1. A. A licensed commercial ambulance, when providing neonatal service, shall be staffed by:

   1. (1) A driver who meets the requirements in COMAR 30.09.07.02A(4)(a); and

   2. (2) At least two individuals, in addition to the driver:

      1. (a) At least one of whom shall be a registered nurse or physician with advanced training in the care of neonates; and

      2. (b) The second individual shall be a Maryland licensed health care provider, including a physician, registered nurse, respiratory therapist, nurse practitioner, physician assistant, paramedic, or CRT, who is medically qualified to care for the patient and has additional training needed to care for neonatal patients during interfacility transport including:

         1. (i) Knowledge of the Maryland EMS System;
         2. (ii) The effects of transport on the neonate; and
         3. (iii) The operation of neonatal transport equipment and ambulance communications equipment.

2. B. When more than one patient is transported simultaneously in the same ambulance:

   1. (1) There shall be at least one registered nurse or physician with advanced training in the care of neonates present for each neonatal patient; and
   2. (2) Each patient shall be secured in a separate patient restraint device appropriate for the patients age and weight.

3. C. All personnel attending to neonatal patients shall:

   1. (1) Prior to transporting neonatal patients, successfully complete:

      1. (a) The Neonatal Resuscitation Program; and
      2. (b) The S.T.A.B.L.E. Program;

   2. (2) Maintain a current:

      1. (a) Neonatal Resuscitation Program Provider Course Completion Card; and
      2. (b) S.T.A.B.L.E. Program Completion Certificate; and

   3. (3) If a physician:

      1. (a) Maintain board certification in neonatology;
      2. (b) Maintain board certification in pediatric critical care; or
      3. (c) Be a licensed physician serving in the second or third year of a neonatology or pediatric critical care fellowship.

Authority: Education Article, §13-515, Annotated Code of Maryland

Effective date: October 12, 1992 (19:20 Md. R. 1816)

Chapter recodified from COMAR 14.22.12 to COMAR 30.09.12, August, 1997

Regulations .01—.08, Enforcement, repealed effective January 10, 2000 (26:27 Md. R. 2017)

Regulations .01—.07, Neonatal Ambulance Service, adopted effective January 10, 2000 (26:27 Md. R. 2017)

Chapter revised effective September 1, 2014 (41:17 Md. R. 972)

Regulation .02 amended effective May 3, 2021 (48:9 Md. R. 361)

Regulation .03 amended effective May 3, 2021 (48:9 Md. R. 361)

Regulation .04A amended effective May 3, 2021 (48:9 Md. R. 361); October 16, 2023 (50:20 Md. R. 889)

Regulation .04C amended effective October 16, 2023 (50:20 Md. R. 889)

Regulation .05B amended effective May 3, 2021 (48:9 Md. R. 361)

Regulation .06 amended effective May 3, 2021 (48:9 Md. R. 361)