(1) A new nursing home shall be constructed, equipped, and maintained to protect the health and safety ofresidents,personnel, and the public. (4) If a facility can demonstrate that because of the experience and training of its personnel and the physical layout and equipment, less supervisory personnel is required, the Department may modify the above requirements for supervision.]. (b) The clean utility room shall contain: (i)[Wall and base cabinets with stain resistantcountertop; (ii)]A small sink[set into the counter, or with drainboards; sink shall be]equipped with gooseneck spout and wrist blades; (ii) Soap and individual paper towels in a dispenser; (iii) Adequate storage and work counter space for storage and assembly of supplies for nursing procedures;and. E. Space. (11) A training program shall provide at least 16 hours of training prior to a trainees direct assignment to resident care. If the designee is not a qualified[patient]residentactivities coordinator as defined in Regulation[.01Y,].01ofthis chapter, the Department may approve the designee based on the persons education, performance, and experience. Shauna Wastradowski - Manager Senior Financial Operations - LinkedIn (c) Successful completion of a curriculum in physician management or administration from[the American Medical Directors Association or another curriculum approved by the Department or its designee; and]: (i) AMDA: The Society for Post-Acute and Long-Term Care Medicine; or. JavaScript is required to use content on this page. (1) The nursing home shall inform a residents designated pharmacy about the nursing homes written policies concerning the provision of drugs. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. Primary source equivalent: The Nursys licensure and disciplinary database is the repository of the data provided directly from New Mexico State Board of Nursing and is primary source equivalent. copies of patient (2)A nursing home desiring to provide services other than thosefor which it is alreadylicensed shall obtain prior approval from the Department. (b) The renewal application shall be submitted on, If the sale, transfer, assignment, or lease of a, The transfer of any stock which results in a change of the person or persons who control the, For purposes of Life Safety Code enforcement, the. The janitors closet shall be equipped for, (a) There shall be separate clean and soiled utility rooms in each nursing unit. Thus 172 times $11,000 equals an annual benefit of $1,892,000 to the social worker industry and trade groups. There shall be an advisory dentist, (1) Recommend oral hygiene policies and practices for the care of the, (3) Provide direction for in-service training to give the nursing staffanunderstanding of, C. Assistance by Nursing Personnel. Attn: Director of Complaints & Investigations. (h) The cost of care and any additional fees. The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. (19) Clarifying that supervisory responsibilities for a food service department and food production within a facility shall be assigned to a qualified dietetic service supervisor. . In[those facilities]a nursing homewhich[do]doesnot accept[patients]residentsin need of specialized rehabilitative services, the minimal acceptable restorative service shall be the restorative nursing care plan designed to maintain function or improve the[patients]residentsability to carry out[the]activities of daily living as set forth in Regulation[.12S].18G, of this chapter[, Program of Restorative Nursing Care]. (g) All devices shall be interlocked with the fire alarm system. [B.] The event must be reported within ten days of any change made by the hospital. (66) Resident Assessment Instrument (RAI). All rights reserved. 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. (3) The height of tables provided in dining areas shall accommodate each resident using a wheelchair. A. (iv) All soiled areas within a laundry shall be connected to mechanically operated exhaust ventilation. (1) A call system that uses wireless pagers or other wireless communication devices may be used as an alternative system. The care plan shall address all of the residents special care requirements necessary to improve or maintain the residents status. 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. customers, and stakeholders with maryland board of nursing reporting requirements 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. (75) Tuberculosis in a Communicable Form. (3)Policies and procedures shall be adopted and made available to all nursingservicepersonnel. The New Maryland Board of Physicians Reporting Requirements (3) The nursing home shall make its administrative and resident care policies available for review by residents and the residents representative. Pages - Office of Health Care Quality - Maryland.gov Enterprise Agency A handsink with hot and cold running water shall be convenient to the nurses station. (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. (6)The number of daily admissions of[patients]residentsshall be controlled to allow sufficient time for on-the-job training. Bedsareto be placed so that all sides of the bed are at least 18 inches from heating units. 201 W. Preston Street, Baltimore, MD 21201-2399 (410)767-6500 or 1-877-463-3464 fraud hotline to receive allegations of to provide constituents, businesses, 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. 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. (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. (5) Before invoking stop order policies, the residents attending physician shall be contacted for instructions so that continuity of the residents therapeutic regimen is not interrupted. 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. Temperatures. Administrative procedures Act under State Government Article, State Documents Law under State-Government Article, This office manages and coordinates all aspects of the Department's internal policy process, The Department's policy program is under the authority of. [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]. D. Preventative Maintenance Program. (3)[Unless medically contraindicated, the]Thephysician shall[discuss]reviewwith the[patient]residentor[his]thefamily or[sponsor]residents representativethe goals and the treatment program. (1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. actions or conditions. The medical director is responsible for: (2) Monitoring and evaluating thehealth care services andoutcomes[of the health care], including clinical and physician services provided to the[facilitys]nursing homesresidents; and. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment,the nursing home shall providethat treatment, assistive device, or equipment[shall be provided by the facility]unless the[facility]nursing homedocuments in the quality assurance committee minutes the reason or reasons why the treatment, assistive device, or equipment should not be provided. The Maryland General Assemblys Office (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. Become Nurse In Maryland + Requirements and Licensing - NurseJournal (5) Certified dietary manager means an individual who: (a) Is licensed as a dietitian-nutritionist by the Maryland State Board of Dietetic Practice and registered as a dietitian by the Commission on Dietetic Registration; (b) Is a graduate of a certified dietetic technician program approved by theAcademy of Nutrition and Dietetics; or. (1) A nursing home shall develop residentcare policies[shall be developed]with the advice of[the]: (a)Theprincipal physician[(]or medical staff or medical director, if applicable[)]; and[at], (b)Atleast one registered nurse. Code Ann., Health Occupations Article, 8-302 (b) and (c).. (7) The call system shall enable residents in the rehabilitation area to summon rehabilitation staff. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.]. (7) Corridors may not be used to supply air to or exhaust air from any room, except that air from corridors may be used to ventilate bathrooms, toilet rooms, janitors closets, and small electrical or telephone closets opening directly on corridors. When the Commission on Graduates of Foreign Nursing Schools receive all three required applications, they will complete the report and mail it to the Maryland Board of Nursing. The kitchen may not be used for any purpose other than the preparation of food. [B.] The State of Maryland pledges No. (18) Discipline means the medical, rehabilitative, nursing, dietetic, activities and social service components affiliated with the operation of a nursing home. (8) During training, a trainee may provide only that care for which the trainee has demonstrated competency to the satisfaction of the appropriate program instructor. (1) For every four licensed beds, there shall be at least one hand washing sink. 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. The[facilitys]nursing homesquality assurance committee shall develop and implement a quality assurance plan that includes procedures for: B. Concurrent Review. (2) A facility with more than 120 beds must employ a qualified social worker on a full-time basis. (3) If warranted, the director of nursing shallreportthe matter to themedical director orprincipal physician. The director may not disclose, directly or indirectly, the identity of any individual tested. (5) The[facility]nursing homeshall[record]: (a) Recordthe satisfactory completion of the program in each employees personnel record[. E. The social work industry and trade groups would benefit due to the increase in hiring and contracting with licensed social workers. (6) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. B. The Board: protects the public from unsafe nursing practice, provides approval for more than 200 nursing education programs, issues licenses to more than 27,000 nurses per year by examination to new graduates and by endorsement to licensees from other states seeking a Texas license, as well as providing nursing practice and education guidance . responsive, accurate and consistent, Approved employees shall read the skin test and manage the results of the skin test in accordance with Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities. The employee may refuse to be immunized if medically contraindicated, against the employees religious beliefs, or after being fully informed], unless medically contraindicated, against the employees religious beliefs, or after being fully informed of the health risks of not being immunized. License/Certificate Renewal - California (3)When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. Mandated Reporters. Patients may not be kept behind locked doors, that is, doors which patients cannot open. Maryland Department of Health 10.27, 10.39 and 10.53 Nurse Practice Act Termination of Services of Director of Nursing. (c) Document the content of the continuing in-service education program and include the names and titles of participants. Board of Nursing Professional Licensure Requirements | NCSBN (1)Adequate refrigerated storage, refrigerators,and frozen food storage cabinets[,]shall be provided[which are]andregulated to maintain temperatures prescribed in COMAR 10.15.03[Food Service Facilities]. (2)A visible signal in the corridor above the corridor door of eachpatientsbedroom, visible from all parts of the corridor. In person purchases can be made at 16 Francis Street - Wineland Building, Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. InfectionPrevention andControl Program. (1)Residents shall be given the opportunity to participate in planning menus. (1) All air-supply and air-exhaust systems shall be mechanically operated. [(5)](4)Transfer or Assignment of License. A. (4)In new facilities,the director of nursing and supervisors of[the various services,]dietaryservices, housekeeping, rehabilitationservices, and social services[,]shall be responsible for orienting the new[supportive]supportpersonnel to the[facilitys]nursing homepolicies and procedures and to the physical plant. The infectionprevention andcontrol program shall include the handling ofspecialmedical waste as defined in COMAR 10.06.06. (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. 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. (2) The janitors closet or service alcoveshall be[equipped]: (iii) Arack for hanging brooms and mops; and. (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. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. We're available on the following channels. Yes. The research must be IRB-approved and must either be to test the safety or efficacy of an HIV vaccine, or must not be primarily intended to provide medical treatment to participants. In laundries in new facilities there shall be a physical separation between the clean and soil areas. [There shall be at least 12 square feet perbed for 50 percent of the total licensed beds.]. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. The administrator shall[be]: (2) Bein good physical and mental health[,];and[shall demonstrate]. (3) Analysis of additional burden or cost on the regulated person: The proposed requirement that social work services be performed by a licensed social worker becomes effective January 1, 2021. (2) The[facility]nursing homeshall take appropriate infectionprevention andcontrol[steps]measuresto prevent the transmission of[a communicable]an infectiousdisease to residents, employees, and visitors as outlined in the following guidelines: (a)2007Guideline for Isolation Precautions:Preventing Transmission of Infectious Agentsin[Hospitals]HealthcareSettings; and. [.29].52Equipment and Supplies for Bedside Careand Therapy. (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. (b) Connected to mechanically operated exhaust ventilation. (1) Adequate equipment for preparation, serving, and distribution of food shall be provided, (2) A dumbwaiter, elevator, or ramp shall be provided in a, (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided, (2) The storeroom shall be cool and well-ventilated. H. Coordination of Nursing and Dietetic Services. [Facility]Nursing HomeResponsibilities. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. B. friendly and courteous, timely and responsive, accurate and consistent, (6) A geriatric nursing assistant[of]atthe[facility]nursing home. A janitors]Janitors ClosetNew Construction. The following table lists the minimum lighting requirements in the followinggiven areas: (7) Medicine storage and preparation area. (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. (54) Physician assistant has the meaning stated in Health Occupations Article, 15-101(o), Annotated Code of Maryland. If you have the exact number, subtitle, and chapter, type it in. A. reporting and/or correcting unsafe working conditions, equipment repair and maintenance needs. (v) Special medical waste handling and disposal; (vi) Appropriate use of antiseptics and disinfectants, (1) The infection control program shall include a risk assessment program, including monitoring for tuberculosis infection for employees that is in accordance with the. final decision. non-renewed or expired. Records for all[Patients]Residents. (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. (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. responsive, accurate and consistent, (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. The[facility]nursing homeshall assist the[patient]resident, if necessary, in arranging[for]transportation to and from the source of service. [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. All comprehensive care facilities and extended care facilities shall have written policies and procedures, acceptable to the Department, for tuberculosis surveillance of all residents. ; (16) Require that unless the supervisor is a licensed registered dietitian, they shall receive regularly scheduled consultation from a licensed dietician; (17) Specifying that during admission, a resident may not be accepted unless at least one service to meet the rehabilitative needs of the resident can be initiated within the 48-hour period; (18) Allowing for the provision of a waiver of general requirements for bedrooms in long term care facilitiesboth for newly constructed bedrooms and already-existing bedrooms; and. E. Character. resources. (c) All laundry shall be processed and handled in a manner that prevents the spread of infections. B. resources. The nursing home shall be serviced by a public sewage disposal system if available. (a) Resident Assessment Instrument (RAI) meansa standardized and reproducible resident assessment process based on completion of Minimum Data Set (MDS) screening items, and including the MDS Care Area Assessment process, and related process for care planning and evaluation. [(6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. B. Standardized recipes are those recipes which have been tested by the, A. Rehabilitative ServicesAdmission Policies. Disciplines shall record all assessments on a form approved by the Department. 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. [(c)](d)Room TemperatureThe temperature prevailing in a working area. Maryland Department of Health 10.27.22 Multistate Licensure Compact Although NCSBN has made every effort to provide complete, accurate and up-to-date information, NCSBN makes no warranties, express or implied, or representations as to the accuracy or reliability of this information. A digital passport style photograph in PNG or JPG file format, The 12 digit tracking number from under the barcode on the fingerprint card or 12 digit tracking number on the Live Scan receipt, A Visa or Masters card credit or debit card, This section applies only to nurses whose basic nursing education was completed in another country. In addition, any withdrawal or denial of an application made for any of the three reasons listed in COMAR 10.32.22.03C(6) need not be reported. (b) Maintained and applied by trained staff. (3) The[facility]nursing homeshall prohibit employees with[a communicable]an infectiousdisease or with infected skin lesions fromhavingdirect contact with residents or their food if direct contact could transmit the disease. Otherwise, a dedicated enunciator connected to the wireless call system will be needed. (a) A nursing home that holds full licensure as of the adoption date of these regulations shall be considered to have an adequate size dietetic service department. Transcripts must be evaluated by the Commission on Foreign Nursing Schools (CGFNS). (ii) A bed that is certified for Medicaid to a distinct part of the nursing home that is a skilled nursing facility. Standardized recipes are those recipes which have been tested by the[facility]nursing homeor another source[which assureconsistency in]and that ensureconsistentquality and quantity. (2)The administrator shall maintain recordsreflecting attendance, by name and title, and training content. (6) The nursing home shall make available to residents educational and informational materials relating to immunization against influenza virus and immunization against pneumococcal disease. (d) A filter or filter efficiency shall comply with the standards ofthe Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. 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.]. tonya.spruill@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. (7) Certified social worker means an individual licensed to practice as a certified social worker in this State. (10) Table 1. A utility sink shall be provided within reasonable distance from the food service department for its use, but it may be shared with other activities. In the case of naturopathic doctors, please consult the regulations at, Medical Cannabis Certifying Provider FAQs for PAs & Physicians. Organization, Policies, and Procedures. (iii)Destructivealteration of the dosage form[, the container label bears an appropriate instruction to protect the product from freezing]. Reporting does NOT require PROOF that child abuse or neglect has occurred. 272, April 1995 and Transmittal No. Criminal History Records, US Background Checks: Government public Extra pillows shall be available. (2) Recommendations made by the social work consultant, if applicable]the information required in C of this regulation. (3) Pass standardized edits as defined by CMS and the State. An interdisciplinary team shall completeor revise as necessarya[resident specific]resident-specificcare plan for each resident within 7 calendar days following completion of[all]assessments,including: (4) Significant change in the residents condition.
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