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of Legislative Audits operates a toll-free (b) Receive signals originating from residents bedrooms, bathrooms, bathing areas, and therapy areas. (1)Within 2 weeks of[the]referral to specialized rehabilitative services, the rehabilitation team members shall provide[to]the attending physicianwitha written report of the evaluation, including goals and progress of the[patient]resident. (1) A nurse call system shall be installed and maintained in operating order in all nursing units. Although NCSBN has made every effort to provide complete, accurate and up-to-date information, NCSBN makes no warranties, express or implied, or representations as to the accuracy or reliability of this information. (3) Areas that meet this requirement may include: (b) Lobbies, portion not required for egress per NFPA 101 Life Safety Code, as are applicable to nursing homes; (m) No more than 50 percent of the floor area of all occupational therapy and physical therapy areas, and other areas as approved by the Department. In this chapter, the following terms have the meanings indicated. (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. (2)Activitiesdesignedand monitored appropriately to meet the day-to-day needs and interests of each[patient, to]resident andencourage[self-care,resumption of normal activities, and maintenance]: (b) Engagement inresident-selected activities;and. A freezer is a cold place in which the temperature is maintained thermostatically between[-20C and -10C (-4 and -14F)]-4F and -14F or -20C and -26C. (e) Smoke dampers shall be controlled to close automatically to prevent flow of smoke-laden air in either direction. A. Standardized recipes adjusted to appropriate yield shall be followed. Services Provided. ; (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[. (1)Thearchitectorprofessional engineer of record shall submit stamped and sealedfinal constructiondrawings to the Department. The Maryland General Assemblys Office Extra pillows shall be available. (1)Covers shall be placed on hot[water bottlesand,ice caps]packs, ice packs and other temperature-related therapeutic medical devicesbefore they are placed in a bed or on a[patient]resident. InfectionPrevention andControl Program. 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. L. Resident Directed Meal Pattern. (3) A nursing home shall equip all screened doors with self-closing devices, to provide for the normal flow of ingress and egress of traffic. (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. The Department in these cases may require additional space to be provided.]. If the designee is not a certified social worker, the facility shall effect an agreement with a qualified social work consultant. New York State Licensed Professions. (vi) The arc of anydoors that open into the room, excluding closet doors. If you are unable to find the exact regulation, contact the Division of State Documents at: To report Waste, Fraud or Abuse to the Office of Legislative Audits. A nursing home shall maintain a minimum design temperature of 75F or 24C for all occupied areas. Any individual (other than those listed above) who has reason to suspect elder abuse/neglect may file a report. (b) The vendor or staff may provide the following services: (c) The nursing home shall ensure that all piped medical gas systems adhere to the following standards: (i) NFPA 99 Health Care Facilities Code; and. Exemptions: Out of state patients; Exemption granted by AIDs Administration. BLS Healthcare Provider certification from American Heart Association; additional life support training, as applicable to unit requirements. A nursing home shall posta noticeon each floor or unit of the nursing home, for each shift, a notice that[explains]givesthe ratio of licensed and unlicensed staff to residents. fraud hotline to receive allegations of Complete the form below for state-specific nurse licensure . Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. (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. (ii) The soiled area shall allow for sorting and washing soiled laundry. [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. License Lookup (h) All occupants of any bedroom shall be of the same sex, except in the case of a two-bed room occupiedby: (2) BedroomNew Construction. [(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]. The Office of Health Care Quality surveyed multiple facilities and determined that 25 percent of nursing homes employed or contracted with a licensed social worker. 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 The search provides a list of Subtitle Chapters. 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. Records for all[patients]residentsshall be maintained in accordance with accepted professional standards and practices. Please see the Nurse Practice Act 8-505.Report of certain All rights reserved. No. (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. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. (10) Table 1. C. Lobby Area. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. The mandatory reporting law, however, also is applicable to nursing homes and to any of the alternative health systems defined in 1-401 of the Health Occupations Article. B. mbon.nursingdiscipline@maryland.gov, For general inquiries (Safe Practice Program): printed copies of the Nurse Practice Act and Regulations can be In laundries in new facilities there shall be a physical separation between the clean and soil areas. An article for which storage in a cool place is directed may, alternatively, be stored in a refrigerator, unless otherwise specified in the individual monograph. Provider Resources - Maryland 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. [C.]B. ]; [(8)](7)Laboratory and radiologic services[. [A.] [Service Areas Required in New Construction or for New Facilities.] (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. J. (12) The committee shall document its actions and recommendations. (1) Medications shall be accurately and plainly labeled. All rights reserved. purchased at the Division of State Documents in person, by internet, or Filing a Complaint against a Medication Technician (MT), Certified Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the requirement to have a licensed social worker employed. E. Transportation. The responsibilities of the director of nursing shall include: (1) Assisting in the development and updating of statements of nursing philosophy and objectives to define the type of nursing care the nursing home shall provide; (2) Preparation of written job descriptions for nursing service personnel; (3) Planning to meet the total nursing needs of residents to be met and recommending the assignment of a sufficient number of supervisory and support personnel for each tour of duty; (4) Development and maintenance of nursing service policies and procedures to implement the program of care; (5) Participation in the coordination of resident services through appropriate staff committee meetings on issues relating to: (6) Cooperation with administration in planning the orientation program and the staff development program to upgrade the competency of personnel; (7) Assurance that nursing personnel understand the philosophy and meet the objectives; (8) Participation in planning and budgeting for nursing services; (9) Establishment of a procedure to ensure that nursing service personnel, including private duty nurses, have valid and current Maryland licenses; (10) Execution of resident care policies unless delegated to the principal physician or medical director; (11) Participation in the selection of prospective admissions to ensure thatthenursing homes staff is capable of meeting the needs of all residents admitted; (12) Coordination of the interdisciplinary resident care management efforts; and. (5) A call system shall provide visual lights at corridor intersections, in multi-corridor nursing units. (2) The air conditioning system shall be in compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and all federal, State, and local codes. B. (4) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007). (3) To the degree possible, accompanying physicians when visitingresidents. non-renewed or expired. JavaScript is required to use content on this page. (e) Contains a refrigerator to be used for medication storage only. (iii) These policies shall address the condition of the personal furnishings, presence of insects or vermin, and overall safety to ensure that the use of the residents belongings does not create any safety or health issues. Janet McIntyre Public toilets for both sexes shall be located conveniently to this area. . Resources & Information | Maryland Board of Physicians When the investigator is a physician with a patient under care, the investigator must make immediate reports of infectious or contagious diseases, including AIDs, to the health officer in the county where the physician cares for the patient. C. Conversion of an Existing Structure. (2)Existing Facilities. These requirements are no longer in effect. (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. As long as the cumulative days of suspension imposed solely for the five reasons listed in COMAR 10.32.22.03C(7) do not exceed 30 in a calendar year, that suspension need not be reported. (b) Any previoustuberculin skin tests, chest x-ray,or blood test results,chemotherapy, and chemoprophylaxis[,which]thatare the basis for[the certification]certifyingthat the individual is free from tuberculosis in a communicable form. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. (2) Upon request, the director or assistant director of nursing may accompany physicians visiting residents. (1)New[supportive]supportpersonnel shall be credited for 50 percent of their working time until the employees orientation program, as approved by the Department, is completed. (1) The building and all its parts and facilities shall be kept in good repair, neat,and attractive. The director of nursing shall assume responsibility for maintaining professional competence of staff through their participation in education programs. (7) The call system shall enable residents in the rehabilitation area to summon rehabilitation staff. A digital passport style photograph in PNG or JPG file format, The 12 digit tracking number from under the barcode on the fingerprint card or 12 digit tracking number on the Live Scan receipt, A Visa or Masters card credit or debit card, This section applies only to nurses whose basic nursing education was completed in another country. (2) In[facilities]a nursing homewith[26 50]50or fewerbeds, exceptions may be made by the Department to allow the supervisor to share cooking responsibilities with the full-time cook. In person purchases can be made at 16 Francis Street - Wineland Building, Body Holding RoomNew Constructionand Existing Nursing Home. Research Exception: The requirements for reporting HIV+ test . After meeting requirements of the Board of Nursing (Maryland application, After registering with NCLEX you will receive an Authorization To Test letter (ATT). In new construction,]Administrative AreasNew Construction. (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. (g) A manometer shall be installed across each filter bed serving central air systems. 4. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. (d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department. FAQs | Medical Cannabis Certifying Provider FAQs for PAs & Physicians The Board concluded that reliance on any one institutions terminology would result in uneven reporting. C. Social History. SS-7, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (6) National Fire Protections Association, NFPA 99 Health Care Facilities Code (2015 Edition); and. (c) Air ducts that pass through a required smoke barrier shall be provided with a smoke damper at the barrier. 4140 Patterson Avenue. Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). Participation shall include: (1) Regularreports andattendance at[, and reporting to,]the[facilitys]nursing homesquality improvement committee meetings; and. registered nurse requirements for the Executive Director; (3) hiring and paying for an external . (a) Be issued to all assigned direct care staff; and. A score of 26 is passing on the TOEFL iBT. 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. In this regulation, the term committee means the pharmaceutical services committee. Activities spaceshall beof adequate size to meet the needs of the residentsandshall be located on each floor occupied by residents. (a) The emergency power source shall be a generating set and prime mover located on the premises with automatic transfer. D. Preventative Maintenance Program. (7) The audible signal may not be turned off at the nursing station. [A.] Getting started with CalCentral. In addition, any withdrawal or denial of an application made for any of the three reasons listed in COMAR 10.32.22.03C(6) need not be reported. The quality assurance plan shall include: (3) Procedures to take action when there is a change in the residents condition,including: (a) Communicating changes to the director of nursing or the residents attending physician; and, (b) Changing the residents plan of care as necessary; and. Office Hours: Monday - Friday 8:15AM - 5:00PM (except Holidays) 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. (b) The renewal application shall be submitted onwritten or electronicforms provided by the Secretary.]. E. Objective. In certain Maryland counties (although not Baltimore County or City), physicians, pharmacists, dentists or nurses who treat individuals with injuries that appear to have been caused by auto accidents or lethal weapons must report this information to local or state police as soon as possible. (2) The janitors closet or service alcove. [(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. E.Water Supply. Regulation34 CFR 668.43 (a) (5) (v) will require the nursing program to provide: Additionally, adirect disclosure to the student in writing is required in regulation 34 CFR 668.43(c) by the education institution if the program leading to professional licensure or certification falls in one of the latter two categories above. All rights reserved. Transcripts must be evaluated by the Commission on Foreign Nursing Schools (CGFNS). The State of Maryland pledges Emergency procedures shall be established and documentedthatenable the nursing home to provide water in all essential areas in the event of the loss of the normal water supplyor if the nursing home would have to shelter in place during an emergency or disaster. A license or certificate exists even if it is inactive, This table refers to the pressure relationships and ventilation of certain areas of a nursing home other than chronic disease hospitals. Thus approximately 172 facilities would be impacted by this proposal. (5) The[facility]nursing homeshall[record]: (a) Recordthe satisfactory completion of the program in each employees personnel record[. The following procedures are to be used when admitting an individual with a communicable disease into a nursing facility: (3) The Secretary or a designee of the Secretary may prohibit a facility from accepting an individual with a communicable disease if it is determined that admitting the individual with a communicable disease could pose a risk to the health, safety, or welfare of any other resident or individual associated with the facility. [(2) Nurses StationExisting Facility. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. Homes Licensed Capacity for[Patients]Residents, [(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.]. D. Nursing Service Personnel on Duty. Please enable JavaScript in your browser. G. Before discharge the nursing home shall: (1) Verify that the transfer and discharge to an assisted living nursing home is licensed and appropriate to meet the needs of the resident; and. (3) Laundry use,as referencedin the 2007Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. NOTE 3: COMAR 10.06.01.02 defines physician to include physicians designee working under the supervision of the physician.. Health, Maryland Department of - Reports (Mandated) The Office of Health Care Quality surveyed multiple facilities and determined that 25 percent of nursing homes employed or contracted with a licensed social worker. The nursing home shallinformall new and current employeesof the health risks of not being immunized. Please enable scripts and reload this page. D. Laundries-Existing Facilities. 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. (Identified by Impact Letter and Number from Section II. An employee of the[facility]nursing homeshall be designated as the person responsible for the overall supervision of the medical[record]recordsservice. (20) Extended care facility means a nursing home that offers sub-acute care and provides medical treatment services for residents who require inpatient care but who do not currently require continuous hospital services. B. JavaScript is required to use content on this page. 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. 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. (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. Report must be made immediately to the health officer in the county where the physician cares for the patient. (4)For reference purposes, copies of the[patient]residentcare policies shall be readily available to all personnel responsible for[patient]residentcare. (9) The committee shall establish the contents of sealed emergency drug kits. D. Restrictions on Participation Documented on Chart. [Patients]Residentsshall be assisted to obtain routine and emergency dental care. (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. [B.] [In existing facilities,]. Pages - Office of Health Care Quality - Maryland.gov Enterprise Agency (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. D. Reports of Findings. [Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first.]. This meal represents[no less than]at least20 percent of the days total nutritional requirements. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit.]. (13) Supervision of certified medicine aides to ensure that the aides act within the limitations and restrictions placed on them. (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. Clean linen shall be stored separately from[non-clean]uncleanitems. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster.