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

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

### Chapter 18 — Designated Acute Stroke Ready Center

#### Regulation .04 Operating Room.

*COMAR 30.08.18.04*

A. The facility shall have a written agreement with a hospital which has operating room neurosurgical services available 24 hours a day with appropriately trained support staff.

B. Neurosurgical coverage shall be documented in a written plan approved by the covering neurosurgeon or neurosurgeons, stroke program leaders, and any involved facilities.

C. Neurosurgical services shall be available to patients within 2 hours of it being deemed necessary.

D. There shall be a written protocol for transfer that includes communication and feedback from the receiving facility.