<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 30.08.06.07" title_num="30" subtitle_num="08" chapter_num="06" heading="Nursing Personnel.">
  <paragraph num="A.">
    <text>Clinical Nurse Managers for Burn Units.</text>
    <paragraph num="(1)">
      <text>A burn center shall have a clinical nurse manager who is administratively responsible for the burn unit.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A nurse manager shall:</text>
      <paragraph num="(a)">
        <text>Be a registered nurse;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Have a baccalaureate or higher degree in nursing;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Have at least two of the following qualifications:</text>
        <paragraph num="(i)">
          <text>An active role in burn QM program and processes;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An active role in nursing research;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>An active role in burn prevention;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>12 months or more of experience in acute burn care;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>2 years or more of experience in intensive care unit or surgical care unit appropriate to the specific unit; or</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>6 months or more managerial experience; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Participate in QM, burn research, and burn prevention.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A burn center shall have an organizational chart relating the nurse manager to the burn service and other members of the burn team.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Nursing Staff. A burn center shall:</text>
    <paragraph num="(1)">
      <text>Have qualified nurses to take care of burn patients;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have a plan to determine staffing and overall care including:</text>
      <paragraph num="(a)">
        <text>Nurse staffing for each patient in the burn unit; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Daily staffing, including for surge and capacity needs;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Require each new staff nurse hired for the burn units to complete the orientation program before assuming independent practice in the burn units; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Provide burn center staff with a minimum of continuing education annually of:</text>
      <paragraph num="(a)">
        <text>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;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>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</text>
      </paragraph>
      <paragraph num="(c)">
        <text>For the adult burn center, within 2 years of the completion of burn orientation, an RN shall have current ABLS®.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>