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

1. A. Has designated beds for the care of the acute stroke patient;
2. B. Has 24/7 on-site practitioners with critical care privileges, including, for example, APNs, PAs, fellows, or residents;
3. C. Provides care to acute stroke patients through qualified clinical staff who meet the requirements in Regulation .11 of this chapter;
4. D. Follows standardized processes derived from evidence-based clinical practice guidelines to facilitate clinical care;
5. 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;
6. F. Has a process to assess the abilities and resources of family members to be involved in post-acute care; and

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

   1. (1) Admission criteria;
   2. (2) Discharge criteria;
   3. (3) Acute stroke care protocols;
   4. (4) Interdisciplinary rounding;
   5. (5) Rehabilitation assessment and services in the hospital; and
   6. (6) Outcome data.

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

Effective date: January 1, 2022 (48:22 Md. R. 939)