The hospital shall have:

1. A. Operating room neurosurgical services available 24 hours a day with appropriately trained support staff, and:

   1. (1) Necessary equipment and tools to aid in the care of acute stroke patients including equipment necessary for continuous hemodynamic monitoring; and

   2. (2) A written plan for neurosurgical procedures or evaluations to be performed within 2 hours of the determination they are clinically necessary which is approved by:

      1. (a) The neurosurgeons providing coverage; and
      2. (b) The stroke center medical director; or

2. B. A written agreement with another hospital which:

   1. (1) Meets the requirements of this chapter;
   2. (2) Has operating room neurosurgical facilities that meet the requirements of this regulation; and
   3. (3) Is available to provide the required neurosurgical services to the patient.

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: June 5, 2006 (33:11 Md. R. 952)

Regulation .06B amended effective June 4, 2007 (34:11 Md. R. 973)

Chapter revised effective July 1, 2021 (48:9 Md. R. 360)

Regulation .01B amended effective July 21, 2025 (52:14 Md. R. 714)

Regulation .15 repealed effective October 18, 2021 (48:21 Md. R. 892)