# 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 .07 Operating Room.

*COMAR 30.08.17.07*

In addition to meeting the requirements of COMAR 30.08.11.04, the hospital shall have:

A. An attending board certified/board eligible neurosurgeon on call with a 45-minute arrival time to the hospital;

B. Written procedures demonstrating the ability to care for two complex neurosurgical stroke patients at one time using appropriate clinical staff; and

C. Written documentation demonstrating on-call and back-up on-call schedules for physicians and staff for 24/7 coverage.