<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 30.08.08.09" title_num="30" subtitle_num="08" chapter_num="08" heading="General Pediatric Unit.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The general pediatric unit shall:</text>
    <paragraph num="(1)">
      <text>Have the equipment and capability to care for the child with multiple traumatic injuries;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have appropriately trained registered nursing staff to care for the multiply injured child;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be staffed at a level to ensure appropriate nurse-patient ratios as determined by written nursing standards;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Have written plans for discharge and transfer of injured children to:</text>
      <paragraph num="(a)">
        <text>Appropriate inpatient rehabilitation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Pediatric home care; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Outpatient follow-up; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Have the support services available for psychological support, rehabilitative therapy, and educational liaison with schools.</text>
    </paragraph>
  </paragraph>
</regulation>