Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.14 - Hand and Upper Extremity Trauma Center Standards
Section 30.08.14.02 - Organization

Universal Citation: MD Code Reg 30.08.14.02

Current through Register Vol. 51, No. 19, September 20, 2024

A. A hand and upper extremity trauma center shall:

(1) Be licensed as an acute care hospital by the hospital licensing authority in the jurisdiction in which it is located;

(2) Be accredited by the Joint Commission on Accreditation of Health Care Organizations with a designated hand surgery service;

(3) Have an emergency department which offers comprehensive emergency care 24 hours a day with:
(a) At least one physician experienced in emergency care on duty in the emergency care area; and

(b) In-hospital physician coverage by members of the medical staff or by senior-level residents who are postgraduate year 3 or higher for the following services:
(i) Medical;

(ii) Surgical;

(iii) Orthopedic; and

(iv) Anesthesia;

(4) Have a resolution adopted by the Board of Directors of the hospital committing the hospital to:
(a) Participate in State and regional emergency medical services; and

(b) Maintain the infrastructure necessary to support the hospital's provision of state-of-the-art hand and upper extremity trauma care including the following resources necessary to the provision of such service:
(i) Financial;

(ii) Human; and

(iii) Physical.

B. The hand and upper extremity trauma center shall have:

(1) A medical director;

(2) Appropriately educated nurse leaders and clinical staff to provide care for hand and upper extremity trauma patients;

(3) A fellowship training program in hand surgery accredited by the ACGME;

(4) A comprehensive post-trauma rehabilitation program accredited by CARF;

(5) A quality improvement program which participates in State and regional emergency medical services quality management;

(6) An educational program for physicians, nurses, and therapists who treat trauma patients with single system upper extremity trauma;

(7) A policy committee that oversees the activities of the hand and upper extremity trauma center;

(8) An internal morbidity and mortality conference scheduled to meet at least monthly to record and discuss any complications;

(9) A maintained hand registry; and

(10) Timely submission of data to the MIEMSS State trauma registry.

Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.