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 30.08.14.03 - Medical Staff

Universal Citation: MD Code Reg 30.08.14.03

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

A. The hospital shall have a hand and upper extremity physician trauma team that shall include at least eight physicians who are Board-eligible or Board-certified in the following specialties:

(1) General surgery;

(2) Plastic surgery; or

(3) Orthopedic surgery.

B. A member of the hand and upper extremity physician trauma team shall be on call 24 hours a day with a response time of 30 minutes or less.

C. As back-up, a second member of the hand and upper extremity physician trauma team shall be on call 24 hours a day with a response time of 30 minutes or less.

D. The physicians who satisfy §A of this regulation shall also hold or be eligible to hold a Certificate of Added Qualifications in Hand Surgery through:

(1) The American Board of Orthopedic Surgery;

(2) The American Board of Plastic Surgery; or

(3) The American Board of Surgery.

E. Each member of the hand and upper extremity trauma physician trauma team shall be competent in:

(1) Microsurgery of the upper extremity;

(2) Neurovascular surgery of the upper extremity;

(3) Emergency skeletal reconstruction;

(4) Emergency soft tissue reconstruction; and

(5) Upper limb replantation.

F. A call roster for the hand and upper extremity physician trauma team shall be published and available in the emergency department and operating room.

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