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

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

### Chapter 19 — Designated Thrombectomy-Capable Primary Stroke Center Standards

#### Regulation .05 Stroke Team.

*COMAR 30.08.19.05*

A. In addition to meeting the requirements of COMAR 30.08.11.05, the acute stroke team shall include at a minimum:

  (1) A physician, with special competence in caring for an acute stroke patient, who is Board-certified or Board-eligible in:

    (a) Neurology;

    (b) Critical care medicine;

    (c) Emergency medicine; or

    (d) Internal medicine; and

  (2) At least one additional health care provider, with experience in caring for the acute stroke patient, who may be:

    (a) An emergency physician;

    (b) An internal medicine physician;

    (c) A neurology resident or fellow;

    (d) A registered nurse;

    (e) A physician’s assistant; or

    (f) A nurse practitioner.

B. If a physician otherwise satisfies §A(1) of this regulation but is not Board-certified or Board-eligible in neurology, a Board-certified or Board-eligible neurologist shall be available within 15 minutes for consultation under the terms of a written agreement by:

  (1) Telephone; or

  (2) Audio/visual communication.