In addition to meeting the requirements of COMAR 30.08.11.13, a hospital designated as a thrombectomy-capable primary stroke center shall: Have written policies ensuring that: Transfer of patients from another facility is appropriate and patients are received in a timely manner; and All stroke patients will receive medical care commensurate with the hospital’s designation as a thrombectomy-capable primary stroke center; Have written procedures demonstrating the ability to care for two complex interventional radiology stroke patients at one time, using appropriate clinical staff; Have written documentation demonstrating on-call and back-up on-call schedules for physicians and staff for 24/7 coverage; Have written care protocols for advanced treatment of complex stroke patients, including, but not limited to, acute ischemic stroke patients and acute intra-arterial therapeutic interventions; and Document and review the scope of practice and the roles and responsibilities of nurse practitioners and physician assistants providing care to the acute stroke patient in the intensive care unit, the emergency department, and the stroke unit.