Designated Staff Responsibility. Clean linen[may also be stored in]stored and transported in covered containers,closed linen carts,or rooms exclusively provided for this purpose[, if approved by the Department]. E.Water Supply. (1) The nursing home shall providea multi-purpose room[is used]for dining, occupationaltherapy,physicaltherapy,and social activities[, there]. (2)A nursing home desiring to provide services other than thosefor which it is alreadylicensed shall obtain prior approval from the Department. (2)To the extent medically possible, the[current]Recommended Dietary Allowancesof the Food and Nutrition Board[of the], Commission on Life Sciences, andNational Research Council[, National Academy of Sciences], adjusted for age, sex, and activity,shall be observed. possible. Pages - complaint procedures - Maryland Board Of Nursing Please enable JavaScript in your browser. Modification of the following minimum space will be made in the event that the facility can demonstrate that the use of convenience food, disposables, or equipment, require less space for operation. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. A nursing home shall provide cubicle curtains and tracks in multiple occupancy bedrooms between beds to insure privacy of residents. Agency Note: Utilization Review. The event must be reported within ten days of any change made by the hospital. C.Outside Service Entrance. 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. resources. (1)[Effective with employees hired on or after July 1, 1990, the]Thegeriatric nursing assistanttraining program[course]shall consist of 75 hours or more, and include at least 37.5 hours of classroom instruction and[not less than]at least37.5 hours of supervised clinical experience in long-term care. Pages - Licensure by Endorsement - Maryland Board Of Nursing (g) All devices shall be interlocked with the fire alarm system. No. indicate "N/A". Copyright Maryland.gov. If a comprehensive care facility is unable to effect a transfer agreement with a hospital in the community and can document its attempts to secure an agreement, the facility shall be considered to have such an agreement in effect. A. B. A. [(5)](6)Pest Control. JavaScript is required to use content on this page. (1) General requirements established for all special care units as outlined in Regulation .24 of this chapter; and. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. If a comprehensive care facility is unable to effect a transfer agreement with a hospital in the community and can document its attempts to secure an agreement, the facility shall be considered to have such an agreement in effect. Approaches shall. Pages - FAQ - Impaired Practice - Maryland Board Of Nursing All hoods over cooking surfaces shall comply with the requirements as provided in COMAR 10.15.03. A written agreement with at least one acute hospital shall be effected which shall provide for the following actions: (1) Planning to ensure that all services required for the continuity of[patient]residentcare will be made available promptly; (2) Advance discussion with the[patient]residentregarding the reason for the transfer and any available alternatives; (4) Interchange of medical and other information necessary in the care and treatment of[patients]residentstransferred between[the]facilities, including notification of the licensed pharmacist of resident transfer; [(5) Timely admission to the hospital when the attending physician determines acute hospital care is medically appropriate;]. (14) Dentist means an individual licensed to practice dentistry in this State. (3) Approaches to accomplishing each goal shall be established. In laundries in new facilities there shall be a physical separation between the clean and soil areas. (a)The nurses[station]work areashall be[centrally]located[in relation to beds served]on the unitand[shall provide]withineasy view of corridors outside ofresidentsrooms. The identity of the patient making the threat; and 3. (i) Shall be at least 30 square feet per bed, not including corridors; (ii) May not include toilet rooms in the 30 square feet per bed; and. (3) As requested by the Department, the administrator or his designee shall telephone the Departments central bed registry, advising the Department of: In-service training shall include at least: H. Employment Records. Records for all[patients]residentsshall be maintained in accordance with accepted professional standards and practices. Thewindow opening shall be at least 28 inchesso that the total area equals 10 square feet per bed. (2)Standardized recipes adjusted to appropriate yield shall be followed. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. (2) The administrator of the nursing home shall be responsible for ensuring that appropriate procedures and reporting are carried out for all reportable infections. (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. With respect to naturopathic doctors, different parties are required to make reports in different circumstances and within different time frames. 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. A. B. (2) Thearchitect or professional engineer of record shall submit a letter certifying thattheproject has been designedinaccordance with all applicable federal, State, and local codes, laws, ordinances, and regulations for construction. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. (4)In new facilities,the director of nursing and supervisors of[the various services,]dietaryservices, housekeeping, rehabilitationservices, and social services[,]shall be responsible for orienting the new[supportive]supportpersonnel to the[facilitys]nursing homepolicies and procedures and to the physical plant. (3) The tuberculin skin test for new admissions may be a two-step skin test that is performed by the facility according to the established infection control policy of the facility. (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. [Patients]Residentsshall be assisted to obtain routine and emergency dental care. (1) For every eight beds, there shall be at least one toilet enclosed in a separate room or stall. A. Please see the Nurse Practice Act 8-505.Report of certain fraud hotline to receive allegations of (2)Soiled containersshall be thoroughly scoured and aired before using again. A. (2) Policies and procedures shall address, at a minimum the following: (a) Identify how many staff members will assist with serving food items, pushing the mobile cart, and delivering meals to the residents; (b) Ensure proper food protection on three sides to protect the food; (c) Maintain proper temperature control, hot food at a minimum of 135F and cold food maintained at a maximum of 41F; (d) Record of temperatures before serving meals on each individual unit; (3) The hand washing policy and procedures referenced in L(2)(f) of this regulation shall include the following: (a) Use of a hand sanitizer in lieu of proper hand washing is not permitted; (b) Bare hands may not have direct contact with ready-to-eat food; (c) Hand washing shall be done before starting meal service on each individual unit; (d) When and at what location hand washing will be done; (e) Hand washing may not be done in resident rooms; (f) Access to a hand washing sink may not require the opening of a door; (g) The hand washing sink shall be in a central, unobstructed location; (h) Mobile hand sinks are acceptable as long as a written procedure to meet sanitation requirements is developed; (i) The hand sink shall be supplied with hot and cold water under pressure; (j) The unit shall be supplied with adequate waste containers to hold dirty water until dumping is done; and. 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.]. 6 St. Paul Street, Suite 2102 B. Incidents are to be reported as soon as they are suspected. This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). (1)If the[administrator is absent from the facility an excessive amount of time and the Department determines that the]director of nursings absence[from nursing service]while covering for the administratoris having an adverse effect on[patient]residentcare,the Department may require the designation of a specific registered nurse who shall be named the[]assistant director of nursing[]. responsive, accurate and consistent, The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. D. Laundries-Existing Facilities. F. Retention and Preservation of Records. This istoallowentry of fire fighters, removal of smoke, and emergency evacuation. [(5)](e)All flammables shall be stored in compliance with NFPA[30,flammableandcombustible liquids code]99 Health Care Facilities. (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. Exemptions: Out of state patients; Exemption granted by AIDs Administration. G. Program of Restorative Nursing Care. (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. (1)Medical records shall be retained for a period of[not less than]at least5 years from the date of discharge or, in the case of a minor, 3 years after the[patient]residentbecomes of age or 5 years, whichever is longer. (13) Deficiency means a condition existing in a nursing home or an action or inaction by the nursing home staff that results in potential for more than minimal harm, actual harm, or serious and immediate threat to one or more residents. There shall be sufficient equipment to meet the needs of the. (1)Written administrative and[patient]residentcare policies and procedures shall be developed for rehabilitative services by appropriate rehabilitation team members and representatives of the medical, administrative, and nursing staff. 6. Featured Programs: Sponsored School(s) Sponsored School(s) All school search, finder, or match results, as well as colleges and universities displayed as . (g) A manometer shall be installed across each filter bed serving central air systems. To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. (2) Bedside hours include the care provided by: (3) Only those hours which the director of nursing spends in bedside care may be counted in the 3-hour minimum requirement. The director may not disclose, directly or indirectly, the identity of any individual tested. Clean linen shall be stored separately from[non-clean]uncleanitems. (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. fraud hotline to receive allegations of ]; (2) Strive to accommodate the schedules of invited family members and residents representatives when scheduling care plan meetings; and. (2) The director of nursing shall obtain approval from the Department. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. 2506 mandates that any health care provider or health care entity or carrier report to the Board in writing within 60 days the following information: The name of any nurse employed by or privileged by the health care provider or health care entity when: The nurse's employment, including . (69) Secretary means the Secretary of Health. If a resident-directed meal pattern is provided, the following is required: (1) Counseling regarding the risks and benefits of a resident-selected diet which is documented within the medical record; and. 410-402-8015 Toll Free 877-402-8218 TTY 800-735-2258 . (43) Nurse practitioner has the meaning stated in Health Occupations Article, 8-101(k), Annotated Code of Maryland. There shall be sufficient[supportive]supportstaff to accomplish all medical[record]recordsfunctions. (b) The nursing homeshall be readily accessible tothe[rehabilitation patients]residents receiving rehabilitative services. Simple background check maryland board of nursing. Contact the Discipline & Compliance Division. (3) Is in a readily visible type font and size. A. A convenient outside service entrance shall[be planned]existto facilitate receiving food supplies and the disposal of waste. FAQs | Mandated Reports (1) An applicant desiring to open a comprehensive care facility or an extended care facility[or to continue the operation of an existing facility as a comprehensive care facility or an extended care facility]shall file an application with the Secretary, on awritten or electronicform provided by the Secretary. New York State Licensed Professions. (2) The janitors closet or service alcove. (1) The nursing home shall offer influenza and pneumococcal immunization to each resident. (1) At least one licensed nurse shall be: (b) Be designated by the director of nursing to be in charge of the nursing activities during each tour of duty. (7) Each trainee shall be clearly identified as a trainee during all skills training portions of the training. Contents of record shall[be]include: (1) Identification and summary sheet or sheets including[patients name, social security number, armed forces status, citizenship, marital status, age, sex, home address, and religion]: (2) Names, addresses, and telephone numbers of referral agencies[(],including[hospital from which admitted), personal physician, dentist, parents names or next of kin, or authorized]: (3)[Documented evidence of assessment of the needs]Documentation of the: (a)Needsof the[patient]resident[, of establishment]; (b)Establishmentof an appropriate[plan of]initial and ongoing treatment[,of the care]plan; and. [(3) The tuberculin skin test for new admissions may be a two-step skin test that is performed by the facility according to the established infection control policy of the facility. Copyright Maryland.gov. (1)The food and nutritional needs of[patients]residentsshall be met in accordance with physicians orders. R. 9 (January 4, 2019), and is available online at www.dsd.state.md.us. [This requirement does not extend to physical or occupational therapy assistants or to other employees performing delegated, non-nursing functions. (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. In this regulation, the term committee means the pharmaceutical services committee. Existing facilities (those facilities licensed at the time this regulation becomes effective) shall provide some method/means of a patient summoning aid that shall include as minimum a combined visual and audible signal that is audible at the nurses station and simultaneously activates a light located in the hall, outside of and adjacent to the patients room. (2)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. (1) The[facility]nursing homeshall assess residents for tuberculosis according to the[following guidelines: (a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health Care[Facilities; and]Settings. (4) A nursing homeshallscreen with wire screen or its equivalent, not less than 16 meshes per linear inch for doors and windows that provide ventilation. The nursing home shall provide a living room for residents use with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. require that all employees receive annual immunization for influenza, unless: (b) Against the employees religious beliefs; or. to provide constituents, businesses, (6) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. (c) A nursing care units medicine shall be stored in accordance with the following procedures: (i) Shall be stored in a cabinet with locks; (ii) Schedule II drugs shall be kept in a separately locked, securely fixed box or drawer in the medicine storage cabinet under two locks, keyed differently; (iii) The medicine storage and preparation area shall be illuminated with at least 100 foot-candles at the work counter; (iv) The preparation area shall include a small sink set into the counter or with drain boards and a biological refrigerator; and. Please fill out the form. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. (1) Amend, repeal, recodify, and adopt new language in order to make this chapter more cohesive, comprehensive, and clear; (2) Enable the Department to accept electronic submissions of both initial applications and renewal applications and thereby improve efficiency and decrease the administrative burden on providers and the Department; (6) Incorporate by reference additional documents; (7) Require that new facilities shall satisfy the review of the Maryland Health Care Commission for the establishment of new facilities and the increase or decrease in capacity of existing facilities; (8) Require that an existing facility that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing; (9) Require that a nursing home shall employ supervisory personnel and a sufficient number of support personnel, to provide a minimum of 3 hours of bedside care per occupied bed per day, 7 days per week; (10) Require that the ratio of nursing service personnel on duty providing bedside care to resident may not at any time be less than one to 15; (11) Require that the nurse manager or the Director of Nursing of vent units shall possess a background in ventilator care or be qualified in ventilator management; (12) Require that after January 1, 2021 social services responsibilities in the facility will be assigned to a Licensed Bachelor Social Worker, Licensed Graduate Social Worker, Licensed Certified Social Worker, or Licensed Certified Social WorkerClinical; (13) Require that the facility shall assign at least one infection preventionist staffed at a ratio of1.0 Full Time Equivalentsfor every 200 beds; (14) Require that facilities shall possess a functioning automated external defibrillator (AED) as of July 1, 2020; (15) Allow Certified Dietary Managers to share cooking responsibilities with the full-time cook in facilities with fifty or fewer beds. (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to[give adequate patient care and to do feeding,]: (a) Providemaintenance, cleaning, and housekeeping; (a)A[facility]nursing homemay request a[]voluntary admissions ceiling[]by submitting a written request to the Department to authorize a temporary restriction on[patient]residentadmissions based upon anticipated bed usage. actions or conditions. (3) The nursing home shall provide additional information upon request. (b) Has a minimum of 3 years experience in social work programs in a long-term care setting within the last 5 years. A. To obtain an exemption, the principal investigator must submit to the AIDS Administration a copy of the approved protocol, a notice of IRB approval, and a letter from the PI stating that the project will provide the Director of AIDs Administration annual reports of the following: A physician who has diagnosed a patient under the physician's care with acquired immunodeficiency syndrome according to the current definition published in the morbidity and mortality weekly report by the Centers for Disease Control and Prevention of the Department of Health and Human Services shall submit immediately a report to the health officer for the county where the physician cares for that patient. (2) The nursing home shall maintain and dispose of a clients medical records in accordance with Health-General Article, Title 4, Subtitles 3 and 4, Annotated Code of Maryland. 410-585-1900 (i) Successfully completed the required course; (ii) Maintains certification as required by the certifying board for the Association of Nutrition and Foodservice Professionals; and. (d) Any other relevant parameters affecting or reflecting the residents physical and mental status. Attn: Director of Complaints & Investigations. Would you know your responsibility as a nurse and mandated reporter if you suspected a patient . 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. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. purchased at the Division of State Documents in person, by internet, or 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. C. Secured units shall meet the established standards applicable to nursing home set forth in NFPA 99 Health Care Facilities Code and NFPA 101 Life Safety Code. The quality assurance plan shall include: (1) A description of a complaint process that effectively addresses resident[or]andfamily concerns including: (a) The designated person or persons and their phone numbers to receive complaints[or]andconcerns; (c) The time frames for investigating complaints[dependent upon], depending onthe nature or seriousness of the complaint; E. Accidents and Injuries. (5) A[patient]residentwho is in a protective device or devices may not be left in the same postural position for more than 2 consecutive hours. Citation numbers for the Annotated Code begin with a (section sign), for example 1-101. A. [Comprehensive care facilities or extended care facilities]A nursing homelocated inapolitical[subdivisions]subdivisionwhich[require them]requires itto meet certain standards shall submit proof to the Secretary that[they meet]the nursing home meetslocal laws, regulations, or ordinances at the time application for license is submitted. (1) A signed copy of the agreement between thenursing homeand the director of nursing, showing the license numberof the nurse, shall be filed with the Department upon: (a) Application for an initial nursing home license; and. 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. However, the nursing home would need to contract with a licensed social worker to provide oversight. JavaScript is required to use content on this page. (b) The renewal application shall be submitted onwritten or electronicforms provided by the Secretary.]. The summary shall, at a minimum: (a) List means of potential transportation to be used in the event of evacuation; (b) List potential alternative facilities or locations to be used in the event of evacuation; (c) Describe means of communication with family members and residents representatives; (d) Describe the role and responsibilities of the resident, family member, or residents representative in the event of an emergency situation; and. Research Exception: The requirements for reporting HIV+ test . A State-approved training course for paid feeding assistants shall consist of at least 8 hours of training that includes: (9) Successful completion of a two-part test that includes a: (b) Demonstration of proper feeding skills performed on a resident[under observation]while being observed. The minimum requirements are: D. Call SystemExisting Facilities.
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maryland board of nursing reporting requirements