<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 30.08.06.06" title_num="30" subtitle_num="08" chapter_num="06" heading="Provider Coverage for Burn Care.">
  <paragraph num="A.">
    <text>Emergency department attending physicians may provide coverage for acute resuscitation when the burn surgeon is not on-site. In the absence of the burn surgeon, the emergency department physician shall have the authority to provide initial resuscitation and treatment of the burn injured patient.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Burn unit coverage (i.e., hospitalists, intensivists, etc.) shall:</text>
    <paragraph num="(1)">
      <text>Be assigned to the burn service;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be available within 15 minutes, 24 hours a day;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>For the adult burn center, be current in ATLS® or ABLS®; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Have a liaison to the burn QM program with 50 percent attendance.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The burn center shall maintain an on-call schedule and back-up call list for residents and attending burn staff surgeons who are assigned to the burn service.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Advanced practice professionals (APPs) providing initial resuscitation to the burn patient shall have:</text>
    <paragraph num="(1)">
      <text>For the adult burn center, be current in ATLS® or ABLS®; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A liaison to the burn QM program with 50 percent attendance.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The following surgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 30 minutes after emergent consultation has been requested by the surgical trauma team leader based on institution-specific criteria:</text>
    <paragraph num="(1)">
      <text>General surgery/pediatric surgery;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Thoracic surgery;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Neurologic surgery;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Obstetrics/gynecology;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Ophthalmology;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Orthopedic surgery;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Otorhinolaryngology;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Plastic surgery;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Urology; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Vascular.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>The following nonsurgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 30 minutes after emergent consultation has been requested by the surgical trauma team leader based on institution-specific criteria:</text>
    <paragraph num="(1)">
      <text>Anesthesiology;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Critical care medicine;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Pediatrics;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Psychiatry;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Interventional radiology (perform complex imaging studies or interventional procedures); and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Interventional angiography.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>The following nonsurgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 60 minutes after emergent consultation has been requested by the burn attending team leader based on institution-specific criteria:</text>
    <paragraph num="(1)">
      <text>Cardiology;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Patient protection service (adult or child);</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Gastroenterology;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Hematology;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Infectious disease;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Nephrology;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Neurology;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Pathology; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Pulmonology.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>The following nonsurgical specialties shall be on call and available for consultation 24 hours a day based on institution-specific criteria:</text>
    <paragraph num="(1)">
      <text>Psychology; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Physiatry.</text>
    </paragraph>
  </paragraph>
</regulation>