# 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 .19 Policies, Protocols, and Agreements.

*COMAR 30.08.08.19*

A. The hospital shall develop, distribute, and monitor implementation of the following patient treatment and care protocols:

  (1) Pediatric resuscitation protocol;

  (2) Procedural sedation protocols for children;

  (3) Transfusion and massive transfusion protocol;

  (4) Infection control protocol;

  (5) Pediatric trauma resuscitation team activation protocol;

  (6) Physician call schedule and notification protocol;

  (7) Interhospital transfer protocol;

  (8) Helicopter safety protocol;

  (9) Organ procurement protocol;

  (10) Child protection team protocol;

  (11) Pediatric psychosocial care protocol; and

  (12) Pediatric rehabilitation care protocol.

B. The hospital shall have written transfer agreements with specialty and pediatric rehabilitation centers.