Md. Code Regs. 30.08.05.08
PARC | I | II | III | ED | |
A. Anesthesia. Anesthesia requirements are as follows: | |||||
(1) Board-certified, fellowship trained Anesthesiology Attending in-house, dedicated 24 hours a day to trauma care should be at the bedside upon arrival, and documented at least 80 percent of the time; | E | NA | NA | NA | NA |
(2) Board-certified or board-eligible, in-house attending 24 hours a day; | NA | E | E | E | NA |
(3) Attending anesthesiologist or CRNA taking trauma call shall be at the bedside within 15 minutes of being called with institution-specific criteria defining conditions requiring an immediate response, and present for all operations; and | NA | E | E | E | NA |
(4) A liaison to the trauma QM program with 50 percent attendance. | E | E | E | E | E |
B. Emergency Medicine. Emergency Medicine (EM) requirements are as follows: | |||||
(1) Physician Director or designated Director of Trauma Services in Emergency Medicine who: | |||||
(a) Is Board certified or board eligible in EM with evidence of active participation in daily emergency care; | NA | E | E | E | D |
(b) Has administrative duties in the Emergency Department (ED); | NA | E | E | E | D |
(c) Demonstrates the successful completion of the ATLS® course, at least once; and | NA | E | E | E | E |
(d) Maintains ATLS® certification; | NA | E | E | E | E |
(2) Emergency physician in-house 24 hours a day who is: | |||||
(a) Board certified or board eligible in EM; | NA | E | E | E | E |
(b) Board certified or board eligible in a non-EM specialty with at least 7,000 hours of emergency practice and current ATLS® certification; | NA | NA | NA | E | E |
(c) If certified by boards other than EM and treating trauma patients in the ED, current ATLS® status; or | NA | E | E | E | E |
(d) Has demonstrated special capabilities through commitment, continuing education, and experience; | NA | NA | NA | NA | E |
(3) Advanced Practice Professionals (APP) providing care to the trauma patient who have current ATLS® certification; and | NA | E | E | E | E |
(4) A liaison to the trauma QM program with 50 percent attendance. | NA | E | E | E | E |
C. Critical Care. Critical care requirements are as follows: | |||||
(1) Intensive care with a designated surgical director who is fellowship trained and board certified in surgery or critical care; | E | E | D | NA | NA |
(2) A board certified surgeon who serves as director or co-director of the ICU and is actively involved in, and responsible for, setting policies and administrative decisions related to trauma ICU patients; | NA | NA | E | D | NA |
(3) A trauma surgeon who retains responsibility for the patient and coordinates all therapeutic decisions; | NA | E | E | E | NA |
(4) If Telemedicine is used, physician/s who have privileges in critical care and be approved by the TMD; and | E | E | E | E | NA |
(5) A liaison to the trauma QM program with 50 percent attendance. | E | E | E | E | NA |
Md. Code Regs. 30.08.05.08