The hospital shall staff the hand and upper extremity trauma center with registered nurses competent in the care of patients with hand and upper extremity disorders. The hospital shall provide all nurses who care for patients in the hand and upper extremity trauma center with: Specific orientation to procedures and protocols for hand and upper extremity emergencies; and Education in hand and upper extremity emergencies and trauma care that meets the learning outcomes approved by MIEMSS. Nursing staff caring for hand and upper extremity trauma patients shall at a minimum have 8 hours of continuing medical education in hand trauma related topics every 2 years.