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

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

### Chapter 08 — Pediatric Trauma Center Standards

#### Regulation .09 General Pediatric Unit.

*COMAR 30.08.08.09*

A. The hospital shall have a general pediatric unit, ideally a dedicated surgical unit to include trauma, adequately staffed 24 hours a day and equipped to care for all injured children.

B. The general pediatric unit shall:

  (1) Have the equipment and capability to care for the child with multiple traumatic injuries;

  (2) Have appropriately trained registered nursing staff to care for the multiply injured child;

  (3) Be staffed at a level to ensure appropriate nurse-patient ratios as determined by written nursing standards;

  (4) Have written plans for discharge and transfer of injured children to:

    (a) Appropriate inpatient rehabilitation;

    (b) Pediatric home care; and

    (c) Outpatient follow-up; and

  (5) Have the support services available for psychological support, rehabilitative therapy, and educational liaison with schools.