<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 30.08.17.13" title_num="30" subtitle_num="08" chapter_num="17" heading="Qualifications of Nurses, Nurse Practitioners, and Physician Assistants in the Emergency Department.">
  <paragraph num="A.">
    <text>Emergency department nurses, nurse practitioners, and physician assistants who triage patients in the emergency department or care for acute stroke patients shall be trained in:</text>
    <paragraph num="(1)">
      <text>Assessment of acute stroke;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Treatment of acute stroke;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Use of clinically appropriate fibrinolytic in acute ischemic stroke and the indication for endovascular therapy in acute ischemic stroke;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Mechanical thrombectomy protocols;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Treatment of blood pressure abnormalities with parenteral vasoactive agents;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Neurological assessments and scales (i.e., National Institute of Health Stroke Scale and the Glasgow Coma Scale);</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Management of intubated/ventilated patients; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Care of patients post fibrinolytic therapy.</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 emergency department shall include at least 5 hours of stroke-specific education annually.</text>
  </paragraph>
</regulation>