maryland board of nursing reporting requirements

The medical director is responsible for: (2) Monitoring and evaluating thehealth care services andoutcomes[of the health care], including clinical and physician services provided to the[facilitys]nursing homesresidents; and. Currently, a license has not been required for an individual to operate in this role. The interdisciplinary team shall incorporate resident input into the care plan. A person maintaining or operating a nursing. [B.] (2)Activitiesdesignedand monitored appropriately to meet the day-to-day needs and interests of each[patient, to]resident andencourage[self-care,resumption of normal activities, and maintenance]: (b) Engagement inresident-selected activities;and. B. (8) Charge nurse means the registered or licensed practical nurse who is responsible for day-to-day operations of a unit in the nursing home on which residents live. (2) The[facility]nursing homeshall take appropriate infectionprevention andcontrol[steps]measuresto prevent the transmission of[a communicable]an infectiousdisease to residents, employees, and visitors as outlined in the following guidelines: (a)2007Guideline for Isolation Precautions:Preventing Transmission of Infectious Agentsin[Hospitals]HealthcareSettings; and. (b) 42 CFR 494.130494.180, as amended. If the attending physician cannot be reached, the medical director shall be contacted for instructions. (8) The audible signal shall be loud enough to be heard at the nurses station. M. SpecialMedical Wastes. General Requirements. The director of nursing shall assume responsibility for maintaining professional competence of staff through their participation in education programs. 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. (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. B. Through the College of Computing, students can earn their Bachelor of Science in Software Engineering. accessible and convenient, and Closed or inactive records shall be filed and stored in a safe place, (3) Maintains a record of infections in the, (b) Effective implementation of the policies and procedures that are outlined in. Copyright Maryland.gov. (2) The name and license number of the replacement director of nursing shall be supplied to the Department as soon as employment begins. (2) The nursing home shall provide pharmaceutical services in accordance with accepted professional standards and related federal, State, and local laws. (b) Has 2 years of experience in a social or recreational program in a licensed health care setting within the last 5 years, 1 year of which was full time in a resident activities program with guidance froman individual identified in B(73)(a) of this regulation. 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. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. [(b) Medicine storage cabinet with locks. 3. (26) Health officer means the health officer or the designated representative in each of the 23 counties and the Commissioner of Health in Baltimore City. Use of[Hot Water Bottlesand, Ice Caps]Hot Packs, Ice Packs, and Other Therapeutic Medical Devices. B. 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) A room may not be used as aresidentbedroomif it can only be reached bypassing through a kitchen. However, the nursing home would need to contract with a licensed social worker to provide oversight. If the designee is not a certified social worker, the facility shall effect an agreement with a qualified social work consultant. (1)Thearchitectorprofessional engineer of record shall submit stamped and sealedfinal constructiondrawings to the Department. (25) Grant means the award of money to an individual or an organization to: (a) Study an aspect for the geriatric population; or. (2)Locatedconvenient to[patients]the residentsbedrooms. A. B. An existing nursing home shall provide for adequate ventilation through windows or mechanical means or a combination of both. In new construction, facilityshall provide a lobby area. (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. Temperature. (v) Equipment for the disposal of liquid and semi-solid wastes and bodily fluids via the nursing homes sanitary sewer connection or on-site sewage disposal system. B. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. C. Duties of the Pharmaceutical Services Committee. (b)[Be]Make the requestfor a term not to exceed 30 days. Space heatersand portable heaters may not be used. [A facility shall give a]Care Plan Meeting. I. Infectious/Communicable Diseases, HIV Testing, AIDs Diagnoses. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. (14) Dentist means an individual licensed to practice dentistry in this State. (a) A nursing home shall register with the Maryland Health Alert Network. Complete and mail Request for Validation of Registration to your licensing agency, Have scores sent to the Maryland Board of Nursing. If you typed in the word submeters the Search feature would take you to the same Subtitle. (b) Maintained and applied by trained staff. TTY: Facsimile: (410) 333-3616 (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. 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. A. (1) For every eight beds, there shall be at least one toilet enclosed in a separate room or stall. E. Objective. Please enable scripts and reload this page. bio; live! The nursing home shall provide a living room for residents use with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. Filing a Complaint. (5) Existing Facility. NCSBN assumes no liability or responsibility for any errors or omissions in the information contained in this resource. Amber Havensamber.havens@maryland.gov, Compliance Coordinator: 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. (3)In new construction,thenight light shall be switched at theresidentroom door. Simple background check maryland board of nursing. (a)A distance of at least 3 feet shall be maintained between each bed. (4) Outdoor air intakes shall be located: (a) As far as practical but not less than 25 feet from: (i) Exhaust outlets of ventilating systems; (v) Areas that may collect vehicular exhaust and other noxious fumes; 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. 6 St. Paul Street, Suite 2102 A written application shall be on file for each employee and shall containat least the: (1) Employees[social security]Social Securitynumber[. [(7) Utility RoomsExistingFacility. (1) Amend, repeal, recodify, and adopt new language in order to make this chapter more cohesive, comprehensive, and clear; (2) Enable the Department to accept electronic submissions of both initial applications and renewal applications and thereby improve efficiency and decrease the administrative burden on providers and the Department; (6) Incorporate by reference additional documents; (7) Require that new facilities shall satisfy the review of the Maryland Health Care Commission for the establishment of new facilities and the increase or decrease in capacity of existing facilities; (8) Require that an existing facility that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing; (9) Require that a nursing home shall employ supervisory personnel and a sufficient number of support personnel, to provide a minimum of 3 hours of bedside care per occupied bed per day, 7 days per week; (10) Require that the ratio of nursing service personnel on duty providing bedside care to resident may not at any time be less than one to 15; (11) Require that the nurse manager or the Director of Nursing of vent units shall possess a background in ventilator care or be qualified in ventilator management; (12) Require that after January 1, 2021 social services responsibilities in the facility will be assigned to a Licensed Bachelor Social Worker, Licensed Graduate Social Worker, Licensed Certified Social Worker, or Licensed Certified Social WorkerClinical; (13) Require that the facility shall assign at least one infection preventionist staffed at a ratio of1.0 Full Time Equivalentsfor every 200 beds; (14) Require that facilities shall possess a functioning automated external defibrillator (AED) as of July 1, 2020; (15) Allow Certified Dietary Managers to share cooking responsibilities with the full-time cook in facilities with fifty or fewer beds. 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. (24) Geriatric nursing assistant means a CNA who has successfully completed the requirements for a GNA set forth in 42 CFR 483.151483.156 and COMAR 10.39.01. (1) If the nursing home terminates the services of the director of nursing, the nursing home immediately shall notify the Department of the termination. responsive, accurate and consistent, (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. (2)Attending physician means an individual licensed to practice medicine in the State who: (a) Admits residents to the nursing home; and. If a deficiency exists, the Department, in addition to the sanctions set forth in this regulation and Regulations[.5058].69.77of this chapter, may: (1) The duties of the State monitor shall be specified in a written agreement between the Department and the State monitor and shall include but are not limited to: (c) Issuing written reports to the Department and the nursing[facility]nursing home,detailing the findings of the on-site inspections and the status of[recommended actions that]requirements andrecommendations forthe[facility shall complete]nursing hometo achieve compliance. (5) A call system shall provide visual lights at corridor intersections, in multi-corridor nursing units. 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. The search provides a list of Subtitle Chapters. (2) Plumbing and water supplies shall be protected against backflow within a nursing home. The[facility]nursing homeshall give appropriate health care information to such volunteers to provide maximum protection to residents. A physician in attendance must report positive syphilis tests for patients, pregnant women, and infants, and must notify the health officer if a patient who tests positive fails to return for medical observation. (f) Residents beds may not belocated near radiators, registers, or sources of draft. (d) Theminimum horizontaldimensions of a bedroom areto be 10 feet to: (i) Facilitate the placement of beds as required inRegulation .44of thischapter;and. [These facilities]. For questions or . The humidity shall be controlled according to the guidelines prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. (i) Successfully completed the required course; (ii) Maintains certification as required by the certifying board for the Association of Nutrition and Foodservice Professionals; and. 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. This action was considered by the Board of Nursing at a public meeting held on March 22, 2017, notice of which was given by publication on the Board's website in January, February, and March 2017 at . [The location of thefood serviceareshall be approved by the Department. We're available on the following channels. There are currently 36 subjects and 101 Articles in the Annotated code. F. Employee Health Oversight. E. Completion of Records and Centralization of Reports. (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. H. Director of Nursings Continuing Education. 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.]. (b) Guideline for Infection Control in Health Care Personnel. (1) The building and all its parts and facilities shall be kept in good repair, neat,and attractive. Order forms can be downloaded from the Division of State Documents . Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. (17) Discharge means the removal of a resident from a nursing home when the releasing nursing home is no longer responsible for the residents care. The University of Maryland Francis King Carey School of Law is one of seven professional and graduate schools at The University of Maryland Baltimore (UMB).For more help crafting your Fordham supplemental essays, create your free account or schedule a free advising consultation by calling (844) 343-6272 How to Write the Fordham University Essay . of Legislative Audits operates a toll-free (1)If no approved public sewerage system is available, a private sewage disposal may be accepted, if approved by the Department. An evaluation of foreign education is required to complete an endorsement application (COMAR 10.27.01.09A (4). (d) The plumbing fixture for the utility or service sink within a janitors closet must be provided with a back-flow prevention device. A nursing home shall be equipped with a properly maintained and operational central heating system. C. Call SystemNew Construction. D. Call SystemExisting Facilities. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. Please enable scripts and reload this page. (18) Discipline means the medical, rehabilitative, nursing, dietetic, activities and social service components affiliated with the operation of a nursing home. The medical director shall actively participate in the, (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. (b) Controlled medications to be stored within medication storage cabinets in a residents room shall be held within a separate compartment that is locked and inside of the larger medication storage cabinet in that room. (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. If the comprehensive care facility or the extended care facility is sold, leased, discontinued, the operation moved to a new location, the license revoked, or its renewal denied, the current license immediately shall become void and shall be returned to the Secretary. (60) Qualified social work consultant means an individual who: (a) Is a licensed certifiedsocial worker; and. The sounding of the audible signal shall be continuous or intermittent until answered. Written Policies. The activities shall be designed to promote the general health[,]andphysical, social, and mentalwell-being of the[patients]residents. A freezer is a cold place in which the temperature is maintained thermostatically between[-20C and -10C (-4 and -14F)]-4F and -14F or -20C and -26C. to provide constituents, businesses, hotline in the past has helped to eliminate The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. Complete transcripts from all Nursing Schools/Programs will need to be emailed to the Maryland Board of Nursing Endorsement Unit. (5) Janitors ClosetNew Construction. responsive, accurate and consistent, [(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. (3) Approaches to accomplishing each goal shall be established. The nursing. The Board: protects the public from unsafe nursing practice, provides approval for more than 200 nursing education programs, issues licenses to more than 27,000 nurses per year by examination to new graduates and by endorsement to licensees from other states seeking a Texas license, as well as providing nursing practice and education guidance . 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. Aresidentshall be provided with the following furnishings, which shall be convenient to theresident: (iv)A chest of drawers with at least one locking drawer; (vi) A wallmirror in each room,unless contraindicated by physicians order; and. [Records shall be maintained]. (2)Theadministratorshall[to]obtain specific items required for individual cases where requested by the attending physician or[supervisor of care services]medical director. that might be grounds for action under 8-316 or Subtitle 6A of this title, the The[facility]nursing homeshall ensure that: (1)The nurse manager or the director of nursing of vent units has a background in ventilator care or is qualified in ventilator management; [(1)](2)Respiratory care services are provided by a sufficient number of qualified personnel;and. The director of a medical laboratory defined at Health-Gen 17-201(b)(1) as any facility, entity, or site that offers or performs tests or examinations in connection with the diagnosis and control of human diseases or the assessment of human health, nutritional, or medical conditions . Please see the Nurse Practice Act 8-505.Report of certain (1) A new nursing home shall be constructed, equipped, and maintained to protect the health and safety ofresidents,personnel, and the public. A. 100-07 State Operations Provider Certification (Transmittal 126, November 26, 2014, U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services); (3) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007); (4) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. C. Effective January 1, 2005, the facilitys infection control coordinator shall attend a basic infection control training course that is approved by the Office of Health Care Quality and the Office of Epidemiology and Disease Control Program for the Department. (b)The transfer of any stock which results in a change of the person or persons who control the[facility]nursing home, or a 25 percent or greater change in any form of ownership interest, constitutes a sale. (43) Nurse practitioner has the meaning stated in Health Occupations Article, 8-101(k), Annotated Code of Maryland. ]; [(13)](12)Reports and action required in unusual circumstances[. (13) Supervision of certified medicine aides to ensure that the aides act within the limitations and restrictions placed on them. It looks like your browser does not have JavaScript enabled. (g) Storage for trays, tableware, flatware, and utensils. Maryland Board of Nursing Minimum Requirements. (6) Assistingresidentsto adjust to their disabilitiesandensuring availability anduseoftheir prosthetic and assistive devices. (ii) Ahand washing sink equipped with[4 inch wrist blades,]goose-neck spout,[and]separate soap dispensers,anddisposable papertowel dispensers. If the patient becomes too difficult to manage, the patient shall be transferred to a suitable facility selected by the attending physician. (3) Submit a copy of the medical directors credentials to the Department upon: (a) The first license renewal of the[facility]nursing homeafter the effective date of this regulation; and. C. A new nursing home shall adhere to the requirements of this chapter. Issue/renew Prescriptive Authority Recognition to Advanced Practice Registered Nurses meeting approved standards. The basic nursing curriculum covers two academic years, is approved by the Maryland Board of Nursing, and is accredited by the National League for Nursing Accrediting Commission. Again, there are objective tests to determine this. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department.]. In new construction, facilityshall provide a lobby area. (2)When[the director of nursing serves]servingas relief for the administrator,[he]the director of nursingshall designate an experienced, qualified registered nurse to direct the nursing service. Agency Note: The following equipment is recommended: dwashing sink with soap and towel dispenser or approved drying device. The Board concluded that reliance on any one institutions terminology would result in uneven reporting. C. Body Holding RoomExisting Nursing Home. (1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. The relief director of nursing shall be freed from other responsibilities. (b) The nursing homeshall be readily accessible tothe[rehabilitation patients]residents receiving rehabilitative services. D. On regulated industries or trade groups: Nursing homes who hire or contract LCSW or LCSW-C. F. Direct and indirect effects on public: III. Helen Bowlus, Assistant Attorney General and advisor to the Maryland Department of Health and Mental Hygiene, has advised us that subjects enrolled in research protocols may in many cases be considered under care, and that no categorical exclusion from reporting requirements exists for providers who are conducting research. accessible and convenient, and Virginia Board of Nursing Jay P. Douglas, MSM, RN, CSAC, FRE, Executive Director Brandon A. Jones, MSN, RN, CEN, NEA-BC, President . You may be trying to access this site from a secured browser on the server. 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) Haveartificial light adequate for reading and other uses as required. (1) The Commission, through the Department, shall certify a facility or center to perform dialysis upon determination that the facility or center meets the standards adopted by the Commission, including: (a) 42 CFR 494.1494.110, as amended; and. [(19)](18)[Patient]Residentcare management. Yes. [Adequate]The nursing home shall provide adequatespace and a variety of supplies and equipment[shall be provided by the facility]to satisfy the appropriate individual activity needs of[patients]residents. D. It is estimated that 25 percent of nursing homes currently have a licensed social worker (Bachelors level degree). [(g)](h)Storage under Non-specific Conditions. ]; [(5)](6)[The]Verifiedlicensure of personnel employed[as registered or licensed practical nurses shall be verified by the facility. A. The statutory language implies but does not specifically require a patient-provider relationship, so it is possible that the duty to warn might be found to extend to certain research settings involving investigators who are mental health providers. (5) An electrically powered call system shall be connected to the emergency power supply. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. (b) A nursing home shall register at least four representatives, including the administrator and the director of nursing. (1) New Construction. The activating device for those signals shall be located in each patients room and each and every bathing compartment and toilet room or compartment used by patients. The[facility]nursing homeshall select[a resident]eligibleresidents based on the: E. State-Approved Training. In a culture change nursing home, service areas shall be provided for resident care needs as approved bythe Department. (b) Is paid by a nursing home to feed residents who are unable to perform the task themselves. responsive, accurate and consistent, (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. Dry Food Storage. (2) Private water systems shall comply with all federal, State, and local requirements. The administrator shall[be]: (2) Bein good physical and mental health[,];and[shall demonstrate]. As an example, click only Title 20, then in the search box, type submeters. The search would take you directly to Title 20, Subtitle 25. (6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. (47) Occupational therapist means an individual who is currentlylicensed by theStateBoard of Occupational TherapyPracticeas a registered occupational therapist. Complete the mandatory pre-license education hours (RN and LPN) or Maryland School of Health Professions equivalent coursework to be accepted by the Maryland Board of Nursing. (1)To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. [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. Copyright Maryland.gov. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. (2) A facility with more than 120 beds must employ a qualified social worker on a full-time basis. Police Officer. (5) Timely admission to the hospital when the attending physician determines acute hospital care is medically appropriate; C. Exception for Comprehensive Care Facility. and maintain written documentation of each employees proof of immunity to common childhood infections including measles, mumps, rubella, and chickenpox (varicella). A. To provide for this, a nursing home shall have at least one private bedroom with an attached private bathroom that includes a: [.22] .38Reports and Action Required in Unusual Circumstances. A handsink with hot and cold running water shall be convenient to the nurses station. However, the national certification agency you are registered with will have requirements that you must complete. All rights reserved. Therapeutic diets shall be planned, prepared, and served as prescribed by the attending physician: (1) Therapeutic diets shall be planned by alicensedregistered dietitian[or other qualified person]; (2) Preparation and serving shall be supervised by a qualified dietetic supervisor;and. (15) Department means the Maryland Department of Health. Sufficient areas shall be provided to accommodate all necessary office furniture, files, and other equipment[, including provision for]and enablethe safe storage of[patients]residentsvaluables. The nursing[facility]nursing homeshall: (1) Designate a medical director who has at least the following qualifications: (b) At least 2 years of experience or specialized training in the medical care of geriatric or chronically ill and impaired residents;and. A. (1) A nursing homeshallhavesufficient lighting at night inthe followingareas: (c) Designated toiletsof the nursing home for the safety of theresidentwhogetsup during the night.

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