. E. Space. Persons other than licensed health care providers may report suspected abuse or neglect of a vulnerable adult. (6) A geriatric nursing assistant[of]atthe[facility]nursing home. The Department's regulatory process is governed by the: Administrative procedures Act under State Government Article, State Documents Law under State-Government Article . 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. B. Total number of individuals tested for HIV; Total number confirmed positive HIV tests not due to administration of a vaccine; Total number of individuals tested for CD4+ lymphocyte count; Total number of individuals with CD4+ lymphocyte count less than 200 per cubic millimeter, For those with positive HIV+ or CD4+ lymphocyte counts less than 200, the race, gender, age, county of residence, and risk behavior of the individuals, if the project collects this information. fraud and/or abuse of State government (3) Is in a readily visible type font and size. (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. [(7) The facility shall request that each employee receive immunization from influenza virus in accordance with Health-General Article, 18-404, Annotated Code of Maryland. A facility which holds full licensure as of the adoption of these regulations shall be considered as having an adequate size dietetic service department. truthful and transparent services. B. as stated in Regulation .14 of this chapter. (3) The plumbing fixture for the utility sink within a janitors closet shall be provided with an approved back-flow prevention device. Search a specific Title (will search only that title for word or codification number). (1) All air-supply and air-exhaust systems shall be mechanically operated. accessible and convenient, and No. actions or conditions. Example: 20.25.01 would take you to Title 20 (Public Service Commission), Subtitle 25 (Electric and Gas Submeters in Apartment Houses, Office Buildings, and Shopping Centers), and Chapter 01 (General Information). (5) The ventilation systems shall be designed and balanced to provide the pressure relationships as shown in Table 1 under D(10) of this regulation. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials.]. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. (12) Culture change facility means a nursing home where physical environment and operational changes have been made to establish person-valued and person-directed care activities and services. (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. (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. Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. A. (7) Recommended Dietary Allowances (10thEdition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). Contents of record shall[be]include: (1) Identification and summary sheet or sheets including[patients name, social security number, armed forces status, citizenship, marital status, age, sex, home address, and religion]: (2) Names, addresses, and telephone numbers of referral agencies[(],including[hospital from which admitted), personal physician, dentist, parents names or next of kin, or authorized]: (3)[Documented evidence of assessment of the needs]Documentation of the: (a)Needsof the[patient]resident[, of establishment]; (b)Establishmentof an appropriate[plan of]initial and ongoing treatment[,of the care]plan; and. Contact us via email: OPC@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. (20) Extended care facility means a nursing home that offers sub-acute care and provides medical treatment services for residents who require inpatient care but who do not currently require continuous hospital services. Otherwise, a dedicated enunciator connected to the wireless call system will be needed. A[comprehensive or extended care facility]nursing homeshall recognize the authority of: (3) An[advanced]advancedirective that meets the requirements of Health-General Article, 5-602, Annotated Code of Maryland; [A. (b) Effective implementation of the policies and procedures that are outlined in[F(1)]E(1)of this regulation. (f) Each living room forresidentsuse shall be provided with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. (3) Laundry use,as referencedin the 2007Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. The call system shall enablepatientsin the rehabilitation area to summon rehabilitation staff. input into the contents of the orientation program; the number of hours of orientation required for the various levels of. Yes. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. [.14].22Specialized Rehabilitative Services Occupational Therapy Services, Physical Therapy Services, Speech Pathology and Audiology Services. maryland board of nursing reporting requirements maryland board of nursing reporting requirements. . (i) Each bed providedshall bein good repair, witha cleanandcomfortable standard sizemattress and foundation. (5) Adequate numbers of instructors are required to ensure that each trainee is provided effective assistance and supervision which does not endanger the safety of residents. to provide constituents, businesses, (2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement. (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. (57) Principal physician means an individual licensed to practice medicine in this State who agrees to perform certain medical services under contract with a nursing home, consistent with the policies of the nursing home. (2) Ifindicated,the supervisor shallrefer the matter to the director of nursing. (3)As appropriate, respiratory care personnel are competent in the following: (j) Recognition of and attention to the psychosocial needs of residents and their families. The Board concluded that reliance on any one institutions terminology would result in uneven reporting. (b)The Department may specify the location and size of a nurses[station]work areawhich serves a nursing care unit exceeding 40 beds. Q Who pays for the chemical dependency evaluation and the drug screens? (b) Tuberculosis in a communicable form does not include: (i) When the individual who has presumptive or confirmed active disease, has had three negative AFB smears, collected 824 hours apart, shows clinical improvement, and has received chemotherapy to which the strain is susceptible for at least 14 days; or. (f) Residents beds may not belocated near radiators, registers, or sources of draft. (iii) Adequate storage and work counter space for storage and assembly of supplies for nursing procedures; (ii) A separate wall-hung hand sink for handwashing, equipped with wrist blades and soap and towel dispensers; (7) Utility RoomsExistingFacility. (2) Agroup of professional personnel including one or more physicians and one or more registered nursesshall review the policies at least annually. A nurse's practice and behavior is expected to be safe, competent, ethical and in compliance with applicable laws and rules. Currently, a license has not been required for an individual to operate in this role. (2) The nursing home shall provide the Office of Health Care Quality with the documentation that verifies that the applicable local and State governmental authorities have approved work that was done. (1)The[facility]nursing homeshall assign at least one[individualwith education and]infection preventionistthat has attendedtraining in infection surveillance, prevention, and control to[be responsible for approving actions to prevent and control infections.] (2) The agreement shall specify the duties of the director of nursing. There shall be provision for the laundering of patients clothing. (2)Standardized recipes adjusted to appropriate yield shall be followed. or Advanced Practice Registered Nurse (APRN). At least one month before the license expires, the Board sends notices to the licensee, by first-class mail to the last known address of the licensee. 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. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. The Department in these cases may require additional space to be provided.]. (d) The nursing home shall provide a Department-approved written plan that: (i) Defines the specified area of refuge; (ii) Outlines paths of egress from the common areas of refuge; and. [(5)](e)All flammables shall be stored in compliance with NFPA[30,flammableandcombustible liquids code]99 Health Care Facilities. D. A record of the posting shall be retained for 1 year. (c) Maintenanceof an[optional]optimallevel of psychosocial functioning. Organization, Policies, and Procedures. Code Ann., Health Occupations Article, 4140 Patterson Avenue, Baltimore, MD 21215-2254, If you have a non- compact active license in another state but never held a Maryland license, you must complete one of the above advance practice applications in, Once registration is completed in nursys.com, your license verification is immediately available for verification. (3)When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. Provision for Dental Care. Complete and mail Request for Validation of Registration to your licensing agency, Have scores sent to the Maryland Board of Nursing. [(2) Existing Facility. A. (1) The Secretary may issue a license to a[comprehensive care facility]nursing homeor an extended care facility for less than a 24-month period under any of the following conditions: (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[of]foroptional servicesare temporarily lacking, which in the opinion of the Department will have no immediate adverse effect on the safety or health of its residents[, are lacking temporarily]; or. Storage and Handling Requirements for . The[facility]nursing homeshall urge that volunteers, defined as individuals who spend an average of 8 hours per week or more in the institution[patient]residentcare areas and who receive no pay or benefits,[accept]receiveannual influenza vaccination and tuberculinskintesting as considered necessary by the[facility]nursing home. You may be trying to access this site from a secured browser on the server. Report of State Board of Nursing to Senate Education, Health & Environmental Affairs Committee & House Health & Government Operations Committee on online program for processing medication technician applications, measures implemented to increase online applications, & analysis of current & projected staffing needs due Dec. 31, 2011 (Chapter 123 . (3)[Unless medically contraindicated, the]Thephysician shall[discuss]reviewwith the[patient]residentor[his]thefamily or[sponsor]residents representativethe goals and the treatment program. 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. The activities shall be designed to promote the general health, B. (a) Resident Care, Treatment, Diagnostic. NOTE 2: COMAR 10.06.01 further requires the following: (1) Health Care Providers. (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. 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 . JavaScript is required to use content on this page. C. Staffing. (2) Plumbing and water supplies shall be protected against backflow within a nursing home. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. [(d)](e)WarmAny temperature between[30C and 40C (86 and 104F)]86F and 104F or 30C and 40C. (1) Require that each new employee receive a one-dose booster immunization for pertussis, unless medically contraindicated or against the employees religious beliefs; (2) Inform all new and current employees of the health risks of not being immunized; (3) Document any refusals of immunization; and. (1) If the nursing home terminates the services of the director of nursing, the nursing home immediately shall notify the Department of the termination. M. Except where inappropriate for safety reasons, an employee and any other individual who provides a health care service within or on the premises of the nursing home shall wear a personal identification tag that: (2) States the profession or other title of the individual; and. (3) An audible signal and a nurses call enunciator indicating the room from which the call originates or an alternate system approved in writing by the Department, shall be located at the nurses station. Staffing. 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. 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. responsive, accurate and consistent, (2) The information disclosed shall explain the additional care provided in each of the following areas: (a) The Dementia special care units written statement of its overall philosophy and mission, which reflects the needs of residents with dementia; (b) The process and criteria for placement, transfer, or discharge from the unit; (c) The process used for individualized assessment and establishing the resident-centered plan of care and its implementation, including the method by which the plan of care evolves and is responsive to changes in the individuals condition; (d) Staff training and continuing education practices; (e) The physical environment and design features appropriate to support the functioning of cognitively impaired adult residents; (f) The frequency and types of resident activities; (g) The involvement of families and family support programs; and. 10.34.23 Pharmaceutical Services to Patients in Comprehensive Care Facilities, Effective September 16, 2013. C. Ongoing Monitoring. 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. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. The 3D modeling software has a user-friendly interface that can be used to create designs or machinery parts. Karen E. B. Evans. .08 New Construction, Conversion, Alteration, or Addition. (b) Licensedby the Board of Examiners of Nursing Home Administrators for the State. When the investigator is a physician with a patient under care, the investigator must make immediate reports of infectious or contagious diseases, including AIDs, to the health officer in the county where the physician cares for the patient.