1. A. Clinical Nurse Managers for Burn Units.

   1. (1) A burn center shall have a clinical nurse manager who is administratively responsible for the burn unit.

   2. (2) A nurse manager shall:

      1. (a) Be a registered nurse;
      2. (b) Have a baccalaureate or higher degree in nursing;

      3. (c) Have at least two of the following qualifications:

         1. (i) An active role in burn QM program and processes;
         2. (ii) An active role in nursing research;
         3. (iii) An active role in burn prevention;
         4. (iv) 12 months or more of experience in acute burn care;
         5. (v) 2 years or more of experience in intensive care unit or surgical care unit appropriate to the specific unit; or
         6. (vi) 6 months or more managerial experience; and
      4. (d) Participate in QM, burn research, and burn prevention.
   3. (3) A burn center shall have an organizational chart relating the nurse manager to the burn service and other members of the burn team.

2. B. Nursing Staff. A burn center shall:

   1. (1) Have qualified nurses to take care of burn patients;

   2. (2) Have a plan to determine staffing and overall care including:

      1. (a) Nurse staffing for each patient in the burn unit; and
      2. (b) Daily staffing, including for surge and capacity needs;
   3. (3) Have a burn unit orientation program that documents nursing competencies specific to care and treatment of burn patients, including critical care, wound care, psychosocial, and rehabilitation, inclusive of a basic trauma course;
   4. (4) Require each new staff nurse hired for the burn units to complete the orientation program before assuming independent practice in the burn units; and

   5. (5) Provide burn center staff with a minimum of continuing education annually of:

      1. (a) 8 hours divided annually between burn care and trauma care, including a minimum of 2 hours of burn specific content for ED, OR, PACU, and critical care nurses;
      2. (b) 4 hours divided between burn care and trauma care, including a minimum of 1 hour of burn specific content for other acute care nurses; and
      3. (c) For the adult burn center, within 2 years of the completion of burn orientation, an RN shall have current ABLS®.

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: March 24, 1997 (24:6 Md. R. 488)

Regulation .04 amended effective July 1, 2002 (29:12 Md. R. 933)

Regulation .06 amended effective July 1, 2002 (29:12 Md. R. 933)

Chapter revised as an emergency provision effective June 1, 2006 (33:15 Md. R. 1277); revised permanently effective October 23. 2006 (33:21 Md. R. 1679)

Regulation .02B amended effective June 4, 2007 (34:11 Md. R. 972)

Regulations .01—.18 repealed and new Regulations .01—.21 adopted effective July 1, 2020 (47:5 Md. R. 313)

Regulation .01A amended effective July 21, 2025 (52:14 Md. R. 714)