1. A. A neurotrauma center shall have:

   1. (1) A nurse manager who is administratively responsible for the center;
   2. (2) An organizational chart relating the nurse manager to other members of the neurotrauma center and the hospital; and
   3. (3) A masters-prepared advanced practice nurse with clinical expertise in neurotrauma care with responsibility for clinical nursing oversight and nursing staff consultation.

2. B. The nurse manager shall have:

   1. (1) A registered nurse license;
   2. (2) A baccalaureate or higher degree in nursing;
   3. (3) At least 2 or more years of experience in acute neurotrauma care; and
   4. (4) At least 1 year or more of experience in an intensive care unit (ICU).

3. C. The neurotrauma center nursing department shall:

   1. (1) Have a patient classification system/staffing matrix for nurse staffing that meets the care needs for each patient in the neurotrauma center;
   2. (2) Have a neurotrauma center orientation program that documents nursing competencies specific to the care and treatment of acute neurologic injuries;
   3. (3) Have appropriately trained nursing staff to manage the complex physical and emotional needs of neurotrauma patients;
   4. (4) Have a neurotrauma orientation program that each new staff nurse hired shall complete before assuming independent practice in the center;

   5. (5) After completion of the introductory education mandated in this regulation, have continuing education (CE) that is current, meeting the following requirements:

      1. (a) 8 hours of neuro/trauma-related CE every year for emergency and neurotrauma critical care or intermediate care nurses caring primarily for neurotrauma patients; or
      2. (b) 4 hours of neuro/trauma-related CE every year for nurses who care for trauma patients and are from other clinical areas; and
   6. (6) Promote specialty certification for nurses working in the neurotrauma ICU and units within 3 years of assignment to neurotrauma.
4. D. Nurses in the ICU shall spend 50 percent of their clinical practice caring for patients with neurologic injury.
5. E. Neurotrauma nursing staff shall be involved with the centers injury prevention and outreach education programs.

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

Effective date: May 27, 2002 (29:10 Md. R. 827)

Regulation .01 amended effective March 7, 2022 (49:5 Md. R. 368)

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

Regulation .02 amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .03A, C amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .04A amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .05 amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .06 amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .07 amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .08B, C amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .09 amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .10 amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .11 amended effective March 7, 2022 (49:5 Md. R. 368)

Regulation .13 amended effective March 7, 2022 (49:5 Md. R. 368)