<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.12.01.05" title_num="10" subtitle_num="12" chapter_num="01" heading="Administration.">
  <paragraph num="A.">
    <text>Administrator.</text>
    <paragraph num="(1)">
      <text>Each facility shall have an administrator, who is responsible for the daily operation of the facility, including but not limited to:</text>
      <paragraph num="(a)">
        <text>Consulting with the staff to develop and implement the facility's policies and procedures required under §C of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Organizing and coordinating the administrative functions of the facility;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Coordinating the provision of services that the facility provides;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Training the staff on the facility's policies and procedures and applicable federal, State, and local laws and regulations; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Ensuring that all personnel:</text>
        <paragraph num="(i)">
          <text>Receive orientation and have experience sufficient to demonstrate competency to perform assigned patient care duties, including proper infection control practices;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Are licensed or certified by an appropriate occupational licensing board to practice in this State, if required by law; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Perform or delegate duties and responsibilities in accordance with standards of practice as defined by the Health Occupations Article, Annotated Code of Maryland.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The administrator shall ensure that:</text>
      <paragraph num="(a)">
        <text>The facility's policies and procedures as described in §C of this regulation are:</text>
        <paragraph num="(i)">
          <text>Reviewed by staff at least annually and are revised as necessary; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Available at all times for staff inspection and reference; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>All appropriate personnel implement all policies and procedures as adopted.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Medical Director.</text>
    <paragraph num="(1)">
      <text>The surgical abortion facility shall have a medical director who:</text>
      <paragraph num="(a)">
        <text>Is responsible for the overall medical care that is provided by the facility; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Advises and consults with the staff of the facility on all medical issues relating to services provided by the facility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The medical director shall be a physician licensed to practice in Maryland.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Policies and Procedures. The facility shall have policies and procedures concerning the following:</text>
    <paragraph num="(1)">
      <text>The scope and delivery of services provided by the facility either directly or through contractual arrangements;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Personnel practices, including but not limited to:</text>
      <paragraph num="(a)">
        <text>Procedures for the accountability of personnel involved in patient care;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Job descriptions on file for all personnel: and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Procedures to ensure personnel are free from communicable diseases;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Postoperative recovery, if applicable;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The transfer or referral of patients who require services that are not provided by the facility;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Infection control for patients and staff;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Pertinent safety practices, including the control of fire and mechanical hazards;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Preventive maintenance for equipment to ensure proper operation and safety; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>The services and procedures specified in Regulations .07—.12 of this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>