Md. Code Regs. 30.08.05.20

Current through Register Vol. 51, No. 24, December 2, 2024
Section 30.08.05.20 - Trauma Program Manager

PARC

I

II

III

ED

A. There shall be a Trauma Program Manager (TPM) who is a registered nurse and who is 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 Trauma Medical Director (TMD).

E

E

E

E

NA

B. There shall be a defined organizational structure which delineates the roles and responsibilities of the TPM.

E

E

E

E

NA

C. This must be a full-time (1.0 FTE) position dedicated to the management of the trauma program.

NA

E

E

E

NA

D. The institution's organization shall define the structural role of the TPM to include responsibility, accountability, and authority.

NA

E

E

E

NA

E. The TPM shall:

(1) Possess evidence of appropriate qualifications including academic and trauma-related education and clinical experience;

E

E

E

E

NA

(2) Have a job description developed by the hospital to reflect the role and responsibilities as defined by COMAR, and be shown on an organizational chart depicting the relationship between the TPM and other services, including the Department of Nursing;

E

E

E

E

NA

(3) Attend and participate in local, state and national trauma-related activities, including but are not limited to: EMS Advisory Councils, State trauma-related committees and events, National trauma-related activities and events;

E

E

E

E

NA

(4) Participate in trauma educational activities external to the institution's staff development programs;

E

E

E

E

NA

(5) As requested, participate in multidisciplinary trauma research;

E

E

D

D

NA

(6) Have sufficient administrative and budgetary commitment in order to support the needs of the Trauma Program inclusive of clerical and clinical nursing personnel that help fulfills needs of the concurrent performance Improvement, outreach and injury prevention;

E

E

E

E

NA

(7) Supervise the Trauma Registry staff and trauma clinical QM staff and have oversite for injury prevention and outreach;

NA

E

E

E

NA

(8) Identify an alternate supervisor to supervise the trauma registry if needed; and

E

NA

NA

NA

NA

(9) The TPM and/or TMD will have the oversight and approval of internal trauma-related education programs within each trauma center.

E

E

E

E

NA

Md. Code Regs. 30.08.05.20

Regulations .20 adopted as an emergency provision effective November 7, 1997 (24:25 Md. R. 1718); adopted permanently effective March 9, 1998 (25:5 Md. R. 371)
Regulation .20 amended effective July 1, 2002 (29:12 Md. R. 933)
Regulation .20D amended effective June 4, 2007 (34:11 Md. R. 972); amended effective 45:9 Md. R. 463, eff. 7/1/2018