Md. Code Regs. 30.08.08.20

Current through Register Vol. 51, No. 12, June 14, 2024
Section 30.08.08.20 - Trauma Program Manager
A. There shall be a TPM who is a registered nurse responsible for the organization of services and systems necessary for a multidisciplinary approach to providing care to the injured patient in collaboration and conjunction with the TMD.
B. There shall be a defined organizational structure, which delineates the roles and responsibilities of the TPM.
C. The TPM shall be a 1.0 FTE position dedicated to the management of the pediatric trauma center.
D. The institution's organization shall define the structural role of the TPM to include responsibility, accountability, and authority.
E. The TPM shall:
(1) Have a job description developed by the hospital to reflect the role and responsibilities and identified on an organizational chart depicting the relationship between the TPM and other services, including the Department of Nursing;
(2) Attend and participate in local, state and national trauma-related activities, including but not limited to EMS community, state trauma-related committees and events, and national trauma-related activities and events;
(3) Show evidence of 16 hours of trauma-related CE a year, and, over a 2-year period, half of the CE hours shall be obtained outside the hospital and be recognized by a national accrediting body;
(4) As requested, participate in multidisciplinary trauma research;
(5) Have sufficient administrative and budgetary commitment in order to support the needs of the trauma center inclusive of clerical and clinical nursing personnel that help fulfill the needs of concurrent performance improvement, outreach, and injury prevention functions;
(6) Supervise the Trauma Registry staff and trauma clinical QM staff and have oversite for injury prevention and outreach; and
(7) With the TMD, have oversight and approval of internal trauma-related education programs.

Md. Code Regs. 30.08.08.20

Regulation .20 adopted effective 50:14 Md. R. 594, eff. 7/24/2023