# 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 .11 Qualifications of Emergency Department Clinical Staff.

*COMAR 30.08.11.11*

A. Emergency department clinical staff shall participate in cerebrovascular disease educational activities at least two times a year if they:

  (1) Triage patients in the emergency department; or

  (2) Care for acute stroke patients.

B. Emergency department clinical staff who triage patients in the emergency department or care for acute stroke patients shall be trained in:

  (1) Diagnosis of acute stroke;

  (2) Treatment of acute stroke; and

  (3) Use of clinically appropriate fibrinolytics and educated on the indication and referral for endovascular therapy in acute ischemic stroke.