maryland board of nursing reporting requirements

responsible for the control of the operation on a 24-hour basis, (b) With the exception of B(3) of this regulation, serve. A. In this regulation, the term committee means the pharmaceutical services committee. Contact us via email: OPC@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. (b) Receives nursing services rendered by or under the supervision of a registered nurse. (i) Each bed providedshall bein good repair, witha cleanandcomfortable standard sizemattress and foundation. fraud hotline to receive allegations of (1)Covers shall be placed on hot[water bottlesand,ice caps]packs, ice packs and other temperature-related therapeutic medical devicesbefore they are placed in a bed or on a[patient]resident. Clean linen shall be stored separately from[non-clean]uncleanitems. (b) Receive signals originating from residents bedrooms, bathrooms, bathing areas, and therapy areas. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. (b) Medicine storage cabinet with locks. G. Appropriate Care of Residents. Yes. truthful and transparent services. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. This program shall consist of: (a) An explanation of organizational structure, policies, and procedures; (b) Discussion of the philosophy of care; (c) Description of the resident population; and. (3) Local Law or Ordinance, Where Applicable. Except for a designated anonymous HIV test site, a facility or office that orders a test for HIV and receives a test result that documents the presence of HIV as defined by the CDC laboratory criteria shall, upon the Secretary's request, make available to the Secretary, or an agent of the Secretary, the information necessary to compile an HIV/AIDS case report. B. One public drinking fountainor comparable equipment as preapproved by the Departmentshall be provided[one]oneach floor, usablefrom a wheelchair. (3) As requested by the Department, the administrator or his designee shall telephone the Departments central bed registry, advising the Department of: In-service training shall include at least: H. Employment Records. 18008 Bothell Everett Hwy SE # F, Bothell, WA 98012. [.11-2].17[Facilitys ]Nursing HomesResponsibilities in Relation to the [Facilitys]Nursing HomesMedical Director. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. (c) Other legal representatives as set forth in COMAR 10.07.09.08 and authorized by law to obtain access. mbon.complaintsinvestigations@maryland.gov. The facility may use an outside program if it has been reviewed and approved by the Department.] (1) Nomenclature. [(3)](c)All electrical equipment shall be[periodically]testedperiodicallyfor proper grounding, current leakage, and calibration where appropriate. The resident care management system shall. D. Preventative Maintenance Program. (b) An interferon-gamma release assay (IGRA) blood test. If the employees history is unclear, then the facility shall request a serology for varicella. actions or conditions. [(5)](6)Pest Control. (2) The agreement shall specify the duties of the director of nursing. The State of Maryland pledges (10) The committee shall oversee the accuracy and adequacy of pharmaceutical services to the nursing home. OHCQ estimates that 172 nursing homes would need to hire or contract with a licensed social worker. Copyright Maryland.gov. A. (3) The nursing home shall only release prescribed medications to residents at the time of discharge based on the written authorization of the residents authorized prescriber. . and Related Areas. nursing assistant. copies of patient There shall be provision for the laundering of patients clothing. A handsink with hot and cold running water shall be convenient to the nurses station. Upon successful completion of the curriculum, the graduate is granted the AS in nursing and is eligible to take the state board examination for registered nurse licensure. (b)The janitors closet shall be equipped for[handwashing]hand washing. (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. B. records, name and/or statements of witnesses and/or persons involved, Federal regulations require that certain services be provided by a qualified social worker, the employee would have to represent themselves as a qualified social worker and thus under Maryland law, the employee would have to obtain a license to practice social work. printed copies of the Nurse Practice Act and Regulations can be 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. (1) At least one licensed nurse shall be: (b) Be designated by the director of nursing to be in charge of the nursing activities during each tour of duty. 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]. (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. Research Exception: The requirements for reporting HIV+ test results do not apply when the test is conducted as part of research conducted by an institution within Maryland under the following conditions: (a) All personal identifiers are removed from the specimen before testing; (b) The specimen cannot be linked to the individual from whom it was taken; (c)The test result cannot be linked to the individual from whom the specimen was taken; and (d)The research protocol has been approved by an institutional review board. 410-402-8015 Toll Free 877-402-8218 TTY 800-735-2258 . [The following guidelines shall aid the facility]The nursing home shall refer to the following guidelinesin implementing its employee health program: (2) Immunization of[Health-CareWorkers]Health CarePersonnel:Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC);and, (1) The infection control program shall include a risk assessment program, including monitoring for tuberculosis infection for employees that is in accordance with the[following guidelines:]. (54) Physician assistant has the meaning stated in Health Occupations Article, 15-101(o), Annotated Code of Maryland. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. Because specific temperatures are often required for the safe storage of drugs, the. A facility which holds full licensure as of the adoption of these regulations shall be considered as having an adequate size dietetic service department. (1)At least three meals or their equivalent shall be[served]offereddaily, at regular times,with not more than 14-hour intervals between the substantial evening meal and breakfast. An occurrence of a confirmed or suspected infection shall be reported and acted on in accordance with COMAR 10.06.01 and COMAR 10.15.03. (d) Be protected to prevent the entry and harborage of rodents and insects; (i) Screen doors that fit tightly when closed; (ii) Easily adjusted closely fitted window screens; (f) Effectively protect all openings to the outside against the entry of insects by: [C. Laundries-New Facilities. Menus shall be written at least 1 week in advance. 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. Written Policies. (3) Prevention of backflowshall beensured by proper installation of: C.Sewage. Professional specialty certifications may be required, in accordance with departmental standards or role . Records for all[Patients]Residents. The identity of the specified victim or victims, Injuries Apparently Caused by Auto Accidents ,Lethal Weapons, Gunshots, Burns, or Moving Vessels, Health Gen 20-702 (moving vessel injuries), In Allegany, Anne Arundel, Charles, Kent, Montgomery, Prince Georges , Somerset, Talbot, and Wicomico Counties, a physician, pharmacist, dentist or nurse who treats an individual for an injury that shows evidence of having been caused by an auto accident or lethal weapon shall notify the county sheriff, police, or state police as soon as practicable., Syphilis: Failure to comply with medical observation; contact reporting; positive serological test for mother or infant. (1) An existing nursing home that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing. (1) Nursing homes shall provide at least the following supervisory personnel: (2) The director of nursings time is included in A(1) of this regulation. These written procedures shall: (1) Be a part of the nursing homes Emergency and Disaster Plan, in conformance with Regulation .40 of this chapter; and. A[facility]nursing homewhich holds a current and valid operating license may establish special care units with the approval of the: (1)Office of[Licensing and Certification Programs and the Departments Division of Engineering and Maintenance]Health Care Quality;and. (1)The[facility]nursing homeshall[inquire about a history of varicella for each new employee. (8) The nurses call system shall require resetting at the station where the call originates. [A. (3) The[facility]nursing homeshall prohibit employees with[a communicable]an infectiousdisease or with infected skin lesions fromhavingdirect contact with residents or their food if direct contact could transmit the disease. A physician in attendance upon an infant born to an untreated woman with a positive serological test for syphilis shall report test results for the mother and infant to the health officer immediately. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. (6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. 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. (2)A nursing home desiring to provide services other than thosefor which it is alreadylicensed shall obtain prior approval from the Department. customers, and stakeholders with (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. Complete the form below for state-specific nurse licensure . A. [B. JavaScript is required to use content on this page. It looks like your browser does not have JavaScript enabled. C. Lobby Area. (1) Emergency Power. 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. ]; and. Notification of Responsible Persons When[Patient]ResidentMoves. Exceptions[may], such as in a culture change setting,shallbe[made only upon]based onthe written approval of the Department. B. An interdisciplinary team shall complete. The mandatory reporting . A. F. Employee Health Oversight. (1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. Comments will be accepted through, (b) Is a graduate of a certified dietetic technician program approved by the, (47) Occupational therapist means an individual who is currentlylicensed by the, (48) Occupational therapy assistant means an individual who is currentlylicensedby the, (1) The Secretary may issue a license to a, (d) If new construction is completed to the point of being able to provide all necessary services to its residents but certain substantial items of equipment, (1) An applicant desiring to open a comprehensive care facility or an extended care facility. (1) A sufficient number of food service personnel shall be employed to[carry out]performefficiently the functions of the[dietetic]food and nutritionservice and meet the dietary needs of the[patient]residents. The nursing home shall meet the requirements for handling, treatment, and disposal of special medical wastes as provided in COMAR 10.06.06. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation. Standardized recipes adjusted to appropriate yield shall be followed. The Department in these cases may require additional space to be provided.]. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. (a) Resident Assessment Instrument (RAI) meansa standardized and reproducible resident assessment process based on completion of Minimum Data Set (MDS) screening items, and including the MDS Care Area Assessment process, and related process for care planning and evaluation. Please enable scripts and reload this page. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. (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. An occurrence of a communicable or suspected communicable disease shall be reported and acted upon in accordance with medical asepsis as described in COMAR 10.06.01 Communicable Diseases and COMAR 10.15.03 Food Service Facilities. Arrangements shall be made, when necessary, for the. (15) Department means the Maryland Department of Health. (g) A manometer shall be installed across each filter bed serving central air systems. SS-7, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (6) National Fire Protections Association, NFPA 99 Health Care Facilities Code (2015 Edition); and. (3)In new construction,thenight light shall be switched at theresidentroom door. Please turn on JavaScript and try again. purchased at the Division of State Documents in person, by internet, or A The nurse is responsible for the cost of the evaluation and the drug screens. (1) All policies and procedures for the mobile food cart shall be approved by the Department and the nursing homes local health department before implementation. E. Character. The[facility]nursing homeshall[request]requirethat all new employees receive immunization for Hepatitis B[. The Maryland General Assemblys Office Provision for Dental Care. Unless otherwise indicated, all general requirements apply to both new constructionand anexisting nursing home. (3)The relief director of nursing shall be freed from other responsibilities. We're available on the following channels. This program shall include: (1) Periodic service and testing of items as recommended by manufacturers of at least the following: (e) Resident bathing and shower equipment; (2) Ongoing staff monitoring for evidence of malfunction or deterioration; and. The humidity shall be controlled according to the guidelines prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Please turn on JavaScript and try again. (c) Successful completion of a curriculum in physician management or administration from[the American Medical Directors Association or another curriculum approved by the Department or its designee; and]: (i) AMDA: The Society for Post-Acute and Long-Term Care Medicine; or. The audible signal may not be turned off at the nursing station. (1) The disclosure shall be made to the Department and to any person seeking placement or receiving care in a Dementia special care unit or program of a nursing home. Any member of the research team is covered by the requirement that any person report to the health officer any knowledge of an animal bite. (1) The duty to take the actions under paragraph (2) of this subsection arises only under the limited circumstances described under subsection (b) of this section. Hospitals and others are encouraged to report any conduct or condition that may possibly pose a danger to patients. A. reporting and/or correcting unsafe working conditions, equipment repair and maintenance needs. A bedroomshall be provided with ahand washing sinkwith both hot and cold running water unlessatoilet or bathroom facilitywith a sinkis connected to the bedroom. 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. Persons other than licensed health care providers may report suspected abuse or neglect of a vulnerable adult. JavaScript is required to use content on this page. (4) The pharmacy shall have access to a copy of the written pharmaceutical care policies. (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. 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.]F.Admission Record. Regulation34 CFR 668.43 (a) (5) (v) will require the nursing program to provide: Additionally, adirect disclosure to the student in writing is required in regulation 34 CFR 668.43(c) by the education institution if the program leading to professional licensure or certification falls in one of the latter two categories above. A. [C.]E.Registry. Investigators who are mental health providers licensed under the Health Occupations Article have a statutory duty to warn of a patients threats to inflict imminent physical harm upon specific victims. [B.] Attach documentation supporting your allegation (i.e. Yes. (2) Additional registered nurses, licensed practical nurses, and support personnel shall be employed to meet the needs of all the residents admitted. The State of Maryland pledges After meeting requirements of the Board of Nursing (Maryland application, After registering with NCLEX you will receive an Authorization To Test letter (ATT). [D.]C.The[facility]nursing homeshall hold the care planning conference not later than 7 calendar days after[completion of]completingthe assessment, but may hold the conference[earlier]soonerif agreed to by the resident, a family member, or a residents representative. COMAR is currently updated in print every two years, but the online version, maintained by the Maryland Division of State Documents, is updated as soon as an agency publishes or updates a regulation. (iii)Destructivealteration of the dosage form[, the container label bears an appropriate instruction to protect the product from freezing]. 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. Anursing home may not burn or incinerate garbage at the nursing home. (2) Ifcorrected, will result in an unreasonable,substantial financial burdenon the nursing home. The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. [Facilities]A nursing homeshall provide: (1) Space for social work personnel, accessible to[patients]residents, medical, and other staff;and. (53) Physician means an individual licensed to practice medicine in this State. (5) Certified dietary manager means an individual who: (a) Is licensed as a dietitian-nutritionist by the Maryland State Board of Dietetic Practice and registered as a dietitian by the Commission on Dietetic Registration; (b) Is a graduate of a certified dietetic technician program approved by theAcademy of Nutrition and Dietetics; or. responsive, accurate and consistent, 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]. Nursing service personnel shall help the resident perform daily routine dental hygiene. (f) Each living room forresidentsuse shall be provided with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. (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. [B.] Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). 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 nursing home shall develop written policies, consistent with this chapter and COMAR 10.07.09, to govern the nursing care, related medical, and other services that the nursing home provides regarding: (1) Admissions, transfers, and discharges; (3) Medical Assistance program information. The printed version is considered the official version. [.14-2].24Special Care Units Respiratory Care Unit. The ratio of nursing service personnel on duty providing bedside care toresidents may not at any time be less than one to 15. This map shows you which states are currently in the NLC. ]; (4) Past employment[with]documentation[that]withreferences[have been considered by the facility. B. (b)The person in charge of the service to which the employee is assigned shall[have]: (i) Haveinput into the contents of the orientation program;[Policies for the orientation program shall include], (ii) Determinethe number of hours of orientation required for the various levels of[supportive]supportpersonnel;and. (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. A public hearing has not been scheduled. 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 medical director shall actively participate in the[facilitys]nursing homesquality improvement process. Designated Staff Responsibility. 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. 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. B. a list of all states/jurisdictions where the institutions curriculum meets state educational requirements for professional licensure or certification, a list of all states/jurisdictions where the institutions curriculum does not meet state educational requirements for professional licensure or certification, and. (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. Nursing personnel shall assist the, E. Transportation. Updated A written application shall be on file for each employee and shall contain. G. Reevaluation of[Patients]ResidentsProgress. Complete and mail Request for Academic Records to your school of nursing. Amber Havensamber.havens@maryland.gov, Compliance Coordinator: Resident Dining, Occupational Therapy, and Activities Program. Dry Food Storage. An interdisciplinary team shall completeor revise as necessarya[resident specific]resident-specificcare plan for each resident within 7 calendar days following completion of[all]assessments,including: (4) Significant change in the residents condition. media; projects; press; contact; slider. Q Who pays for the chemical dependency evaluation and the drug screens? B. (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. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. Construction inan Existing Structure. D. A record of the posting shall be retained for 1 year. (2)In instances when an aide is to be assigned to a particular service such as dietary, physical therapy, or occupational therapy, the person in charge of the service shall be responsible for the evaluation and approval of the qualifications. 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. (1) Adequate equipment for preparation, serving, and distribution of food shall be provided, (2) A dumbwaiter, elevator, or ramp shall be provided in a, (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided, (2) The storeroom shall be cool and well-ventilated. of Legislative Audits operates a toll-free fraud and/or abuse of State government A nursing home shall develop written policies consistent with Regulation .11 of this chapter pertaining to: [(3)](2)[Patients]Residentsrights[. Summary of Economic Impact. 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. (1) There shall be at least one separate room or compartment with a bathtub, shower, or other bathing device, as approved by the Department, for every 15 licensed beds. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. Reports under this COMAR provision must be made to the health officer within 48 hours, except for certain diseases for which reports must be made immediately by telephone.

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