and maintain written documentation of each employees proof of immunity to common childhood infections including measles, mumps, rubella, and chickenpox (varicella). (3)[Unless medically contraindicated, the]Thephysician shall[discuss]reviewwith the[patient]residentor[his]thefamily or[sponsor]residents representativethe goals and the treatment program. (c) Within 24 hours of admission, notify and direct residents to the nursing homes emergency plans and maps, including evacuation procedures. ]; [(6)](5)Specialized rehabilitative services[]includingoccupational therapy[services], physical therapy[services], speech pathology and audiology services[. H. Closed or Inactive Records. A. ]; [Agency Note:Refer to Regulation.26 Sof this chapter for window screening requirements.]. (6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. (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. patient identification, specific nurse behavior, action, or inaction. We're available on the following channels. (1)Foods shall be prepared by methods that conserve nutritive value, flavor, and appearance, and shall be served at proper temperatures, in a form to meet individual needs. (3) Demonstratea genuine interest in the well-being and welfare of[patients]residentsin the[facility]nursing home. Complete transcripts from all Nursing Schools/Programs will need to be emailed to the Maryland Board of Nursing Endorsement Unit. (3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. address of all witnesses). You may be trying to access this site from a secured browser on the server. (c) Document the content of the continuing in-service education program and include the names and titles of participants. D. Nursing Service Personnel on Duty. The State of Maryland pledges Clean linen shall be stored separately from[non-clean]uncleanitems. The[facility]nursing homeshall ensure that each unit is sufficiently staffed with qualified personnel to provide appropriate treatmentand[special]meet thecare needs of the residents. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department.]. [(4)](d)[Operators]The operatorsinstruction[booklet]manualshall be available in a designated locationor accessible electronicallyat all times. (1)If no approved public sewerage system is available, a private sewage disposal may be accepted, if approved by the Department. A. G. Before discharge the nursing home shall: (1) Verify that the transfer and discharge to an assisted living nursing home is licensed and appropriate to meet the needs of the resident; and. [A facility shall give a]Care Plan Meeting. (2)The Department shall be notified of the name of the assistant director of nursing. fraud and/or abuse of State government Maryland Department of Health Regulations Home (b) Demonstration of proper feeding skills performed on a resident, (4) Submit the quality assurance plan to the Departments Office of Health Care Quality at the time of, (3) Procedures to take action when there is a change in the residents condition, (b) Changing the residents plan of care as necessary, (1) A description of a complaint process that effectively addresses resident, (a) The designated person or persons and their phone numbers to receive complaints, (c) The time frames for investigating complaints, (b) Interview of the resident, staff, and, (5) A description of the process for notifying, (6) A description of a process for the ongoing evaluation of, (1) Names of the staff members on duty and the room numbers of the residents, A. B. (61) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system means the standard nationwide system to which several types of health care providers submit CMS required resident information to the National Submissions Database. (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. Thewindow opening shall be at least 28 inchesso that the total area equals 10 square feet per bed. The minimum requirements are: (1)A call station or stations providing detachable extension cords to eachpatientsbed in the patientsrooms. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. These documents may also be inspected at the office of the Division of State Documents, 16 Francis Street, Annapolis, Maryland 21401. Maryland Department of Health 10.32.22 Mandated Reporting to the Board If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. A license or certificate exists even if it is inactive, A. [B. [(7) Utility RoomsExistingFacility. The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland and authorized by the General Assembly. We're available on the following channels. In developing these regulations, the Board learned that different hospitals use vastly different terminology to describe similar actions. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. A. (7) National Fire Protection Association, NFPA 99 Health Care Facilities Code (2015 Edition). 201 W. Preston Street, Baltimore, MD 21201-2399, 10.07.02 [Comprehensive Care Facilities and Extended Care Facilities], The Secretary of Health proposes to repeal the Preface and Regulations, (13) Require that the facility shall assign at least one infection preventionist staffed at a ratio of1.0 Full Time Equivalents. C. A nursing home shall be constructed to comply with the provisions of the NFPA 101 Life Safety Code, as promulgated by the State Fire Prevention Commission, that are applicable to nursing homes. Maryland Board of Nursing Minimum Requirements. (3)The Diet Manual for Long-Term Care[Patients]Residents,as published by the Department,[which]or any other similar reference material thatcontains food allowances and guides for regular and therapeutic diets[may],shallbe used. Summary of Economic Impact. (3) A new employee shall be assessed for risk of tuberculosis through: (a) A two-step tuberculin skin testing at the time of hire following guidelines referenced in the Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings; or. Licensure | Maryland Board of Physicians 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 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. Would you know your responsibility as a nurse and mandated reporter if you suspected a patient . The provider industry is in agreement with the proposed changes in this requirement. G. Admissions Procedures for Patients With Communicable Diseases. or Advanced Practice Registered Nurse (APRN). In our example, you can read each and then select Subtitle 25. (4) Other persons hired asgeriatric nursing assistants[nurse aides after July 1, 1990]shall complete an approvedgeriatric nursing assistant trainingprogram within 120 days of employment. We're available on the following channels. If the hospital made a "change" for a reason listed in the regulations, and if none of the exceptions apply, the change must be reported to the Board within ten days. A physician, physician's assistant, dentist, chiropractor, nurse practitioner, nurse, podiatrist, any other licensed health care provider, a medical examiner, or an administrator of a hospital, clinic, dispensary, or nursing home who knows of a case of a reportable disease, condition, outbreak, or unusual manifestation shall report it to the health officer within the time limits specified in B of this regulation.. A written agreement with at least one acute hospital shall be effected which shall provide for the following actions: (1) Planning to ensure that all services required for the continuity of[patient]residentcare will be made available promptly; (2) Advance discussion with the[patient]residentregarding the reason for the transfer and any available alternatives; (4) Interchange of medical and other information necessary in the care and treatment of[patients]residentstransferred between[the]facilities, including notification of the licensed pharmacist of resident transfer; [(5) Timely admission to the hospital when the attending physician determines acute hospital care is medically appropriate;]. (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. The New Maryland Board of Physicians Reporting Requirements It can be filled out with your computer and saved, orprinted out and filled in by hand. (31) Licensed certified social workerclinical (LCSW-C) means an individual authorized to practice clinical social work under Health Occupations Article, Title 19, Annotated Code of Maryland. a list of all states/jurisdictions where the institution has not made a determination of whether the curriculum meets educational requirements. A nursing home shall have a documented preventative maintenance program. 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. D. Conversion, Alteration, and Additions. (2) Medications shall be administered by: (a) Appropriately licensed personnel in accordance with laws and regulations governing these acts; or. If the employees history is unclear, then the facility shall request a serology for varicella. (2)Orders shall include modalities to be used, frequency, and anticipated goals[,]and shall be made a part of the[patient]residentcare plan. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. (1)The physician and the rehabilitation team members shall reevaluate the[patients]residentsprogress as necessary, but at least every 30 days. (28) Infection preventionist means a licensed healthcare worker who: (a) Manages the infection prevention and control program in the nursing home; and. 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. (b)The amount of storage space needed[is dependent upon]to store food depends on thefrequency of deliveries. These studies have listed reoccurring . (4)Spacefor Storage of Linen[New Construction and Existing Facilities]. No. (1) A call system that uses wireless pagers or other wireless communication devices may be used as an alternative system. (c) Have attended a program of instruction in training methodologies approved by the Department. (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. It shall be the responsibility of the supervisor to delegate relief duties to[a person]an individualqualified to serve as relief[(See Supportive Personnel, Regulation .07, of this chapter.)] Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply.]. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials.]. (2) The nursing home shall provide pharmaceutical services in accordance with accepted professional standards and related federal, State, and local laws. (1) If the nursing home terminates the services of the director of nursing, the nursing home immediately shall notify the Department of the termination. FAQs | Medical Cannabis Certifying Provider FAQs for PAs & Physicians (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. Written Policies. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation.]. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. (b) Is paid by a nursing home to feed residents who are unable to perform the task themselves. (62) Registered nurse means an individual licensed to practice as a registered nurse in this State. 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. The Maryland General Assemblys Office (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.

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