Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.12 - Perinatal and Neonatal Referral Center Standards
Section 30.08.12.07 - Pediatric Personnel

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A hospital shall have:

A. A physician board-certified in pediatrics, neonatal-perinatal medicine, or family medicine shall be a member of the medical staff and have privileges for neonatal care and have programmatic responsibility for neonatal services in the newborn nursery and/or the mother-baby unit;

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B. A physician board-certified in neonatal-perinatal medicine shall be a member of the medical staff and have programmatic responsibility for neonatal services in the special care nursery or NICU;

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C. Neonatal Resuscitation Program (NRP) trained professional(s) with experience in acute care of the depressed newborn and skilled in neonatal endotracheal intubation and resuscitation shall be immediately available to the delivery and neonatal units;

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D. A physician who has completed postgraduate pediatric training, a nurse practitioner, or a physician assistant with privileges for neonatal care appropriate to the level of the neonatal services shall be present in-house 24 hours a day assigned to the delivery area and neonatal units and not shared with other units in the hospital;

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E. A physician board-certified or an active candidate for board certification in neonatal-perinatal medicine shall be on the medical staff, in active practice, available at all times, and, if needed, in-house within 30 minutes;

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F. An ophthalmologist with experience in neonatal retinal examination and an organized program for the monitoring, treatment, and follow up of retinopathy of prematurity;

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G. The following pediatric subspecialists on staff, in active practice, and, if needed, readily available in-house or via telemedicine: (1) Cardiology; (2) Neurology; and (3) General pediatric surgery;

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H. The following pediatric subspecialties on staff, in active practice, available at all times, and, if needed, in-house within 30 minutes: cardiology, endocrinology, gastroenterology, genetics, hematology, nephrology, neurology, and pulmonology; and

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I. General Pediatric Surgery and the following pediatric surgical subspecialists on staff, in active practice, available at all times, and, if needed, in-house within 30 minutes: (1) Neurosurgery; (2) Cardiothoracic surgery; (3) Orthopedic surgery; (4) Plastic surgery; and (5) Ophthalmology.

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