<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 30.08.19.05" title_num="30" subtitle_num="08" chapter_num="19" heading="Stroke Team.">
  <paragraph num="A.">
    <text>In addition to meeting the requirements of COMAR 30.08.11.05, the acute stroke team shall include at a minimum:</text>
    <paragraph num="(1)">
      <text>A physician, with special competence in caring for an acute stroke patient, who is Board-certified or Board-eligible in:</text>
      <paragraph num="(a)">
        <text>Neurology;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Critical care medicine;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Emergency medicine; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Internal medicine; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>At least one additional health care provider, with experience in caring for the acute stroke patient, who may be:</text>
      <paragraph num="(a)">
        <text>An emergency physician;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An internal medicine physician;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A neurology resident or fellow;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A registered nurse;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A physician’s assistant; or</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A nurse practitioner.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Telephone; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Audio/visual communication.</text>
    </paragraph>
  </paragraph>
</regulation>