<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.05.02.06" title_num="10" subtitle_num="05" chapter_num="02" heading="Personnel.">
  <paragraph num="A.">
    <text>Administrator. The licensee shall appoint an administrator of the freestanding birthing center who is responsible for the:</text>
    <paragraph num="(1)">
      <text>Daily administration of the center; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Training and supervision of all nonprofessional staff, unlicensed staff, and volunteers.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Director of Midwifery Services. The administrator shall appoint a certified nurse midwife or licensed certified midwife as director of midwifery services who is responsible for the employment, training, and supervision of the licensed professional staff</text>
  </paragraph>
  <paragraph num="C.">
    <text>Clinical Director.</text>
    <paragraph num="(1)">
      <text>The clinical director shall:</text>
      <paragraph num="(a)">
        <text>Be a certified nurse midwife;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Be a licensed certified midwife; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Be a physician with:</text>
        <paragraph num="(i)">
          <text>Board certification in a specialty that provides services for pregnant and postpartum patients; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Appropriate experience in the care of pregnant and postpartum patients; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Be responsible for advising and consulting with the center staff on all matters related to medical management of pregnancy, birth, postpartum, newborn, and gynecologic health care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The same individual may be clinical director and the director of midwifery services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Two licensed staff individuals in midwifery, one of whom shall be a certified nurse midwife or licensed certified midwife, shall:</text>
    <paragraph num="(1)">
      <text>Attend each birth; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be currently certified in:</text>
      <paragraph num="(a)">
        <text>Adult cardiopulmonary resuscitation equivalent to the American Heart Association Class C basic life support; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Neonatal resuscitation by a course endorsed by the American Academy of Pediatrics and the American Heart Association.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>