B. A person maintaining or operating a nursing. C. Measles, Mumps, Rubella, and Chickenpox. 10.34.23 Pharmaceutical Services to Patients in Comprehensive Care Facilities, Effective September 16, 2013. responsive, accurate and consistent, Menus shall be written at least 1 week in advance. (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. [(e)](f)Excessive HeatAny temperature above[40C (104F)]104F or 40C. (7) National Fire Protection Association, NFPA 99 Health Care Facilities Code (2015 Edition). (d)Management of the[facility]nursing homemay not permit the[patient]residentcensus to exceed the admissions ceiling without prior approval from the Department. accessible and convenient, and Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. (2) Medications shall be administered by: (a) Appropriately licensed personnel in accordance with laws and regulations governing these acts; or. (3)To the extent medical orders permit, bedtime nourishments shall be offered routinely to all[patients]residents. The[facility]nursing homeshall ensure that each unit is sufficiently staffed with qualified personnel to provide appropriate treatmentand[special]meet thecare needs of the residents. (4) The pharmacy shall have access to a copy of the written pharmaceutical care policies. D. Consultation. Currently, a license has not been required for an individual to operate in this role. (4) Each month, the nursing home shall perform a drug regimen review on each residents records at the nursing home and document the findings in the residents medical record. A. (2) The janitors closet or service alcoveshall be[equipped]: (iii) Arack for hanging brooms and mops; and. D.Contract. (53) Physician means an individual licensed to practice medicine in this State. B. (1) CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual, (Version 1.14, October 2016). The Board waives the renewal requirements for military personnel when they are called to active duty. The relief director of nursing shall be freed from other responsibilities. purchased at the Division of State Documents in person, by internet, or The State of Maryland pledges [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. However, the nursing home would need to contract with a licensed social worker to provide oversight. (a) Resident Assessment Instrument (RAI) meansa standardized and reproducible resident assessment process based on completion of Minimum Data Set (MDS) screening items, and including the MDS Care Area Assessment process, and related process for care planning and evaluation. (1) Nursing homes shall provide at least the following supervisory personnel: (2) The director of nursings time is included in A(1) of this regulation. Participation shall include: (1) Regularreports andattendance at[, and reporting to,]the[facilitys]nursing homesquality improvement committee meetings; and. (7) Certified social worker means an individual licensed to practice as a certified social worker in this State. Spaces housing medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. (c) Coordinate management of the resident and the residents contacts with the. (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. [(2)](b)All electrical equipment shall be calibrated according tothemanufacturers directions and shall be[periodically]servicedperiodicallyas part of a preventive maintenance program. (2) Private sewage disposal systems shall comply with COMAR 26.04.02. (9) Recommended Dietary Allowances, (10th Edition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). (ii) The individual who has inactive pulmonary scarring,calcification, or a normal chest X-ray. Goal[outcome]outcomesshall be measurable in time or degree, or both. (35) Licensed practical nurse means an individual authorized to practice licensed practical nursing under Health Occupations Article, Title 8, Annotated Code of Maryland. Temperatures. (3) Information regarding the residents and familys plans regarding discharge. (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. Complete and mail Request for Academic Records to your school of nursing. (a) Beresponsible for the control of the operation on a 24-hour basis;and[shall serve]. A. In developing these regulations, the Board learned that different hospitals use vastly different terminology to describe similar actions. Thewindow opening shall be at least 28 inchesso that the total area equals 10 square feet per bed. [(6)]D. Hepatitis B. [C.](3)Toilet Facilities in Rehabilitation AreaNew Construction. (ii)Those disciplineswho provided the service. Anyone not on the committee shall be informed of how to present and submit concerns to: (3) A member of the family council if one exists. (1) An existing nursing home that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing. General Requirements. Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. National Human Trafficking Hotline - 24/7 Confidential. [C.]E.Registry. (2)The record and progress notes concerning the[patient]residentshall reflect at all times the most recent and current status of the[patient]resident, including current short-term and long-term goals. D. Nursing Service Personnel on Duty. The facilitys infection control program shall include monitoring of the health status of all residents to determine if the residents are free from tuberculosis in a communicable form.]. F. Retention and Preservation of Records. In existing facilities where a physical separation is not possible, exceptions as to approved laundry facilities may be made at the discretion of the Department. a list of all states/jurisdictions where the institutions curriculum meets state educational requirements for professional licensure or certification, a list of all states/jurisdictions where the institutions curriculum does not meet state educational requirements for professional licensure or certification, and. All employees shall routinely use appropriate barrier precautions to prevent skin and mucous membrane exposure when contact with blood or the body fluids of any resident is anticipated as outlined in: (1)2007Guideline for Isolation Precautions[in Hospitals]:Preventing Transmission of Infectious Agents in Healthcare Settings; and. (a) Resident Care, Treatment, Diagnostic. F. Delegation of Responsibilities. A nursing home shall have a documented preventative maintenance program. fraud and/or abuse of State government (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) A new nursing home shall be constructed, equipped, and maintained to protect the health and safety ofresidents,personnel, and the public. (2) The[facility]nursing homeshall provide information concerning the[communicable]infectiousdisease status of any resident being transferred or discharged to any other[facility]nursing home, including a funeral home. ; (vii) Blood borne pathogens, including hepatitis B and C and human immunodeficiency virus; (ix) Proper use and wearing of personal protective equipment, such as gloves, gowns, and eye protection; (f) Train and[monitor]perform compliance monitoring ofemployee application of infectionprevention andcontrol[and aseptic techniques; and]activities, such as hand hygiene and personal protective equipment used for isolation precautions; (g) Review the infectionprevention andcontrol programelementsat least annually and revise as necessary[. [(5)](4)Transfer or Assignment of License. The new regulations explicitly define changes that must be reported to the Board within ten days of their occurrence and provide penalties for failing to do so. A janitors]Janitors ClosetNew Construction. (3)The[facility]nursing homeshall be kept free of unnecessary accumulations of personal possessions, boxes, trunks, suitcases, papers, unused furniture, bed clothing, linens, bric-a-brac, and similar items. Disclaimer: This information has been gathered from a variety of sources. E. Responsibilities of the Director of Nursing. investigator will be assigned. [Records shall be maintained]. [Facilities]A nursing homeshall provide: (1) Space for social work personnel, accessible to[patients]residents, medical, and other staff;and. According to the National Nursing Database, Maryland currently has 73,086 RNs and 13,538 LPNs. Please enable scripts and reload this page. (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. 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. All rights reserved. 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. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. B. (iv) All soiled areas within a laundry shall be connected to mechanically operated exhaust ventilation. (ii) One year of supervised social work experience in a health care setting working directly with individuals. (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents; (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures, (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, A. (3) In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction. certain fraudulent activities and protect (b) Has a minimum of 3 years experience in social work programs in a long-term care setting within the last 5 years. [(2) Existing Facility. (3) The height of tables provided in dining areas shall accommodate each resident using a wheelchair. (3) Other emergency lighting shall be as follows: (b) Drug distribution station or unit dose storage; (c) A lighted area for emergency telephone use; (f) Generator set location and switch gear location; (g) Elevator, if operable on emergency power; (h) Areas where life support equipment is used; (i) If applicable, lighting for the common area of refuge; and. [.11-2].17[Facilitys ]Nursing HomesResponsibilities in Relation to the [Facilitys]Nursing HomesMedical Director. (iii) Inform the appropriate law enforcement agency and, if feasible, the specified victim or victims of: 1. [(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]. Arrangements shall be made, when necessary, for the. 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). B. (a) New support personnel shall have an employee orientation program. [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]. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. maryland board of nursing reporting requirements maryland board of nursing reporting requirements. A bedroomshall be provided with ahand washing sinkwith both hot and cold running water unlessatoilet or bathroom facilitywith a sinkis connected to the bedroom. .44 Physical PlantHeating and Cooling. Waivers may be granted under Regulation[.02F].03Fof this chapter. A written application shall be on file for each employee and shall containat least the: (1) Employees[social security]Social Securitynumber[. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. A. B. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. accessible and convenient, and Please enable JavaScript in your browser. [(6)](5)Safeandtimely transportation and care of the[patient]residentduring transfer; [(7)](6)Security and accountability for the[patients]residentspersonal effects; [(8)](7)Prompt readmission to the[comprehensive care facility or the extended care facility]nursing homeat the end of the hospital stay[(when program fiscal controls permit)]; [(9)](8)Annual review of[execution of]transfer arrangements[(]byautilization review committee or other designated group[)]to assure that each party is fulfilling the needs of[both]the[patients and]residents,the providers[(],the hospital,and the[comprehensive care facility or the extended care facility)]nursing home; [(10)](9)If needs are not being met,[it is the responsibility of]the administrator of the[comprehensive care facility or the extended care facility to]nursing home shallact on recommendations of the reviewing group[and]to effect compliance; [C. Exception for Comprehensive Care Facility. 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. G. Current RecordsLocation and Facilities. (2) Agroup of professional personnel including one or more physicians and one or more registered nursesshall review the policies at least annually. If the designee is not a qualified[patient]residentactivities coordinator as defined in Regulation[.01Y,].01ofthis chapter, the Department may approve the designee based on the persons education, performance, and experience. [.39] .62Geriatric Nursing AssistantTrainingProgram. (2) Thearchitect or professional engineer of record shall submit a letter certifying thattheproject has been designedinaccordance with all applicable federal, State, and local codes, laws, ordinances, and regulations for construction. (2) The information disclosed shall explain the additional care provided in each of the following areas: (a) The Dementia special care units written statement of its overall philosophy and mission, which reflects the needs of residents with dementia; (b) The process and criteria for placement, transfer, or discharge from the unit; (c) The process used for individualized assessment and establishing the resident-centered plan of care and its implementation, including the method by which the plan of care evolves and is responsive to changes in the individuals condition; (d) Staff training and continuing education practices; (e) The physical environment and design features appropriate to support the functioning of cognitively impaired adult residents; (f) The frequency and types of resident activities; (g) The involvement of families and family support programs; and. the satisfactory completion of the program in each employees personnel record, (2) The course content shall adhere to the. The regulations provide an objective test for determining if leaves of absence are involuntary. (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. truthful and transparent services. Under the Nurse Licensure Compact (NLC), qualified nurses can apply for a multistate license, which allows for practice in other compact states without having to obtain additional licenses. Responsibility for the Residents Care. B. A State-approved training course for paid feeding assistants shall consist of at least 8 hours of training that includes: (9) Successful completion of a two-part test that includes a: (b) Demonstration of proper feeding skills performed on a resident[under observation]while being observed. (3) The[facility]nursing homeshall prohibit employees with[a communicable]an infectiousdisease or with infected skin lesions fromhavingdirect contact with residents or their food if direct contact could transmit the disease. a genuine interest in the well-being and welfare of, (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to, The Department shall approve the increase in beds within 72 hours following receipt of the. B. Baltimore, Maryland, 21215-2254. (4) Ensure that the immunization is given in the form of Tdap (tetanus, diphtheria, acellular pertussis) vaccine, in accordance with the guidelines prescribed in Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Health Care Infection Control Practices Advisory Committee (HICPAC). (6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. Code Ann., Health Occupations Article, 8-302 (b) and (c).. (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[goal]goalsshall be realistic, practical, and tailored to the residents needs. (3) The use of hot and cold medical devices shall be: (a) Consistent with manufacturer guidelines and nursing home policies; and. The[facility]nursing homeshall[request]requirethat all new employees receive immunization for Hepatitis B[. C. The[facility]nursing homeshall obtain Departmental approval of the following pertaining to thespecial care unit: (2) An organization chartofthe special care unitandits[inter-relatedness]relationshipto the rest of the nursing[facility]home; (5) A quality assurance plan which includes: (b) Identification of the[most important]predominantaspects of care provided; (b) The administration of[medicines unique to the needs of]medicationsthat are relevant tothe special care residents; (9) An inventory of[the]anyspecialized equipment to be housed[in]onthe unit to provide services in the special care unit. Menus shall be written at least 1 week in advance. 3. [Comprehensive care facilities or extended care facilities]A nursing homelicensed under this regulation may not usethe word hospitalin[their]itstitle[the word Hospital]. (6) The bottoms of ventilation openings may not be not less than 3 inches above the floor of any room. [D.]C.The[facility]nursing homeshall have mechanisms for communicating the results of infection control activities to employees[,]andtothe individual or individuals who are responsible for improving the[facilitys]nursing homesperformance. The quality assurance plan shall include: (1) A description of a complaint process that effectively addresses resident[or]andfamily concerns including: (a) The designated person or persons and their phone numbers to receive complaints[or]andconcerns; (c) The time frames for investigating complaints[dependent upon], depending onthe nature or seriousness of the complaint; E. Accidents and Injuries. Passing score of 85% or better on Sagepoint Certified Nursing Assistant Competency Exam. (5) Before invoking stop order policies, the residents attending physician shall be contacted for instructions so that continuity of the residents therapeutic regimen is not interrupted. The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland and authorized by the General Assembly. In new construction,]Administrative AreasNew Construction. No. 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. Through the College of Computing, students can earn their Bachelor of Science in Software Engineering. Clean linen[may also be stored in]stored and transported in covered containers,closed linen carts,or rooms exclusively provided for this purpose[, if approved by the Department]. 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. The infectionprevention andcontrol program shall include the handling ofspecialmedical waste as defined in COMAR 10.06.06. Again, there are objective tests to determine this. (2)[Resident]MDS Care AreaAssessment[Protocol Summary]process;and. You are a mandated reporter if you are one of the following: Health Practitioner. (c) Document the content of the continuing in-service education program and include the names and titles of participants. (6) Assistingresidentsto adjust to their disabilitiesandensuring availability anduseoftheir prosthetic and assistive devices. (vi) The arc of anydoors that open into the room, excluding closet doors. If the medical records supervisor is not a qualified medical record practitioner, the Department may require that the supervisor receive consultation from a, Current medical records and those of discharged, Medical records shall be retained for a period of, G. Current RecordsLocation and Facilities. In the case of naturopathic doctors, please consult the regulations at, Medical Cannabis Certifying Provider FAQs for PAs & Physicians. (b) Controlled medications to be stored within medication storage cabinets in a residents room shall be held within a separate compartment that is locked and inside of the larger medication storage cabinet in that room. The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. (a) Identify an emergency and disaster planning liaison for the nursing home; and. Updated printed copies of the Nurse Practice Act and Regulations can be purchased at the Division of State Documents in person, by internet, or by telephone. A catered or satellite system shall be covered by a contractapproved by the Department. (3)[Thenotification shall include]Includean invitation for the family member or residents representative to attend the conference. (2)The administrator shall maintain recordsreflecting attendance, by name and title, and training content. The information is fluid and evolving. The research must be IRB-approved and must either be to test the safety or efficacy of an HIV vaccine, or must not be primarily intended to provide medical treatment to participants. (ii) Office space shall be at least 110 square feet for one therapist, or 85 square feet per therapist if there are two or more. [The following requirements shall be met:]. (2) The nursing home shall provide the Office of Health Care Quality with the documentation that verifies that the applicable local and State governmental authorities have approved work that was done. (Identified by Impact Letter and Number from Section II. (2) A dumbwaiter, elevator, or ramp shall be provided in a[facility]nursing homeof more than one story where more than eight[patients]residentsabove or below the kitchen level[,]receive bedside tray service[;]. (1)Specialized rehabilitative services shall be provided only[upon]onwritten orders of the attending physician. The agreement shall provide for sufficient hours of consultation to assure that the staffs services meet the medically related social and emotional needs of the patients.].
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