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

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

### Chapter 17 — Comprehensive Stroke Center Standards

#### Regulation .04 Neuroscience Intensive Care Unit.

*COMAR 30.08.17.04*

The designated comprehensive stroke center shall maintain a dedicated neuroscience intensive care unit that meets the requirements of this regulation and:

A. Has designated beds for the care of acute stroke patients;

B. Has 24/7 on-site practitioners with neurovascular training, including, for example, APNs, PAs, neuro-intensivists, fellows, or residents;

C. Provides care to acute stroke patients through qualified clinical staff who meet the requirements in Regulations .12—.15 of this chapter;

D. Follows standardized processes derived from evidence-based practice clinical practice guidelines to facilitate clinical care;

E. Incorporates individualized plans of care that are based on the patient’s assessed needs and reflect coordination of care with other programs, as determined by patient comorbidities;

F. Has a process to assess the abilities and resources of family members to be involved in post-acute care; and

G. Maintains written documentation delineating the function of the neuroscience intensive care unit, including:

  (1) Admission criteria;

  (2) Discharge criteria;

  (3) Acute stroke care protocols;

  (4) Interdisciplinary rounding;

  (5) Rehabilitation assessment and services in the hospital; and

  (6) Outcome data.