trauma surgical evaluation of injured patients.

E

E

E

E

NA

F. Patients with injuries having a high index of suspicion, such as a significant mechanism of injury, shall be evaluated by the trauma service in compliance with hospital protocol.

E

E

E

E

NA

G. The emergency physician may initially evaluate the trauma patient, but the Trauma Center shall have a clearly defined response requirement for the trauma surgical evaluation of those patients requiring observation or admission.

NA

E

E

E

E

H. Patients with multiple system or complex single system injuries shall be evaluated by the trauma surgery service.

E

E

E

E

NA

I. The surgeon responsible for a patient's care shall be identified.

E

E

E

E

NA

J. The hospital shall document:

(1) Current certification as ATLS® instructors for all attending general trauma surgeons;

E

NA

NA

NA

NA

(2) Successful completion and continued certification of an ATLS® course for all general trauma surgeons;

E

E

E

D

NA

(3) Successful completion and continued certification of an ATLS® course for the TMD and all APP's who provide initial evaluation of trauma patients, treatment and care; and

E

E

E

E

E

(4) Current APLS® certification for physicians providing pediatric trauma care;

D

D

D

D

D