<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 30.09.12.05" title_num="30" subtitle_num="09" chapter_num="12" heading="Additional Record-Keeping and Quality Assurance Requirements.">
  <paragraph num="A.">
    <text>In addition to the information required in COMAR 30.09.08, the following information shall be documented on the patient runsheet:</text>
    <paragraph num="(1)">
      <text>Mother's name;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Name of the referring hospital;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Name of the referring physician;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Name of the receiving hospital;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Name of the receiving physician;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Date of birth;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Time of birth;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Gestational age of the patient;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Weight of the patient;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Primary reason for transport;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Names and license or certification level of the commercial ambulance driver and all personnel;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Time the request for transport was received by the commercial ambulance service;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Time the transport team departed from base;</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Time the transport team arrived at the referral hospital;</text>
    </paragraph>
    <paragraph num="(15)">
      <text>Time the transport team departed from the referral hospital;</text>
    </paragraph>
    <paragraph num="(16)">
      <text>Time the transport team arrived at the receiving hospital; and</text>
    </paragraph>
    <paragraph num="(17)">
      <text>Care provided during the transport.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A licensed neonatal commercial ambulance service shall have a quality assurance program required by COMAR 30.03.04 which shall include:</text>
    <paragraph num="(1)">
      <text>A review by registered nurses and physicians of patient care provided during neonatal transport;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A review by the program medical director of each specialty care transport:</text>
      <paragraph num="(a)">
        <text>Requiring a change in the plan of care during transport;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>In which the patient’s condition worsened during transport;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Requiring a change in destination during transport; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>During which there was an unexpected outcome or event;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Written documentation of reviews of neonatal transports which shall be available to SOCALR upon request; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A quality assurance process for call taking, call screening, and dispatch.</text>
    </paragraph>
  </paragraph>
</regulation>