friendly and courteous, timely and (2)There shall be an allowance of at least 12 square feet per[ambulatory patient]resident[;this]. [Records shall be maintained]. (1) A pharmaceutical services committee, or its equivalent, shall develop written policies and procedures for safe and effective drug therapy, distribution, control, and use. You may be trying to access this site from a secured browser on the server. (3) This position shall be staffed at a ratio of 1.0 Full Time Equivalents for every 200 beds. [(5)](1)The[facility]nursing homeshall screen[all new employees for immunity to common childhood infections such as mumps, rubella, measles, and chicken pox (varicella), through the use of pre-employment questionnaires and, if appropriate, serologic testing for presence of antibodies of these diseases, to prevent adult exposure of new employees to residents with communicable forms of such disease organisms.] Adequate refrigerated storage, refrigerators. Information reported to the NOTE 1: 18-202 requires an administrative head of an institution (defined to include hospitals) who has reason to believe that an individual on the premises of the institution has an infectious or contagious disease (except for HIV/AIDs), to immediately submit a report to the health officer. The activities shall be designed to promote the general health, B. A convenient outside service entrance shall[be planned]existto facilitate receiving food supplies and the disposal of waste. Contents of Record. Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first. The baccalaureate degree program in nursing, master's degree program in nursing, Doctor of Nursing Practice program and post-graduate APRN certificate programs at University of Maryland School of Nursing are accredited by the Commission on Collegiate Nursing Education. The resident care management system shall[be comprised]consistof three[interrelated]relatedcomponents: [A. The State of Maryland pledges The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. (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. (a) Be issued to all assigned direct care staff; and. (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. The facility may use an outside program if it has been reviewed and approved by the Department.] O. C. When the attending physician and medical director agree that a particular[facility-developed]nursing home developedprotocol is required to ensure that quality medical care is delivered to the[facilitys]nursing homesresidents, that protocol shall be implemented unless the[facility]nursing homedocuments in the[facilitys patient]nursing homes residentcare committee minutes the reason or reasons why the protocol should not be implemented. (24) Geriatric nursing assistant means a CNA who has successfully completed the requirements for a GNA set forth in 42 CFR 483.151483.156 and COMAR 10.39.01. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials.]. (1) Adequate equipment for preparation, serving, and distribution of food shall be provided, (2) A dumbwaiter, elevator, or ramp shall be provided in a, (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided, (2) The storeroom shall be cool and well-ventilated. B. D.Humidity. (b) A resident assessed to exhibit unsafe behaviors shall have a care plan to ensure the resident is safe when smoking. (iii) Prevents a resident from a precipitating potential physical problem. (2)Soiled containersshall be thoroughly scoured and aired before using again. 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. For example: Type in Consumer Protection and you will see eleven (11) different Titles covering this topic. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. This meal represents[no less than]at least20 percent of the days total nutritional requirements. accessible and convenient, and .08 New Construction, Conversion, Alteration, or Addition. (b) Guideline for Infection Control in Health Care Personnel. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. Any person who believes that an individual with a developmental disability has been abused shall report the abuse promptly to the executive officer or administrative head of the licensed service provider, who shall in turn make a report to law enforcement authorities. All rights reserved. Any practicing nurse needs to consider what the Nurse Practice Act and COMAR states when consuming alcohol, taking medications or substances that could be considered controlled dangerous substances, using illicit or any substance that affects mood, attention, alertness, judgment, decision-making etc. Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. (1) A nursing home shall providedining[areashall be]areaslarge enough to accommodate all[patients able to eat out of their rooms]residents who eat there at the same time. (3)The relief director of nursing shall be freed from other responsibilities. However, the nursing home would need to contract with a licensed social worker to provide oversight. Activities spaceshall beof adequate size to meet the needs of the residentsandshall be located on each floor occupied by residents. D.Contract. 201 W. Preston Street, Baltimore, MD 21201-2399 (410)767-6500 or 1-877-463-3464 (b) A copy of the record of disposal shall be forwarded to the Office of Controlled Substances Administration. There shall be an active program of restorative nursing care aimed at assisting each resident to achieve and maintainthe individualshighest level of independent function, including activities of daily living. (b) The maximum height from the floor to the top of a window sill shall be 44 inches above the finished floor. (c) Following any changes in the initial registration of the four representatives, a nursing home shall update the information within 5 business days of the change. (1) The nursing home shall provide emergency electrical power. [(1)](a)Equipment shall[be of a type that will provide]allow for providingsafe and effective[patient]residentcare. (47) Occupational therapist means an individual who is currentlylicensed by theStateBoard of Occupational TherapyPracticeas a registered occupational therapist. Any hiatus during which the health care provider does not exercise staff privileges or fulfill the duties of employment or a contract is a leave of absence. The Maryland Department of Health will update resources for health care providers as they become available. The director of a medical laboratory defined at Health-Gen 17-201(b)(1) as any facility, entity, or site that offers or performs tests or examinations in connection with the diagnosis and control of human diseases or the assessment of human health, nutritional, or medical conditions . (a)A distance of at least 3 feet shall be maintained between each bed. 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). 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. We're available on the following channels. There are currently 229 licensed nursing homes of which 75 percent or 172 nursing homes would need to hire or contract with a licensed social worker to comply with the regulations. The training on cognitive impairment and mental illness shall be designed to meet the specific needs of the[facilitys]nursing homespopulation as determined by the staff trainer, including the following as appropriate: (3) Behavioral[intervention]interventionsincluding: A. General Responsibilities. However, the nursing home would need to contract with a licensed social worker to provide oversight. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. It looks like your browser does not have JavaScript enabled. prefilter is employed, the prefilter shall be upstream of the equipment and the main filter bed may be located further downstream. (12) The committee shall document its actions and recommendations. (b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format. resources. A written application shall be on file for each employee and shall containat least the: (1) Employees[social security]Social Securitynumber[. The attending physician shall: (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents;[and], (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures; and. 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. A. B. A utility sink shall be provided within reasonable distance from the food service department for its use, but it may be shared with other activities. reporting and/or correcting unsafe working conditions, equipment repair and maintenance needs. [.05].07Inspection by Secretary [of Health and Mental Hygiene]. [(7) Utility RoomsExistingFacility. Medical Director Qualifications. Federal regulations require that certain services be provided by a qualified social worker, the employee would have to represent themselves as a qualified social worker and thus under Maryland law, the employee would have to obtain a license to practice social work. (2) A facility with more than 120 beds must employ a qualified social worker on a full-time basis. C. The nursing[facility]nursing homeshall establish a quality assurance committee that includes at least: (1)[A]The nursing homedirector of nursing; (4)[A]The nursing homemedical director; (5) A[dietitian]dietitian-nutritionist; and. (5) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. A If the nurse is subsequently found in violation of the Nurse Practice Act and is disciplined by the Board of Nursing, this action is then considered public information. (28) Infection preventionist means a licensed healthcare worker who: (a) Manages the infection prevention and control program in the nursing home; and. National Human Trafficking Hotline - 24/7 Confidential. to provide constituents, businesses, Through the College of Computing, students can earn their Bachelor of Science in Software Engineering. (5)There shall be a complete orientation for all the employees in life safety and disaster preparedness. (2) Ifindicated,the supervisor shallrefer the matter to the director of nursing. (2) If the nursing home does not employ a licensed pharmacist, the nursing home shall arrange by written contract for a pharmacy to provide consultation on administering the pharmacy services in accordance with the policies and procedures established by the pharmaceutical services committee. There shall be a separate entrance into each room]. (b) The nursing homeshall be readily accessible tothe[rehabilitation patients]residents receiving rehabilitative services. Attn: Director of Complaints & Investigations. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. [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. We are vaccinating all eligible patients. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. You are a mandated reporter if you are one of the following: Health Practitioner. (2) Foodinstorage shall be arranged so that new food items are stored behind old food items. Home; Services; A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. Please enable scripts and reload this page. accessible and convenient, and ]; [(13)](12)Reports and action required in unusual circumstances[. (c)It is recommended that 2 square feetper[patient]residentbe provided and that thedry food storagearea be located within easy access to the receiving area and the kitchen. The provider industry is in agreement with the proposed changes in this requirement. Financial Help With My Gas and Electric Bill, How to Buy an Energy-Efficient Home Appliance, Search on a word or phrase, or enter the codification number, Access through Table of Contents Structure. (iii)Following the period of orientation,[the person responsible for the orientation program and the person in charge of the service shall]indicatethesatisfactory completion of the orientation program of the employee. Adequate storage space shall be provided forresidentspersonal possessions, including the storage of seasonal clothing. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment, C. When the attending physician and medical director agree that a particular. B. accessible and convenient, and Acall system shall be installed and maintained in operating order in all nursing units. (a) Details of the proposed nursing home changes; and. (a) Comply with Health-General Article, 18-404, Annotated Code of Maryland, regarding immunizations of employees; (b) Inform all new and current employees of the health risks of not being immunized; (d) Require that any employee who is not vaccinated with the current influenza vaccine wear a mask when: (ii) During the influenza season as specified by the States Prevention and Health Promotion Administration, based on influenza activity in Maryland. (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[;]. (11) Table 2. responsive, accurate and consistent, .41 Physical Plant New and Existing Construction Requirements. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation. 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. (b) With the exception of B(3) of this regulation, servefull-time[except that]. (4) In new construction or renovation, the nursing home shall comply with the regulations and building codes effective at the date of construction or renovation. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. Construction inan Existing Structure. (4) Justification for the need for more restrictive standards: This requirement ensures that a licensed social worker is providing medically related social and emotional services to residents of the facility, and requires that residents receive adequate planning and care coordination during discharge and care transitions. The activities shall be designed to promote the general health[,]andphysical, social, and mentalwell-being of the[patients]residents. (3) Local Law or Ordinance, Where Applicable. However, once a facility elects to use these procedures or systems and a modification is granted, the systems may not be changed without prior approval of the Department. (1) The size and location of the food service area shall comply with COMAR 10.15.03. (2) All walls, floors, ceilings, windows, and fixtures shall be kept clean. (3)The Department may requirethat the nursing home havespecific types of equipment based on the needs of the[patients]residents. Hospitals and others are encouraged to report any conduct or condition that may possibly pose a danger to patients. All rights reserved. (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. No. B. [Patients]Residentsmay not be admitted or retained if, in the judgment of the attending physician, they are: [G. Admissions Procedures for Patients With Communicable Diseases. Summary of Economic Impact. (16) Dietitian-nutritionist means an individual who: (a) Is licensed by the Maryland Board of Dietetic Practice to practice dietetics; (b) Has met the certifying requirements for registration as a dietitian as administered by the Commission on Dietetic Registration; and. (62) Registered nurse means an individual licensed to practice as a registered nurse in this State. (3)The responsible departments approval shall be in writing, signed by the appropriate department head whose license number, if applicable, shall be recorded in the record. A nursing home shall be protected throughout the entire building by an automatic fire extinguishing system. (3)Policies and procedures shall be adopted and made available to all nursingservicepersonnel. [C. Locked Doors Prohibited. (iv) All soiled areas within a laundry shall be connected to mechanically operated exhaust ventilation. A. Staffing. (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. (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. Termination of Services of Director of Nursing. 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. 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. If a deficiency exists, the Department, in addition to the sanctions set forth in this regulation and Regulations[.5058].69.77of this chapter, may: (1) The duties of the State monitor shall be specified in a written agreement between the Department and the State monitor and shall include but are not limited to: (c) Issuing written reports to the Department and the nursing[facility]nursing home,detailing the findings of the on-site inspections and the status of[recommended actions that]requirements andrecommendations forthe[facility shall complete]nursing hometo achieve compliance. (3)In-service training shall include at least: [(2)](b)Fire prevention programs and[patient]residentrelated safety procedures in emergency situations or conditions; [(4)](d)Confidentiality of[patient]residentinformation; [(5)](e)Preservation of[patient]residentdignity, including protection of the[patients]residentsprivacy and personal and property rights; [(6)](f)[Psychophysical]Physical,functional,and psychosocial needs of the aged ill; H. Employment Records. To provide for this, a nursing home shall have at least one private bedroom with an attached private bathroom that includes a: [.22] .38Reports and Action Required in Unusual Circumstances. (12) Culture change facility means a nursing home where physical environment and operational changes have been made to establish person-valued and person-directed care activities and services. (10) The orientation may not be included in the required 75 hours of the training course. [(2)](b)[Seventy-five]A nursing home shall allot 75square feet[shall be allotted]for treatment area per[patient]resident,based on peak treatment schedules. They should not be read to imply that any other reporting is prohibited. maryland board of nursing reporting requirements maryland board of nursing reporting requirements. (3) Submit a copy of the medical directors credentials to the Department upon: (a) The first license renewal of the[facility]nursing homeafter the effective date of this regulation; and. (6)The number of daily admissions of[patients]residentsshall be controlled to allow sufficient time for on-the-job training. We're available on the following channels. A care plan under this regulation shall be based upon assessments conducted at the following times: family member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of, (2) The team shall establish goals for each problem or need identified, (3) Approaches to accomplishing each goal shall be established. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA). ALL FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE, In order to be endorsed in the state of Maryland, please complete the steps below, Questions- email us at People often confuse the Code of Maryland Regulations (COMAR) with the Annotated Code of Maryland. The nursing home shall meet the requirements for handling, treatment, and disposal of special medical wastes as provided in COMAR 10.06.06. F. Retention and Preservation of Records. (ii) The nursing home shall make its residents personal furnishing policies available for review by residents and the residents representative. (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.
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maryland board of nursing reporting requirements