Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.17 - Comprehensive Stroke Center Standards
Section 30.08.17.04 - Neuroscience Intensive Care Unit

Universal Citation: MD Code Reg 30.08.17.04

Current through Register Vol. 51, No. 19, September 20, 2024

The designated comprehensive stroke center shall maintain a dedicated neuroscience intensive care unit that meets the requirements of this regulation and:

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

B. Has 24/7 on-site practitioners with neurovascular training, including, for example, APNs, PAs, neuro-intensivists, fellows, or residents;

C. Provides care to acute stroke patients through qualified clinical staff who meet the requirements in Regulations .12-.15 of this chapter;

D. Follows standardized processes derived from evidence-based practice 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 neuroscience 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.

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