(4) The[facility]nursing homeshall require employees to perform hand hygienebefore andafter each direct resident contact for which hand hygiene is indicated by accepted professional practice. (d) Theminimum horizontaldimensions of a bedroom areto be 10 feet to: (i) Facilitate the placement of beds as required inRegulation .44of thischapter;and. The administrator shall[be]: (2) Bein good physical and mental health[,];and[shall demonstrate]. In some cases, the statutory language that requires reporting seems to contemplate the existence of a patient-provider relationship, while in others the reporting requirements apply broadly to any person, which would include members of the research team. truthful and transparent services. . Information reported to the 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 . . B. friendly and courteous, timely and Standardized recipes are those recipes which have been tested by the[facility]nursing homeor another source[which assureconsistency in]and that ensureconsistentquality and quantity. A physician in attendance upon a patient having syphilis shall request the health officer to conduct a contact investigation or report to the health officer any untreated individual identified as having had potentially infectious contact with an individual having syphilis. (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. Anyone not on the committee shall be informed of how to present and submit concerns to: (3) A member of the family council if one exists. 410.764.4777 | Toll Free 800.492.6836 (b) Laundry service shall be provided to meet the residents needs. (3) At least one nourishment pantry convenient to the nursing station shall be provided on each floor in facilities using a centralized food service system. (2) May not be more than 36 inches high as measured from the floor to the top of the handrail. In cases where the facility has an individual providing medically related physical, social, and behavioral health needs of the residents that is not licensed but was providing the services both before and at the time of the adoption of this proposal, they are exempt from this requirement. If you have the exact number, subtitle, and chapter, type it in. InfectionPrevention andControl Program. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA). (6) A call system shall be provided in each residents bathroom and bathing area in locations accessible to the residents. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. (35) Licensed practical nurse means an individual authorized to practice licensed practical nursing under Health Occupations Article, Title 8, Annotated Code of Maryland. The[goal]goalsshall be realistic, practical, and tailored to the residents needs. This map shows you which states are currently in the NLC. Residents shall be given the opportunity to participate in planning menus. (67) Residents representative means a person with the authority to act on the residents behalf regarding the matter at issue. (1) The nursing home shall return all prescribed medications, for residents who have been discharged or otherwise departed, to the pharmacy in accordance with the nursing homes policy. accessible and convenient, and (36) Management firm means an organization, under contract with an applicant for a license or a current licensee, that is intended to have or has full responsibility and control for the day-to-day operations of the nursing home. E. Quality Assurance. [Comprehensive care facilities or extended care facilities]A nursing homelocated inapolitical[subdivisions]subdivisionwhich[require them]requires itto meet certain standards shall submit proof to the Secretary that[they meet]the nursing home meetslocal laws, regulations, or ordinances at the time application for license is submitted. (2) A facility with more than 120 beds must employ a qualified social worker on a full-time basis. Licensed, (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is. (1) For every four licensed beds, there shall be at least one hand washing sink. B. (e) Contains a refrigerator to be used for medication storage only. 201 W. Preston Street, Baltimore, MD 21201-2399, COMAR 10.01.07 Petitions for Adoption, Amendment or Repeal of Regulations, MDHPolicy 02.10.01 Policy For Regulations, MDHProcedures 02.10.01.P1 - Procedures For Regulations, State Government Article, 2-102, Annotated Code of Maryland, MDHPolicy 02.10.03 MDHPolicy On Policies, RR&EA - Work Plans and Evaluation Reports, Regulatory Review and Evaluation Act (RREA General Information). (a) Orient staff to the emergency and disaster plan and to their individual responsibilitiesin relation to the planwithin 24 hours of the commencement of job duties;[and], (b) Document completion of the orientation in the staff members personnel file through the signature of the employee; and. There shall be provision for the laundering of patients clothing. (7) Recommended Dietary Allowances (10thEdition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). In laundries in new facilities there shall be a physical separation between the clean and soil areas. (c) The nursing home shall provide heated toilet rooms adjacent to the common areas of refuge. 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.. (7) In cases where the cost of any medication obtained from the pharmacy selected by the resident exceeds the cost of the same or equivalent medication available through a pharmacy that the nursing home has contracted with to provide pharmaceutical services, the resident shall be responsible for the additional amount. (2)Soiled containersshall be thoroughly scoured and aired before using again. Masks are required inside all of our care facilities. A. Attach documentation supporting your allegation (i.e. 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 . (2) A nursing home shall develop and implement a method forbody holdingthat minimizes the psychological effects on other residents. (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. There shall be sufficient[supportive]supportstaff to accomplish all medical[record]recordsfunctions. There are currently 229 licensed nursing homes of which 75 percent or 172 nursing homes would need to hire or contract with a licensed social worker to comply with the regulations. In addition, any withdrawal or denial of an application made for any of the three reasons listed in COMAR 10.32.22.03C(6) need not be reported. Please enable JavaScript in your browser. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. Searching Code of Maryland Regulations (COMAR) 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. Police Officer. (ii) The nursing home shall make its residents personal furnishing policies available for review by residents and the residents representative. American Song Book Lincoln Center, New York, NY Saturday, Feb 6, 2016 8:30 PM A Room of My Own June Havoc Theatre, New York, NY Friday, Feb 13-March 13, 2016. . [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. A nursing home shall develop written policies consistent with Regulation .11 of this chapter pertaining to: [(3)](2)[Patients]Residentsrights[. The[facility]nursing homeshall complete all assessments in accordance with the provisions of 42 CFR[]483.20[and 413.343],as amended. [.16].28Laboratory and Radiologic Services. accessible and convenient, and (1) Administrator means the individual licensed by the Board of Examiners of Nursing Home Administrators who is responsible for the operation of the nursing home. (a) The emergency power source shall be a generating set and prime mover located on the premises with automatic transfer. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. (29) Licensed bachelor social worker (LBSW) means an individual authorized to practice bachelor social work under Health Occupations Article, Title 19, Annotated Code of Maryland. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. 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. [E.]D.Drinking Fountains. A. (1)New Construction. (1) Medications shall be accurately and plainly labeled. The responsibilities of the director of nursing shall include: (1) Assisting in the development and updating of statements of nursing philosophy and objectives to define the type of nursing care the nursing home shall provide; (2) Preparation of written job descriptions for nursing service personnel; (3) Planning to meet the total nursing needs of residents to be met and recommending the assignment of a sufficient number of supervisory and support personnel for each tour of duty; (4) Development and maintenance of nursing service policies and procedures to implement the program of care; (5) Participation in the coordination of resident services through appropriate staff committee meetings on issues relating to: (6) Cooperation with administration in planning the orientation program and the staff development program to upgrade the competency of personnel; (7) Assurance that nursing personnel understand the philosophy and meet the objectives; (8) Participation in planning and budgeting for nursing services; (9) Establishment of a procedure to ensure that nursing service personnel, including private duty nurses, have valid and current Maryland licenses; (10) Execution of resident care policies unless delegated to the principal physician or medical director; (11) Participation in the selection of prospective admissions to ensure thatthenursing homes staff is capable of meeting the needs of all residents admitted; (12) Coordination of the interdisciplinary resident care management efforts; and. [.07].09Administration and Resident Care. The Maryland Board of Nursing requires applicants for Temporary licenses to use a permanent Mailing Address when completing the application for licensure. 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. Please enable scripts and reload this page. (3) If a controlled dangerous substance is destroyed on the nursing home premises in accordance withF(2) of this regulation: (a) A record of the disposal, in addition to any other required records, shall be maintained in the nursing home; and. The State of Maryland pledges 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. If the social worker is not a licensed certified social worker LCSW or a licensed certified social worker-clinical LCSW-C, the facility shall provide for an LCSW or LCSW-C to provide sufficient hours of supervision. As of November 1, 2016, there were 229 licensed nursing homes, with an estimated 172 nursing homes that would be out of compliance after January 1, 2021. [There]The nursing homeshall[be provided]provideone or more attractively furnished areas of adequate size for resident dining, occupational therapy, and social activities. (43) Nurse practitioner has the meaning stated in Health Occupations Article, 8-101(k), Annotated Code of Maryland. (2) The janitors closet or service alcoveshall be[equipped]: (iii) Arack for hanging brooms and mops; and. G. Admissions Procedures for Patients With Communicable Diseases. For example: Type in Consumer Protection and you will see eleven (11) different Titles covering this topic. Licensed[comprehensive care facilities and extended care facilities]nursing homesand any premises[proposed]that an applicant for a license proposes to[be operated by an applicant for a license]operate shall be open at all times to inspection by the Secretary and by any agency designated by the Secretary. (1) A nursing homeshallhavesufficient lighting at night inthe followingareas: (c) Designated toiletsof the nursing home for the safety of theresidentwhogetsup during the night. Contents of record shall, (1) Identification and summary sheet or sheets including, (2) Names, addresses, and telephone numbers of referral agencies, D. Consultation. (ii) A curriculum approved by the Department or its designee; [(d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department.]. A. The federal regulations only require the employ of a qualified social worker (a bachelors degree in social work or a bachelors degree in a human services field) if the facility has more than 120 beds. The State of Maryland pledges [A.] (a) Air handling duct systems shall meet the requirements applicable to nursing homes cited in NFPA 99 Health Care Facilities Code. (58) Protective device means any device or equipment: (b) That limits, but does not eliminate the movement of the residents head, body, or limbs; and, (ii) Prevents a resident from aggravating an existing physical problem; or. After registering with NCLEX you will receive an Authorization To Test letter (ATT) F. Space, Supplies. [E.]I. (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. records, Medication Administration Records (MARs) and controlled substance The resident care management system shall. (3)The Department may requirethat the nursing home havespecific types of equipment based on the needs of the[patients]residents. (3) Areas that meet this requirement may include: (b) Lobbies, portion not required for egress per NFPA 101 Life Safety Code, as are applicable to nursing homes; (m) No more than 50 percent of the floor area of all occupational therapy and physical therapy areas, and other areas as approved by the Department. 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]. Responsibility to Report CarethatIs Considered Questionable. Welcome to the Maryland Board of Nursing Temporary Nurse Aide Pathway for CNA/GNA Certification. (1)A nursing home shall be equipped with a properly maintained air conditioning system. Order forms can be downloaded from the, 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee, Division ofState Documents' Maryland Department of HealthPublications, FAQ: End Stage Renal Disease (ESRD) Setting, Frequently Asked Questions regarding activities of the Registered Nurse, Case Manager/Delegating Nurses (RN CM/DN) in Assisted Living, Frequently Asked Questions Developmental Disabilities (DD) Practice Setting, Delegation of Nursing Functions in Dialysis Settings. (2) For hand washing purposes, there shall be a towel dispenser and a supply of paper towels and soap dispenser adjacent to each sink. [By January 1, 2001, each facility]A nursing homeshall establish an effective quality assurance program that includes components described in this regulation and Regulation[.46].65of this chapter. 2. Please enable JavaScript in your browser. D. A licensee[aggrieved by]that disagrees withthe imposition of a sanction under A(1) or (5) of this regulation may appeal the Secretarys action by filing a request for a hearing in accordance with Regulation[.59].78of this chapter. Records for all[Patients]Residents. Maryland Department of Health Regulations Home (f) Any other serious occurrence that threatens the welfare, safety, or health of any resident. (1)Nursing service personnel shall provide care appropriate to theresidentsneeds with the organizational plan, authority, functions, and duties clearlydefined.