<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 30.08.11.12" title_num="30" subtitle_num="08" chapter_num="11" heading="Prevention/Public Education.">
  <paragraph num="A.">
    <text>Surviving acute stroke patients and their families shall receive instruction on:</text>
    <paragraph num="(1)">
      <text>Signs and symptoms of acute stroke, including the importance of activating EMS;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Effects and prognosis of acute stroke;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Potential complications of acute stroke;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Needs and rationales for treatment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Patient compliance instructions for risk reduction of individual risk factors and secondary prevention programs; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Post-stroke support services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The hospital shall support or participate, or both, in acute stroke educational activities developed for EMS personnel which are conducted at least once a year.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The hospital shall conduct at least two times per year public education programs on:</text>
    <paragraph num="(1)">
      <text>Stroke prevention;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Recognition of signs and symptoms of acute stroke and the need to activate EMS;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Diagnosis of acute stroke; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Treatment of acute stroke.</text>
    </paragraph>
  </paragraph>
</regulation>