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

## Subtitle 09 — Commercial Ambulance Services

### Chapter 12 — Neonatal Ambulance Service and Infant Transport

#### Regulation .05 Additional Record-Keeping and Quality Assurance Requirements.

*COMAR 30.09.12.05*

A. In addition to the information required in COMAR 30.09.08, the following information shall be documented on the patient runsheet:

  (1) Mother's name;

  (2) Name of the referring hospital;

  (3) Name of the referring physician;

  (4) Name of the receiving hospital;

  (5) Name of the receiving physician;

  (6) Date of birth;

  (7) Time of birth;

  (8) Gestational age of the patient;

  (9) Weight of the patient;

  (10) Primary reason for transport;

  (11) Names and license or certification level of the commercial ambulance driver and all personnel;

  (12) Time the request for transport was received by the commercial ambulance service;

  (13) Time the transport team departed from base;

  (14) Time the transport team arrived at the referral hospital;

  (15) Time the transport team departed from the referral hospital;

  (16) Time the transport team arrived at the receiving hospital; and

  (17) Care provided during the transport.

B. A copy of the runsheet and all documentation of patient care during the transport shall be submitted in accordance with COMAR 30.09.08.06D.

C. A licensed neonatal commercial ambulance service shall have a quality assurance program required by COMAR 30.03.04 which shall include:

  (1) A review by registered nurses and physicians of patient care provided during neonatal transport;

  (2) A review by the program medical director of each specialty care transport:

    (a) Requiring a change in the plan of care during transport;

    (b) In which the patient’s condition worsened during transport;

    (c) Requiring a change in destination during transport; or

    (d) During which there was an unexpected outcome or event;

  (3) Written documentation of reviews of neonatal transports which shall be available to SOCALR upon request; and

  (4) A quality assurance process for call taking, call screening, and dispatch.