Second, determine if the change was made, in whole or in part, for any of the reasons set out in the regulations. Nurse Practitioners. SS-07, Centers for Disease Control and Prevention (CDC), Atlanta, GA). [E.]C.[All facilities]A nursing homecertified for participation in Medicare or Medicaid shall complete and electronically submit the assessment to the[Department not later than 31 days after completion oftheassessment]Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. D. Assistance by Nursing Service Personnel. OHCQ believes that requiring a licensed social worker with adequate training will increase successful care coordination. (1)The physicians orders, the initial evaluations, the plan of rehabilitative care, goals, services rendered, evaluations of progress, and other pertinent information shall be[recorded]: (a) Recordedin the[patients]residentsmedical record[,];and[shall be dated], (i) Physicianordering the service;and[the person or persons]. 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. (9) Chemical restraint means the administration of any drug that is used for discipline or convenience and not required to treat medical symptoms. The current license shall immediately become void and shall be returned to the Secretary if the: (a) Nursing home is sold, leased, or discontinued; C. Request for Departmental Permission to Exceed Capacity. Financial Help With My Gas and Electric Bill, How to Buy an Energy-Efficient Home Appliance, Search on a word or phrase, or enter the codification number, Access through Table of Contents Structure. (4)[All facilities]A nursing homeshall establish and enforce a written preventive maintenance program to ensure that all[essential mechanical, electrical, and patient care]resident care and therapyequipment is maintained in safe operating condition. Would you know your responsibility as a nurse and mandated reporter if you suspected a patient . (c) Thefollowing floor areas may not be included in the calculation of floor space: (iii) The floor area occupied by wardrobes, bureaus, or lockers, when permanently installed as part of walls or ceilings and as a permanent component of a bedroom; (iv)HVAC equipment, including any steam, water, or electrical supply or return linesthatmay run parallel to the floor or interrupt the floor surface; (v) Supportcolumns, pipe chases, or otherstructures, whether free-standing or as an integral part of a wall; and. 100-07 State Operations Provider Certification, (Transmittal 127, November 26, 2014, U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services). In new construction, facilityshall provide a lobby area. The Virginia Board of Nursing may request additional evidence that the nurse is prepared to resume practice in a safe, competent manner. Copyright Maryland.gov. (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. Within ten days after the change is made, it must be reported. 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. We're available on the following channels. [(6)]D. Hepatitis B. (2)Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. (b) The following shall be considered a minimumallowance of floor space: (i)100 square feet, single-bed room; and. (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. (1)There shall be sufficient equipment to meet the needs of the[typepatients]residentsadmitted. (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. (1)The[facility]nursing homeshall assign at least one[individualwith education and]infection preventionistthat has attendedtraining in infection surveillance, prevention, and control to[be responsible for approving actions to prevent and control infections.] Access through Table of Contents Structure (will display table of contents by Title, Subtitle & Chapter). (c) Within 24 hours of admission, notify and direct residents to the nursing homes emergency plans and maps, including evacuation procedures. fraud and/or abuse of State government (3) The facility shall monitor the purified protein derivative (PPD) status of employees at any time that symptoms suggestive of tuberculosis develop, and periodically, consistent with the tuberculosis control plan. 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 licensee may renew the license for an additional 2-year term, if the licensee: Pays the renewal fee; Submits to the Board: A renewal application and satisfactory evidence of compliance with . (2014) Facility Guidelines Institute, which is incorporated in COMAR 10.07.01.02. (1) If the nursing home terminates the services of the director of nursing, the nursing home immediately shall notify the Department of the termination. (1)New Construction. A. [.21-4].37Infection Control Standard Precautions. resources. 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. License Status Options Active. We're available on the following channels. (ii)Those disciplineswho provided the service. Other forms of evidence may include pictures, [F.]E.A[facility]nursing homelicensedas a[comprehensive or extended care facility]nursing homebut not certified for participation in the Medicare or Medicaid Program shall comply with the[State Operations Manual for Provider Certification]CMS Manual System, Pub. certain fraudulent activities and protect [B.] C. Conversion of an Existing Structure. (8) The nurses call system shall require resetting at the station where the call originates. prefilter is employed, the prefilter shall be upstream of the equipment and the main filter bed may be located further downstream. (a) The Secretary shall require an applicant for licensure to submit to the Secretary the following information concerning the applicants: (ii) Ability to comply with[minimum]the applicablestandards of medical and nursing care and applicable State or federal laws and regulations by disclosing the identities of its medical director, director of nursing, and administrator, and by providing the[facilitys]nursing homesquality assurance plan, as required in Regulation[.46].66of this chapter; and. (2) Private water systems shall comply with all federal, State, and local requirements. (1) A nursing home that uses electronic health records exclusively or along with a paper based medical record shall comply with this chapter and all applicable State and federal laws, including laws governing privacy and security of records. (19) Distinct part extended care facility means a portion of a nursing home that is licensed as an extended care facility. H. Transfusion Services. A nursing home shall provide a lobby area that shall have: (1) Public toilets for both sexes, either separate or unisex, located conveniently to this area; (3) Drinking fountains or other drinking water dispensers that meet Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. For general inquiries (Discipline): mbon.nursingdiscipline@maryland.gov. (4) Medicine may not be returned to the container. (iii) Clean linen anda clean, comfortable pillowshall be provided. The summary shall, at a minimum: (a) List means of potential transportation to be used in the event of evacuation; (b) List potential alternative facilities or locations to be used in the event of evacuation; (c) Describe means of communication with family members and residents representatives; (d) Describe the role and responsibilities of the resident, family member, or residents representative in the event of an emergency situation; and. If a deficiency exists, the Department, in addition to the sanctions set forth in this regulation and Regulations, (c) Issuing written reports to the Department and the nursing, A. (d)Management of the[facility]nursing homemay not permit the[patient]residentcensus to exceed the admissions ceiling without prior approval from the Department. JavaScript is required to use content on this page. The container label bears appropriate instructions to protect the product from freezing[When in addition to the risk]when freezing it may subject a product to: (ii)Riskof breakage of the container[, freezing subjects a product to loss of strength or potency,];or[to destructive]. Filing a Complaint against a Medication Technician (MT), Certified (9) Recommended Dietary Allowances, (10th Edition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). (3) All fans serving exhaust systems shall be located at the discharge end of the system. Clean linen shall be stored separately from[non-clean]uncleanitems. C. Social History. The lock on the door of a medication room shall be counted as one of the two locks. (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. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. All rights reserved. In short, any member of the research team who is a licensed health care provider will be covered by the obligation to report child abuse or neglect, while any non-provider member is also obligated to report suspected abuse or neglect of a child. (2) The nursing home shall provide pharmaceutical services in accordance with accepted professional standards and related federal, State, and local laws. (6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. Please turn on JavaScript and try again. Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility. Because specific temperatures are often required for the safe storage of drugs, the. In, Initiation of services to meet the rehabilitative needs of the. In addition, 10 million men and women are abused by an intimate partner every year. (3) Local Law or Ordinance, Where Applicable. (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. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. The nature of the threat; 2. Once the complaint is received at the Board office, an (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. B. . (ii) Passed the national accreditation examination for accredited record technicians. C. A nursing home shall maintain, at all times, the capability to physically isolate any resident who may contract a communicable disease from the remaining resident population. Disciplines shall record all assessments on a form approved by the Department. This status is required for RNs who wish to practice nursing in the state of California. (iii) Prevents a resident from a precipitating potential physical problem. (1)Within 2 weeks of[the]referral to specialized rehabilitative services, the rehabilitation team members shall provide[to]the attending physicianwitha written report of the evaluation, including goals and progress of the[patient]resident. Janet McIntyre [(1)](a)[There]A nursing homeshall[be]provideadequate space[for the reception, examination, and treatment ofpatients;storage of]to: (i) Receive, examine, and treat residents; (ii) Storesupplies and equipment,including wheelchairs and stretchers; and[office]. (2)A catered or satellite system shall be covered by a contractapproved by the Department. E. Auxiliary Heat. accessible and convenient, and 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. 410-402-8015 Toll Free 877-402-8218 TTY 800-735-2258 . (3) If warranted, the director of nursing shallreportthe matter to themedical director orprincipal physician. 410.764.4777 | Toll Free 800.492.6836 E. The Department shall make a site visit and conduct a full survey of each licensed nursing home at least once per calendar year. J. Passing score of 85% or better on Sagepoint Certified Nursing Assistant Competency Exam. Certification. 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. (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. The[facility]nursing homeshall select[a resident]eligibleresidents based on the: E. State-Approved Training. (a) New support personnel shall have an employee orientation program. The identity of the patient making the threat; and 3. The reporting requirements for a positive HIV test or low CD4+ lymphocyte count apply to facilities and offices ordering the tests, as well as to medical laboratory directors. Clinical Nurse Specialists. BLS Healthcare Provider certification from American Heart Association; additional life support training, as applicable to unit requirements. (b) Food Preparation Areas and Laundries. [(7) Utility RoomsExistingFacility. 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. (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. (1) A system of water supply, plumbing, sewerage, electrical power, garbage or refuse disposal may not be installed or extended untilthe architect or professional engineer of record submits stamped and sealed final construction drawings for Department record and provisional approval in accordance with A of this regulation. ]; and. 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. [(2) Existing Facility. This meal represents, To the extent medical orders permit, bedtime nourishments shall be offered routinely to all. (g) All devices shall be interlocked with the fire alarm system. (76) Two-step tuberculin skin testing means the administration of a second tuberculin skin test 1 to 3 weeks after the initial skin test is negative, to identify individuals with a past TB infection who may now have reduced skin reactivity. Thus approximately 172 facilities would be impacted by this proposal. (3) The nursing home shall provide additional information upon request. However, once a facility elects to use these procedures or systems and a modification is granted, the systems may not be changed without prior approval of the Department. (h) The cost of care and any additional fees. Agency Note: The following equipment is recommended: dwashing sink with soap and towel dispenser or approved drying device. (10) Table 1. (2) In a nursing home in which the director of nursing serves as relief for the administrator, the director of nursing shall designate a specific registered nurse who shall be in charge of the nursing service while the director of nursing covers for the administrator. (1) There shall be at least one separate room or compartment with a bathtub, shower, or other bathing device, as approved by the Department, for every 15 licensed beds. Information reported to the (4) A nursing homeshallscreen with wire screen or its equivalent, not less than 16 meshes per linear inch for doors and windows that provide ventilation. The new regulations explicitly define changes that must be reported to the Board within ten days of their occurrence and provide penalties for failing to do so. (iii) Is a Certified Food Protection Professional (CFPP). [E.]F.JanitorsCloset or Service Area. (9) Properly refer residents to specialty services and providers when the care needs of the resident exceed the scope of the attendingphysicians knowledge and skill. LoginAsk is here to help you access Maryland Board Of Accountancy Cpe Central quickly and handle each specific case you encounter. (iii) Shall maintain a minimum temperature of 71F or 22C and a maximum temperature of 81F or 27C. (1) The administrator of the nursing home shall immediately report to the local health department and the Department the occurrence of: (e) Any symptomatic condition of importance to public health that affects the nursing home; or. The nursing home shall be staffed as referenced in A and B of this regulation. Reports shall be in writing or by telephone, and must be made as soon as possible.. The 3D modeling software has a user-friendly interface that can be used to create designs or machinery parts. The minimum requirements are: (1)A call station or stations providing detachable extension cords to eachpatientsbed in the patientsrooms. (a) Comply with Health-General Article, 18-404, Annotated Code of Maryland, regarding immunizations of employees; (b) Inform all new and current employees of the health risks of not being immunized; (d) Require that any employee who is not vaccinated with the current influenza vaccine wear a mask when: (ii) During the influenza season as specified by the States Prevention and Health Promotion Administration, based on influenza activity in Maryland. A nursing home shall be protected throughout the entire building by an automatic fire extinguishing system. (1) A nursing homeshallhavesufficient lighting at night inthe followingareas: (c) Designated toiletsof the nursing home for the safety of theresidentwhogetsup during the night. The[goal]goalsshall be realistic, practical, and tailored to the residents needs. If you have the exact number, subtitle, and chapter, type it in. According to the National Nursing Database, Maryland currently has 73,086 RNs and 13,538 LPNs. J. C. Lobby Area. Existing facilities (those facilities licensed at the time this regulation becomes effective) shall provide some method/means of a patient summoning aid that shall include as minimum a combined visual and audible signal that is audible at the nurses station and simultaneously activates a light located in the hall, outside of and adjacent to the patients room. (7)The kitchen space requirement[in F(6) of this regulation]as described inthisregulationdoes not apply to occasional special functions such as picnics or dinners for residents, volunteers, families,or community groups[provided]as long asthe[facility]nursing homecertifies to the Department that[the provision of]providingmeals for[the particular]aspecial function will not adversely affect or detract from the timely provision of meals to thenursing homesresidents[of the facility]. Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first. There are currently 36 subjects and 101 Articles in the Annotated code. (1) All policies and procedures for the mobile food cart shall be approved by the Department and the nursing homes local health department before implementation. B. (b) Medicine storage cabinet with locks. 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.. The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. If the patient becomes too difficult to manage, the patient shall be transferred to a suitable facility selected by the attending physician. Copyright Maryland.gov. (b) Increase or decrease in capacity of an existing nursing home. The resident care management system shall[be comprised]consistof three[interrelated]relatedcomponents: [A. Professional specialty certifications may be required, in accordance with departmental standards or role . (b) At least 2 years of experience or specialized training in the medical care of geriatric or chronically ill and impaired residents; (c) Successful completion of a curriculum in physician management or administration from. (a) Resident Care, Treatment, Diagnostic. All rights reserved. The Maryland General Assemblys Office (54) Physician assistant has the meaning stated in Health Occupations Article, 15-101(o), Annotated Code of Maryland. A nursing home shall provide cubicle curtains and tracks in multiple occupancy bedrooms between beds to insure privacy of residents. [(5)](1)The[facility]nursing homeshall screen[all new employees for immunity to common childhood infections such as mumps, rubella, measles, and chicken pox (varicella), through the use of pre-employment questionnaires and, if appropriate, serologic testing for presence of antibodies of these diseases, to prevent adult exposure of new employees to residents with communicable forms of such disease organisms.] ]; [(5)](6)[The]Verifiedlicensure of personnel employed[as registered or licensed practical nurses shall be verified by the facility. [(f)](g)[Sufficient]A nursing care unit shall have sufficientspace and equipment for medical records[which enables]so thatpersonnel[to]canfunction[in an effective manner]effectivelyand[to]maintaineasily accessiblerecords on all[patientsso they are easily accessible]residents. These studies have listed reoccurring . (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided[for transportation of]totransportfood to the[patients]residents. A convenient outside service entrance shall[be planned]existto facilitate receiving food supplies and the disposal of waste. Activities spaceshall beof adequate size to meet the needs of the residentsandshall be located on each floor occupied by residents. Oklahoma Board of Nursing 2501 N. Lincoln Blvd., Ste. A. The attending physician shall also be notified.] (5) Return of License or Renewal Certificate to the Secretary of Health. 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. (5) All members of the committee shall review revisions of policies and procedures before implementing any changes. a genuine interest in the well-being and welfare of, (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to, The Department shall approve the increase in beds within 72 hours following receipt of the. New construction providing a conventional type food service program shall have the following minimal space requirements (excluding bulk food-storage areas, dining areas, and separate floor pantries). (a) Details of the proposed nursing home changes; and. (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. (1) An existing nursing home that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing. B. Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the . Telephone service and drinking fountains which meet ANSI standards also shall be provided. Arrangements shall be made, when necessary, for the. Provider Resources - Maryland E. Administration of Medications for Leave of Absence of 24 Hours or Less. 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. (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is[qualified]: (a) Qualifiedby training and experience[,];and[is licensed]. (1) All air-supply and air-exhaust systems shall be mechanically operated. (3) The vendor providing the food shall have a valid food service permit. Maryland Reporting Obligations that May Apply to Investigators or Other The facilitys infection control program shall include monitoring of the health status of all residents to determine if the residents are free from tuberculosis in a communicable form.]. (16) Dietitian-nutritionist means an individual who: (a) Is licensed by the Maryland Board of Dietetic Practice to practice dietetics; (b) Has met the certifying requirements for registration as a dietitian as administered by the Commission on Dietetic Registration; and. The quality assurance plan shall include: (1) A description of the measurable criteria for ongoing monitoring of all aspects of resident care including: (b) Prevention of[decubitus]pressureulcers, dehydration, and malnutrition; (2) The methodology for[collection of]collectingdata; (3) The methodology for[evaluation]evaluatingand[analysis of]analyzingdata to determine trends and patterns; D. Patient Complaints. In laundries in new facilities there shall be a physical separation between the clean and soil areas. (a) Medication storage cabinets with locks shall be permitted for the storage of resident medications that do not require refrigeration within a resident bedroom. practical nurse, or certified nursing assistant knows of an action or condition State resources. (b) Tuberculosis in a communicable form does not include: (i) When the individual who has presumptive or confirmed active disease, has had three negative AFB smears, collected 824 hours apart, shows clinical improvement, and has received chemotherapy to which the strain is susceptible for at least 14 days; or. A. (2) The infection preventionist shall attend or have attended a basic infection prevention and control training course that is approved by the: (b) Office of Infectious Disease Epidemiology and Outbreak Response for the Department. (a) Relocation means the movement of a resident from one room to another within: (i) The same Medicare-certified nursing home; (ii) A Medicaid-only certified nursing home; or. If the serology for varicella is nonreactive, the facility shall request that the employee receive immunization for varicella. (1) If the supervisor is not alicensed registereddietitian, the individual shall receive regularly scheduled consultation from alicensedregistered dietitian or other qualified person.
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