<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 30.09.12.04" title_num="30" subtitle_num="09" chapter_num="12" heading="Staffing.">
  <paragraph num="A.">
    <text>A licensed commercial ambulance, when providing neonatal service, shall be staffed by:</text>
    <paragraph num="(1)">
      <text>A driver who meets the requirements in COMAR 30.09.07.02A(4)(a); and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>At least two individuals, in addition to the driver:</text>
      <paragraph num="(a)">
        <text>At least one of whom shall be a registered nurse or physician with advanced training in the care of neonates; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The second individual shall be a Maryland licensed health care provider, including a physician, registered nurse, respiratory therapist, nurse practitioner, physician assistant, paramedic, or CRT, who is medically qualified to care for the patient and has additional training needed to care for neonatal patients during interfacility transport including:</text>
        <paragraph num="(i)">
          <text>Knowledge of the Maryland EMS System;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The effects of transport on the neonate; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The operation of neonatal transport equipment and ambulance communications equipment.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>When more than one patient is transported simultaneously in the same ambulance:</text>
    <paragraph num="(1)">
      <text>There shall be at least one registered nurse or physician with advanced training in the care of neonates present for each neonatal patient; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Each patient shall be secured in a separate patient restraint device appropriate for the patients age and weight.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>All personnel attending to neonatal patients shall:</text>
    <paragraph num="(1)">
      <text>Prior to transporting neonatal patients, successfully complete:</text>
      <paragraph num="(a)">
        <text>The Neonatal Resuscitation Program; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The S.T.A.B.L.E. Program;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain a current:</text>
      <paragraph num="(a)">
        <text>Neonatal Resuscitation Program Provider Course Completion Card; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>S.T.A.B.L.E. Program Completion Certificate; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If a physician:</text>
      <paragraph num="(a)">
        <text>Maintain board certification in neonatology;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintain board certification in pediatric critical care; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Be a licensed physician serving in the second or third year of a neonatology or pediatric critical care fellowship.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>