# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 08 — Designation of Trauma and Specialty Referral Centers

### Chapter 06 — Adult and Pediatric Burn Center Standards

#### Regulation .07 Nursing Personnel.

*COMAR 30.08.06.07*

A. Clinical Nurse Managers for Burn Units.

  (1) A burn center shall have a clinical nurse manager who is administratively responsible for the burn unit.

  (2) A nurse manager shall:

    (a) Be a registered nurse;

    (b) Have a baccalaureate or higher degree in nursing;

    (c) Have at least two of the following qualifications:

      (i) An active role in burn QM program and processes;

      (ii) An active role in nursing research;

      (iii) An active role in burn prevention;

      (iv) 12 months or more of experience in acute burn care;

      (v) 2 years or more of experience in intensive care unit or surgical care unit appropriate to the specific unit; or

      (vi) 6 months or more managerial experience; and

    (d) Participate in QM, burn research, and burn prevention.

  (3) A burn center shall have an organizational chart relating the nurse manager to the burn service and other members of the burn team.

B. Nursing Staff. A burn center shall:

  (1) Have qualified nurses to take care of burn patients;

  (2) Have a plan to determine staffing and overall care including:

    (a) Nurse staffing for each patient in the burn unit; and

    (b) Daily staffing, including for surge and capacity needs;

  (3) Have a burn unit orientation program that documents nursing competencies specific to care and treatment of burn patients, including critical care, wound care, psychosocial, and rehabilitation, inclusive of a basic trauma course;

  (4) Require each new staff nurse hired for the burn units to complete the orientation program before assuming independent practice in the burn units; and

  (5) Provide burn center staff with a minimum of continuing education annually of:

    (a) 8 hours divided annually between burn care and trauma care, including a minimum of 2 hours of burn specific content for ED, OR, PACU, and critical care nurses;

    (b) 4 hours divided between burn care and trauma care, including a minimum of 1 hour of burn specific content for other acute care nurses; and

    (c) For the adult burn center, within 2 years of the completion of burn orientation, an RN shall have current ABLS®.