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. F.Space Heaters. (a) A facility shall file an application to renew its license every 2 years at least 60 days before expiration of the issued license. There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. The care plan shall address all of the residents special care requirements necessary to improve or maintain the residents status. (2) The ventilation rates shown in Table 1 under D(10)of this regulation shall be considered the minimum acceptable rates and may not be construed as precluding the use of higher ventilation rates. [(5)](4)Transfer or Assignment of License. [The following shall be observed:]. (1) A nursing home shall providedining[areashall be]areaslarge enough to accommodate all[patients able to eat out of their rooms]residents who eat there at the same time. Mandated reporting is required when: Title 24 M.R.S. Agency Note: Utilization Review. C. When the attending physician and medical director agree that a particular[facility-developed]nursing home developedprotocol is required to ensure that quality medical care is delivered to the[facilitys]nursing homesresidents, that protocol shall be implemented unless the[facility]nursing homedocuments in the[facilitys patient]nursing homes residentcare committee minutes the reason or reasons why the protocol should not be implemented. (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. (1)Written administrative and[patient]residentcare policies and procedures shall be developed for rehabilitative services by appropriate rehabilitation team members and representatives of the medical, administrative, and nursing staff. There shall be a separate entrance into each room]. (45) Nursing home means a comprehensive care facility or extended care facility which offers nonacute inpatient care to patients: (a) Suffering from a disease, chronic illness, condition, disability of advanced age, or terminal disease requiring maximal nursing care without continuous hospital services; and. [(4)](d)[Operators]The operatorsinstruction[booklet]manualshall be available in a designated locationor accessible electronicallyat all times. If the[facilitys]nursing homesmedical director does not have special training and experience in diagnosing, treating, and assessing respiratory problems, the[facility]nursing homeshall[hire]employ or contract witha[physician]Board-certified pulmonologistwho has the special knowledge and experience to provide: D. Staffing. The director of a medical laboratory must submit a report of a positive HIV test or of a CD4+ lymphocyte count less than 200 per cubic millimeter, within 48 hours to the health officer. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. [Patients]Residentsshall be assisted to obtain routine and emergency dental care. (c) Within 24 hours of admission, notify and direct residents to the nursing homes emergency plans and maps, including evacuation procedures. [(3)](c)[Space may be planned and arranged]A nursing home shall plan and arrange spacefor shared use by physical therapy and occupational therapy staff and[patients]residents,if scheduling permits. (5) All members of the committee shall review revisions of policies and procedures before implementing any changes. C. A new nursing home shall adhere to the requirements of this chapter. H. Coordination of Nursing and Dietetic Services. R. 9 (January 4, 2019), and is available online at www.dsd.state.md.us. B. 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. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. A. (vi) The arc of anydoors that open into the room, excluding closet doors. A. (3) The plumbing fixture for the utility sink within a janitors closet shall be provided with an approved back-flow prevention device. (a) Resident Care, Treatment, Diagnostic. (ii) One year of supervised social work experience in a health care setting working directly with individuals. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. (b)When the[facility]nursing homewishes to request that the restriction be removed, the request shall include the specific effective date and a statement that personnel staffing is sufficient to meet the States requirements at the designated census[figure]level. (8) The audible signal shall be loud enough to be heard at the nurses station. (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. Clean linen[may also be stored in]stored and transported in covered containers,closed linen carts,or rooms exclusively provided for this purpose[, if approved by the Department]. (c)For purposes of Life Safety Code enforcement, the[facility]nursing homeis considered[as]to bean existing[facility]nursing homeif it has been in continuous use as a nursing home. D. Consultation. (2)A substantial evening meal is an offering of three or more menu items at one time, one of which includes a high quality protein such as meat, fish, eggs, or cheese. (k) The written procedure shall include the disposal of the dirty water. 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 residents. No. One public drinking fountainor comparable equipment as preapproved by the Departmentshall be provided[one]oneach floor, usablefrom a wheelchair. [(6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. J. If your original state does not participate in nursys.com, you will need to contact the respective states Board of Nursing and request verification to be sent to the Maryland Board of Nursing. [(3) As requested by the Department, the administrator or his designee shall telephone the Departments central bed registry, advising the Department of: (a) The number of vacant licensed beds in the facility; (b) The levels of care of the beds reported vacant; (c) The types of patientswho will be accepted private, Medicare, or Medicaid. (15) Department means the Maryland Department of Health. (c) Coordinate management of the resident and the residents contacts with the. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials. [H.]I. Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. (3) A call station shall provide readily accessible and detachable extension cords to each residents bed in the residents rooms at all times. Approaches shall[communicate]indicatethe work to be done,[by whom it is to be done]who is to do it, and how frequently it is to be[performed]done. Abuse of Developmentally-Delayed Individuals. 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. The Mandated 10-Day Report Form is required. (37)MDS Care Area Assessmentmeansthe investigation of triggered care areas, to determine if the care area or areas require interventions and care planning. Responsibility for the Residents Care. 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]. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. Opportunity for Public Comment. There shall be an active program of restorative nursing care aimed at assisting each resident to achieve and maintainthe individualshighest level of independent function, including activities of daily living. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. (1) Plumbingshall be installed in conformance withallapplicable federal, State, and local codes and ordinances. (2) In new construction, separate locker rooms and a toilet facility shall be provided for male and female employees in each nursing home. require that all employees receive annual immunization for influenza, unless: (b) Against the employees religious beliefs; or. (2) The nursing home shall obtain written consent to administer the immunization from: (3) A resident is not required to receive the influenza and pneumococcal immunization if it is: (b) Against the residents religious beliefs; or. These areas may be reduced to 35 percent for all-outdoor air systems. It looks like your browser does not have JavaScript enabled. Complete transcripts from all Nursing Schools/Programs will need to be emailed to the Maryland Board of Nursing Endorsement Unit. 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. (f) A joint between filter segments and the enclosing duct work shall be gasketed or sealed to provide a positive seal against air leakage. Editors Note on Incorporation by Reference. investigator will be assigned. 10.07.02 [Comprehensive Care Facilities and Extended Care Facilities]Nursing Homes, Authority: Health-General Article, 19-308, 19-308.1, 19-323, and 19-1401 et seq. A[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. Nurse Practitioners. (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. For questions or . G. Program of Restorative Nursing Care. (1) A nursing home shall ensure that screened doors and windows are installed and maintained in accordance with applicable fire and safety codes and COMAR 10.15.03 Food Service Facilities. A qualified social worker is an individual with, (i) A bachelors degree in social work or a bachelors degree in a human services field including but not limited to sociology, special education, rehabilitation counseling, and psychology; and. (e) Windows shall be provided with shades or draperies adequate to control glare and maintain privacy. On October 28, 2016, the Department of Health and Mental Hygiene ("DHMH") published its final regulations regarding hospitals' and certain other health care facilities' obligations to report certain actions involving physicians, allied health providers and naturopathic doctors. (iii) Describes provisions for light, heat, food service, washing, and toileting residents. (2)Progress notesrelated to rehabilitative servicesshall be written at least every 2 weeks. The director may not disclose, directly or indirectly, the identity of any individual tested. Complete and mail Request for Validation of Registration to your licensing agency, Have scores sent to the Maryland Board of Nursing. 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. Copyright Maryland.gov. (3) As requested by the Department, the administrator or his designee shall telephone the Departments central bed registry, advising the Department of: In-service training shall include at least: H. Employment Records. [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. 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. [Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first.]. (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. Problem solving flowchart upon discovery of an incident/allegation Updated 10/18 1. 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.. A person maintaining or operating a nursing. (7) In cases where the cost of any medication obtained from the pharmacy selected by the resident exceeds the cost of the same or equivalent medication available through a pharmacy that the nursing home has contracted with to provide pharmaceutical services, the resident shall be responsible for the additional amount. Baltimore, Maryland 21202 Please enable JavaScript in your browser. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the requirement to have a licensed social worker employed. Second, determine if the change was made, in whole or in part, for any of the reasons set out in the regulations. (46) Nursing service personnel means staff licensed or certified by the Maryland Board of Nursing. Because specific temperatures are often required for the safe storage of drugs, the. One of these is the Department of Electrical Engineering and Computer Science, which offers software engineering degree programs at the bachelors, masters, and Ph.D. levels. (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. Please enable scripts and reload this page. (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. (b) Give the employee acertificate[evidencing]signed by the programs teacher or trainer asevidence ofcompletion of the program[shall be issued to the employee. (12) The committee shall document its actions and recommendations. (3) All fans serving exhaust systems shall be located at the discharge end of the system. (4) Emergency power shall be provided for the: (b) Duplex receptacles installed 50 feet apart in all corridors in resident areas or appropriately located duplex receptacles in the common area of refuge; (c) Telephone service with at least one telephone available for incoming and outgoing calls; (f) Elevator, if required, for evacuation as referenced in NFPA 101 Life Safety Code; (g) Heating equipment, if applicable, to maintain a minimum temperature of 71F or 22C in the common areas of refuge; (j) Computer system, if applicable, to enable use of electronic medical records system; and. 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. Copyright Maryland.gov. (4) The brief medical fact sheet for each resident described in A(3) of this regulation shall be: (c) Maintainedin awritten, electronic,or printed formin a central location readily accessible and available to accompany residents in case of an emergency evacuation. (1)[Effective with employees hired on or after July 1, 1990, the]Thegeriatric nursing assistanttraining program[course]shall consist of 75 hours or more, and include at least 37.5 hours of classroom instruction and[not less than]at least37.5 hours of supervised clinical experience in long-term care. The person in charge of the service to which the employee is assigned shall. resources. (2) Recommendations made by the social work consultant, if applicable]the information required in C of this regulation. This map shows you which states are currently in the NLC. ]; and. D. Excessive Absenteeism of Administrator. (5) A food service floor panty shall include the following additional equipment: (b) Ice-making machine or ice-storage container; (d) Equipment to deliver completed trays; (e) Three-compartment sanitizing sink or dishwasher; (f) Cabinet for dry storage, supplies, and kitchenware; and. Clean linen shall be stored separately from[non-clean]uncleanitems. 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. A nursing home shall posta noticeon each floor or unit of the nursing home, for each shift, a notice that[explains]givesthe ratio of licensed and unlicensed staff to residents. These studies have listed reoccurring . (1)A nursing home shall be equipped with a properly maintained air conditioning system. This is especially important for licensees who are not going to reside in Maryland for an extended period of time. In existing facilities where a physical separation is not possible, exceptions as to approved laundry facilities may be made at the discretion of the Department. hotline in the past has helped to eliminate (2) The[facility]nursing homeshall ensure that floor space allocated to each bed meets minimum requirements listed in Regulation[.28C].49ofthis chapter, andis sufficient to accommodate the special equipment necessary to meet the needs of residents. (1) A call system that uses wireless pagers or other wireless communication devices may be used as an alternative system. [Records shall be maintained]. nursing assistant. (4) A computer system with a monitor or other electronic display device may be installed to replace the call system enunciator, as long as it reveals the location where the signal originated and sounds an audible alert tone. 3. (2)Attending physician means an individual licensed to practice medicine in the State who: (a) Admits residents to the nursing home; and. of Legislative Audits operates a toll-free (2) Plumbing and water supplies shall be protected against backflow within a nursing home. OHCQ estimates that 172 nursing homes would need to hire or contract with a licensed social worker. 4. . (2) The nursing home shall provide a sufficient number of lockers that can be locked securely for all employees working at any one time, and provision shall be made for the employees to use the toilet facility at a convenient location. Nursing service personnel shall help the resident perform daily routine dental hygiene. responsible for the control of the operation on a 24-hour basis, (b) With the exception of B(3) of this regulation, serve. (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. C. Staffing. 410.764.4777 | Toll Free 800.492.6836 Thewindow opening shall be at least 28 inchesso that the total area equals 10 square feet per bed. (11) Table 2. A. [(7) Utility RoomsExistingFacility. 410-585-1900 (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. The attending physician shall also be notified.] (2)The nursing home shall require that employees who are not immune to measles, mumps, rubella, and varicella receive immunization for measles, mumps, rubella, or varicella, unlessmedically contraindicated or against the employees religious beliefs. (6) Certified medicine aide means an individual who meets the requirements as stated in COMAR 10.39.01 and 10.39.03. (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. [Applicants unable to obtain certification of oral competency in the English language, which is required in A(3)(e) of this regulation, from the school of nursing or the state of original licensure, may evidence of competency by obtaining a minimum passing score, as determined by the Board, on the Test of Spoken English administered by the Educational Testing Service before applying for .
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