<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 30.08.17.12" title_num="30" subtitle_num="08" chapter_num="17" heading="Qualifications of Nurses, Nurse Practitioners, and Physician Assistants in the Neuroscience Intensive Care Unit.">
  <paragraph num="A.">
    <text>Clinical nurses, nurse practitioners, and physician assistants providing care to stroke patients in the neuroscience intensive care unit shall be trained in assessment of neurological function and management and treatment of all aspects of neurocritical care, including:</text>
    <paragraph num="(1)">
      <text>Function of ventriculostomy and external ventricular drainage apparatus;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Monitoring and treatment of increased intracranial pressure;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Care of patients with intracranial hemorrhage and subarachnoid hemorrhage;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Care of patients post fibrinolytic therapy;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Care of patients post mechanical thrombectomy;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Treatment of blood pressure abnormalities with parenteral vasoactive agents;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Management of intubated/ventilated patients; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Detailed neurological assessments and scales (i.e., National Institute of Health Stroke Scale and the Glasgow Coma Scale).</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Continuing education requirements for nurses, nurse practitioners, and physician assistants who care for the acute stroke patients in the neuroscience intensive care unit shall include at least 5 hours of stroke-specific education annually.</text>
  </paragraph>
</regulation>