<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.05.02.10" title_num="10" subtitle_num="05" chapter_num="02" heading="Hospitalization.">
  <paragraph num="A.">
    <text>A freestanding birthing center shall have a written procedure for the transfer of patients to a nearby hospital when care beyond the capabilities of the facility is required.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Procedures for emergency transfer to a hospital shall include, at minimum:</text>
    <paragraph num="(1)">
      <text>Written clinical practice guidelines related to emergency transfer procedures;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A mechanism for notifying the hospital of a pending emergency case;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A mechanism for arranging appropriate transportation to the hospital; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Protocols for transmitting a copy of the patient’s medical record to the hospital.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A freestanding birthing center shall conduct a transfer drill with staff that may be involved in patient transfers at least once a year.</text>
  </paragraph>
</regulation>