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

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

### Chapter 12 — Perinatal and Neonatal Referral Center Standards

#### Regulation .13 Education Programs.

*COMAR 30.08.12.13*

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            A hospital shall:
            
            
          
          
            A. Identify minimum competencies for obstetrical and neonatal clinical staff, not otherwise credentialed, that are assessed prior to independent practice and on a regular basis thereafter;
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            B. Provide continuing education programs available to all obstetrical and neonatal clinical staff concerning the treatment and care of obstetrical and neonatal patients;
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            C. Conduct multidisciplinary clinical drills or simulations including post-drill debriefs to help prepare obstetrical and neonatal staff for high risk, high complexity, low frequency events;
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            E
          
          
            D. Provide evidence-based education every two years to all staff caring for newborns (nurses, respiratory therapist, technicians, etc.) that includes at a minimum stabilization after immediate resuscitation to address glucose metabolism, thermoregulation, respiratory support hemodynamic monitoring and stability, risk and treatment of infection, and support for the family; and
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            E. Accept maternal or neonatal primary transports and provide the following to the referring hospital/providers:   (1) Guidance on indications for consultation and referral of patients at high risk;   (2) Information about the accepting hospital’s response times and clinical capabilities;   (3) Information about alternative sources for specialized care not provided by the accepting hospital;  (4) Guidance on the pre-transport stabilization of patients; and   (5) Feedback on the pre-transport and post-transport care of patients.
            E
            E