<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 30.08.14.03" title_num="30" subtitle_num="08" chapter_num="14" heading="Medical Staff.">
  <paragraph num="A.">
    <text>The hospital shall have a hand and upper extremity physician trauma team that shall include at least eight physicians who are Board-eligible or Board-certified in the following specialties:</text>
    <paragraph num="(1)">
      <text>General surgery;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Plastic surgery; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Orthopedic surgery.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A member of the hand and upper extremity physician trauma team shall be on call 24 hours a day with a response time of 30 minutes or less.</text>
  </paragraph>
  <paragraph num="C.">
    <text>As back-up, a second member of the hand and upper extremity physician trauma team shall be on call 24 hours a day with a response time of 30 minutes or less.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The physicians who satisfy §A of this regulation shall also hold or be eligible to hold a Certificate of Added Qualifications in Hand Surgery through:</text>
    <paragraph num="(1)">
      <text>The American Board of Orthopedic Surgery;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The American Board of Plastic Surgery; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The American Board of Surgery.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Each member of the hand and upper extremity trauma physician trauma team shall be competent in:</text>
    <paragraph num="(1)">
      <text>Microsurgery of the upper extremity;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Neurovascular surgery of the upper extremity;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Emergency skeletal reconstruction;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Emergency soft tissue reconstruction; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Upper limb replantation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A call roster for the hand and upper extremity physician trauma team shall be published and available in the emergency department and operating room.</text>
  </paragraph>
</regulation>