C. Conversion of an Existing Structure. Afacility which holds full licensure as of the adoption date of these regulations shall be considered as having an appropriately located food service area.]. the Maryland Board of Nursing respectfully submits . [(7) Utility RoomsExistingFacility. Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (3)Audiologist means an individual who holds a Maryland license issued by the State Board of Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists. (ii) A bed that is certified for Medicaid to a distinct part of the nursing home that is a skilled nursing facility. (2) Ifcorrected, will result in an unreasonable,substantial financial burdenon the nursing home. H. Closed or Inactive Records. Please turn on JavaScript and try again. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. nursing unit shall contain at least one janitors closet containing a floor receptor or service sink and storage space for housekeeping equipment and supplies. (9) Properly refer residents to specialty services and providers when the care needs of the resident exceed the scope of the attendingphysicians knowledge and skill. (6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. [Agency Note: Recommended space: Storage10 percent of area designated for exercise and rehabilitation; Officeone therapist, 110 square feet; two or more, 85 square feet per therapist.]. (3) The nursing home shall provide additional information upon request. A. (2) The janitors closet or service alcove. If a resident-directed meal pattern is provided, the following is required: (1) Counseling regarding the risks and benefits of a resident-selected diet which is documented within the medical record; and. (5) An electrically powered call system shall be connected to the emergency power supply. (5) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. [.34] .57Housekeeping Services, Pest Control, and Laundry. These studies have listed reoccurring . The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. I. [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. [E.]F.JanitorsCloset or Service Area. fraud and/or abuse of State government Any individual (other than those listed above) who has reason to suspect elder abuse/neglect may file a report. [E.]D.Drinking Fountains. [A.] In this chapter, the following documents are incorporated by reference. (b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format. Common Space. registered nurse requirements for the Executive Director; (3) hiring and paying for an external . The[facility]nursing homeshall assist the[patient]resident, if necessary, in arranging[for]transportation to and from the source of service. (1) Social services responsibilities in the nursing home shall be assigned to a: (d) Licensed certified social workerclinical. (b) 42 CFR 494.130494.180, as amended. The quality assurance plan shall include: (3) Procedures to take action when there is a change in the residents condition,including: (a) Communicating changes to the director of nursing or the residents attending physician; and, (b) Changing the residents plan of care as necessary; and. After registering with NCLEX you will receive an Authorization To Test letter (ATT) (b)When the[facility]nursing homewishes to request that the restriction be removed, the request shall include the specific effective date and a statement that personnel staffing is sufficient to meet the States requirements at the designated census[figure]level. You are a mandated reporter if you are one of the following: Health Practitioner. Comments will be accepted throughMarch 18, 2019. (1)If a[facilitys]nursing homesadmission policies include the admission of[patients]residentsrequiring rehabilitative services, the[facility]nursing homeshall provide, or arrange for under written agreement, specialized rehabilitative services by qualified personnel[(],such asaphysical therapist, speech-languagepathologist and audiologist, and occupational therapist[)]. (1) Abody holding room shall beequipped with ventilation by mechanical means at the same rateandspecifications as designed for soiled linen sortingandstorage areas. Closed or inactive records shall be filed and stored in a safe place, (3) Maintains a record of infections in the, (b) Effective implementation of the policies and procedures that are outlined in. (2)When[the director of nursing serves]servingas relief for the administrator,[he]the director of nursingshall designate an experienced, qualified registered nurse to direct the nursing service. (1) Medications, legend and non-legend, administered to residents shall be ordered in writing by the residents physician. (a)If the sale, transfer, assignment, or lease of a[facility]nursing homecauses a change in the person or persons who control or operate the[facility]nursing home, the[facility]nursing homeshall be considered a new[facility]nursing home and the licensee shall conform to all regulations applicable at the time of transfer of operations. Code Ann., Health Occupations Article, 4140 Patterson Avenue, Baltimore, MD 21215-2254, If you have a non- compact active license in another state but never held a Maryland license, you must complete one of the above advance practice applications in, Once registration is completed in nursys.com, your license verification is immediately available for verification. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. (2) May not be more than 36 inches high as measured from the floor to the top of the handrail. The Secretary of Health proposes to repeal the Preface and Regulations.01,.01-1,.06,.12,.15,.25,.26,.28,.40, and.42.44, adopt new Regulations.01,.02,.08,.18.20,.25.27,.41.46,.4851, amend and recodify existing Regulations.02,.03,.03-1,.05,.07,.07-1,.08,.08-1,.09.11,.11-1, .11-2,.13,.14,.14-1,.14-2,.16.21-4,.22.24,.27,.29.39,.41,.45,.46,.48,.49, and.56to be Regulations.03,.04,.05,.07,.09.17,.21.24,.28.40,.47,.52.68, and.75, and recodify existing Regulations.04,.47,.50.55, and.57.61to be Regulations.06,.66,.69.74, and.76.80underCOMAR 10.07.02 Nursing Homes. by the Board of Examiners of Nursing Home Administrators for the State. (g) The plumbing fixtures for all water supply connections to washing machines and the plumbing fixtures for all utility sinks shall have an integrated atmospheric vacuum breaker or other approved back-flow prevention devices. (b) Smoking shall be prohibited at the main entrance to all facilities. However, the nursing home would need to contract with a licensed social worker to provide oversight. 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. Comprehensive care facilities and extended care facilities shall develop written policies, consistent with these regulations, to govern the nursing care and related medical or other services they provide covering the following: (1) Admission, transfer, and discharge policies including categories of patients accepted and not accepted by the facility, or those who are required to transfer to another level of care. , then PI must report to the health officer when a specimen evidences the diseases/conditions listed in the statute. accessible and convenient, and (65)Resident activities coordinator means an individual who: (i) Certifiedtherapeutic recreation specialist; (iii)Licensed occupational therapy assistant; or. New construction providing a conventional type food service program shall have the following minimal space requirements (excluding bulk food-storage areas, dining areas, and separate floor pantries). (45) Nursing home means a comprehensive care facility or extended care facility which offers nonacute inpatient care to patients: (a) Suffering from a disease, chronic illness, condition, disability of advanced age, or terminal disease requiring maximal nursing care without continuous hospital services; and. [(1)](a)[There]A nursing homeshall[be]provideadequate space[for the reception, examination, and treatment ofpatients;storage of]to: (i) Receive, examine, and treat residents; (ii) Storesupplies and equipment,including wheelchairs and stretchers; and[office]. [E.]F.Employee FacilitiesExisting Facilities. H. Advance Planning and Posting of Menus. Except for a designated anonymous HIV test site, a facility or office that orders a test for HIV and receives a test result that documents the presence of HIV as defined by the CDC laboratory criteria shall, upon the Secretary's request, make available to the Secretary, or an agent of the Secretary, the information necessary to compile an HIV/AIDS case report. (k) The written procedure shall include the disposal of the dirty water. (e) Windows shall be provided with shades or draperies adequate to control glare and maintain privacy. E. Auxiliary Heat. (34) Licensed pharmacist means an individual who is licensed by the Board to practice pharmacy as defined in Health Occupations Article, 12-101(l), Annotated Code of Maryland. Shauna Wastradowski - Manager Senior Financial Operations - LinkedIn (e) Contains a refrigerator to be used for medication storage only. Maryland Board of Nursing: Licensing Renewal Requirements for MD immediately give the required information to the institution head/designee. [Adequate]The nursing home shall provide adequatespace and a variety of supplies and equipment[shall be provided by the facility]to satisfy the appropriate individual activity needs of[patients]residents. (3) In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. (1) The nursing home shall provide appropriate methods and procedures for administering drugs and biologicals to the nursing homes res. B. The[facility]nursing home, in consultation with the medical director and other physicians, if necessary, shall establish and maintain surveillance of the health status of employees, including: (1) Advising on the development and execution of an employee health program, which shall include provisions for determining that employees are free of communicable diseases according to current[acceptable]acceptedstandards of practice; and. Citation numbers for the Annotated Code begin with a (section sign), for example 1-101. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. Through the College of Computing, students can earn their Bachelor of Science in Software Engineering. A public hearing has not been scheduled. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. The statutory language implies but does not specifically require a patient-provider relationship, so it is possible that the duty to warn might be found to extend to certain research settings involving investigators who are mental health providers. (b) The maximum height from the floor to the top of a window sill shall be 44 inches above the finished floor. (1)Specialized rehabilitative services shall be provided only[upon]onwritten orders of the attending physician. E. Administration of Medications for Leave of Absence of 24 Hours or Less. Apply the definitions in the regulations. [F.]J. D.Lobby AreaNewNursing Home. (4) The brief medical fact sheet for each resident described in A(3) of this regulation shall be: (c) Maintainedin awritten, electronic,or printed formin a central location readily accessible and available to accompany residents in case of an emergency evacuation. In our example, you can read each and then select Subtitle 25. fraud and/or abuse of State government Copyright Maryland.gov. (7)The kitchen space requirement[in F(6) of this regulation]as described inthisregulationdoes not apply to occasional special functions such as picnics or dinners for residents, volunteers, families,or community groups[provided]as long asthe[facility]nursing homecertifies to the Department that[the provision of]providingmeals for[the particular]aspecial function will not adversely affect or detract from the timely provision of meals to thenursing homesresidents[of the facility]. Search on a word or phrase, or enter the codification number (search is word-specific unless you add an asterisk *). The following procedures are to be used when admitting an individual with a communicable disease into a nursing facility: (3) The Secretary or a designee of the Secretary may prohibit a facility from accepting an individual with a communicable disease if it is determined that admitting the individual with a communicable disease could pose a risk to the health, safety, or welfare of any other resident or individual associated with the facility. (8) The nurses call system shall require resetting at the station where the call originates. E. The Department shall make a site visit and conduct a full survey of each licensed nursing home at least once per calendar year. [Service Areas Required in New Construction or for New Facilities.] (ii) Passed the national accreditation examination for accredited record technicians. [B.] If a question or section does not apply to this complaint, [.11-2].17[Facilitys ]Nursing HomesResponsibilities in Relation to the [Facilitys]Nursing HomesMedical Director. (1) New Construction. (9) Chemical restraint means the administration of any drug that is used for discipline or convenience and not required to treat medical symptoms. The[facility]nursing homeshall urge that volunteers, defined as individuals who spend an average of 8 hours per week or more in the institution[patient]residentcare areas and who receive no pay or benefits,[accept]receiveannual influenza vaccination and tuberculinskintesting as considered necessary by the[facility]nursing home. [.21].33InfectionPreventionandControl Program. The nursing home shall meet the requirements for handling, treatment, and disposal of special medical wastes as provided in COMAR 10.06.06. (1)Thearchitectorprofessional engineer of record shall submit stamped and sealedfinal constructiondrawings to the Department. Before or at admission, a contract shall be executed by the administrator and[patient]resident,guardian, or responsible agency which is consistent with the requirements of Health-General Article, 19-344, Annotated Code of Maryland, Rights of Individuals. (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. No. M. SpecialMedical Wastes. (b) Receive signals originating from residents bedrooms, bathrooms, bathing areas, and therapy areas. (2) The nursing home shall maintain and dispose of a clients medical records in accordance with Health-General Article, Title 4, Subtitles 3 and 4, Annotated Code of Maryland. (b)The amount of storage space needed[is dependent upon]to store food depends on thefrequency of deliveries. [(3)](c)All electrical equipment shall be[periodically]testedperiodicallyfor proper grounding, current leakage, and calibration where appropriate. (2) As of July 1, 2020, a nursing home shall install a functioning AED unit. A licensee[aggrieved by]that disagrees withthe imposition of a sanction under A(2) of this regulation may appeal the Secretarys action in accordance with Health-General Article, 19-364 and 19-367, Annotated Code of Maryland. (1) Social data about personal and family background to provide understanding of the, (2) Information regarding current personal and family circumstances and attitudes as they relate to, (2) Recommendations made by the social work consultant, if applicable, (1) Space for social work personnel, accessible to, D. Restrictions on Participation Documented on Chart. (2) The course content shall adhere to the[Geriatric Nursing Assistant Program]geriatric nursing assistant training programcurriculumapproved by the Maryland Board of Nursing[in Regulation .40 of this chapter]. (a) Orient staff to the emergency and disaster plan and to their individual responsibilitiesin relation to the planwithin 24 hours of the commencement of job duties;[and], (b) Document completion of the orientation in the staff members personnel file through the signature of the employee; and. It can be filled out with your computer and saved, orprinted out and filled in by hand. (4) A call system shall be provided in eachpatients toilet room,bathroom, andshower stallin locationseasilyaccessible to thepatients. [A.] B. Bedsareto be placed so that all sides of the bed are at least 18 inches from heating units. Both oral and written reports in a specific form are required, with a copy to the local States Attorney where abuse is suspected. This meal represents, To the extent medical orders permit, bedtime nourishments shall be offered routinely to all. (3) A copy of the agreement between the nursing home and the replacement shall be sent to the Department. As long as the cumulative days of suspension imposed solely for the five reasons listed in COMAR 10.32.22.03C(7) do not exceed 30 in a calendar year, that suspension need not be reported. Temperatures. [C.]A. (1) A call system that uses wireless pagers or other wireless communication devices may be used as an alternative system. This Search feature provides a chart of the 36 COMAR Titles, and allows a focused search of a specific Title. Report must be made immediately to the health officer in the county where the physician cares for the patient. (iii) Describes provisions for light, heat, food service, washing, and toileting residents. A physician in attendance upon a patient having syphilis shall request the health officer to conduct a contact investigation or report to the health officer any untreated individual identified as having had potentially infectious contact with an individual having syphilis. Each hospital, freestanding laboratory or ambulatory care center, or physician must submit a cancer report for all patients initially diagnosed , treated, or admitted, Circumstances Under Which Report Required, Infectious or contagious diseases specified by MD DHMH or regulation, Health-General 18-201 (diseases specified in COMAR 10.06.01), Health-Gen 18-205 (laboratory directors), A physician with reason to suspect that a patient under the physicians care has an infectious or contagious disease [except HIV/AIDs] that endangers public health.. Specialized rehabilitative services shall be provided only, Orders shall include modalities to be used, frequency, and anticipated goals, The physician and the rehabilitation team members shall reevaluate the, The physician may document on the record that, The physicians orders, the initial evaluations, the plan of rehabilitative care, goals, services rendered, evaluations of progress, and other pertinent information shall be, The record and progress notes concerning the, (2) Departments Office of Capital Planning, Budgeting and Engineering Services, (2) An organization chartofthe special care unitandits, (1) A special care unit shall meet the general construction requirements of Regulations, (1) General requirements established for all special care units as outlined in Regulation, (2) Policies and procedures for all aspects of care as outlined in Regulation. There shall be an advisory dentist[, licensed to practice in the State,]who shall: (1) Recommend oral hygiene policies and practices for the care of the[patients]residentsand for arrangements for emergency treatment; (3) Provide direction for in-service training to give the nursing staffanunderstanding of[patients]residentsdental problems. An interdisciplinary team shall complete. If the employees history is unclear, then the facility shall request a serology for varicella. The Maryland Board of Nursing does indicate "N/A". InfectionPrevention andControl Program. [H.]I. Copyright Maryland.gov. L. Resident Directed Meal Pattern. If the hospital made a "change" for a reason listed in the regulations, and if none of the exceptions apply, the change must be reported to the Board within ten days. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. (3) A nursing home that uses electronic health records shall: (a) Ensure access to residents as specified in COMAR 10.07.09.08C(13) and (14); and. The Maryland State Board of Nursing licenses registered nurses and practical nurses. (b) Maintained and applied by trained staff. A respiratory care unit shall meet the: (1) General requirements established for all special care units as outlined in Regulation[.14-1].23of this chapter; and. The current license shall immediately become void and shall be returned to the Secretary if the: (a) Nursing home is sold, leased, or discontinued; C. Request for Departmental Permission to Exceed Capacity. F. Staffing. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. (4) If the resident refuses to be immunized, the nursing home shall document the refusal and the reason for the refusal. (4) A nursing home shall provide full access to electronic health records in accordance with all applicable laws and regulations to: (a) Representatives of the Department as set forth in COMAR 10.07.02.07; (b) An ombudsman as set forth in Human Services Article, 10-905, Annotated Code of Maryland; and. D.Humidity. Open at all Times for Inspection. of Legislative Audits operates a toll-free (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. Please turn on JavaScript and try again. Body Holding RoomNew Construction. (1)Covers shall be placed on hot[water bottlesand,ice caps]packs, ice packs and other temperature-related therapeutic medical devicesbefore they are placed in a bed or on a[patient]resident. (49) Ongoing pattern means the occurrence of any potential for more than minimal harm or greater deficiency on two consecutive on-site visits as a result of: (b) Follow-up visits and unscheduled visits; or. (3)Policies and procedures shall be adopted and made available to all nursingservicepersonnel. (j) If applicable, lighting in toilet rooms of the common area of refuge. (2) Private sewage disposal systems shall comply with COMAR 26.04.02. The minimum requirements are: D. Call SystemExisting Facilities. Office Hours: Monday - Friday 8:15AM - 5:00PM (except Holidays) (5) The pharmacy shall be responsible for delivering medications to the nursing home. (1) A sufficient number of food service personnel shall be employed to[carry out]performefficiently the functions of the[dietetic]food and nutritionservice and meet the dietary needs of the[patient]residents. (b) Certified graduates of a State-approved medicine aide course. (1) The nursing home shall providea multi-purpose room[is used]for dining, occupationaltherapy,physicaltherapy,and social activities[, there]. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. Filing a Complaint | NCSBN The activating device for those signals shall be located in each patients room and each and every bathing compartment and toilet room or compartment used by patients. (56) Positive tuberculin skin testmeansa test provided as authorized by the Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings. (3) BedroomExisting Construction. (4) A call system shall have a visible signal above the door of each residents bedroom that shall be visible from all parts of the corridor. 100-07 State Operations Provider Certification, (Transmittal 127, November 26, 2014, U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services). (6)Food and fluid intake ofresidentsis observed, and deviations from normal are recorded and reported to the: (a) Provide acontinuingin-serviceeducationprogram for all nursing service personnel; (b) Provide a thorough job orientation for new personnel; and. maryland board of nursing reporting requirements maryland board of nursing reporting requirements. customers, and stakeholders with 100-07 State Operations Provider Certification,and with RAI instructions in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual,except that data may not be[electronically]submittedelectronicallyto the Department. (1) A system of water supply, plumbing, sewerage, electrical power, garbage or refuse disposal may not be installed or extended untilthe architect or professional engineer of record submits stamped and sealed final construction drawings for Department record and provisional approval in accordance with A of this regulation. The basic nursing curriculum covers two academic years, is approved by the Maryland Board of Nursing, and is accredited by the National League for Nursing Accrediting Commission. New York State Licensed Professions. The nursing[facility]nursing homeshall: (1) Designate a medical director who has at least the following qualifications: (b) At least 2 years of experience or specialized training in the medical care of geriatric or chronically ill and impaired residents;and. National Human Trafficking Hotline - 24/7 Confidential. [(3)As appropriate, respiratory care personnel are competent in the following: (a) The fundamentals of cardiopulmonary physiology and of fluids and electrolytes; (b) The recognition, interpretation, and recording of signs and symptoms of respiratory dysfunction and medication side effects, particularly those that require notification of a physician; (c) The initiation and maintenance of cardiopulmonary resuscitation and other related life-support procedures; (d) The mechanics of ventilation and ventilator function; (e) The principles of airway maintenance, including endotracheal and tracheostomy care; (f) The effective and safe use of equipment for administering oxygen and other therapeutic gases and for providing humidification, nebulization, and medication; (g) Pulmonary function testing and blood gas analysis, when these procedures are performed within the respiratory care unit; (h) Methods that assist in the removal of secretions from the bronchial tree, such as hydration, breathing and coughing exercises, postural drainage, therapeutic percussion and vibration, and mechanical clearing of the airway through proper suctioning technique; (i) Procedures and observations to be followed during and after extubation; and, (j) Recognition of and attention to the psychosocial needs of residents and their families.].

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