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

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

### Chapter 14 — Hand and Upper Extremity Trauma Center Standards

#### Regulation .11 Policies and Procedures.

*COMAR 30.08.14.11*

A hand and upper extremity trauma center shall maintain written policies and protocols for:

A. Emergency triage and protocol for massive upper extremity injuries and replantation;

B. Preoperative and postoperative orders for replantations and free flaps;

C. Care and treatment of a upper extremity injuries;

D. The physician on-call schedule for the hand and upper extremity trauma center;

E. The interhospital transfer protocol;

F. House staff privileges for:

  (1) Educational activities;

  (2) Responsibilities; and

  (3) Grievances;

G. The scope of care for the hand and upper extremity trauma center; and

H. Extramural hospital house staff program agreements for rotation in the hand and upper extremity trauma center.