<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 30.08.19.06" title_num="30" subtitle_num="08" chapter_num="19" heading="Intensive Care Unit.">
  <text>A hospital designated as a thrombectomy-capable primary stroke center shall maintain an intensive care unit that:</text>
  <paragraph num="A.">
    <text>Has designated beds for the care of the acute stroke patient;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Has 24/7 on-site practitioners with critical care privileges, including, for example, APNs, PAs, fellows, or residents;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Provides care to acute stroke patients through qualified clinical staff who meet the requirements in Regulation .11 of this chapter;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Follows standardized processes derived from evidence-based clinical practice guidelines to facilitate clinical care;</text>
  </paragraph>
  <paragraph num="E.">
    <text>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;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Has a process to assess the abilities and resources of family members to be involved in post-acute care; and</text>
  </paragraph>
  <paragraph num="G.">
    <text>Maintains written documentation delineating the function of the intensive care unit, including:</text>
    <paragraph num="(1)">
      <text>Admission criteria;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Discharge criteria;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Acute stroke care protocols;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Interdisciplinary rounding;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Rehabilitation assessment and services in the hospital; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Outcome data.</text>
    </paragraph>
  </paragraph>
</regulation>