(3) The individual who prepares medications shall give and record them. schedule, patient assignment, incident reports, termination notice, names and The[facility]nursing homeshall develop a protocol for selecting residents who are appropriate for feeding by a paid feeding assistant. (2)A nursing home desiring to provide services other than thosefor which it is alreadylicensed shall obtain prior approval from the Department. (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. maryland board of nursing reporting requirements maryland board of nursing reporting requirements. 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.]. This action was considered by the Board of Nursing at a public meeting held on March 22, 2017, notice of which was given by publication on the Board's website in January, February, and March 2017 at . truthful and transparent services. (1) A sufficient number of food service personnel shall be employed to[carry out]performefficiently the functions of the[dietetic]food and nutritionservice and meet the dietary needs of the[patient]residents. ]; and. These events are listed in the regulations in COMAR 10.32.22.02B(19). C. Ongoing Monitoring. 4. (c) A[party aggrieved by a]person that disagrees with thedecision of the Secretaryto deny a license applicationunder this section[shall have the right to appeal as provided under the authority of Health-General Article, 2-207, Annotated Code of Maryland]may appeal the Secretarys action by filing a request for a hearing in accordance with Regulation .78 of this chapter. (4) A call system shall have a visible signal above the door of each residents bedroom that shall be visible from all parts of the corridor. 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. 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. (6)Food and fluid intake ofresidentsis observed, and deviations from normal are recorded and reported to the: (a) Provide acontinuingin-serviceeducationprogram for all nursing service personnel; (b) Provide a thorough job orientation for new personnel; and. 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. The lock on the door of a medication room shall be counted as one of the two locks. (iv)[Provision for storing and transporting clean linen in covered container.] (2) The nursing home shall keep poisons and medications marked for external use only separate from general medications and Schedule II drugs. Each day that the nursing[facility]homecontinues to operate without a license after the first conviction is a subsequent offense and may subject the operator to further criminal prosecution. The Maryland General Assemblys Office Advisory Dentist. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. General Requirements. Hospitals have to report only if they made a "change" and if that change was based in whole or in part of any of the 14 specific reasons listed in. (1)Residents shall be given the opportunity to participate in planning menus. (3) If the pharmacy fails to comply with the policies, a representative of the nursing home shall discuss the situation with the pharmacy and the resident, and if the pharmacy subsequently refuses to follow the policies, the resident shall select another pharmacy that agrees to comply. Designated Staff Responsibility. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. License Status Options Active. (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. Opportunity for Public Comment. Rollaway type beds, cots, or folding beds may not be used. Licensed Practical Nurses. In a culture change nursing home, service areas shall be provided for resident care needs as approved bythe Department. In addition, 10 million men and women are abused by an intimate partner every year. For brevity's sake in these FAQs, the Board will use the term "hospital" to indicate the entity that is required to report. (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. non-renewed or expired. The[facility]nursing homeshall[request]requirethat all new employees receive immunization for Hepatitis B[. fraud and/or abuse of State government 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse(RN), (iii) Clean linen anda clean, comfortable pillowshall be provided. (1) Schedule II drugs shall be kept in separately locked, securely fixed boxes or drawers in the storage area, under two locks. (3)Written policies shall be kept current with the policies used to administer the[facility]nursing home. 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. (2) In accordance with a nursing home-developed procedure, a licensed nurse shall prepare medications to be sent with a resident during a short-term leave of absence of 24 hours or less. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department.]. F. The[facility]nursing homeshall provide pulmonary function testing[,]and blood gas or pulse analysis capability[onsite]on-siteor through contractual arrangements with providers who meet applicable State and federal laws and regulations. [(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. (47) Occupational therapist means an individual who is currentlylicensed by theStateBoard of Occupational TherapyPracticeas a registered occupational therapist. (7)The kitchen space requirement[in F(6) of this regulation]as described inthisregulationdoes not apply to occasional special functions such as picnics or dinners for residents, volunteers, families,or community groups[provided]as long asthe[facility]nursing homecertifies to the Department that[the provision of]providingmeals for[the particular]aspecial function will not adversely affect or detract from the timely provision of meals to thenursing homesresidents[of the facility]. (8) The committee may not require the pharmacy to provide drugs by way of a specific drug distribution system such as unit dose or use of a particular packaging system. (2)The record and progress notes concerning the[patient]residentshall reflect at all times the most recent and current status of the[patient]resident, including current short-term and long-term goals. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. There are currently 36 subjects and 101 Articles in the Annotated code. Contents of Record. not accept anonymous complaints. (2)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation.]. (ii) Ahand washing sink equipped with[4 inch wrist blades,]goose-neck spout,[and]separate soap dispensers,anddisposable papertowel dispensers. A nursing home shall be equipped with a properly maintained and operational central heating system. (5) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. (5) Existing Facility. (b) Provide a service to nursing home residents or their families. (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. 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. The Mandated 10-Day Report Form is required. (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. (2) If the nursing home does not employ a licensed pharmacist, the nursing home shall arrange by written contract for a pharmacy to provide consultation on administering the pharmacy services in accordance with the policies and procedures established by the pharmaceutical services committee. Transcripts must be evaluated by the Commission on Foreign Nursing Schools (CGFNS). G. Current RecordsLocation and Facilities. F. Space, Supplies. 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.]. 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. (61) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system means the standard nationwide system to which several types of health care providers submit CMS required resident information to the National Submissions Database. [Facilities]A nursing homeshall maintain a permanent[patient]residentregistry in which the name of each[patient]residentis entered in chronological order with the date and number of entry. (3) The equipment provided in food service floor pantries shall comply with the requirements of the local health department. [D.]F.Admission Record. In short, any member of the research team who is a licensed health care provider will be covered by the obligation to report child abuse or neglect, while any non-provider member is also obligated to report suspected abuse or neglect of a child. The facility may use an outside program if it has been reviewed and approved by the Department.] B. (iii) Inform the appropriate law enforcement agency and, if feasible, the specified victim or victims of: 1. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. ), Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. (1) Nomenclature. JavaScript is required to use content on this page. (g) Receives prompt and appropriate responses to requests for assistance. ], (1) The administrator shall plan anongoing educational program[shall be planned and conducted for the development and improvement of]to develop and improve theskills of all the[facilitys]nursing homespersonnel, including training related to problems and needs of the aged, ill, and disabled. 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. (6) Each training program shall have behaviorally stated objectives for each unit of instruction, stating measurable performance criteria. (2)There shall beat leastone night light in each bedroom forresidents. Medical Director Qualifications. Abuse of Developmentally-Delayed Individual, Any person who believes that an individual with a developmental disability has been abused shall report the abuse promptly to the executive officer or administrative head of the licensed service provider, who shall in turn make a report to law enforcement authorities. ), III. It can be filled out with your computer and saved, orprinted out and filled in by hand. (c) Administrative, Bulk Storage and Soiled. [(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. 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;]. The baccalaureate degree program in nursing, master's degree program in nursing, Doctor of Nursing Practice program and post-graduate APRN certificate programs at University of Maryland School of Nursing are accredited by the Commission on Collegiate Nursing Education. ], [Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility.]. (2) Ifcorrected, will result in an unreasonable,substantial financial burdenon the nursing home. [A.] (3) The plumbing fixture for the utility sink within a janitors closet shall be provided with an approved back-flow prevention device. (3)The nursing home shall obtain prior approval from the Department for any part of the premises to be used for tenant occupancy or for unrelated business purposes. C. A nursing home shall be constructed to comply with the provisions of the NFPA 101 Life Safety Code, as promulgated by the State Fire Prevention Commission, that are applicable to nursing homes. (b) Standardize communication about resident problems and conditions: (iii) Between these facilities and outside agencies. Copyright Maryland.gov. The attending physician shall also be notified.] Schedule II drugs shall be kept in separately locked, securely fixed boxes or drawers in a cabinet, under two locks, keyed differently; medicine storage and preparation area with illumination of 100 footcandles at the work counter; preparation area shall include a small sink set into the counter or with drain boards; biological refrigerator. A health practitioner, police officer, or human service worker who contacts, examines, attends, or treats an alleged vulnerable adult, and who has reason to believe that the adult has been subject to abuse, neglect, self-neglect, or exploitation shall notify the local department, and if acting as a staff member of a hospital . (ii) The soiled area shall allow for sorting and washing soiled laundry. There shall be provision for the laundering of patients clothing. The nursing home shall provide for an organized nursing service, under the direction of a full-time registerednurse. The search provides a list of Subtitle Chapters. (60) Qualified social work consultant means an individual who: (a) Is a licensed certifiedsocial worker; 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. The nursing home shall make its admission and discharge policies available for review by residents and the residents representative. (d) Any other relevant parameters affecting or reflecting the residents physical and mental status. (8) Charge nurse means the registered or licensed practical nurse who is responsible for day-to-day operations of a unit in the nursing home on which residents live. E. Objective. responsive, accurate and consistent, (1) All air-supply and air-exhaust systems shall be mechanically operated. (i) A nursing home shall develop policies and procedures to give residents the opportunity to use the residents own furnishings as detailed in this chapter. Please enable JavaScript in your browser. (2) Preparation and serving shall be supervised by a qualified dietetic supervisor; At least three meals or their equivalent shall be, 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. ; (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[. (3) Demonstratea genuine interest in the well-being and welfare of[patients]residentsin the[facility]nursing home. If the employee refuses to be immunized, the[facility]nursing homeshall document the refusal and the reason for the refusal. A nursing homeshall be served by water from a safe public water supply, if available, as determined by the Department. As of July 1, 2021, OHCQ oversees 19,032 providers in 45 industries . The activities shall be designed to promote the general health, B. The 3D modeling software has a user-friendly interface that can be used to create designs or machinery parts. hotline in the past has helped to eliminate 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). (2) The nursing home shall destroy adulterated, deteriorated, or outdated medications in the following manner: (a) Disposal shall occur in the presence of two witnesses who are authorized by the nursing home; and. The new regulations explicitly define changes that must be reported to the Board within ten days of their occurrence and provide penalties for failing to do so. A]; and. A mental health care provider licensed under the Health Occupations Article or any institution or facility that provides treatment or services to individuals who have mental disorders has a statutory duty to warn of known threats of imminent physical injury: b) In general.- A cause of action or disciplinary action may not arise against any mental health care provider or administrator for failing to predict, warn of, or take precautions to provide protection from a patient's violent behavior unless the mental health care provider or administrator knew of the patient's propensity for violence and the patient indicated to the mental health care provider or administrator, by speech, conduct, or writing, of the patient's intention to inflict imminent physical injury upon a specified victim or group of victims. (3) A call station shall provide readily accessible and detachable extension cords to each residents bed in the residents rooms at all times. A person maintaining or operating a nursing. Waiting for proof may involve grave risk to the child and . See COMAR 10.32.22.02B(18) for alterations in practice and COMAR 10.32.22.02B(20) for resignations. (2) In a nursing home in which the director of nursing serves as relief for the administrator, the director of nursing shall designate a specific registered nurse who shall be in charge of the nursing service while the director of nursing covers for the administrator. (b)The amount of storage space needed[is dependent upon]to store food depends on thefrequency of deliveries. [C. Effective January 1, 2005, the facilitys infection control coordinator shall attend a basic infection control training course that is approved by the Office of Health Care Quality and the Office of Epidemiology and Disease Control Program for the Department.]. C. NursingCare 24 Hours a Day. [(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.] (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. (d) "Board" means the State Board of Nursing. All rights reserved. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Employer Notification of Board Order Form, Worksite Verification Monitoring Program Form, Direct Entry Midwifery Advisory Committee, Applicants denied licensure and certification. [Adequate]The nursing home shall provide adequatespace and a variety of supplies and equipment[shall be provided by the facility]to satisfy the appropriate individual activity needs of[patients]residents. (1) In[facilities exceeding]a nursing home with more than50 beds, overall supervisory responsibilities for the[dietetic]foodservicedepartment and food productionshall be assigned to a full-time qualified dietetic service supervisor. F. Staffing. [(6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. (3) The oldest foods shall be used first, known as the first in, first out method. A respiratory care unit shall meet the: (1) General requirements established for all special care units as outlined in Regulation[.14-1].23of this chapter; and. There shall be a separate entrance into each room]. Each hospital, freestanding laboratory or ambulatory care center, or physician must submit a cancer report for all patients initially diagnosed , treated, or admitted, Circumstances Under Which Report Required, Infectious or contagious diseases specified by MD DHMH or regulation, Health-General 18-201 (diseases specified in COMAR 10.06.01), Health-Gen 18-205 (laboratory directors), A physician with reason to suspect that a patient under the physicians care has an infectious or contagious disease [except HIV/AIDs] that endangers public health.. If the hospital made a "change" for a reason listed in the regulations, and if none of the exceptions apply, the change must be reported to the Board within ten days. Code Ann., Health Occupations Article, 4140 Patterson Avenue, Baltimore, MD 21215-2254, If you have a non- compact active license in another state but never held a Maryland license, you must complete one of the above advance practice applications in, Once registration is completed in nursys.com, your license verification is immediately available for verification. Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. 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. (46) Nursing service personnel means staff licensed or certified by the Maryland Board of Nursing. Call us at (425) 485-6059. (1) The nursing home shall providea multi-purpose room[is used]for dining, occupationaltherapy,physicaltherapy,and social activities[, there]. (3) As of January 1, 2021, a license is required for an employee to provide social services except if: (a) On the effective date of these regulations, the employee was assigned responsibility for social services; and. 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. ]; [(13)](12)Reports and action required in unusual circumstances[. of Legislative Audits operates a toll-free 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. (2)Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. (d) Theminimum horizontaldimensions of a bedroom areto be 10 feet to: (i) Facilitate the placement of beds as required inRegulation .44of thischapter;and. tonya.spruill@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. (7)Before the opening of the[facility all supportive]nursing home, supportpersonnel shall have a minimum of 2 days of orientation training. You will be notified when the Board makes a [The location of thefood serviceareshall be approved by the Department. A. There are currently 36 subjects and 101 Articles in the Annotated code. of Legislative Audits operates a toll-free In this chapter, the following terms have the meanings indicated. (2) Plumbing and water supplies shall be protected against backflow within a nursing home. A facility which holds full licensure as of the adoption of these regulations shall be considered as having an adequate size dietetic service department. (iii) Is a Certified Food Protection Professional (CFPP). (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.
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