# 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 .06 Intensive Care Unit.

*COMAR 30.08.19.06*

A hospital designated as a thrombectomy-capable primary stroke center shall maintain an intensive care unit that:

A. Has designated beds for the care of the acute stroke patient;

B. Has 24/7 on-site practitioners with critical care privileges, including, for example, APNs, PAs, fellows, or residents;

C. Provides care to acute stroke patients through qualified clinical staff who meet the requirements in Regulation .11 of this chapter;

D. Follows standardized processes derived from evidence-based clinical practice guidelines to facilitate clinical care;

E. Incorporates individualized plans of care that are based on the patient’s assessed needs and reflect coordination of care with other programs, as determined by patient comorbidities;

F. Has a process to assess the abilities and resources of family members to be involved in post-acute care; and

G. Maintains written documentation delineating the function of the intensive care unit, including:

  (1) Admission criteria;

  (2) Discharge criteria;

  (3) Acute stroke care protocols;

  (4) Interdisciplinary rounding;

  (5) Rehabilitation assessment and services in the hospital; and

  (6) Outcome data.