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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. Apply the definitions in the regulations. Drug Screening FAQ - ND Board of Nursing Director of Nursing. (3)The relief director of nursing shall be freed from other responsibilities. 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. [(5)](1)The[facility]nursing homeshall screen[all new employees for immunity to common childhood infections such as mumps, rubella, measles, and chicken pox (varicella), through the use of pre-employment questionnaires and, if appropriate, serologic testing for presence of antibodies of these diseases, to prevent adult exposure of new employees to residents with communicable forms of such disease organisms.] (1) The nursing home shall inform a residents designated pharmacy about the nursing homes written policies concerning the provision of drugs. [(a)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. Storage and Handling Requirements for . (3) In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction. (17) Discharge means the removal of a resident from a nursing home when the releasing nursing home is no longer responsible for the residents care. The nursing home shall be serviced by a public sewage disposal system if available. F. Employee Health Oversight. (b) Provide the liaisons contact information to the local emergency management organization. Baltimore, Maryland, 21215-2254. (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. The training on cognitive impairment and mental illness shall be designed to meet the specific needs of the. (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. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. (c) All tobacco products shall be extinguished and disposed of in noncombustible containers with self-closing lids in accordance with the provisions of NFPA 101 Life Safety Code. (b) Provide a service to nursing home residents or their families. Information reported to the The physician shall, E. Objective. (ii) A small sink equipped with soap and individual paper towels in a dispenser; (iv) Equipment[, approved by the Department,]to clean and sanitize bedpans, urinals, and basins;and. 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. You may be trying to access this site from a secured browser on the server. (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. (2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement. JavaScript is required to use content on this page. accessible and convenient, and 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. 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. B. We're available on the following channels. maryland board of nursing reporting requirements According to the National Nursing Database, Maryland currently has 73,086 RNs and 13,538 LPNs. (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. A. (2)Orders shall include modalities to be used, frequency, and anticipated goals[,]and shall be made a part of the[patient]residentcare plan. (2)Existing Facilities. (3) A copy of the agreement between the nursing home and the replacement shall be sent to the Department. (5) The pharmacy shall be responsible for delivering medications to the nursing home. 201 W. Preston Street, Baltimore, MD 21201-2399 (410)767-6500 or 1-877-463-3464 (5) Timely admission to the hospital when the attending physician determines acute hospital care is medically appropriate; C. Exception for Comprehensive Care Facility. (1) A new nursing home shall be constructed, equipped, and maintained to protect the health and safety ofresidents,personnel, and the public. fraud hotline to receive allegations of If a body holding room is not provided, a holding area shall be designated that approximates the above conditions. 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. friendly and courteous, timely and The]initiate a written socialhistory,whichshall be as complete as possible and shall include: (1) Social data about personal and family background to provide understanding of the[patient]residentand how[he]the residentfunctions;[and], (2) Information regarding current personal and family circumstances and attitudes as they relate to[patients]the residentsillness and care[. copies of patient The charge nurse or nurses shall make daily roundsonall nursing units for which they are responsible, performing such functions as: (2)Reviewing clinical records, medication orders, resident care plans, and staff assignments; and. (b) Receives nursing services rendered by or under the supervision of a registered nurse. Nursing and dietetic services shall establish an effective policy toensurethat: (1) Nursingservicepersonnel are aware of the nutritional needs and food and fluid intake ofresidents; (2) Nursing service personnel providespecialmealsand nourishment when required; (3) Residents food choices and preferences are honored as much as practical; (4)Nursingservicepersonnel promptlyaid residentswhen necessary ineating; (5)The dietetic service is informed of physicians diet orders and ofresidentsnutrition-related issues; and. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. A refrigerator is a cold place in which the temperature is maintained thermostatically between[2C and 8C (46 and 59F)]46F and 59F or 8C and 15C. The director may not disclose, directly or indirectly, the identity of any individual tested. (28) Infection preventionist means a licensed healthcare worker who: (a) Manages the infection prevention and control program in the nursing home; and. (3) Other emergency lighting shall be as follows: (b) Drug distribution station or unit dose storage; (c) A lighted area for emergency telephone use; (f) Generator set location and switch gear location; (g) Elevator, if operable on emergency power; (h) Areas where life support equipment is used; (i) If applicable, lighting for the common area of refuge; and. [A.] a list of all states/jurisdictions where the institution has not made a determination of whether the curriculum meets educational requirements. There are currently 229 licensed nursing homes of which 75 percent or 172 nursing homes would need to hire or contract with a licensed social worker to comply with the regulations. (d) Any other relevant parameters affecting or reflecting the residents physical and mental status. The relief director of nursing shall be freed from other responsibilities. A. If the serology for varicella is nonreactive, the facility shall request that the employee receive immunization for varicella. 10.07.02 [Comprehensive Care Facilities and Extended Care Facilities]Nursing Homes, Authority: Health-General Article, 19-308, 19-308.1, 19-323, and 19-1401 et seq. A. [Agency Note:]. Pages - FAQ - Impaired Practice - Maryland Board Of Nursing (iii) The clean area shall allow for drying and folding of clean laundry. 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. Services Provided. All hoods over cooking surfaces shall comply with the requirements as provided in COMAR 10.15.03. [E.]D.Drinking Fountains. (2) Foodinstorage shall be arranged so that new food items are stored behind old food items. A. Rehabilitative ServicesAdmission Policies. A physician in attendance upon a pregnant woman diagnosed with syphilis shall report the case to a health officer immediately. [B. [.35] .58Resident Care Management System. F. Staffing. [.21].33InfectionPreventionandControl Program. (2)[Resident]MDS Care AreaAssessment[Protocol Summary]process;and. Baltimore, Maryland 21202 Annapolis, MD. The resident care management system shall[be comprised]consistof three[interrelated]relatedcomponents: [A. (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. (d)Residentsmay not occupy rooms extending below the ground level. (4) A nursing home shall provide full access to electronic health records in accordance with all applicable laws and regulations to: (a) Representatives of the Department as set forth in COMAR 10.07.02.07; (b) An ombudsman as set forth in Human Services Article, 10-905, Annotated Code of Maryland; and. Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. 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. with rehabilitation areas shall provide a, There shall be an allowance of at least 12 square feet per, C. Dayroom Area. The proposed action has no impact on individuals with disabilities. (1) New Construction. D. Consultation. (b) The witnesses shall document the disposal in the residents chart. (1) A nursing home shall develop policies and procedures to ensure that a resident or, if the resident lacks the capacity, the residents family or other individual accompanying the resident is informed, both orally and in writing, on how the resident shall safely and correctly take the residents medications during a short-term leave of absence of 24 hours or less. The nursing home shallinformall new and current employeesof the health risks of not being immunized. In, Initiation of services to meet the rehabilitative needs of the. Unless otherwiseindicated, all generalrequirementsapply to both new construction and anexisting nursing home unless a waiver has been granted by the Office of Health Care Qualityin accordance with Regulation .03G of this chapter. The quality assurance committee shall: (1) Designate[a chairperson to manage]an individual to overseecommittee activities; (2) Meet monthly to[accomplish]carry outquality assurance activities; (3)[Assist in developing]Help developand approve the[facilitys]nursing homesquality assurance plan; (4) Submit the quality assurance plan to the Departments Office of Health Care Quality at the time ofinitialapplicationforlicensure or at the time of licensure renewal; (5) Submit any[change in]changes tothe quality assurance plan to the Office of Health Care Quality within 30 days of the[change]changes; F. Quality Assurance CommitteeNon-members. (2)Progress notesrelated to rehabilitative servicesshall be written at least every 2 weeks. (b)The janitors closet shall be equipped for[handwashing]hand washing. A handsink with hot and cold running water shall be convenient to the nurses station.]. (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. (2) Medications shall be administered by: (a) Appropriately licensed personnel in accordance with laws and regulations governing these acts; or. (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. The[facility]nursing homeshall provide[for a]: (1)Aprogram of structured and unstructured activities[,]; and. (15) Department means the Maryland Department of Health. (e) Contains a refrigerator to be used for medication storage only. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. Public records report utah county real . Copies of these documents are filed in special public depositories located throughout the State. No caregiver-patient relationship is necessary to trigger the reporting obligation. (2) Ifindicated,the supervisor shallrefer the matter to the director of nursing. (71) Special care unit means a nursing home unit that provides intensive specialized care, such as respiratory, rehabilitative, dementia, or dialysis care, continuously on a 24-hour basis. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. [Heating pads may not be used instead of hot water bottles.]. (5) Adequate numbers of instructors are required to ensure that each trainee is provided effective assistance and supervision which does not endanger the safety of residents. [Each]. 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. following applies: If a nursing home administrator, registered nurse, licensed customers, and stakeholders with (3)[Thenotification shall include]Includean invitation for the family member or residents representative to attend the conference. Because specific temperatures are often required for the safe storage of drugs, the. (b) Medicine storage cabinet with locks. [(6)](f)[Due care]Adequate exhaust ventilationshall be[taken in]provided whenusing vaporous materials or pollutants. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (5) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. (2)[The total areas]The nursing home shallset asideareasfor[patients]residentsdining and recreation[areas shall be no less than]that totalat least30 square feet perlicensedbed for the first 100 beds[and], plus27 square feet perlicensedbed for all beds in excess of 100. certain fraudulent activities and protect Maryland Nursing License Requirements | MD - NursingLicensure.org A written application shall be on file for each employee and shall contain. [.14-2].24Special Care Units Respiratory Care Unit. The installation of a portable air-conditioning unit shall be approved by the: (d) If windows cannot be opened for ventilation, a central HVAC system shall be provided and maintained. In all instances sufficient consultation shall be provided to fulfill all required responsibilities. Find more COVID-19 testing locations on Maryland.gov. In new construction, facilityshall provide a lobby area. (2) The administrator of the nursing home shall be responsible for ensuring that appropriate procedures and reporting are carried out for all reportable infections. Registered Nurse-Perioperative Float Pool G - Ziprecruiter.com If the employee refuses to be immunized, the[facility]nursing homeshall document the refusal and the reason for the refusal. B. certain fraudulent activities and protect 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. Updated printed copies of the Nurse Practice Act and Regulations can be purchased at the Division of State Documents in person, by internet, or by telephone. Arrangements shall be made, when necessary, for the. [(a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities; and]Settings. (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. The State of Maryland pledges (55) Plan of correction means a written response from the nursing home addressing each deficiency cited as a result of an inspection by the Department. 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. (3)The[patient]residentmay not be accepted for admission if at least one service[could not]to meet the rehabilitative needs of the resident cannotbe initiated within the 48-hour period[(],excluding Saturday, Sunday,and State and federal holidays[)]. Otherwise, a dedicated enunciator connected to the wireless call system will be needed. Approaches shall[communicate]indicatethe work to be done,[by whom it is to be done]who is to do it, and how frequently it is to be[performed]done. maryland board of nursing reporting requirements The identity of the specified victim or victims, Injuries Apparently Caused by Auto Accidents ,Lethal Weapons, Gunshots, Burns, or Moving Vessels, Health Gen 20-702 (moving vessel injuries), In Allegany, Anne Arundel, Charles, Kent, Montgomery, Prince Georges , Somerset, Talbot, and Wicomico Counties, a physician, pharmacist, dentist or nurse who treats an individual for an injury that shows evidence of having been caused by an auto accident or lethal weapon shall notify the county sheriff, police, or state police as soon as practicable., Syphilis: Failure to comply with medical observation; contact reporting; positive serological test for mother or infant. State resources. People often confuse the Code of Maryland Regulations (COMAR) with the Annotated Code of Maryland. Maryland Department of Health 10.27, 10.39 and 10.53 Nurse Practice Act (1) The nursing home shall offer influenza and pneumococcal immunization to each resident. (56) Positive tuberculin skin testmeansa test provided as authorized by the Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings. If you typed in the word submeters the Search feature would take you to the same Subtitle. 201 W. Preston Street, Baltimore, MD 21201-2399, COMAR 10.01.07 Petitions for Adoption, Amendment or Repeal of Regulations, MDHPolicy 02.10.01 Policy For Regulations, MDHProcedures 02.10.01.P1 - Procedures For Regulations, State Government Article, 2-102, Annotated Code of Maryland, MDHPolicy 02.10.03 MDHPolicy On Policies, RR&EA - Work Plans and Evaluation Reports, Regulatory Review and Evaluation Act (RREA General Information). (10) The orientation may not be included in the required 75 hours of the training course. Currently there is an estimated $11,000 salary differential between the salary of a non-licensed employee performing social work services and a licensed social work employee. (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. 100-07 State Operations Provider Certification and in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual: (1)TheMinimum Data Set (MDS) version as determined by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, in Transmittal No. (1)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. (4) In new construction or renovation, the nursing home shall comply with the regulations and building codes effective at the date of construction or renovation. (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. hotline in the past has helped to eliminate (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. (b) Tuberculosis in a communicable form does not include: (i) When the individual who has presumptive or confirmed active disease, has had three negative AFB smears, collected 824 hours apart, shows clinical improvement, and has received chemotherapy to which the strain is susceptible for at least 14 days; or. (3)When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. A care plan under this regulation shall be based upon assessments conducted at the following times: family member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of, (2) The team shall establish goals for each problem or need identified, (3) Approaches to accomplishing each goal shall be established. (2)The Department shall be notified of the name of the assistant director of nursing. H. Director of Nursings Continuing Education. A. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. [Policies shall be reviewed at least annually by a]. (1) Administrator means the individual licensed by the Board of Examiners of Nursing Home Administrators who is responsible for the operation of the nursing home. The Office of Health Care Quality surveyed multiple facilities and determined that 75 percent or approximately 172 nursing homes did not employ a licensed social worker. (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. Public toilets for both sexes shall be located conveniently to this area. 6. (1) A nursing home that uses electronic health records exclusively or along with a paper based medical record shall comply with this chapter and all applicable State and federal laws, including laws governing privacy and security of records. (iv) All soiled areas within a laundry shall be connected to mechanically operated exhaust ventilation. (b) A resident assessed to exhibit unsafe behaviors shall have a care plan to ensure the resident is safe when smoking. [(3)](4)Aisle space between working areas shall be at least 3 feet[;], andaisle space formain traffic shall be at least 5 feetwide. (2) For hand washing purposes, there shall be a towel dispenser and a supply of paper towels and soap dispenser adjacent to each sink. As of July 1, 2021, OHCQ oversees 19,032 providers in 45 industries . Q Who pays for the chemical dependency evaluation and the drug screens? National Human Trafficking Hotline - 24/7 Confidential. A. (9) Recommended Dietary Allowances, (10th Edition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). Nurses who have an advanced degree from a U.S. college or university, are. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. (16) Dietitian-nutritionist means an individual who: (a) Is licensed by the Maryland Board of Dietetic Practice to practice dietetics; (b) Has met the certifying requirements for registration as a dietitian as administered by the Commission on Dietetic Registration; and. (1) Emergency Power. [This requirement does not extend to physical or occupational therapy assistants or to other employees performing delegated, non-nursing functions. (66) Resident Assessment Instrument (RAI). [B.] The kitchen may not be used for any purpose other than the preparation of food. NOTE 2: COMAR 10.06.01 further requires the following: (1) Health Care Providers. Order forms can be downloaded from the Division of State Documents . Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Appropriate provisions shall be made for emergency auxiliary heat by means of alternate sources of electric power, alternate fuels, or standby equipment. Provide a detailed description of the incident:dates, The lock on the door of a medication room shall be counted as one of the two locks. C.Outside Service Entrance. (3) Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. (b) With the exception of B(3) of this regulation, servefull-time[except that]. [(f)](g)[Sufficient]A nursing care unit shall have sufficientspace and equipment for medical records[which enables]so thatpersonnel[to]canfunction[in an effective manner]effectivelyand[to]maintaineasily accessiblerecords on all[patientsso they are easily accessible]residents. There shall be provision for the laundering of patients clothing. Home; Services; C. Duties of the Pharmaceutical Services Committee. Physicians, pharmacists, dentists, or nurses who treat injuries that appear to have been caused by gunshots or moving vessels must submit a report containing specific information to the city or county police (or, for vessels, the DNR), as soon as possible. Licensed physicians or registered nurses who are primarily responsible for the treatment of certain serious burn injuries must submit a report as soon as practicable to the county fire chief or state fire marshal. A. (2)A substantial evening meal is an offering of three or more menu items at one time, one of which includes a high quality protein such as meat, fish, eggs, or cheese.