(2) The air conditioning system shall be in compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and all federal, State, and local codes. (ii)Those disciplineswho provided the service. B. 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). 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. (2) The course content shall adhere to the[Geriatric Nursing Assistant Program]geriatric nursing assistant training programcurriculumapproved by the Maryland Board of Nursing[in Regulation .40 of this chapter]. A. B. (2) Ifcorrected, will result in an unreasonable,substantial financial burdenon the nursing home. (c)For purposes of Life Safety Code enforcement, the[facility]nursing homeis considered[as]to bean existing[facility]nursing homeif it has been in continuous use as a nursing home. fraud hotline to receive allegations of printed copies of the Nurse Practice Act and Regulations can be Skills Agile SAFe Product Owner / Product Manager certified Pragmatic Institute Management Certified: PMC-I Product Management Director Product Manager Product Owner Business Analyst<br>Project . Designated Staff Responsibility. (3) Local Law or Ordinance, Where Applicable. with rehabilitation areas shall provide a, There shall be an allowance of at least 12 square feet per, C. Dayroom Area. C.Discrimination Prohibited. (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. (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. (3)Audiologist means an individual who holds a Maryland license issued by the State Board of Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists. accessible and convenient, and SS-07, Centers for Disease Control and Prevention (CDC), Atlanta, GA). (2)A nursing home may not employ an individual as a geriatric nursing assistant until the individual has successfully completed a competency evaluation approved by the Maryland Board of Nursing. (2) The duty described under this section is deemed to have been discharged if the mental health care provider or administrator makes reasonable and timely efforts t. (i) Seek civil commitment of the patient; (ii) Formulate a diagnostic impression and establish and undertake a documented treatment plan calculated to eliminate the possibility that the patient will carry out the threat; or. 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. Filing a Complaint. friendly and courteous, timely and Boiler rooms shall be provided with sufficient outdoor air to maintain combustion rates of equipment and to limit temperatures in working stations to 97F or 36C. (10) Table 1. (1) The nursing home shall providean administrative area[shall be provided which]thatis suitable for conducting business or discussing[in privacy problems]problems privatelywith the[patients sponsor]residents representative. [(5)](4)The[facility]nursing homeshall assess and manage a resident with a history ofaprevious positive tuberculin skin test,a history of latent infection, or aprevious history of active tuberculosis,[or positive skin test conversion]in accordance with Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities]Settings. immediately give the required information to the institution head/designee. 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. 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.]. There shall be a separate entrance into each room]. (d) "Board" means the State Board of Nursing. All rights reserved. (4) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007). (7) Certified social worker means an individual licensed to practice as a certified social worker in this State. JavaScript is required to use content on this page. [The location of thefood serviceareshall be approved by the Department. The[facility]nursing homeshall establish,implement, andmaintain[, and implement]aneffective infectionprevention andcontrol program that: (3) Maintains a record of infections in the[facility,]nursing homeand the corrective actions that were taken related to infections; and, (a) Effectiveness of the infectionprevention andcontrol program by surveying rates of infection, especially of[those residents who have an especially high risk of]infectionrates that are significantly higher than usual; and. (1) Medications, legend and non-legend, administered to residents shall be ordered in writing by the residents physician. (1)The[facility]nursing homeshall[inquire about a history of varicella for each new employee. (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. No. The[facilitys]nursing homesquality assurance committee shall develop and implement a quality assurance plan that includes procedures for: B. Concurrent Review. The Maryland Board of Nursing does Thus, if the reason is not one of the 14 listed in COMAR 10.32.22.03B (1) to (14), reporting entities should contact Board staff to determine if the underlying reason for the change falls into this 15th category. non-renewed or expired. (3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (e) Communication and interpersonal skills. Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. Alternative means to provide drinking water to residents, staff, and the general public may be used as approved by the Department. (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. 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. (6)The number of daily admissions of[patients]residentsshall be controlled to allow sufficient time for on-the-job training. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference. (3) Demonstratea genuine interest in the well-being and welfare of[patients]residentsin the[facility]nursing home. To Search COMAR online, go to the MD Division of State Documents website. A person maintaining or operating a nursing[facility]homewithout a license is guilty of a misdemeanor, and, on conviction, is liable for a fine of not more than $1,000 for the first offense and not more than $10,000 for each subsequent convictionin accordance with Health-General Article, 19-358, Annotated Code of Maryland. There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. The person in charge of the service to which the employee is assigned shall. Please fill out the form. [.29].52Equipment and Supplies for Bedside Careand Therapy. input into the contents of the orientation program; the number of hours of orientation required for the various levels of. resources. A nursing home shall provide cubicle curtains and tracks in multiple occupancy bedrooms between beds to insure privacy of residents. (40) New nursing home means a nursing home that does not yet have plans approved by the Department at the time of the adoption of this chapter. (1)If no approved public sewerage system is available, a private sewage disposal may be accepted, if approved by the Department. (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. (3) BedroomExisting Construction. The nursing home shall meet the requirements for handling, treatment, and disposal of special medical wastes as provided in COMAR 10.06.06. If the applicant was advised to withdraw the application by anyone in the hospital, this should be reported. (5) The pharmacy shall be responsible for delivering medications to the nursing home. Apply the definitions in the regulations. [B.] (19) Distinct part extended care facility means a portion of a nursing home that is licensed as an extended care facility. (3) A call station shall provide readily accessible and detachable extension cords to each residents bed in the residents rooms at all times. Educator. (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. (vi) Appropriate use of antiseptics and disinfectants[.] B. (3) The use of an approved wireless call system shall eliminate the need to install call light indicators outside the residents bedrooms, bathrooms, bathing areas, and therapy areas. A mental health care provider licensed under the Health Occupations Article or any institution or facility that provides treatment or services to individuals who have mental disorders has a statutory duty to warn of known threats of imminent physical injury: b) In general.- A cause of action or disciplinary action may not arise against any mental health care provider or administrator for failing to predict, warn of, or take precautions to provide protection from a patient's violent behavior unless the mental health care provider or administrator knew of the patient's propensity for violence and the patient indicated to the mental health care provider or administrator, by speech, conduct, or writing, of the patient's intention to inflict imminent physical injury upon a specified victim or group of victims. (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. [It]. It is not necessary to determine anyones subjective intent. (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. In our example, you can read each and then select Subtitle 25. Required . Copyright Maryland.gov. 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. If you EVER held a Maryland license and it is currently listed as Inactive, Non-Renewed, or Invalid, you must request a renewal packet from 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. (f) A joint between filter segments and the enclosing duct work shall be gasketed or sealed to provide a positive seal against air leakage. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. Current license with the Maryland Board of Nursing as Certified Nurse Assistant. (c) Aportablewindowair-conditioning unit may not block window space. (1) Plumbingshall be installed in conformance withallapplicable federal, State, and local codes and ordinances. (a) The emergency power source shall be a generating set and prime mover located on the premises with automatic transfer. [H.]I. The Maryland General Assemblys Office (b) The renewal application shall be submitted on, If the sale, transfer, assignment, or lease of a, The transfer of any stock which results in a change of the person or persons who control the, For purposes of Life Safety Code enforcement, the. Modification of the following minimum space will be made in the event that the facility can demonstrate that the use of convenience food, disposables, or equipment, require less space for operation. (2) Bedside hours include the care provided by: (3) Only those hours which the director of nursing spends in bedside care may be counted in the 3-hour minimum requirement. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. Nursing and dietetic services shall establish an effective policy toensurethat: (1) Nursingservicepersonnel are aware of the nutritional needs and food and fluid intake ofresidents; (2) Nursing service personnel providespecialmealsand nourishment when required; (3) Residents food choices and preferences are honored as much as practical; (4)Nursingservicepersonnel promptlyaid residentswhen necessary ineating; (5)The dietetic service is informed of physicians diet orders and ofresidentsnutrition-related issues; and. D. A federally certified nursing home shall: (1) Encode assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual; and. In new construction, facilityshall provide a lobby area. (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. (1) A nursing home shall be staffed with at least one registered nurse, 24 hours per day and 7 days per week. Virginia Board of Nursing Jay P. Douglas, MSM, RN, CSAC, FRE, Executive Director Brandon A. Jones, MSN, RN, CEN, NEA-BC, President . This table refers to the pressure relationships and ventilation of certain areas of a nursing home other than chronic disease hospitals. The mandatory reporting law, however, also is applicable to nursing homes and to any of the alternative health systems defined in 1-401 of the Health Occupations Article. (2) The agreement shall specify the duties of the director of nursing. 10.34.23 Pharmaceutical Services to Patients in Comprehensive Care Facilities, Effective September 16, 2013. 10.07.02.30 B Social Work Staff Responsibility. Staff working in laundry shall be given personal protective equipment, including: (d) All laundry shall be processed through the use of sufficiently hot water, chemical agents, or a combination of the both, to remove or destroy infectious biological materials. (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. (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. D.Humidity. You may be trying to access this site from a secured browser on the server. For general inquiries (Discipline): mbon.nursingdiscipline@maryland.gov. In existing facilities where a physical separation is not possible, exceptions as to approved laundry facilities may be made at the discretion of the Department. The employee may refuse to be immunized if medically contraindicated, against the employees religious beliefs, or after being fully informed], unless medically contraindicated, against the employees religious beliefs, or after being fully informed of the health risks of not being immunized. of Legislative Audits operates a toll-free (ii) The soiled area shall allow for sorting and washing soiled laundry. (2) The certification of the . [(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.] CCNE 2014 Self Study Appendices. (18) Discipline means the medical, rehabilitative, nursing, dietetic, activities and social service components affiliated with the operation of a nursing home. A. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. (iii) Provideofficespace for theemployedpersonnel[employed;]to work. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. 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. 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. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. Code Ann., Health Occupations Article, 8-302 (b) and (c).. You may be trying to access this site from a secured browser on the server. [.14-1].23Special Care Units General. The[facility]nursing homeshall develop a protocol for selecting residents who are appropriate for feeding by a paid feeding assistant. (2) If the nursing home does not employ a licensed pharmacist, the nursing home shall arrange by written contract for a pharmacy to provide consultation on administering the pharmacy services in accordance with the policies and procedures established by the pharmaceutical services committee. Emergency procedures shall be established and documentedthatenable the nursing home to provide water in all essential areas in the event of the loss of the normal water supplyor if the nursing home would have to shelter in place during an emergency or disaster. 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. Comprehensive care facilities and extended care facilities shall develop written policies, consistent with these regulations, to govern the nursing care and related medical or other services they provide covering the following: (1) Admission, transfer, and discharge policies including categories of patients accepted and not accepted by the facility, or those who are required to transfer to another level of care. (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. Exceptions may be made in part at the discretion of the Department for an individual facility only when the facility can demonstrate compliance with the intent of this section by showing an effective patient call system to provide quality patient care. Effective in 2013. E. Responsibilities of the Director of Nursing. The[facility]nursing homeshall provide or make arrangements for services to identify and meet the[patients]residentsmedically relatedphysical,social, and[emotional]behavioral healthneeds. (8) National Fire Protection Association, NFPA 101 Life Safety Code, which is incorporated by reference at COMAR 29.06.01.06. [New Construction. (4) A nursing home, whether or not operating a licensed pharmacy, shall maintain a signed record of a Schedule II count at each change of shift. (2)Theadministratorshall[to]obtain specific items required for individual cases where requested by the attending physician or[supervisor of care services]medical director. Unless otherwise indicated, all general requirements apply to both new constructionand anexisting nursing home. (4)In new facilities,the director of nursing and supervisors of[the various services,]dietaryservices, housekeeping, rehabilitationservices, and social services[,]shall be responsible for orienting the new[supportive]supportpersonnel to the[facilitys]nursing homepolicies and procedures and to the physical plant. Afacility which holds full licensure as of the adoption date of these regulations shall be considered as having an appropriately located food service area.]. The administrator shall employ sufficient and satisfactory licensed nursing service personneland support personnel to: (2) Provide appropriate bedside care; and. (46) Nursing service personnel means staff licensed or certified by the Maryland Board of Nursing. [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. ]; and. responsible for the control of the operation on a 24-hour basis, (b) With the exception of B(3) of this regulation, serve. The Maryland General Assemblys Office (1)The physician and the rehabilitation team members shall reevaluate the[patients]residentsprogress as necessary, but at least every 30 days. The signature of the programs teacher or trainer shall be required for authentication]. certain fraudulent activities and protect If the patient becomes too difficult to manage, the patient shall be transferred to a suitable facility selected by the attending physician. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. (3)The relief director of nursing shall be freed from other responsibilities. (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. [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. 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].
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