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L. Burning. The director may not disclose, directly or indirectly, the identity of any individual tested. F. Charge Nurses Daily Rounds. These events are listed in the regulations in COMAR 10.32.22.02B(19). This meal represents[no less than]at least20 percent of the days total nutritional requirements. [F.]E.InfectionPrevention andControl Policies and Procedures. copies of text messages or social network pages. Approved employees shall read the skin test and manage the results of the skin test in accordance with Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities.]. Yes. The 3D modeling software has a user-friendly interface that can be used to create designs or machinery parts. It is not necessary to determine anyones subjective intent. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. (67) Residents representative means a person with the authority to act on the residents behalf regarding the matter at issue. Complete and mail Request for Academic Records to your school of nursing. Designated Staff Responsibility. OHCQ believes that requiring a licensed social worker with adequate training will increase successful care coordination. Tonya Spruill (1) A special care unit shall meet the general construction requirements of Regulations[.06,and .26].08, .42, and .41of this chapter, and the requirements in this regulation. F. The[facility]nursing homeshall provide pulmonary function testing[,]and blood gas or pulse analysis capability[onsite]on-siteor through contractual arrangements with providers who meet applicable State and federal laws and regulations. reporting and/or correcting unsafe working conditions, equipment repair and maintenance needs. (10) The orientation may not be included in the required 75 hours of the training course. Acall system shall be installed and maintained in operating order in all nursing units. [(2)](b)All electrical equipment shall be calibrated according tothemanufacturers directions and shall be[periodically]servicedperiodicallyas part of a preventive maintenance program. (6) Assistingresidentsto adjust to their disabilitiesandensuring availability anduseoftheir prosthetic and assistive devices. (1)A nursing home shall be equipped with a properly maintained air conditioning system. fraud hotline to receive allegations of An interdisciplinary team shall complete. A. (57) Principal physician means an individual licensed to practice medicine in this State who agrees to perform certain medical services under contract with a nursing home, consistent with the policies of the nursing home. [.29].52Equipment and Supplies for Bedside Careand Therapy. C. Human remains shall be transported pursuant to COMAR 10.29.21. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department. 272, April 1995 and Transmittal No. [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. (10) Comprehensive care facility means a nursing home that admitsresidents requiring medical services and nursing services rendered by or under the supervision of a registered nurse, who: (11) Concurrent review means daily rounds by a licensed nurse which include: (a) Appraisal and observation of all residents by the licensed nurse to determine any change in each residents physical or mental status; (b) If there is a change in the residents physical or mental status, an evaluation by the licensed nurse of the residents medications, laboratory values relating to the resident, and clinical data relating to the resident, including the residents: (c) Evaluation of injuries sustained by the resident that result from an accident or incident involving the resident; and. (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. It can be filled out with your computer and saved, orprinted out and filled in by hand. Filing a Complaint. (6) The bottoms of ventilation openings may not be not less than 3 inches above the floor of any room. Complete transcripts from all Nursing Schools/Programs will need to be emailed to the Maryland Board of Nursing Endorsement Unit. (5) A nursing home that administers Schedule II drugs shall maintain a drug record that documents: (b) The date, time, kind, dosage, and method of administration of all Schedule II drugs; and. Existing facilities (those facilities licensed at the time this regulation becomes effective) shall provide some method/means of a patient summoning aid that shall include as minimum a combined visual and audible signal that is audible at the nurses station and simultaneously activates a light located in the hall, outside of and adjacent to the patients room. Mandated Reporting Requirements FAQs. Maryland Nursing License Requirements | MD - NursingLicensure.org (2) In accordance with a nursing home-developed procedure, a licensed nurse shall prepare medications to be sent with a resident during a short-term leave of absence of 24 hours or less. (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. (b)A nursing care unit[also]bathroomshall include: [(a)](i)A toilet, within the care unit, for the use of personnel[, a]; and. Attn: Director of Complaints & Investigations. (2) Renovations ofexistingkitchens shall be approved by the Department which will consider modification of the minimum space requirement based on space available, costs, and type of service. The Maryland General Assemblys Office E. Transportation. A physician in attendance upon an infant born to an untreated woman with a positive serological test for syphilis shall report test results for the mother and infant to the health officer immediately. (5) The ventilation systems shall be designed and balanced to provide the pressure relationships as shown in Table 1 under D(10) of this regulation. B. Mandated reporting is required when: Title 24 M.R.S. (1) A nursing home shall develop resident, group of professional personnel including one or more physicians and one or more registered nurses, Written policies shall be kept current with the policies used to administer the, (5) For a resident who is to be transferred to the care of another. Menus shall be written at least 1 week in advance. [.21].33InfectionPreventionandControl Program. 410.764.4777 | Toll Free 800.492.6836 . Nursing and dietetic services shall establish an effective policy toensurethat: (1) Nursingservicepersonnel are aware of the nutritional needs and food and fluid intake ofresidents; (2) Nursing service personnel providespecialmealsand nourishment when required; (3) Residents food choices and preferences are honored as much as practical; (4)Nursingservicepersonnel promptlyaid residentswhen necessary ineating; (5)The dietetic service is informed of physicians diet orders and ofresidentsnutrition-related issues; and. Both oral and written reports in a specific form are required, with a copy to the local States Attorney where abuse is suspected. 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. Evidence-based Nursing Education Program Approval, Board of Nursing Professional Licensure Requirements, Prelicensure Distance Education Requirements, National Simulation Guidelines for Prelicensure Nursing Programs, Safe Student Reports (SSR) Research Study, State Authorization and Crossing State Borders, Part 2: Additional Approvals and Professional (3) BedroomExisting Construction. Maryland Department of Health ProposedRegs C. A[facility]nursing homethat uses a paid feeding assistant shall ensure that the paid feeding assistant feeds only residents who do not have complicated feeding conditions including, but not limited to: (3) Recurrent lung[aspirations]aspiration; or. 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. These areas may be reduced to 35 percent for all-outdoor air systems. 410.764.4777 | Toll Free 800.492.6836 OHCQ through this proposal intends to require that after January 1, 2021 all social work services be provided by a licensed certified social worker. (a) Relocation means the movement of a resident from one room to another within: (i) The same Medicare-certified nursing home; (ii) A Medicaid-only certified nursing home; or. Hospitals have to report only if they made a "change" and if that change was based in whole or in part of any of the 14 specific reasons listed in. Residents shall be given the opportunity to participate in planning menus. (3) The equipment provided in food service floor pantries shall comply with the requirements of the local health department. For general inquiries (Safe Practice Program): mbon.nursemonitoringdept@maryland.gov. Second, determine if the change was made, in whole or in part, for any of the reasons set out in the regulations. [Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first.]. (27) HVAC means heating, ventilation and air conditioning. (i) Shall be at least 30 square feet per bed, not including corridors; (ii) May not include toilet rooms in the 30 square feet per bed; and. Information reported to the JavaScript is required to use content on this page. The[facility]nursing homeshall submit to the Department and obtain approval of the following: (1) All documents required in Regulation[.14-1].23of this chapter; (2) Policies and procedures for all aspects of care as outlined in Regulation[.14-1C(6)].23of this chapter, and the following: (a) Qualifications, duties, and responsibilities of staff, including the staff who are permitted to perform the following procedures: (iv) Therapeuticchestpercussion and vibration; C. Physician Coordinator. ]; (4) Past employment[with]documentation[that]withreferences[have been considered by the facility. JavaScript is required to use content on this page. LoginAsk is here to help you access Maryland Board Of Accountancy Cpe Central quickly and handle each specific case you encounter. (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. (2) In a nursing home in which the director of nursing serves as relief for the administrator, the director of nursing shall designate a specific registered nurse who shall be in charge of the nursing service while the director of nursing covers for the administrator. B. (1) A nursing home shall develop policies and procedures to ensure that a resident or, if the resident lacks the capacity, the residents family or other individual accompanying the resident is informed, both orally and in writing, on how the resident shall safely and correctly take the residents medications during a short-term leave of absence of 24 hours or less. State resources. (3) The facility shall monitor the purified protein derivative (PPD) status of employees at any time that symptoms suggestive of tuberculosis develop, and periodically, consistent with the tuberculosis control plan. (2) Document the verification in the residents medical record. B. friendly and courteous, timely and [Agency Note: The following equipment is recommended: (a) Equipment to maintain food at correct temperature; (e) Ice-making machine or ice-storage container; (g) Equipment for delivery of completed trays; (h) Three-compartment sink or dishwasher; (i) Cabinet for dry storage and supplies; (j) Storage for trays, tableware, flatware, and utensils; (k) Hand washing sink with soap and towel dispenser or approved drying device. A sticker bearing the date of the most current inspection shall be affixed on each piece of equipment. (14) Dentist means an individual licensed to practice dentistry in this State. National Human Trafficking Hotline - 24/7 Confidential. For brevity's sake in these FAQs, the Board will use the term "hospital" to indicate the entity that is required to report. Pharmaceutical services shall be under the general supervision of a licensed pharmacist who shall: (a) With the advice of the pharmaceutical services committee, be responsible for developing, coordinating, and supervising pharmaceutical services and provide in-service training at least twice yearly; (b) Visit the nursing home frequently enough to assure that policies and procedures established by the pharmaceutical services committee are enforced; (c) Notify the attending physician of any potential drug problems found during the drug regimen review; and. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.]. (2) Upon request, the director or assistant director of nursing may accompany physicians visiting residents. Total number of individuals tested for HIV; Total number confirmed positive HIV tests not due to administration of a vaccine; Total number of individuals tested for CD4+ lymphocyte count; Total number of individuals with CD4+ lymphocyte count less than 200 per cubic millimeter, For those with positive HIV+ or CD4+ lymphocyte counts less than 200, the race, gender, age, county of residence, and risk behavior of the individuals, if the project collects this information. (4) If a facility can demonstrate that because of the experience and training of its personnel and the physical layout and equipment, less supervisory personnel is required, the Department may modify the above requirements for supervision.]. (3)As appropriate, respiratory care personnel are competent in the following: (j) Recognition of and attention to the psychosocial needs of residents and their families. (iv)[Provision for storing and transporting clean linen in covered container.] For this reason, they will not be printed in the Maryland Register or the Code of Maryland Regulations (COMAR). (b) A copy of the record of disposal shall be forwarded to the Office of Controlled Substances Administration. G.Emergency Procedures. 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. (1)[New Construction. If the comprehensive care facility or the extended care facility is sold, leased, discontinued, the operation moved to a new location, the license revoked, or its renewal denied, the current license immediately shall become void and shall be returned to the Secretary. . (2)[The total areas]The nursing home shallset asideareasfor[patients]residentsdining and recreation[areas shall be no less than]that totalat least30 square feet perlicensedbed for the first 100 beds[and], plus27 square feet perlicensedbed for all beds in excess of 100. Please enable scripts and reload this page. 2. A mental health care provider licensed under the Health Occupations Article or any institution or facility that provides treatment or services to individuals who have mental disorders has a statutory duty to warn of known threats of imminent physical injury: b) In general.- A cause of action or disciplinary action may not arise against any mental health care provider or administrator for failing to predict, warn of, or take precautions to provide protection from a patient's violent behavior unless the mental health care provider or administrator knew of the patient's propensity for violence and the patient indicated to the mental health care provider or administrator, by speech, conduct, or writing, of the patient's intention to inflict imminent physical injury upon a specified victim or group of victims. (3)With the Departments approval,an administrator may[, with the Departments approval,]serve on a less than full-time basis for a maximum of two nursing facilities, one of which shall have a licensed capacity of 35 beds or less. A. [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. [.07-1].10Employee Training on Cognitive Impairment and Mental Illness. (1) Shall be provided on each side of all corridors in resident areas; and. (2)Orders shall include modalities to be used, frequency, and anticipated goals[,]and shall be made a part of the[patient]residentcare plan. (4) If a facility can demonstrate that because of the experience and training of its personnel and the physical layout and equipment, less supervisory personnel is required, the Department may modify the above requirements for supervision. (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. A. C.A person maintaining and operating a nursing[facility]homethat is in violation of this chapter is guilty of a misdemeanor, and, on conviction, shall be fined not more than $1,000under the authority of Health-General Article, 19-359, Annotated Code of Maryland. (3) Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. PDF (Senate Bill 385) Maryland Nurse Practice Act Revisions (1)Foods shall be prepared by methods that conserve nutritive value, flavor, and appearance, and shall be served at proper temperatures, in a form to meet individual needs. Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee, Credentials Evaluation Service Application (CGFNS), CREDENTIALS EVALUATION SERVICE APPLICATION, Complete on-line application and fee to CGFNS. The Department shall be notified of the name of the assistant director of nursing. (5) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. following applies: If a nursing home administrator, registered nurse, licensed Exceptions may be made in part at the discretion of the Department for an individual facility only when the facility can demonstrate compliance with the intent of this section by showing an effective patient call system to provide quality patient care.]. (1)Specialized rehabilitative services shall be provided only[upon]onwritten orders of the attending physician. Please enable scripts and reload this page. Other forms of evidence may include pictures, NCSBN assumes no liability or responsibility for any errors or omissions in the information contained in this resource. (c) Thefollowing floor areas may not be included in the calculation of floor space: (iii) The floor area occupied by wardrobes, bureaus, or lockers, when permanently installed as part of walls or ceilings and as a permanent component of a bedroom; (iv)HVAC equipment, including any steam, water, or electrical supply or return linesthatmay run parallel to the floor or interrupt the floor surface; (v) Supportcolumns, pipe chases, or otherstructures, whether free-standing or as an integral part of a wall; and. (6) The nursing home shall make available to residents educational and informational materials relating to immunization against influenza virus and immunization against pneumococcal disease. .08 New Construction, Conversion, Alteration, or Addition. When an owner plans to convert an existing structurethat has not been licensed as a nursing or care home to a nursing home, the owner shall be required to meet all conditions set forth in this chapter. The nursing home shall provide for an organized nursing service, under the direction of a full-time registerednurse. (5) The pharmacy shall be responsible for delivering medications to the nursing home. For general inquiries (Discipline): mbon.nursingdiscipline@maryland.gov. (3) As requested by the Department, the administrator or his designee shall telephone the Departments central bed registry, advising the Department of: In-service training shall include at least: H. Employment Records. (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. 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. Rollaway type beds, cots, or folding beds may not be used. [(6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. The signature of the programs teacher or trainer shall be required for authentication]. B. The following procedures are to be used when admitting an individual with a communicable disease into a nursing facility: (1) A facility may not deny admissions to, or involuntarily discharge, an individual solely because the individual has a communicable disease; (2) Any facility that intends to accept an individual with a communicable disease shall notify the Department before admitting the individual; and, (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.]. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. (2) The nursing home shall keep poisons and medications marked for external use only separate from general medications and Schedule II drugs. The audible signal may not be turned off at the nursing station. (5) Janitors ClosetNew Construction. The lock on the door of a medication room shall be counted as one of the two locks. D. Laundries-Existing Facilities. resources. (a)The nurses[station]work areashall be[centrally]located[in relation to beds served]on the unitand[shall provide]withineasy view of corridors outside ofresidentsrooms. JavaScript is required to use content on this page. (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. Public toilets for both sexes shall be located conveniently to this area. JavaScript is required to use content on this page. 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. (v) The medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. Health Security Act Reporting: Discipline: Maine State Board of Nursing (6) Certified medicine aide means an individual who meets the requirements as stated in COMAR 10.39.01 and 10.39.03. (1) Planning to ensure that all services required for the continuity of, (4) Interchange of medical and other information necessary in the care and treatment of. actively manage the nursing homes infection prevention and control program. Pages - Discipline/Compliance - Maryland Board Of Nursing (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. (a) A nursing home that holds full licensure as of the adoption date of these regulations shall be considered to have an adequate size dietetic service department. E. Objective. (2)A visible signal in the corridor above the corridor door of eachpatientsbedroom, visible from all parts of the corridor. FAQs | Medical Cannabis Certifying Provider FAQs for PAs & Physicians Frequently Asked Questions & Practice Topics, National Human Trafficking Hotline - 24/7 Confidential. J. Agency Note: Utilization Review. The nursing home shall be staffed as referenced in A and B of this regulation. ), III. These actions are involuntary if they occur after any of four specified events. (1) The duty to take the actions under paragraph (2) of this subsection arises only under the limited circumstances described under subsection (b) of this section. Provides a drop-down list of COMAR Titles, by number and Agency. In short, any member of the research team who is a licensed health care provider will be covered by the obligation to report child abuse or neglect, while any non-provider member is also obligated to report suspected abuse or neglect of a child. [In]Anexisting[facilities]nursing homeshall: (1) Havea sufficient number of lockers[capableof being]that can besecurely locked[shall be provided]for all employees working at any one time[,];and[provision shall be made]. (3) The use of an approved wireless call system shall eliminate the need to install call light indicators outside the residents bedrooms, bathrooms, bathing areas, and therapy areas. Filing a Complaint against a Medication Technician (MT), Certified If a comprehensive care facility is unable to effect a transfer agreement with a hospital in the community and can document its attempts to secure an agreement, the facility shall be considered to have such an agreement in effect. Please enable scripts and reload this page. As described in the chart below, health care providers must make these reports in specific oral and written forms, however, any person, is also required to make either an oral or written report of suspected child abuse. Regulations: This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the Maryland Department of Health (MDH). These extension cords shall be readily accessible topatientsat all times. B. D.Humidity. (1)There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding[:]or increasing the risk for cross-contamination of food or equipment from soiled surfaces. a list of all states/jurisdictions where the institution has not made a determination of whether the curriculum meets educational requirements. C. Dayroom Area. The frequency of communications between the physician and the rehabilitation team members shall[be governed by the statusand]dependonchanges in the[patient]residentand[his]the residentsmedical status. The reporting requirements also do not apply if the specimen is taken from a patient known to reside outside of Maryland, or is tested as part of a research project granted an exemption by the Director of AIDs Administration.