# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 08 — Designation of Trauma and Specialty Referral Centers

### Chapter 11 — Designated Primary Stroke Center Standards

#### Regulation .04 Operating Room.

*COMAR 30.08.11.04*

The hospital shall have:

A. Operating room neurosurgical services available 24 hours a day with appropriately trained support staff, and:

  (1) Necessary equipment and tools to aid in the care of acute stroke patients including equipment necessary for continuous hemodynamic monitoring; and

  (2) A written plan for neurosurgical procedures or evaluations to be performed within 2 hours of the determination they are clinically necessary which is approved by:

    (a) The neurosurgeons providing coverage; and

    (b) The stroke center medical director; or

B. A written agreement with another hospital which:

  (1) Meets the requirements of this chapter;

  (2) Has operating room neurosurgical facilities that meet the requirements of this regulation; and

  (3) Is available to provide the required neurosurgical services to the patient.