This table below refers to the filter efficiencies for central ventilation and air conditioning systems in a nursing home other than chronic disease hospitals. Open at all Times for Inspection. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. Reports under this COMAR provision must be made to the health officer within 48 hours, except for certain diseases for which reports must be made immediately by telephone. Please enable scripts and reload this page. investigator will be assigned. If the employees history is unclear, then the facility shall request a serology for varicella. Please enable scripts and reload this page. A physician or physician assistant may find the registration requirements outlined in COMAR 10.62.03.01, . Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. (Identified by Impact Letter and Number from Section II. A. 4140 Patterson Avenue. (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. If you only knew the topic word, it could take longer, but could narrow to the Agency Titles where the topic appears. Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below). If you have the exact number, subtitle, and chapter, type it in. As of November 1, 2016, there were 229 licensed nursing homes, with an estimated 172 nursing homes that would be out of compliance after January 1, 2021. (4) Supplementary instructors shall be drawn from qualified resource personnel such as registered nurses, licensed practical/vocational nurses, pharmacists, dieticians, social workers, sanitarians, fire safety experts, nursing home administrators, gerontologists, psychologists, physicians, physical and occupational therapists, activities specialists, speech/language/hearing therapists, and residents rights experts, as well as persons with relevant experience, such as residents or experienced aides. Nursing personnel shall assist the, E. Transportation. Agency Note: Recommended space: Storage10 percent of area designated for exercise and rehabilitation; Officeone therapist, 110 square feet; two or more, 85 square feet per therapist. (2) For hand washing purposes, there shall be a towel dispenser and a supply of paper towels and soap dispenser adjacent to each sink. (a) Air handling duct systems shall meet the requirements applicable to nursing homes cited in NFPA 99 Health Care Facilities Code. C. Staffing. An employee of the[facility]nursing homeshall be designated as the person responsible for the overall supervision of the medical[record]recordsservice. friendly and courteous, timely and
These events are listed in the regulations in COMAR 10.32.22.02B(19). [.39] .62Geriatric Nursing AssistantTrainingProgram. C.The[facility]nursing homeshall maintain documentation of the discussion between the[facility]nursing homeand the volunteer concerning influenza vaccine and tuberculinskintesting. (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. copies of patient
nursing administrator, registered nurse, licensed practical nurse, or certified
(2) Describe the nursing homes plan to assure that there is an adequate amount of safe drinking water for all residents and staff for a minimum of 72 hours. (c) Maintenanceof an[optional]optimallevel of psychosocial functioning. A. Because specific temperatures are often required for the safe storage of drugs, the. NOTE 2: COMAR 10.06.01 further requires the following: (1) Health Care Providers. G. Boiler rooms. The quality assurance plan shall include: (3) A policy statement that[includes a provision that reporting]ensures thatincidents can be[done]reportedwithout fear of reprisal; (4) A description of how internal investigations of accidents and injuries will be handled including: (b) Interview of the resident, staff, and[witness]anywitnesses; (5) A description of the process for notifyingafamily or guardian about the incident; (6) A description of a process for the ongoing evaluation ofpatterns and trends inaccidents and injuries[to determine patterns and trends]; and. [A. The State of Maryland pledges
(b) Give the employee acertificate[evidencing]signed by the programs teacher or trainer asevidence ofcompletion of the program[shall be issued to the employee. State resources. The regulations deal only with what must be reported. (2) Bedside hours include the care provided by: (3) Only those hours which the director of nursing spends in bedside care may be counted in the 3-hour minimum requirement. [C.](3)Toilet Facilities in Rehabilitation AreaNew Construction. (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. Temperatures. The staff shall document[progression]progressof the condition or conditions weekly until the condition or conditions have healed. D. The Quality Assurance Committee. Apply the definitions in the regulations. [.21].33InfectionPreventionandControl Program. Equipment for Food Preparation and[Distribution. (2) The agreement shall specify the duties of the director of nursing. resources. (5) The[facility]nursing homeshall[record]: (a) Recordthe satisfactory completion of the program in each employees personnel record[. (2) Thearchitect or professional engineer of record shall submit a letter certifying thattheproject has been designedinaccordance with all applicable federal, State, and local codes, laws, ordinances, and regulations for construction. ]; [(6)](5)Specialized rehabilitative services[]includingoccupational therapy[services], physical therapy[services], speech pathology and audiology services[. Medical Director Qualifications. (1) A nursing homeshallhavesufficient lighting at night inthe followingareas: (c) Designated toiletsof the nursing home for the safety of theresidentwhogetsup during the night. (a) Stored in water-tight containers with tight-fitting covers; and. The State of Maryland pledges
If the employee refuses to be immunized, the facility shall document the refusal and the reason for the refusal.] Board of Nursing Professional Licensure Requirements. (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. mbon.nursingdiscipline@maryland.gov, For general inquiries (Safe Practice Program):
(4) A[patient]residentin a protective device or devices shall be observed periodically by personnel, to[insure]ensurethat the[patients]residentshealthand personal careneeds are met. (3) As of January 1, 2021, a license is required for an employee to provide social services except if: (a) On the effective date of these regulations, the employee was assigned responsibility for social services; and. Interior walls and floors shall be of a, maintained free of insects and rodents by operation of an active pest-control program, either by use of maintenance personnel or by contract with, Care shall be exercised in the usage and storage of toxic. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. (6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. The training on cognitive impairment and mental illness shall be designed to meet the specific needs of the[facilitys]nursing homespopulation as determined by the staff trainer, including the following as appropriate: (3) Behavioral[intervention]interventionsincluding: A. maryland board of nursing reporting requirementsmiss kitty black ink crew net worth maryland board of nursing reporting requirements. [.07-1].10Employee Training on Cognitive Impairment and Mental Illness. B. (1) The nursing home shall store medications in a locked medication storage area that: (b) Is located where personnel preparing drugs for administration will not be interrupted; (c) Is spacious enough to allow separate storage of external and internal medications; (d) Is kept in a clean, orderly and uncluttered manner; and. (1)Medical records shall be retained for a period of[not less than]at least5 years from the date of discharge or, in the case of a minor, 3 years after the[patient]residentbecomes of age or 5 years, whichever is longer. Any person who believes that an individual with a developmental disability has been abused shall report the abuse promptly to the executive officer or administrative head of the licensed service provider, who shall in turn make a report to law enforcement authorities. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. For brevity's sake in these FAQs, the Board will use the term "hospital" to indicate the entity that is required to report. A janitorscloset or service alcove fortheexclusive use of food service areas shall be provided in, or adjacent to, the dietetic service department. [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. (b)The janitors closet shall be equipped for[handwashing]hand washing. (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to[give adequate patient care and to do feeding,]: (a) Providemaintenance, cleaning, and housekeeping; (a)A[facility]nursing homemay request a[]voluntary admissions ceiling[]by submitting a written request to the Department to authorize a temporary restriction on[patient]residentadmissions based upon anticipated bed usage. (1) The nursing home shall offer influenza and pneumococcal immunization to each resident. (e) In an existing nursing home, the usable floor area for rooms havinga bedroom shall have a finished ceiling height of 8 feet. (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. (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. Emergency procedures shall be established and documentedthatenable the nursing home to provide water in all essential areas in the event of the loss of the normal water supplyor if the nursing home would have to shelter in place during an emergency or disaster. 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. (1) A special care unit shall meet the general construction requirements of Regulations[.06,and .26].08, .42, and .41of this chapter, and the requirements in this regulation. These areas may be reduced to 35 percent for all-outdoor air systems. (6) Each training program shall have behaviorally stated objectives for each unit of instruction, stating measurable performance criteria. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. to provide constituents, businesses,
[B.] (3) All fans serving exhaust systems shall be located at the discharge end of the system. [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. (3) If a controlled dangerous substance is destroyed on the nursing home premises in accordance withF(2) of this regulation: (a) A record of the disposal, in addition to any other required records, shall be maintained in the nursing home; and. accessible and convenient, and
by telephone. The nursing home shall develop written policies, consistent with this chapter and COMAR 10.07.09, to govern the nursing care, related medical, and other services that the nursing home provides regarding: (1) Admissions, transfers, and discharges; (3) Medical Assistance program information. [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 . No. (2)Theadministratorshall[to]obtain specific items required for individual cases where requested by the attending physician or[supervisor of care services]medical director. JavaScript is required to use content on this page. B. A license or certificate exists even if it is inactive,
(e) Contains a refrigerator to be used for medication storage only. confession, applicable policies and procedures, employee handbook, staffing
C. The nursing[facility]nursing homeshall establish a quality assurance committee that includes at least: (1)[A]The nursing homedirector of nursing; (4)[A]The nursing homemedical director; (5) A[dietitian]dietitian-nutritionist; and. Summary of Economic Impact. (2) A call system shall be maintained in a manner that will provide visible and audible signal communication between nursing service personnel and residents. (2)Standardized recipes adjusted to appropriate yield shall be followed. Report of State Board of Nursing to Senate Education, Health & Environmental Affairs Committee & House Health & Government Operations Committee on online program for processing medication technician applications, measures implemented to increase online applications, & analysis of current & projected staffing needs due Dec. 31, 2011 (Chapter 123 . 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) Maintains the continuing education requirements of registration. 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. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. F.Space Heaters. .20 Nursing ServicesDirector of Nursing. The[facility]nursing homeshall provide[for a]: (1)Aprogram of structured and unstructured activities[,]; and. The Office of Health Care Quality surveyed multiple facilities and determined that 75 percent or approximately 172 nursing homes did not employ a licensed social worker. [A.] (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. (2) The duty described under this section is deemed to have been discharged if the mental health care provider or administrator makes reasonable and timely efforts t. (i) Seek civil commitment of the patient; (ii) Formulate a diagnostic impression and establish and undertake a documented treatment plan calculated to eliminate the possibility that the patient will carry out the threat; or. (1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. 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. truthful and transparent services. In person purchases can be made at 16 Francis Street - Wineland Building,
D. Call SystemExisting Facilities. You may be trying to access this site from a secured browser on the server. (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. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. Unless otherwise indicated, all general requirements apply to both new constructionand anexisting nursing home. A care plan under this regulation shall be based upon assessments conducted at the following times: (4) Significant change in the residents condition.]. nursing assistant. The attending physician shall: (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents;[and], (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures; and. (2)A nursing home desiring to provide services other than thosefor which it is alreadylicensed shall obtain prior approval from the Department. (3) The oldest foods shall be used first, known as the first in, first out method. I. Infectious/Communicable Diseases, HIV Testing, AIDs Diagnoses. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA). Dry Food Storage. Disclaimer: This information has been gathered from a variety of sources. Staff working in laundry shall be given personal protective equipment, including: (d) All laundry shall be processed through the use of sufficiently hot water, chemical agents, or a combination of the both, to remove or destroy infectious biological materials. The physician shall[note on]document inthe[patients]residentschart any restrictions applicable to the[patients]residentsparticipation in the activities program. Organization, Policies, and Procedures. (4) The[facility]nursing homeshall maintain written documentation of the following: (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;and, [(b) Results of chest x-rays required in this regulation; and. If a comprehensive care facility is unable to effect a transfer agreement with a hospital in the community and can document its attempts to secure an agreement, the facility shall be considered to have such an agreement in effect. (2) The administrator of the nursing home shall be responsible for ensuring that appropriate procedures and reporting are carried out for all reportable infections. [There shall be at least 12 square feet perbed for 50 percent of the total licensed beds.]. (3) Qualifications of social worker. There shall be a complete orientation for all the employees in life safety and disaster preparedness. You may be trying to access this site from a secured browser on the server. The nursing home shallinformall new and current employeesof the health risks of not being immunized. Karen Hatwood
The nursing home shall be serviced by a public sewage disposal system if available. The Maryland General Assemblys Office
(1) The nursing home shall provide appropriate methods and procedures for administering drugs and biologicals to the nursing homes res. (5) A call system shall provide visual lights at corridor intersections, in multi-corridor nursing units. You are a mandated reporter if you are one of the following: Health Practitioner. Responsibilities delegated to other staff besides the director of nursing shall have a clear delegation of authority. responsive, accurate and consistent,
The proposed action has minimal or no economic impact on small businesses. (7) The audible signal may not be turned off at the nursing station. C.A person maintaining and operating a nursing[facility]homethat is in violation of this chapter is guilty of a misdemeanor, and, on conviction, shall be fined not more than $1,000under the authority of Health-General Article, 19-359, Annotated Code of Maryland. Q Who pays for the chemical dependency evaluation and the drug screens? (2) Additional registered nurses, licensed practical nurses, and support personnel shall be employed to meet the needs of all the residents admitted. A. The responsible departments approval shall be in writing, signed by the appropriate department head whose license number, if applicable, shall be recorded in the record. [F.]E.InfectionPrevention andControl Policies and Procedures. (b) Connected to mechanically operated exhaust ventilation. Issue/renew license to Advanced Practice Registered Nurses meeting established requirements. (2) CMS Manual System, Pub. D. Unusual Occurrences. (1)If the[administrator is absent from the facility an excessive amount of time and the Department determines that the]director of nursings absence[from nursing service]while covering for the administratoris having an adverse effect on[patient]residentcare,the Department may require the designation of a specific registered nurse who shall be named the[]assistant director of nursing[]. Minimum equipment shall include the following: (b) Cabinets for dry storage and supplies; (d) Sink for purposes other than handwashing; dwashing sink with soap and towel dispenser or approved drying device.]. The quality assurance plan shall include: (1) A description of a complaint process that effectively addresses resident[or]andfamily concerns including: (a) The designated person or persons and their phone numbers to receive complaints[or]andconcerns; (c) The time frames for investigating complaints[dependent upon], depending onthe nature or seriousness of the complaint; E. Accidents and Injuries. The[facility]nursing homeshall urge that volunteers, defined as individuals who spend an average of 8 hours per week or more in the institution[patient]residentcare areas and who receive no pay or benefits,[accept]receiveannual influenza vaccination and tuberculinskintesting as considered necessary by the[facility]nursing home.