A hand and upper extremity trauma center shall maintain written policies and protocols for: Emergency triage and protocol for massive upper extremity injuries and replantation; Preoperative and postoperative orders for replantations and free flaps; Care and treatment of a upper extremity injuries; The physician on-call schedule for the hand and upper extremity trauma center; The interhospital transfer protocol; House staff privileges for: Educational activities; Responsibilities; and Grievances; The scope of care for the hand and upper extremity trauma center; and Extramural hospital house staff program agreements for rotation in the hand and upper extremity trauma center.