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[facility]nursing homeshall ensure that: (1)The nurse manager or the director of nursing of vent units has a background in ventilator care or is qualified in ventilator management; [(1)](2)Respiratory care services are provided by a sufficient number of qualified personnel;and. (3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (e) Communication and interpersonal skills. (ii) Passed the national accreditation examination for accredited record technicians. Please enable JavaScript in your browser. A. Citation numbers for the Annotated Code begin with a (section sign), for example 1-101. To easily find professional nursing licensure requirements (RN, PN and APRN programs), please select the states/jurisdictions where you want to know their professional licensure requirements. [F.]E.A[facility]nursing homelicensedas a[comprehensive or extended care facility]nursing homebut not certified for participation in the Medicare or Medicaid Program shall comply with the[State Operations Manual for Provider Certification]CMS Manual System, Pub. (b) Licensedby the Board of Examiners of Nursing Home Administrators for the State. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. (4) If the resident refuses to be immunized, the nursing home shall document the refusal and the reason for the refusal. [The following guidelines shall aid the facility]The nursing home shall refer to the following guidelinesin implementing its employee health program: (2) Immunization of[Health-CareWorkers]Health CarePersonnel:Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC);and, (1) The infection control program shall include a risk assessment program, including monitoring for tuberculosis infection for employees that is in accordance with the[following guidelines:]. M. Except where inappropriate for safety reasons, an employee and any other individual who provides a health care service within or on the premises of the nursing home shall wear a personal identification tag that: (2) States the profession or other title of the individual; and. (b) Connected to mechanically operated exhaust ventilation. Call us at (425) 485-6059. (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. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. No. B. [(3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (a) Be a registered nurse licensed in Maryland; (b) Have at least 2 years of nursing experience, at least 1 year of which shall have been in caring for the elderly or chronically ill in the past 5 years; and. In, Initiation of services to meet the rehabilitative needs of the. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. (i) In the event of failure of the normal electrical service, be activated immediately; (ii) Come to full speed and load acceptance within 10 seconds; (iii) Have a capacity of 48 hours of operation from fuel stored on-site; and. (c) After being fully informed of the health risks associated with not receiving a vaccine, the resident refuses the immunization. For example: Type in Consumer Protection and you will see eleven (11) different Titles covering this topic. (36) Management firm means an organization, under contract with an applicant for a license or a current licensee, that is intended to have or has full responsibility and control for the day-to-day operations of the nursing home. (d) A nursing home may distribute space in the following manner: (i) Storage space shall comprise at least 10 percent of the area designated for exercise and rehabilitation; and. [B.] (b) Who require medical services and nursing services rendered by or under the supervision of a licensed nurse together with convalescent, restorative, or rehabilitative services. No. (53) Physician means an individual licensed to practice medicine in this State. In person purchases can be made at 16 Francis Street - Wineland Building, Annapolis, MD. Issue/renew license to Advanced Practice Registered Nurses meeting established requirements. The printed version is considered the official version. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation. (3) The nursing home shall make its administrative and resident care policies available for review by residents and the residents representative. Karen Hatwood (4) The[facility]nursing homeshall require employees to perform hand hygienebefore andafter each direct resident contact for which hand hygiene is indicated by accepted professional practice. 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. (19) Clarifying that supervisory responsibilities for a food service department and food production within a facility shall be assigned to a qualified dietetic service supervisor. A physician in attendance upon a pregnant woman diagnosed with syphilis shall report the case to a health officer immediately. This wording is sometimes difficult to interpret. hotline in the past has helped to eliminate After registering with NCLEX you will receive an Authorization To Test letter (ATT) (1)Nursing service personnel shall provide care appropriate to theresidentsneeds with the organizational plan, authority, functions, and duties clearlydefined. After meeting requirements of the Board of Nursing (Maryland application, Criminal History Record Check, Declaration of State Primary Residence Form, TOEFL iBT or IELTS CES report), complete registration with NCLEX. 410.764.4777 | Toll Free 800.492.6836 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. Termination of Services of Director of Nursing. (1)The physician and the rehabilitation team members shall reevaluate the[patients]residentsprogress as necessary, but at least every 30 days. B. 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. E. The social work industry and trade groups would benefit due to the increase in hiring and contracting with licensed social workers. (4) A call system shall be provided in eachpatients toilet room,bathroom, andshower stallin locationseasilyaccessible to thepatients. An evaluation of foreign education is required to complete an endorsement application (COMAR 10.27.01.09A (4). COMAR is currently updated in print every two years, but the online version, maintained by the Maryland Division of State Documents, is updated as soon as an agency publishes or updates a regulation. The heating system shall be: (1) Capable of maintaining 75F or 24C throughout the residents section of the building with the outside temperature as prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities; and. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (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) There shall be at least one separate room or compartment with a bathtub, shower, or other bathing device, as approved by the Department, for every 15 licensed beds. The estimated salary differential to hire a licensed social worker versus a non-licensed employee performing social work services is $11,000. The facilitys admission policy shall include a statement as to whether or not medical assistance patients will be admitted and if admitted, under what circumstances.]. (8) The audible signal shall be loud enough to be heard at the nurses station. If the employees history is unclear, then the facility shall request a serology for varicella. Capacity shall be provided for[storage]storingof at least two completelinenchanges per bed. B. C. Duties of the Pharmaceutical Services Committee. hotline in the past has helped to eliminate There shall be provision for the laundering of patients clothing. Applies to anyone: Any individual having knowledge of an animal bite shall report the bite to the health officer., Maryland Reporting Obligations that May Apply to Investigators or Other Members of the Research Team, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Office of Human Subjects Research - Institutional Review Board. (1) The nursing home shall providea multi-purpose room[is used]for dining, occupationaltherapy,physicaltherapy,and social activities[, there]. Reports under this COMAR provision must be made to the health officer within 48 hours, except for certain diseases for which reports must be made immediately by telephone. (3) A call station shall provide readily accessible and detachable extension cords to each residents bed in the residents rooms at all times. In new construction, facilityshall provide a lobby area. C.Cleanliness and Maintenance. (1) All air-supply and air-exhaust systems shall be mechanically operated. printed copies of the Nurse Practice Act and Regulations can be [.11-2].17[Facilitys ]Nursing HomesResponsibilities in Relation to the [Facilitys]Nursing HomesMedical Director. (d) Any other relevant parameters affecting or reflecting the residents physical and mental status. Services Provided. (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. An occurrence of a confirmed or suspected infection shall be reported and acted on in accordance with COMAR 10.06.01 and COMAR 10.15.03. ; (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[. E. Completion of Records and Centralization of Reports. Any individual (other than those listed above) who has reason to suspect elder abuse/neglect may file a report. (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. Records for all[Patients]Residents. (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. of Legislative Audits operates a toll-free JavaScript is required to use content on this page. Reports shall be in writing or by telephone, and must be made as soon as possible.. (c) The nursing home shall provide heated toilet rooms adjacent to the common areas of refuge. Upon successful completion of the curriculum, the graduate is granted the AS in nursing and is eligible to take the state board examination for registered nurse licensure. (2) Recommendations made by the social work consultant, if applicable]the information required in C of this regulation. (70) Serious and immediate threat means a situation in which immediate corrective action is necessary because a deficiency has caused or is likely to cause serious injury, harm, impairment to, or death of a resident receiving care in the nursing home. Interior walls and floors shall be of a[character to permit]type to allowfrequent and easy cleaning. [Applicants unable to obtain certification of oral competency in the English language, which is required in A(3)(e) of this regulation, from the school of nursing or the state of original licensure, may evidence of competency by obtaining a minimum passing score, as determined by the Board, on the Test of Spoken English administered by the Educational Testing Service before applying for . (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. (c) All laundry shall be processed and handled in a manner that prevents the spread of infections. A. 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). (3) Demonstratea genuine interest in the well-being and welfare of[patients]residentsin the[facility]nursing home. Would you know your responsibility as a nurse and mandated reporter if you suspected a patient . (c) Maintenanceof an[optional]optimallevel of psychosocial functioning. (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 catered or satellite system shall be covered by a contractapproved by the Department. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. (1)Adequate refrigerated storage, refrigerators,and frozen food storage cabinets[,]shall be provided[which are]andregulated to maintain temperatures prescribed in COMAR 10.15.03[Food Service Facilities]. C. Body Holding RoomExisting Nursing Home. The[facility]nursing homeshall[be]: (a) Bemaintained free of insects and rodents by operation of an active pest-control program, either by use of maintenance personnel or by contract withapest-control company[. A. The regulations deal only with what must be reported. [.35] .58Resident Care Management System. Appropriate provisions shall be made for emergency auxiliary heat by means of alternate sources of electric power, alternate fuels, or standby equipment. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. Thenursing home shall notify theattending physician[shall be notified]promptly of the findings. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. You will be notified when the Board makes a ), III. If the[facilitys]nursing homesmedical director does not have special training and experience in diagnosing, treating, and assessing respiratory problems, the[facility]nursing homeshall[hire]employ or contract witha[physician]Board-certified pulmonologistwho has the special knowledge and experience to provide: D. Staffing. of Legislative Audits operates a toll-free (iii) The clean area shall allow for drying and folding of clean laundry. (7) Recommended Dietary Allowances (10thEdition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). ]; [(8)](7)Laboratory and radiologic services[. (1)Residents shall be given the opportunity to participate in planning menus. The[facility]nursing homeshall give appropriate health care information to such volunteers to provide maximum protection to residents. These events are listed in the regulations in COMAR 10.32.22.02B(19). (3) If the pharmacy fails to comply with the policies, a representative of the nursing home shall discuss the situation with the pharmacy and the resident, and if the pharmacy subsequently refuses to follow the policies, the resident shall select another pharmacy that agrees to comply. Written Policies. JavaScript is required to use content on this page. 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. (1) The Commission, through the Department, shall certify a facility or center to perform dialysis upon determination that the facility or center meets the standards adopted by the Commission, including: (a) 42 CFR 494.1494.110, as amended; and. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit. A member of the facilitys staff shall be assigned responsibility for social services. Waivers may be granted under Regulation[.02F].03Fof this chapter. (4) A nursing home, whether or not operating a licensed pharmacy, shall maintain a signed record of a Schedule II count at each change of shift. If you save it electronically, email it to mbon.complaintsinvestigations@maryland.gov. (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. Report must be made immediately to the health officer in the county where the physician cares for the patient. . The nursing home shall provide a living room for residents use with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. A. (31) Licensed certified social workerclinical (LCSW-C) means an individual authorized to practice clinical social work under Health Occupations Article, Title 19, Annotated Code of Maryland. (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. F. Space, Supplies. (c) A room may not be used as aresidentbedroomif it can only be reached bypassing through a kitchen. responsive, accurate and consistent, 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.. 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 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. (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided[for transportation of]totransportfood to the[patients]residents. [.21-4].37Infection Control Standard Precautions. The call system shall enablepatientsin the rehabilitation area to summon rehabilitation staff. [B. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. C. Dayroom Area. Current license from Maryland Board of Nursing or Compact State as Registered Nurse (RN). address of all witnesses). (ii) A bed that is certified for Medicaid to a distinct part of the nursing home that is a skilled nursing facility. B. [Patients]Residentsshall be assisted to obtain routine and emergency dental care. Abuse of Developmentally-Delayed Individual, 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. [(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]. Other forms of evidence may include pictures, (1) In[facilities exceeding]a nursing home with more than50 beds, overall supervisory responsibilities for the[dietetic]foodservicedepartment and food productionshall be assigned to a full-time qualified dietetic service supervisor. (f) A joint between filter segments and the enclosing duct work shall be gasketed or sealed to provide a positive seal against air leakage. (38)Medical director means an individual licensed to practice medicine in this State who, pursuant to a written agreement, is responsible for the overall coordination of the medical care in the nursing home to ensure the adequacy and appropriateness of the medical services provided to residents and to maintain surveillance of the health status of employees. (2)The physician may document on the record that[his]thereevaluation may be less frequent but in no case may[his]thereevaluation exceed 60 days. fraud and/or abuse of State government (7) National Fire Protection Association, NFPA 99 Health Care Facilities Code (2015 Edition). 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. (9) Chemical restraint means the administration of any drug that is used for discipline or convenience and not required to treat medical symptoms. A health practitioner, police officer, or human service worker who contacts, examines, attends, or treats an alleged vulnerable adult, and who has reason to believe that the adult has been subject to abuse, neglect, self-neglect, or exploitation shall notify the local department, and if acting as a staff member of a hospital . Thus approximately 172 facilities would be impacted by this proposal. [.16].28Laboratory and Radiologic Services. (b) Certified graduates of a State-approved medicine aide course. Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. A. (6) The nursing home shall make available to residents educational and informational materials relating to immunization against influenza virus and immunization against pneumococcal disease. (1) A nursing home shall be staffed with at least one registered nurse, 24 hours per day and 7 days per week. truthful and transparent services. Once the complaint is received at the Board office, an (b) Standardize communication about resident problems and conditions: (iii) Between these facilities and outside agencies. (a) A facility shall file an application to renew its license every 2 years at least 60 days before expiration of the issued license. Mandated Reporters. (b)[Be]Make the requestfor a term not to exceed 30 days. (2) The nursing home shall destroy adulterated, deteriorated, or outdated medications in the following manner: (a) Disposal shall occur in the presence of two witnesses who are authorized by the nursing home; and. The federal regulations only require the employ of a qualified social worker (a bachelors degree in social work or a bachelors degree in a human services field) if the facility has more than 120 beds. Telephone service and drinking fountains which meet ANSI standards also shall be provided.]. The staff shall document[progression]progressof the condition or conditions weekly until the condition or conditions have healed. (g) A manometer shall be installed across each filter bed serving central air systems. [By January 1, 2001, each facility]A nursing homeshall establish an effective quality assurance program that includes components described in this regulation and Regulation[.46].65of this chapter. ; Public Safety Article, 14-110.1; Annotated Code of Maryland. (b) Give the employee acertificate[evidencing]signed by the programs teacher or trainer asevidence ofcompletion of the program[shall be issued to the employee. (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. Contact us via email: OPC@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential.
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