maryland board of nursing reporting requirements

(b) Has completed a minimum of 15 contact hours of infection prevention and control training that is approved by the: (i) Departments Office of Infectious Disease Epidemiology and Outbreak Response; and. (3) A[nurse aide]geriatricnursing assistantis deemed to satisfy the requirements of this chapter if that individual has successfully completed a training program approved by the State before July 1, 1990, or has been grandfathered under previous regulations. (a) A nursing home shall provide laundry service, whether on-site or off-site. The resident care management system shall. (1) Social data about personal and family background to provide understanding of the, (2) Information regarding current personal and family circumstances and attitudes as they relate to, (2) Recommendations made by the social work consultant, if applicable, (1) Space for social work personnel, accessible to, D. Restrictions on Participation Documented on Chart. (Identified by Impact Letter and Number from Section II.). A. C. Social History. [B.] ];and. The[facility]nursing home, in consultation with the medical director and other physicians, if necessary, shall establish and maintain surveillance of the health status of employees, including: (1) Advising on the development and execution of an employee health program, which shall include provisions for determining that employees are free of communicable diseases according to current[acceptable]acceptedstandards of practice; and. (5) Thenursescall system shall be sodesignedas to require resetting at the station where the call originates. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. input into the contents of the orientation program; the number of hours of orientation required for the various levels of. (c) The nursing home shall provide heated toilet rooms adjacent to the common areas of refuge. The State of Maryland pledges If a body holding room is not provided, a holding area shall be designated that approximates the above conditions. (a)Adequate space shall be provided[for the storage of]to storefood supplies[;]. [In new construction,facilities], (a)A nursing homewith rehabilitation areas shall provide a[lavatory]hand washing sinkand toilet which meet[ANSI]Guidelines for Design and Construction of Residential Health, Care, and Support Facilitiesstandards forresidents who are dependent on the use of awheelchair[patients]. Any occurrence such as the occurrence of suspected mental disturbance, communicable disease, or symptomatic condition of importance to public health, poisoning, or other serious occurrence which threatens the welfare, safety, or health of any patient shall be reported immediately to the local health department. Agency Note: 10 foot ceiling height is recommended. (4) The[facility]nursing homeshall require employees to perform hand hygienebefore andafter each direct resident contact for which hand hygiene is indicated by accepted professional practice. C. Staffing. D. A record of the posting shall be retained for 1 year. (4) Ensure that the immunization is given in the form of Tdap (tetanus, diphtheria, acellular pertussis) vaccine, in accordance with the guidelines prescribed in Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Health Care Infection Control Practices Advisory Committee (HICPAC). . (59) Qualified medical record practitioner means an individual who: (i) Received a baccalaureate degree from an accredited college or university including or supplemented by a successful completion of a course in health record administration approved by the Council on Medical Education of the American Medical Association; and, (ii) Passed the national registration examination for registered record administrators; or, (i) Received an associate of arts degree in health record technology from a college or university approved by the American Medical Association Council on Medical Education or an equivalent approved health record technology correspondence course of the American Medical Record Association; and. ], [Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility.]. [D.]F.Admission Record. [B.] (3)With the Departments approval,an administrator may[, with the Departments approval,]serve on a less than full-time basis for a maximum of two nursing facilities, one of which shall have a licensed capacity of 35 beds or less. This meal represents, To the extent medical orders permit, bedtime nourishments shall be offered routinely to all. D. Assistance by Nursing Service Personnel. Exceptions may be made in part at the discretion of the Department for an individual facility only when the facility can demonstrate compliance with the intent of this section by showing an effective patient call system to provide quality patient care. COMAR is currently updated in print every two years, but the online version, maintained by the Maryland Division of State Documents, is updated as soon as an agency publishes or updates a regulation. However, the national certification agency you are registered with will have requirements that you must complete. An interdisciplinary team shall complete. Janet.McIntyre@maryland.gov, Safe Practice Monitor: (2) The certification of the . Please enable scripts and reload this page. media; projects; press; contact; slider. the Maryland Board of Nursing respectfully submits . The responsibilities of the director of nursing shall include: (1) Assisting in the development and updating of statements of nursing philosophy and objectives to define the type of nursing care the nursing home shall provide; (2) Preparation of written job descriptions for nursing service personnel; (3) Planning to meet the total nursing needs of residents to be met and recommending the assignment of a sufficient number of supervisory and support personnel for each tour of duty; (4) Development and maintenance of nursing service policies and procedures to implement the program of care; (5) Participation in the coordination of resident services through appropriate staff committee meetings on issues relating to: (6) Cooperation with administration in planning the orientation program and the staff development program to upgrade the competency of personnel; (7) Assurance that nursing personnel understand the philosophy and meet the objectives; (8) Participation in planning and budgeting for nursing services; (9) Establishment of a procedure to ensure that nursing service personnel, including private duty nurses, have valid and current Maryland licenses; (10) Execution of resident care policies unless delegated to the principal physician or medical director; (11) Participation in the selection of prospective admissions to ensure thatthenursing homes staff is capable of meeting the needs of all residents admitted; (12) Coordination of the interdisciplinary resident care management efforts; and. 22, referenced in B of this regulation. B. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. 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. 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.]. Provides a drop-down list of COMAR Titles, by number and Agency. (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. Only one of these is specific to Title 20 violations for investigation by the Public Service Commission. 10.07.02.30 B Social Work Staff Responsibility. This Search feature provides a chart of the 36 COMAR Titles, and allows a focused search of a specific Title. (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. 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. printed copies of the Nurse Practice Act and Regulations can be (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. There shall be a complete orientation for all the employees in life safety and disaster preparedness. (2) A nursing home shall develop and implement a method forbody holdingthat minimizes the psychological effects on other residents. and Related Areas. D.Each day that the nursing[facility]homeoperates after the first conviction, without correction of the cited violation, is considered a subsequent offense and may subject the operator to further prosecution. [Records shall be maintained]. (a) Be issued to all assigned direct care staff; and. J. A. Please enable scripts and reload this page. Please enable JavaScript in your browser. D.Contract. customers, and stakeholders with 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. (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. E.Water Supply. D. Protocol. It is not necessary to determine anyones subjective intent. Disciplines shall record all assessments on a form approved by the Department. nursing administrator, registered nurse, licensed practical nurse, or certified C. Dayroom Area. Copyright Maryland.gov. (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. These events are listed in the regulations in COMAR 10.32.22.02B(19). (1) A nursing home shall be staffed with at least one registered nurse, 24 hours per day and 7 days per week. E. Quality Assurance. Acall system shall be installed and maintained in operating order in all nursing units. Home; Services; The nursing home shall make its admission and discharge policies available for review by residents and the residents representative. A. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. (f) Each living room forresidentsuse shall be provided with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. If the position of director of nursing remains vacant for a period exceeding 30 days, the nursing homes license may be revoked unless the administrator and the governing body are able to demonstrate that they have made every effort to obtain a replacement. Sufficient areas shall be provided to accommodate all necessary office furniture, files, and other equipment[, including provision for]and enablethe safe storage of[patients]residentsvaluables. (3)The Diet Manual for Long-Term Care[Patients]Residents,as published by the Department,[which]or any other similar reference material thatcontains food allowances and guides for regular and therapeutic diets[may],shallbe used. (2) In[facilities]a nursing homewith[26 50]50or fewerbeds, exceptions may be made by the Department to allow the supervisor to share cooking responsibilities with the full-time cook. Maryland Nurse Practice Act. G. Admissions Procedures for Patients With Communicable Diseases. Board of Nursing Professional Licensure Requirements. A freezer is a cold place in which the temperature is maintained thermostatically between[-20C and -10C (-4 and -14F)]-4F and -14F or -20C and -26C. A staff memberwho isqualified by experience or training shall be appointed to be responsible for the activities program. Frequently Asked Questions & Practice Topics, National Human Trafficking Hotline - 24/7 Confidential. Comments will be accepted through, (b) Is a graduate of a certified dietetic technician program approved by the, (47) Occupational therapist means an individual who is currentlylicensed by the, (48) Occupational therapy assistant means an individual who is currentlylicensedby the, (1) The Secretary may issue a license to a, (d) If new construction is completed to the point of being able to provide all necessary services to its residents but certain substantial items of equipment, (1) An applicant desiring to open a comprehensive care facility or an extended care facility. Helen Bowlus, Assistant Attorney General and advisor to the Maryland Department of Health and Mental Hygiene, has advised us that subjects enrolled in research protocols may in many cases be considered under care, and that no categorical exclusion from reporting requirements exists for providers who are conducting research. Code Ann., Health Occupations Article, 8-302 (b) and (c).. The[facility]nursing homeshall complete all assessments in accordance with the provisions of 42 CFR[]483.20[and 413.343],as amended. (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. [H.]I. [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. In existing structures, the Departmentshallentertain requests for waivers on itemsthat: (1) Willnot endanger the health and safety ofresidents, visitors, employees, and other individualsusing the nursing home; and. Storage space shall be provided for garbage and trash awaiting pickup. (2)Standardized recipes adjusted to appropriate yield shall be followed. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. Once the complaint is received at the Board office, an (2)[All residents]A new residentshall receive atwo-steptuberculin skin test within 10 days of[initial]admissionto the nursing homeunless the resident has had[a]: (a) Adocumented negativetuberculinskin testwithin the previous[month, a]12 months; (b) Aprevious positivetuberculin skintest[,]; (c) Ahistory of preventive therapy[, or]treatment; (e) Thetreatment ofactivetuberculosis. D. Nursing Service Personnel on Duty. A physician in attendance shall report to the health officer immediately and in writing the name and address of an individual who is receiving or has received treatment for syphilis; or is under medical observation or treatment for syphilis in an infectious or potentially infectious stage, who fails to return for observation or treatment within one week of the date of a missed appointment and is not known to be under treatment elsewhere. Ch. (1)[Each facility]A nursing homeshall conduct or arrange a[nurses aide]geriatric nursing assistanttraining program for unlicensed personnel assignedtodirect[patient]residentcare duties. Adequate refrigerated storage, refrigerators. The following table lists the minimum lighting requirements in the followinggiven areas: (7) Medicine storage and preparation area. A. (g) Advance directives, living will, or a copy of the residents Marylands Medical Orders for Life-Sustaining Treatment (MOLST) form. The posting on each floor shall include: (1) Names of the staff members on duty and the room numbers of the residents[that]to whomeach is assigned; (2)Name of the charge nurse or personwho isin charge of the unit;[and], (3) If the person in charge is not a registered nurse, the name of the registered nurse responsible for the unit; and. Thus 172 times $11,000 equals an annual benefit of $1,892,000 to the social worker industry and trade groups. Immediately treat ill effects to resident. 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. (3) When the nursing[facility]homerelocates residents, the[facility]nursing homeshall send a[brief]medical fact sheetand any medically related informationwith each resident that includes at a minimum the residents: (e) Special diets or dietary restrictions;[and], (f) Family or legal representative contact information; and. ]; (b)[Care shall be exercised in the usage and storage of toxic]Use and storetoxicand flammable insecticides and rodenticideswith care[. A. (2) Staff and nursing home-approved practitioners shall be trained in the use of electronic health records. (3) A call station shall provide readily accessible and detachable extension cords to each residents bed in the residents rooms at all times. [Patients]Residentsmay not be admitted or retained if, in the judgment of the attending physician, they are: [G. Admissions Procedures for Patients With Communicable Diseases. F. Delegation of Responsibilities. (iii)Destructivealteration of the dosage form[, the container label bears an appropriate instruction to protect the product from freezing]. The nursing[facility]nursing homeshall: (1) Designate a medical director who has at least the following qualifications: (b) At least 2 years of experience or specialized training in the medical care of geriatric or chronically ill and impaired residents;and. The facility shall make information available to all employees concerning other conditions in which pneumococcal vaccine may be of benefit for certain other underlying medical conditions. (e) Windows shall be provided with shades or draperies adequate to control glare and maintain privacy. (3)As appropriate, respiratory care personnel are competent in the following: (j) Recognition of and attention to the psychosocial needs of residents and their families. (2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement. (b)[Be]Make the requestfor a term not to exceed 30 days. The medical director shall actively participate in the[facilitys]nursing homesquality improvement process. Transcripts must be evaluated by the Commission on Foreign Nursing Schools (CGFNS). (b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format. Responsibility for the Residents Care. (d) Theminimum horizontaldimensions of a bedroom areto be 10 feet to: (i) Facilitate the placement of beds as required inRegulation .44of thischapter;and. The director of nursing shall assume responsibility for maintaining professional competence of staff through their participation in education programs. 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. Therapeutic diets shall be planned, prepared, and served as prescribed by the attending physician: (1) Therapeutic diets shall be planned by alicensedregistered dietitian[or other qualified person]; (2) Preparation and serving shall be supervised by a qualified dietetic supervisor;and. Maryland Board of Nursing Minimum Requirements. G. Appropriate Care of Residents. (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. (1) The duty to take the actions under paragraph (2) of this subsection arises only under the limited circumstances described under subsection (b) of this section. All hoods over cooking surfaces shall comply with the requirements as provided in COMAR 10.15.03. Responsibility to Report CarethatIs Considered Questionable. The search provides a list of Subtitle Chapters. (b) Standardize communication about resident problems and conditions: (iii) Between these facilities and outside agencies. (6) A call system shall be provided in each residents bathroom and bathing area in locations accessible to the residents. Arrangements shall be made, when necessary, for the. The nursing home shall, with the residents consent: (1) Give an interested and appropriatefamily member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of[the]acare planning conference for a resident[for whom a family member or representative is interested. Exemptions: Out of state patients; Exemption granted by AIDs Administration. Provision for Dental 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. Food Service Department. Text Size:general jonathan krantz hoi4 remove general traits. (a) Results of tuberculin skin tests, recorded in millimeters of induration with dates of administration, dates of reading, results of test, and the manufacturer and lot number of the purified protein derivative (PPD) solution used; (b) Results of chest x-rays required in this regulation; and. (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.