General Requirements. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation.]. (iii) These policies shall address the condition of the personal furnishings, presence of insects or vermin, and overall safety to ensure that the use of the residents belongings does not create any safety or health issues. Copyright Maryland.gov. (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. Thus 172 times $11,000 equals an annual benefit of $1,892,000 to the social worker industry and trade groups. A copy of the clinical record, identification, and summary sheet described in Regulation[.20B].32shall be used as an admission record. (b) A nursing home shall register at least four representatives, including the administrator and the director of nursing. Issue/renew license to Advanced Practice Registered Nurses meeting established requirements. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. [.14].22Specialized Rehabilitative Services Occupational Therapy Services, Physical Therapy Services, Speech Pathology and Audiology Services. [(7) Utility RoomsExistingFacility. This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). COMAR regulations are Maryland State agency regulations, which are referenced by Title numbers (currently 1-36). . Under 5-705, any person other than the persons listed above who has reason to believe that a child has been subject to abuse or neglect shall make either an oral or written report that meets specified requirements to the extent possible [with exceptions for certain confidential and privileged communications]. D. Laundries-Existing Facilities. B. ), Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. Bedsareto be placed so that all sides of the bed are at least 18 inches from heating units. [(g)](h)Storage under Non-specific Conditions. Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. One public drinking fountainor comparable equipment as preapproved by the Departmentshall be provided[one]oneach floor, usablefrom a wheelchair. This map shows you which states are currently in the NLC. (69) Secretary means the Secretary of Health. (2)Theadministratorshall[to]obtain specific items required for individual cases where requested by the attending physician or[supervisor of care services]medical director. As long as the cumulative days of suspension imposed solely for the five reasons listed in COMAR 10.32.22.03C(7) do not exceed 30 in a calendar year, that suspension need not be reported. D. A record of the posting shall be retained for 1 year. A[facility]nursing homelicensed under[these regulations]this chaptermay not discriminate in admitting or providing care to an individual because of[the race, color, national origin, or physical or mental handicap]the individuals: (7) Mental disability[of the individual]. bio; live! In certain Maryland counties (although not Baltimore County or City), physicians, pharmacists, dentists or nurses who treat individuals with injuries that appear to have been caused by auto accidents or lethal weapons must report this information to local or state police as soon as possible. C. Duties of the Pharmaceutical Services Committee. The regulations deal only with what must be reported. The facilitys admission policy shall include a statement as to whether or not medical assistance patients will be admitted and if admitted, under what circumstances.]. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. (4) A call system shall have a visible signal above the door of each residents bedroom that shall be visible from all parts of the corridor. A catered or satellite system shall be covered by a contractapproved by the Department. . (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. C. Ongoing Monitoring. (2) FurnishingsNew Construction. M. Except where inappropriate for safety reasons, an employee and any other individual who provides a health care service within or on the premises of the nursing home shall wear a personal identification tag that: (2) States the profession or other title of the individual; and. 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. [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. (d) A nursing home may distribute space in the following manner: (i) Storage space shall comprise at least 10 percent of the area designated for exercise and rehabilitation; and. Temperatures. B. fraud hotline to receive allegations of General Responsibilities. (2)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. 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. (2) Additional registered nurses, licensed practical nurses, and support personnel shall be employed to meet the needs of all the residents admitted. Menus shall be written at least 1 week in advance. (3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (e) Communication and interpersonal skills. mbon.complaintsinvestigations@maryland.gov. Activities Program. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Employer Notification of Board Order Form, Worksite Verification Monitoring Program Form, Direct Entry Midwifery Advisory Committee, Applicants denied licensure and certification. (1)New Construction. Advisory Dentist. Disciplines shall record all assessments on a form approved by the Department. Code Ann., Health Occupations Article, 8-302 (b) and (c).. The current weeks basic menu shall be posted in one or more easily accessible places in the. 410.764.4777 | Toll Free 800.492.6836 . Please enable JavaScript in your browser. J. An existing nursing home shall provide for adequate ventilation through windows or mechanical means or a combination of both. The State of Maryland pledges Otherwise, a dedicated enunciator connected to the wireless call system will be needed. Mandated reporting is required when: Title 24 M.R.S. (b) Food Preparation Areas and Laundries. A. (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. Janet.McIntyre@maryland.gov, Safe Practice Monitor: (2) As of July 1, 2020, a nursing home shall install a functioning AED unit. (3) All fans serving exhaust systems shall be located at the discharge end of the system. The[facilitys]nursing homesquality assurance committee shall develop and implement a quality assurance plan that includes procedures for: B. Concurrent Review. 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. (a)If the sale, transfer, assignment, or lease of a[facility]nursing homecauses a change in the person or persons who control or operate the[facility]nursing home, the[facility]nursing homeshall be considered a new[facility]nursing home and the licensee shall conform to all regulations applicable at the time of transfer of operations. (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. (a) The nursing home shall provide residentswith theirown bed. (c) All tobacco products shall be extinguished and disposed of in noncombustible containers with self-closing lids in accordance with the provisions of NFPA 101 Life Safety Code. resources. (2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement. (c) Administrative, Bulk Storage and Soiled. (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. 410.764.4777 | Toll Free 800.492.6836 When an owner plans to convert an existing structurethat has not been licensed as a nursing or care home to a nursing home, the owner shall be required to meet all conditions set forth in this chapter. (b) Provide the liaisons contact information to the local emergency management organization. (d)Residentsmay not occupy rooms extending below the ground level. (e) Special diets or dietary restrictions; (f) Family or legal representative contact information, (a) Orient staff to the emergency and disaster plan and to their individual responsibilities, (b) Document completion of the orientation in the staff members personnel file through the signature of the employee, (d) A filter or filter efficiency shall comply with the standards of, the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities, The Department may specify the location and size of a nurses. (b) As high as practical, as such the bottom of the outdoor air intake is: (i) At least 6 feet above ground level; or. Evidence-based Nursing Education Program Approval, Board of Nursing Professional Licensure Requirements, Prelicensure Distance Education Requirements, National Simulation Guidelines for Prelicensure Nursing Programs, Safe Student Reports (SSR) Research Study, State Authorization and Crossing State Borders, Part 2: Additional Approvals and Professional (2)Orders shall include modalities to be used, frequency, and anticipated goals[,]and shall be made a part of the[patient]residentcare plan. (7) Certified social worker means an individual licensed to practice as a certified social worker in this State. Ch. 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. (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 stark reality in 21st-century America is that child abuse is reported to authorities every ten seconds.During the time they are being trafficked, 30-88% of survivors of human trafficking see a healthcare provider. The nursing home shall, with the residents consent: (1) Give an interested and appropriatefamily member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of[the]acare planning conference for a resident[for whom a family member or representative is interested. These documents may also be inspected at the office of the Division of State Documents, 16 Francis Street, Annapolis, Maryland 21401. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. 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. In the case of naturopathic doctors, please consult the regulations at, Medical Cannabis Certifying Provider FAQs for PAs & Physicians. The heating system shall be: (1) Capable of maintaining 75F or 24C throughout the residents section of the building with the outside temperature as prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities; and. Provide a detailed description of the incident:dates, [.35] .58Resident Care Management System. An interdisciplinary team shall complete. [Facilities]A nursing homeshall maintain a permanent[patient]residentregistry in which the name of each[patient]residentis entered in chronological order with the date and number of entry. The bed shall be at least 36 inches wideandbe substantially constructed. Required . Updated printed copies of the Nurse Practice Act and Regulations can be purchased at the Division of State Documents in person, by internet, or by telephone. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. You will need to provide evidence of completing the Continuing Education requirements specified in 18 VAC 90-19-160 during the two (2) years immediately preceding application for reinstatement. Waivers may be granted under Regulation[.02F].03Fof this chapter. All rights reserved. (1) The nursing home shall provide appropriate methods and procedures for administering drugs and biologicals to the nursing homes res. (5) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. 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. (iii) Provideofficespace for theemployedpersonnel[employed;]to work. These extension cords shall be readily accessible topatientsat all times. (2)Initiation of services to meet the rehabilitative needs of the[patient]residentshall occur within 48 hours[(],excluding Saturday[and],Sunday[)],andState and federal holidays,of the physicians order for the specialized service. In all instances sufficient consultation shall be provided to fulfill all required responsibilities. G.Emergency Procedures. Third, determine if any of the specific exceptions to those reasons apply. 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 . Disciplines shall record all assessments on a form approved by the Department. (3)To the extent medical orders permit, bedtime nourishments shall be offered routinely to all[patients]residents. (2) The information disclosed shall explain the additional care provided in each of the following areas: (a) The Dementia special care units written statement of its overall philosophy and mission, which reflects the needs of residents with dementia; (b) The process and criteria for placement, transfer, or discharge from the unit; (c) The process used for individualized assessment and establishing the resident-centered plan of care and its implementation, including the method by which the plan of care evolves and is responsive to changes in the individuals condition; (d) Staff training and continuing education practices; (e) The physical environment and design features appropriate to support the functioning of cognitively impaired adult residents; (f) The frequency and types of resident activities; (g) The involvement of families and family support programs; and. Opportunity for Public Comment. The staff shall document[progression]progressof the condition or conditions weekly until the condition or conditions have healed. (e) Contains a refrigerator to be used for medication storage only. (e) Smoke dampers shall be controlled to close automatically to prevent flow of smoke-laden air in either direction. Because specific temperatures are often required for the safe storage of drugs, the. (7) The facility shall request that each employee receive immunization from influenza virus in accordance with Health-General Article, 18-404, Annotated Code of Maryland. 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 nursing home shall be equipped with a properly maintained and operational central heating system. purchased at the Division of State Documents in person, by internet, or Please enable JavaScript in your browser. In a culture change nursing home, service areas shall be provided for resident care needs as approved bythe Department. This wording is sometimes difficult to interpret. F. Therapeutic Diets. After meeting requirements of the Board of Nursing (Maryland application, After registering with NCLEX you will receive an Authorization To Test letter (ATT). When the investigator is a physician with a patient under care, the investigator must make immediate reports of infectious or contagious diseases, including AIDs, to the health officer in the county where the physician cares for the patient. (3) The equipment provided in food service floor pantries shall comply with the requirements of the local health department. Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. (2) The[facility]nursing homeshall ensure that[all]employees[who]maynotprovide services that require direct access to residents[may not provide such services]without documented evidence that the employee is free fromcommunicabletuberculosis[in a communicable form]. 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 . A nursing home shall have a documented preventative maintenance program. B. B. 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.. 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]. [A facility shall give a]Care Plan Meeting. The[facility]nursing homeshall give appropriate health care information to such volunteers to provide maximum protection to residents. (6) A geriatric nursing assistant[of]atthe[facility]nursing home. (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. A. Contact the Discipline & Compliance Division. A respiratory care unit shall meet the: (1) General requirements established for all special care units as outlined in Regulation[.14-1].23of this chapter; and. (3) A nursing home that uses electronic health records shall: (a) Ensure access to residents as specified in COMAR 10.07.09.08C(13) and (14); and. (c) The janitors closet shall be connected to mechanically operated exhaust ventilation. Again, there are objective tests to determine this. (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. [In existing facilities,]. [(2) Nurses StationExisting Facility. The Maryland General Assemblys Office