The hospital shall establish one or more acute stroke teams which shall respond to the emergency department with coordinated services for the effective delivery of emergency and acute stroke treatment. Presence at Bedside. A member of the emergency department clinical staff shall evaluate each patient with stroke-like symptoms within 10 minutes of the patient’s arrival at the emergency department. At least one member of the acute stroke team shall be present at the patient's bedside to provide care and to treat an acute stroke patient within 15 minutes of notification. The National Institutes of Health Stroke Scale (NIHSS) shall be used for the initial and serial assessment of patients with acute stroke. Clinicians performing an NIHSS will have documented training in the completion of the NIHSS. The acute stroke team shall include at a minimum: A physician with special competence in caring for the acute stroke patient who is Board certified or Board eligible in: Neurology; Critical care medicine; Emergency medicine; Family medicine; or Internal medicine; and At least one additional health care provider with experience in caring for the acute stroke patient who may be: An emergency physician; A family medicine physician; An internist; A neurology resident or fellow; A registered nurse; A physician's assistant; or A nurse practitioner. If the physician who satisfies §C(1) of this regulation is not Board certified or Board eligible in neurology, a Board certified or Board eligible neurologist shall be available within 15 minutes for consultation under the terms of a written agreement by: Telephone; or Audio/visual communication.