Md. Code Regs. 30.08.18.13

Current through Register Vol. 51, No. 25, December 13, 2024
Section 30.08.18.13 - Policies, Protocols, Guidelines, and Agreements

The facility shall develop and implement:

A. A written policy which demonstrates that the facility has established the acute stroke ready center to:
(1) Monitor the care delivered to acute stroke patients;
(2) Improve the quality of care delivered to acute stroke patients;
(3) Move patients through the initial acute care phase of their hospital stay in a timely fashion; and
(4) Ensure that all stroke patients will receive medical care commensurate with the hospital designation as an acute stroke ready center;
B. Written procedures for rapidly activating the stroke team to care for potentially eligible fibrinolytic and endovascular candidates within 15 minutes of notification;
C. Written care protocols for the treatment of acute stroke which address:
(1) Evaluation of each patient by a member of the emergency department clinical staff within 10 minutes of the patient's arrival at the hospital emergency department;
(2) At least one member of the stroke team arriving at the acute stroke patient's bedside within 15 minutes of notification;
(3) Ischemic stroke;
(4) Hemorrhagic stroke;
(5) Stabilization of vital functions;
(6) Initial diagnostic tests;
(7) The use of medications including fibrinolytics;
(8) Care of the potential endovascular candidate; and
(9) Timely and safe patient transfer within 2 hours or less of emergency department arrival or when medically stable;
D. A current agreement with a transport service to meet the timeline in §C(9) of this regulation; and
E. A written protocol for transfer that includes communication and feedback from the receiving facility, which is:
(1) Updated at least annually; and
(2) Maintained up-to-date in:
(a) The emergency department; and
(b) All other locations where stroke care is provided.

Md. Code Regs. 30.08.18.13

Regulation .13 adopted 48:9 Md. R. 360, eff. 7/1/2021