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 30.08.12.08 - Other Personnel

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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 at all times to provide labor analgesia and surgical anesthesia so that cesarean delivery may be initiated per hospital protocol as required by Regulation .04A of this chapter;

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;

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E

C. If the hospital performs neonatal surgery, a physician board-certified or an active candidate for board certification in anesthesiology with experience in neonatal anesthesia who shall be present for the surgery;

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E

D. A physician on the medical staff with privileges for providing critical interventional radiology services for:

E. On staff, a licensed registered dietician with knowledge of and experience in the management of obstetrical and neonatal parenteral/enteral nutrition;

E

NA

F. On staff, a licensed registered dietician with knowledge of and experience in the management of obstetrical and neonatal parenteral/enteral nutrition, with one dietician dedicated to the NICU;

O

E

G. At least one full-time equivalent International Board Certified Lactation Consultant 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 of lactation support 7 days per week;

E

E

H. A written plan to address lactation consultant/patient ratios recommended in the current Association of Women's Health, Obstetric, and Neonatal Nurses Guidelines;

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E

I. At least one licensed social worker with a Master's degree (either an LMSW, Licensed Master 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

J. At least one licensed social worker with a Master's Degree (either an LMSW, Licensed Master 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

K. Respiratory therapists skilled in neonatal ventilator management:

(1) Present in-house 24 hours a day; and

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NA

(2) Dedicated to the NICU 24 hours a day;

O

E

L. At least one occupational or physical therapist with neonatal expertise;

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E

M. At least one individual skilled in evaluation and management of neonatal feeding and swallowing disorders such as a speech-language pathologist;

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E

N. Genetic diagnostic and counseling services or written consultation and referral agreements for these services in place;

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E

O. A pediatric neurodevelopmental follow-up program or written referral agreements for neurodevelopmental follow-up;

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E

P. Pharmacy personnel with knowledge of and experience in pediatric pharmacy;

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E

Q. Hospital perinatal program shall have on its administrative staff at least one registered nurse with a Master's degree or higher degree in nursing or a health-related field and experience in high-risk obstetrical and/or neonatal nursing who shall have programmatic responsibility for the obstetrical and neonatal nursing services;

E

E

R. On its perinatal program staff at least one registered nurse with a Master's or higher degree in nursing or a health or education-related field and experience in high-risk obstetrical and/or neonatal nursing who shall have programmatic responsibility for the obstetrical and neonatal nursing services;

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E

S. Hospital perinatal program shall have on its staff at least one registered nurse with a Master's or higher degree in nursing or a health or education-related field and experience in high-risk obstetrical and/or neonatal nursing responsible for staff education.

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E

T. Obstetrical service shall have continuous availability of adequate numbers of registered nurses with competence in assessment and care of obstetrical patients as well as the recognition and nursing management of obstetrical complications;

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E

U. Neonatal service shall have continuous availability of adequate numbers of registered nurses with competence in assessment and care of neonatal patients appropriate to the designated level of care;

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E

V. A neonatal service that performs neonatal surgery shall have nurses on staff with knowledge of and experience in perioperative management of neonates; and

E

E

W. A written plan to address registered nurse/patient ratios recommended in the current Association of Women's Health, Obstetric, and Neonatal Nurses Guidelines.

E

E