A. (5) A nursing home that administers Schedule II drugs shall maintain a drug record that documents: (b) The date, time, kind, dosage, and method of administration of all Schedule II drugs; and. If you are requesting licensure as an Advance Practice provider and hold an active compact/multistate license, you only need to apply at: Verify Nursing Education is approved by the Maryland Board of Nursing, Complete and take to any fingerprinting facility in Maryland, Request an Out-of-State fingerprinting card at Criminal Justice Information System (CJIS), Criminal Justice Information System (CJIS)-located in Reisterstown Road Plaza. (2)Locatedconvenient to[patients]the residentsbedrooms. (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. (19) Distinct part extended care facility means a portion of a nursing home that is licensed as an extended care facility. (c) Administrative, Bulk Storage and Soiled. D. Reports of Findings. C. Social History. The medical director is responsible for: (2) Monitoring and evaluating thehealth care services andoutcomes[of the health care], including clinical and physician services provided to the[facilitys]nursing homesresidents; and. The[facilitys]nursing homesinfectionprevention andcontrol program shall monitor the relevant health status of all employees, as it relates to infectionprevention andcontrol. (c) The name of the authorized prescriber who prescribed the medication. ]; [(11)](10)[Patient]Residentactivities[. 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. Incidents are to be reported as soon as they are suspected. The janitors closet shall be equipped for, (a) There shall be separate clean and soiled utility rooms in each nursing unit. (5) The nursing home shall make its resident care policies available for review by residents and the residents representative. Report must be made immediately to the health officer in the county where the physician cares for the patient. In, Initiation of services to meet the rehabilitative needs of the. Controlled room temperature is a temperature maintained thermostatically between[15C and 30C (59 and 86F)]59F and 86 F or 15C and 30C. D. A licensee[aggrieved by]that disagrees withthe imposition of a sanction under A(1) or (5) of this regulation may appeal the Secretarys action by filing a request for a hearing in accordance with Regulation[.59].78of this chapter. Searching Code of Maryland Regulations (COMAR) The Maryland General Assemblys Office Issue/renew license to Advanced Practice Registered Nurses meeting established requirements. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials.]. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. G. Admissions Procedures for Patients With Communicable Diseases. A. (5) Existing Facility. (ii)80 square feet, per bed, for multiple-bed rooms. 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. The Maryland General Assemblys Office If the position of director of nursing remains vacant for a period exceeding 30 days, the nursing homes license may be revoked unless the administrator and the governing body are able to demonstrate that they have made every effort to obtain a replacement. C. A nursing home shall maintain, at all times, the capability to physically isolate any resident who may contract a communicable disease from the remaining resident population. Clean linen shall be stored separately from[non-clean]uncleanitems. (33) Licensed or certified professional health care practitioner means a nurse practitioner, physician assistant, or other practitioner licensed or certified under the Health Occupations Article, Annotated Code of Maryland. .20 Nursing ServicesDirector of Nursing. In laundries in new facilities there shall be a physical separation between the clean and soil areas. resources. A. Acall system shall be installed and maintained in operating order in all nursing units. The information is fluid and evolving. These extension cords shall be readily accessible topatientsat all times. (2)In instances when an aide is to be assigned to a particular service such as dietary, physical therapy, or occupational therapy, the person in charge of the service shall be responsible for the evaluation and approval of the qualifications. 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). 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. (a) A resident who smokes shall be assessed for safe smoking behaviors at admission and on significant changes in condition. The mandatory reporting . In developing these regulations, the Board learned that different hospitals use vastly different terminology to describe similar actions. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. [.29].52Equipment and Supplies for Bedside Careand Therapy. R. 9 (January 4, 2019), and is available online at www.dsd.state.md.us. (a) A central ventilation or air conditioning system shall be equipped with filters having efficiencies no less than those specified in Table 2 under D(11) of this regulation. For general inquiries (Safe Practice Program): [email protected]. Licensure Process for International Educated Nurses Requesting G. Current RecordsLocation and Facilities. J. hotline in the past has helped to eliminate There shall be provision for the laundering of patients clothing. (11) The committee shall make recommendations for improvements to pharmaceutical services. Temperatures. bio; live! 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. Educator. National Human Trafficking Hotline - 24/7 Confidential. Nursing Regulation | NCSBN When the Commission on Graduates of Foreign Nursing Schools receive all three required applications, they will complete the report and mail it to the Maryland Board of Nursing. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation. [(5)](6)Pest Control. [C.]A. [(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. (3) Laundry use,as referencedin the 2007Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. For questions or . Police Officer. (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is[qualified]: (a) Qualifiedby training and experience[,];and[is licensed]. Open at all Times for Inspection. The[facility]nursing homeunit shall meet all applicable requirements in Regulation[.26F].46of this chapter for emergency electrical power, including the provision of: (a) To service the medical gas systems, a vendor or staff shall be trained and accredited in accordance with NFPA 99 Health Care Facilities Code. accessible and convenient, and (4) There shall be an agenda to guide meeting participants. Space heatersand portable heaters may not be used. [D.]C.The[facility]nursing homeshall hold the care planning conference not later than 7 calendar days after[completion of]completingthe assessment, but may hold the conference[earlier]soonerif agreed to by the resident, a family member, or a residents representative. (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. (3)Audiologist means an individual who holds a Maryland license issued by the State Board of Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists. (6) The pharmaceutical services committee may not develop policies and procedures that prohibit or restrict a resident from receiving medications from the pharmacy of the residents choice. 410.764.4777 | Toll Free 800.492.6836 . The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. When an owner plans to convert an existing structurethat has not been licensed as a nursing or care home to a nursing home, the owner shall be required to meet all conditions set forth in this chapter. printed copies of the Nurse Practice Act and Regulations can be [Agency Note: 10 foot ceiling height is recommended. (1) The building and all its parts and facilities shall be kept in good repair, neat, (2) All walls, floors, ceilings, windows, and fixtures shall be kept clean. (h) The cost of care and any additional fees. possible. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. Attn: Director of Complaints & Investigations. (a) The emergency power source shall be a generating set and prime mover located on the premises with automatic transfer. 3. (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. Please enable scripts and reload this page. [Patients]Residentsshall be assisted to obtain routine and emergency dental care. (b) Connected to mechanically operated exhaust ventilation. Licensed[comprehensive care facilities and extended care facilities]nursing homesand any premises[proposed]that an applicant for a license proposes to[be operated by an applicant for a license]operate shall be open at all times to inspection by the Secretary and by any agency designated by the Secretary. (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. (2) The architect or professional engineer of record shall also submit a letter certifying that the project has been designed in accordance with all applicable federal, State, and local codes, laws, ordinances, and regulations. B. (a) Anursing unit shall contain at least one janitors closet containing a floor receptor or service sink and storage space for housekeeping equipment and supplies. Welcome to the Texas Board of Nursing Website Accreditation | University of Maryland School of Nursing B. Access through Table of Contents Structure (will display table of contents by Title, Subtitle & Chapter). JavaScript is required to use content on this page. F. Therapeutic Diets. (5) A food service floor panty shall include the following additional equipment: (b) Ice-making machine or ice-storage container; (d) Equipment to deliver completed trays; (e) Three-compartment sanitizing sink or dishwasher; (f) Cabinet for dry storage, supplies, and kitchenware; and. (a) A nursing home that holds full licensure as of the adoption date of these regulations shall be considered to have an adequate size dietetic service department. (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. Order forms can be downloaded from the, 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee, Division ofState Documents' Maryland Department of HealthPublications, FAQ: End Stage Renal Disease (ESRD) Setting, Frequently Asked Questions regarding activities of the Registered Nurse, Case Manager/Delegating Nurses (RN CM/DN) in Assisted Living, Frequently Asked Questions Developmental Disabilities (DD) Practice Setting, Delegation of Nursing Functions in Dialysis Settings. As of July 1, 2021, OHCQ oversees 19,032 providers in 45 industries . There shall be provision for the laundering of patients clothing. (a) Tuberculosis in a communicable form means that an individual: (i) Is presumed to have active pulmonary or laryngeal tuberculosis as evidenced by positive X-ray findings with or without positive acid-fast bacilli (AFB) sputum smear or positive AFB sputum culture; and. B. E. Completion of Records and Centralization of Reports. Pursuant to State Government Article, 7-207, Annotated Code of Maryland, the following have been declared documents generally available to the public and appropriate for incorporation by reference: (1) CMS Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual (Version 1.14, October 2016); (2) CMS Manual System, Pub. [.14-1].23Special Care Units General. When no specific storage directions or limitations are provided in the individual monograph,[it is to be understood that]the storage conditionsshallinclude protection from moisture, freezing, and excessive heat. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. H. Director of Nursings Continuing Education. The dietary preferences of a resident shall be ascertained, including preferences arising from a residents religious, cultural, and ethnic heritage, and efforts shall be made to meet those preferences. Mandated Reporters - Maryland Department of Human Services (35) Licensed practical nurse means an individual authorized to practice licensed practical nursing under Health Occupations Article, Title 8, Annotated Code of Maryland. (2) The team shall establish goals for each problem or need identified, or a combination thereof. Please enable JavaScript in your browser. 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. (b)The janitors closet shall be equipped for[handwashing]hand washing. The proposed action has minimal or no economic impact on small businesses. FAQs | Medical Cannabis Certifying Provider FAQs for PAs & Physicians The relief director of nursing shall be freed from other responsibilities. In our example, you can read each and then select Subtitle 25. Please enable scripts and reload this page. (4) The[facility]nursing homeshall maintain written documentation of the following: (a) Results of tuberculin skin tests, recorded in millimeters of induration with dates of administration, dates of reading, results of test, and the manufacturer and lot number of the purified protein derivative (PPD) solution used;and, [(b) Results of chest x-rays required in this regulation; and. (2) The infection preventionist shall attend or have attended a basic infection prevention and control training course that is approved by the: (b) Office of Infectious Disease Epidemiology and Outbreak Response for the Department. accessible and convenient, and Find more COVID-19 testing locations on Maryland.gov. Exceptions may be made in part at the discretion of the Department for an individual facility only when the facility can demonstrate compliance with the intent of this section by showing an effective patient call system to provide quality patient care. No. (a) The nursing home shall provide a common area or areas of refuge in an emergency situation if all resident rooms, day rooms, and toilet rooms are not tied into the emergency generator to provide heat and cooling. No caregiver-patient relationship is necessary to trigger the reporting obligation. (3) The use of hot and cold medical devices shall be: (a) Consistent with manufacturer guidelines and nursing home policies; and. , then PI must report to the health officer when a specimen evidences the diseases/conditions listed in the statute. LoginAsk is here to help you access Maryland Board Of Accountancy Cpe Central quickly and handle each specific case you encounter. The statutory language implies but does not specifically require a patient-provider relationship, so it is possible that the duty to warn might be found to extend to certain research settings involving investigators who are mental health providers. certain fraudulent activities and protect B. C.Discrimination Prohibited. Research Exception: The requirements for reporting HIV+ test results do not apply when the test is conducted as part of research conducted by an institution within Maryland under the following conditions: (a) All personal identifiers are removed from the specimen before testing; (b) The specimen cannot be linked to the individual from whom it was taken; (c)The test result cannot be linked to the individual from whom the specimen was taken; and (d)The research protocol has been approved by an institutional review board. 410.764.4777 | Toll Free 800.492.6836 (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. of Legislative Audits operates a toll-free Adequate storage space shall be provided forresidentspersonal possessions, including the storage of seasonal clothing. to provide constituents, businesses, (2) Departments Office of Capital Planning, Budgeting and Engineering Services. (c) Within 24 hours of admission, notify and direct residents to the nursing homes emergency plans and maps, including evacuation procedures. (d) At least quarterly, submit a report to the pharmaceutical services committee on the status of the nursing homes pharmaceutical services and staff adherence to policies and procedures. 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. A person maintaining or operating a nursing. [(3)](c)All electrical equipment shall be[periodically]testedperiodicallyfor proper grounding, current leakage, and calibration where appropriate. certain fraudulent activities and protect (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. [(a)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. [C. Lobby Area. (2)Progress notesrelated to rehabilitative servicesshall be written at least every 2 weeks. A[facility]nursing homewhich holds a current and valid operating license may establish special care units with the approval of the: (1)Office of[Licensing and Certification Programs and the Departments Division of Engineering and Maintenance]Health Care Quality;and. Investigators who are mental health providers licensed under the Health Occupations Article have a statutory duty to warn of a patients threats to inflict imminent physical harm upon specific victims. Medical Director Qualifications. (1) Social services responsibilities in the nursing home shall be assigned to a: (d) Licensed certified social workerclinical. The current license shall immediately become void and shall be returned to the Secretary if the: (a) Nursing home is sold, leased, or discontinued; C. Request for Departmental Permission to Exceed Capacity. State resources. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (1)Nursing service personnel shall provide care appropriate to theresidentsneeds with the organizational plan, authority, functions, and duties clearlydefined. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. Report of State Board of Nursing to Senate Education, Health & Environmental Affairs Committee & House Health & Government Operations Committee on online program for processing medication technician applications, measures implemented to increase online applications, & analysis of current & projected staffing needs due Dec. 31, 2011 (Chapter 123 .
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