F. Charge Nurses Daily Rounds. (44) Nursing care has the meaning stated in Health-General Article, 19-301(k), Annotated Code of Maryland. investigator will be assigned. (iii)Destructivealteration of the dosage form[, the container label bears an appropriate instruction to protect the product from freezing]. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. Further, we believe that federal Certificates of Confidentiality do not shield a researcher from the obligation to report diseases, conditions, or circumstances when such reports are required by state law. 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. Elevatorsshall meet the requirements for elevators in a long-term care nursing home as set forth in theGuidelines for Design and Construction of Health Care Facilities. (1) The nursing home shall return all prescribed medications, for residents who have been discharged or otherwise departed, to the pharmacy in accordance with the nursing homes policy. (ii) A bed that is certified for Medicaid to a distinct part of the nursing home that is a skilled nursing facility. (4) Each month, the nursing home shall perform a drug regimen review on each residents records at the nursing home and document the findings in the residents medical record. Aresidentshall be provided with the following furnishings, which shall be convenient to theresident: (iv)A chest of drawers with at least one locking drawer; (vi) A wallmirror in each room,unless contraindicated by physicians order; and. (12) The committee shall document its actions and recommendations. [C.](3)Toilet Facilities in Rehabilitation AreaNew Construction. A physician in attendance must report positive syphilis tests for patients, pregnant women, and infants, and must notify the health officer if a patient who tests positive fails to return for medical observation. C.Heating System. As you may recall . A copy of the clinical record, identification, and summary sheet described in Regulation[.20B].32shall be used as an admission record. . B. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment, C. When the attending physician and medical director agree that a particular. Professional specialty certifications may be required, in accordance with departmental standards or role . D. Preventative Maintenance Program. Information reported to the In a culture change nursing home, service areas shall be provided for resident care needs as approved bythe Department. (5) A nursing home shall develop a system to ensure that nursing home staff have access to residents health records in the event of a failure of the nursing homes electronic medical record system. A physician or physician assistant may find the registration requirements outlined in COMAR 10.62.03.01, . [.30].53Rehabilitation Facilities Space and Equipment. Police Officer. [B. There shall be provision for the laundering of patients clothing. The frequency of communications between the physician and the rehabilitation team members shall[be governed by the statusand]dependonchanges in the[patient]residentand[his]the residentsmedical status. E. Responsibilities of the Director of Nursing. (b)[Be]Make the requestfor a term not to exceed 30 days. Copyright Maryland.gov. (c) Document the content of the continuing in-service education program and include the names and titles of participants. Maryland Board of Nursing Attn: Director of Complaints & Investigations 4140 Patterson Avenue, Baltimore, MD 21215-2254. . [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.]. A. B. When the resident is transferred from the nursing home for any reason or at time of death, the administrator or the administrators designee shall notify the attending physician and the: (3) Responsible party designated by the resident. (1)If no approved public sewerage system is available, a private sewage disposal may be accepted, if approved by the Department. D. Excessive Absenteeism of Administrator. (2)A nursing home may not employ an individual as a geriatric nursing assistant until the individual has successfully completed a competency evaluation approved by the Maryland Board of Nursing. (2) Staff and nursing home-approved practitioners shall be trained in the use of electronic health records. (c) All laundry shall be processed and handled in a manner that prevents the spread of infections. YouwillneedAdobe Acrobat Readeror equivalent software. (2) Plumbing and water supplies shall be protected against backflow within a nursing home. 207 OKC, OK 73105 TEL: 405.962.1800 FAX: 405.962.1821 . (1) Require that each new employee receive a one-dose booster immunization for pertussis, unless medically contraindicated or against the employees religious beliefs; (2) Inform all new and current employees of the health risks of not being immunized; (3) Document any refusals of immunization; and. The Mandated 10-Day Report Form is required. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. [B.] (Identified by Impact Letter and Number from Section II. OHCQ through this proposal intends to require that after January 1, 2021 all social work services be provided by a licensed certified social worker. The[facilitys]nursing homesquality assurance committee shall develop and implement a quality assurance plan that includes procedures for: B. Concurrent Review. (32) Licensed graduate social worker (LGSW) means an individual authorized to practice graduate social work under Health Occupations Article, Title 19, Annotated Code of Maryland. 410.764.4777 | Toll Free 800.492.6836 (47) Occupational therapist means an individual who is currentlylicensed by theStateBoard of Occupational TherapyPracticeas a registered occupational therapist. fraud and/or abuse of State government (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. If the[facility does not provide its own facilities but does provide]nursing home onlyprovidestransfusion services[alone], it shall meet at least the requirements[in Regulation.09FH]establishedunder COMAR 10.10.02. [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. [(a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities; and]Settings. Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse(RN), There are currently 36 subjects and 101 Articles in the Annotated code. In this chapter, the following documents are incorporated by reference. 272, April 1995 and Transmittal No. 100-07 State Operations Provider Certification (Transmittal 126, November 26, 2014, U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services); (3) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007); (4) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. A bedroomshall be provided with ahand washing sinkwith both hot and cold running water unlessatoilet or bathroom facilitywith a sinkis connected to the bedroom. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.]. (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. a list of all states/jurisdictions where the institutions curriculum meets state educational requirements for professional licensure or certification, a list of all states/jurisdictions where the institutions curriculum does not meet state educational requirements for professional licensure or certification, and. In new construction, facilityshall provide a lobby area. responsive, accurate and consistent, (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. (iv)[Provision for storing and transporting clean linen in covered container.] However, the nursing home would need to contract with a licensed social worker to provide oversight. (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. If you have the exact number, subtitle, and chapter, type it in. A[facility]nursing homeshall use the following forms and procedures for resident assessment as described in the[State Operations Manual for Provider Certification]CMS Manual System, Pub. (30) Licensed certified social worker (LCSW) means an individual authorized to practice certified social work under Health Occupations Article, Title 19, Annotated Code of Maryland. Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. 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. Services Provided. (3) Information regarding the residents and familys plans regarding discharge. [In existing facilities,]. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. All rights reserved. (1)At least three meals or their equivalent shall be[served]offereddaily, at regular times,with not more than 14-hour intervals between the substantial evening meal and breakfast. 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. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials. 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. (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. Janet McIntyre (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. (3) The height of tables provided in dining areas shall accommodate each resident using a wheelchair. B. A. 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.]. (b)A nursing care unit[also]bathroomshall include: [(a)](i)A toilet, within the care unit, for the use of personnel[, a]; and. JavaScript is required to use content on this page. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. B. (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. (73) Support personnel means an aide who: (a) Isassigned to a particular service such as: (b) Has been approved by the managerof the services as having sufficient training and experience to perform the assigned duties. The heating system shall be: (1) Capable of maintaining 75F or 24C throughout the residents section of the building with the outside temperature as prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities; and. A nursing home shall be equipped with a properly maintained and operational central heating system. 6. (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. B. mbon.nursemonitoringdept@maryland.gov, Director of Discipline & ComplianceKaren E. B. Evanskarene.evans@maryland.gov, Administrative Officer - Discipline: In addition, 10 million men and women are abused by an intimate partner every year. Example: 20.25.01 would take you to Title 20 (Public Service Commission), Subtitle 25 (Electric and Gas Submeters in Apartment Houses, Office Buildings, and Shopping Centers), and Chapter 01 (General Information). Resident Dining, Occupational Therapy, and Activities Program. The training on cognitive impairment and mental illness shall be designed to meet the specific needs of the. (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. (37)MDS Care Area Assessmentmeansthe investigation of triggered care areas, to determine if the care area or areas require interventions and care planning. You may be trying to access this site from a secured browser on the server. (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. E. Administration of Medications for Leave of Absence of 24 Hours or Less. [Patients]Residentsshall be assisted to obtain routine and emergency dental care. NOTE 1: 18-202 requires an administrative head of an institution (defined to include hospitals) who has reason to believe that an individual on the premises of the institution has an infectious or contagious disease (except for HIV/AIDs), to immediately submit a report to the health officer. There shall be sufficient equipment to meet the needs of the. [There]The nursing homeshall[be provided]provideone or more attractively furnished areas of adequate size for resident dining, occupational therapy, and social activities. The Secretary of Health proposes to repeal the Preface and Regulations.01,.01-1,.06,.12,.15,.25,.26,.28,.40, and.42.44, adopt new Regulations.01,.02,.08,.18.20,.25.27,.41.46,.4851, amend and recodify existing Regulations.02,.03,.03-1,.05,.07,.07-1,.08,.08-1,.09.11,.11-1, .11-2,.13,.14,.14-1,.14-2,.16.21-4,.22.24,.27,.29.39,.41,.45,.46,.48,.49, and.56to be Regulations.03,.04,.05,.07,.09.17,.21.24,.28.40,.47,.52.68, and.75, and recodify existing Regulations.04,.47,.50.55, and.57.61to be Regulations.06,.66,.69.74, and.76.80underCOMAR 10.07.02 Nursing Homes. (1) A new nursing home shall be constructed, equipped, and maintained to protect the health and safety ofresidents,personnel, and the public. (22) Fire authorities means the official fire safety agency including the State Fire Marshal or local fire marshals or fire departments as appropriate. 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. In laundries in new facilities there shall be a physical separation between the clean and soil areas. The activities shall be designed to promote the general health, B. B. [Agency Note: The following equipment is recommended: (a) Equipment to maintain food at correct temperature; (e) Ice-making machine or ice-storage container; (g) Equipment for delivery of completed trays; (h) Three-compartment sink or dishwasher; (i) Cabinet for dry storage and supplies; (j) Storage for trays, tableware, flatware, and utensils; (k) Hand washing sink with soap and towel dispenser or approved drying device. . (d) The nursing home shall provide a Department-approved written plan that: (i) Defines the specified area of refuge; (ii) Outlines paths of egress from the common areas of refuge; and. (2) A nurse and a second staff member who is a nurse or an administrator may destroy controlled dangerous substances in Schedules IIVon the premises of the nursing home. The identity of the patient making the threat; and 3. (g) Storage for trays, tableware, flatware, and utensils. The University of Maryland Francis King Carey School of Law is one of seven professional and graduate schools at The University of Maryland Baltimore (UMB).For more help crafting your Fordham supplemental essays, create your free account or schedule a free advising consultation by calling (844) 343-6272 How to Write the Fordham University Essay . (4)If[the]afour or five meal a day plan is used, the meal pattern to provide this plan shall be approved by the Department. The interdisciplinary team shall incorporate resident input into the care plan. (3)The[facility]nursing homeshall be kept free of unnecessary accumulations of personal possessions, boxes, trunks, suitcases, papers, unused furniture, bed clothing, linens, bric-a-brac, and similar items. Licensed, (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is. (6) A geriatric nursing assistant[of]atthe[facility]nursing home. (35) Licensed practical nurse means an individual authorized to practice licensed practical nursing under Health Occupations Article, Title 8, Annotated Code of Maryland. All rights reserved. E. Quality Assurance. (c) The soiled utility room shall contain: [(ii) A separate wall-hung hand sink for handwashing, equipped with wrist blades and soap and towel dispensers;]. You may be asked to demonstrate that your license is active, for which you must meet all the necessary continuing education requirements. Spaces housing medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff.]. 316 or Subtitle 6A of this title, the nursing administrator, registered nurse, licensed practical nurse, or certified nursing assistant shall report . Copyright Maryland.gov. (11) Table 2. A medical committee, or any other entity within a hospital that makes such decisions, is considered part of the hospital. hotline in the past has helped to eliminate Public toilets for both sexes shall be located conveniently to this area. These documents may also be inspected at the office of the Division of State Documents, 16 Francis Street, Annapolis, Maryland 21401. (a) A resident who smokes shall be assessed for safe smoking behaviors at admission and on significant changes in condition. (11) A training program shall provide at least 16 hours of training prior to a trainees direct assignment to resident care. (6) The bottoms of ventilation openings may not be not less than 3 inches above the floor of any room. [.21].33InfectionPreventionandControl Program. We're available on the following channels. (ii) To avoid injury to the resident, the mattress and foundation shall fit the bed. A staff memberwho isqualified by experience or training shall be appointed to be responsible for the activities program. (b) Certified graduates of a State-approved medicine aide course. (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. (b) The nursing home has an agreement with a qualified social work consultant that provides for sufficient hours of supervision to assure that the employees services meet the medically related physical, social, and behavioral health needs of the residents. (62) Registered nurse means an individual licensed to practice as a registered nurse in this State. 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. No. 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. NCSBN assumes no liability or responsibility for any errors or omissions in the information contained in this resource. Federal regulations require that certain services be provided by a qualified social worker, the employee would have to represent themselves as a qualified social worker and thus under Maryland law, the employee would have to obtain a license to practice social work. truthful and transparent services. (3) The[facility]nursing homeshall obtain information concerning the[communicable]infectiousdisease status of any resident being transferred or[discharged]admittedto the[facility]nursing homefromelsewhere. Body Holding RoomNew Construction. A[comprehensive or extended care facility]nursing homeshall recognize the authority of: (3) An[advanced]advancedirective that meets the requirements of Health-General Article, 5-602, Annotated Code of Maryland; [A. (1) A nursing home shall develop resident, group of professional personnel including one or more physicians and one or more registered nurses, Written policies shall be kept current with the policies used to administer the, (5) For a resident who is to be transferred to the care of another. The director may not disclose, directly or indirectly, the identity of any individual tested. [Policies shall be reviewed at least annually by a]. Otherwise, a dedicated enunciator connected to the wireless call system will be needed. Opportunity for Public Comment. (c) Aportablewindowair-conditioning unit may not block window space. Persons other than licensed health care providers may report suspected abuse or neglect of a vulnerable adult. The director of a medical laboratory defined at Health-Gen 17-201(b)(1) as any facility, entity, or site that offers or performs tests or examinations in connection with the diagnosis and control of human diseases or the assessment of human health, nutritional, or medical conditions . 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. (1) The nursing home shall offer influenza and pneumococcal immunization to each resident. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. Termination of Services of Director of Nursing. (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. (2) After obtaining approval by the Maryland Health Care Commission, the nursing home shall provide written verification of the approval to the Office of Health Care Quality. An evaluation of foreign education is required to complete an endorsement application (COMAR 10.27.01.09A (4). (5) The[facility]nursing homeshall[record]: (a) Recordthe satisfactory completion of the program in each employees personnel record[. Please enable JavaScript in your browser. (3)[Unless medically contraindicated, the]Thephysician shall[discuss]reviewwith the[patient]residentor[his]thefamily or[sponsor]residents representativethe goals and the treatment program. (d) Theminimum horizontaldimensions of a bedroom areto be 10 feet to: (i) Facilitate the placement of beds as required inRegulation .44of thischapter;and. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. You may be trying to access this site from a secured browser on the server. ]; [(11)](10)[Patient]Residentactivities[. D. On regulated industries or trade groups: Nursing homes who hire or contract LCSW or LCSW-C. F. Direct and indirect effects on public: III. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department. (3) A nursing home that uses electronic health records shall: (a) Ensure access to residents as specified in COMAR 10.07.09.08C(13) and (14); and. In some cases, the statutory language that requires reporting seems to contemplate the existence of a patient-provider relationship, while in others the reporting requirements apply broadly to any person, which would include members of the research team.