Md. Code Regs. 30.08.06.06

Current through Register Vol. 51, No. 22, November 1, 2024

Section 30.08.06.06 - Provider Coverage for Burn Care

A. Emergency department attending physicians may provide coverage for acute resuscitation when the burn surgeon is not on-site. In the absence of the burn surgeon, the emergency department physician shall have the authority to provide initial resuscitation and treatment of the burn injured patient.

B. Burn unit coverage (i.e., hospitalists, intensivists, etc.) shall:

(1) Be assigned to the burn service;

(2) Be available within 15 minutes, 24 hours a day;

(3) For the adult burn center, be current in ATLS® or ABLS®; and

(4) Have a liaison to the burn QM program with 50 percent attendance.

C. The burn center shall maintain an on-call schedule and backup call list for residents and attending burn staff surgeons who are assigned to the burn service.

D. Advanced practice professionals (APPs) providing initial resuscitation to the burn patient shall have:

(1) For the adult burn center, be current in ATLS® or ABLS®; and

(2) A liaison to the burn QM program with 50 percent attendance.

E. The following surgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 30 minutes after emergent consultation has been requested by the surgical trauma team leader based on institution-specific criteria:

(1) General surgery/pediatric surgery;

(2) Thoracic surgery;

(3) Neurologic surgery;

(4) Obstetrics/gynecology;

(5) Ophthalmology;

(6) Orthopedic surgery;

(7) Otorhinolaryngology;

(8) Plastic surgery;

(9) Urology; and

(10) Vascular.

F. The following nonsurgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 30 minutes after emergent consultation has been requested by the surgical trauma team leader based on institution-specific criteria:

(1) Anesthesiology;

(2) Critical care medicine;

(3) Pediatrics;

(4) Psychiatry;

(5) Interventional radiology (perform complex imaging studies or interventional procedures); and

(6) Interventional angiography.

G. The following nonsurgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 60 minutes after emergent consultation has been requested by the burn attending team leader based on institution-specific criteria:

(1) Cardiology;

(2) Patient protection service (adult or child);

(3) Gastroenterology;

(4) Hematology;

(5) Infectious disease;

(6) Nephrology;

(7) Neurology;

(8) Pathology; and

(9) Pulmonology.

H. The following nonsurgical specialties shall be on call and available for consultation 24 hours a day based on institution-specific criteria:

(1) Psychology; and

(2) Physiatry.

Md. Code Regs. 30.08.06.06

Regulation .06 adopted effective July 1, 2002 (29:12 Md. R. 933); adopted effective 47:5 Md. R. 313, eff. 7/1/2020