Information reported to the
Standardized recipes adjusted to appropriate yield shall be followed. A. (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. ; (vii) Blood borne pathogens, including hepatitis B and C and human immunodeficiency virus; (ix) Proper use and wearing of personal protective equipment, such as gloves, gowns, and eye protection; (f) Train and[monitor]perform compliance monitoring ofemployee application of infectionprevention andcontrol[and aseptic techniques; and]activities, such as hand hygiene and personal protective equipment used for isolation precautions; (g) Review the infectionprevention andcontrol programelementsat least annually and revise as necessary[. D. Assistance by Nursing Service Personnel. [.07-1].10Employee Training on Cognitive Impairment and Mental Illness. Hospitals have to report only if they made a "change" and if that change was based in whole or in part of any of the 14 specific reasons listed in. (5) Existing Facility. The[facilitys]nursing homesquality assurance committee shall develop and implement a quality assurance plan that includes procedures for: B. Concurrent Review. A. (b) Effective implementation of the policies and procedures that are outlined in[F(1)]E(1)of this regulation. (2) In[facilities]a nursing homewith[26 50]50or fewerbeds, exceptions may be made by the Department to allow the supervisor to share cooking responsibilities with the full-time cook. 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. An employee of the[facility]nursing homeshall be designated as the person responsible for the overall supervision of the medical[record]recordsservice. SS-07, Centers for Disease Control and Prevention (CDC), Atlanta, GA). nursing administrator, registered nurse, licensed practical nurse, or certified
(4) Other persons hired asgeriatric nursing assistants[nurse aides after July 1, 1990]shall complete an approvedgeriatric nursing assistant trainingprogram within 120 days of employment. B. 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. 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 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:]. (a) The emergency power source shall be a generating set and prime mover located on the premises with automatic transfer. If the employee refuses to be immunized, the facility shall document the refusal and the reason for the refusal.] (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. Karen E. B. Evans. (1) Social data about personal and family background to provide understanding of the, (2) Information regarding current personal and family circumstances and attitudes as they relate to, (2) Recommendations made by the social work consultant, if applicable, (1) Space for social work personnel, accessible to, D. Restrictions on Participation Documented on Chart. If a body holding room is not provided, a holding area shall be designated that approximates the above conditions. (a) Identify an emergency and disaster planning liaison for the nursing home; and. The quality assurance committee shall: (1) Designate[a chairperson to manage]an individual to overseecommittee activities; (2) Meet monthly to[accomplish]carry outquality assurance activities; (3)[Assist in developing]Help developand approve the[facilitys]nursing homesquality assurance plan; (4) Submit the quality assurance plan to the Departments Office of Health Care Quality at the time ofinitialapplicationforlicensure or at the time of licensure renewal; (5) Submit any[change in]changes tothe quality assurance plan to the Office of Health Care Quality within 30 days of the[change]changes; F. Quality Assurance CommitteeNon-members. The regulations deal only with what must be reported. (3) All fans serving exhaust systems shall be located at the discharge end of the system. Telephone service and drinking fountains which meet ANSI standards also shall be provided. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. Yes. A written application shall be on file for each employee and shall containat least the: (1) Employees[social security]Social Securitynumber[. In short, any member of the research team who is a licensed health care provider will be covered by the obligation to report child abuse or neglect, while any non-provider member is also obligated to report suspected abuse or neglect of a child. [(b) Guideline for Infection Control in Health Care Personnel.]. Thenursing home shall notify theattending physician[shall be notified]promptly of the findings. Anursing home may not burn or incinerate garbage at the nursing home. truthful and transparent services. Educator. [Patients]Residentsmay not be admitted or retained if, in the judgment of the attending physician, they are: [G. Admissions Procedures for Patients With Communicable Diseases. [(5)](4)Transfer or Assignment of License. Report must be made immediately to the health officer in the county where the physician cares for the patient. ), 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. A utility sink shall be provided within reasonable distance from the food service department for its use, but it may be shared with other activities. This meal represents, To the extent medical orders permit, bedtime nourishments shall be offered routinely to all. (f) The system provided in laundries may not allow the spread of airborne contaminants to other parts of the nursing home that are occupied by residents, staff not working in the laundry, and the general public. (2) Foodinstorage shall be arranged so that new food items are stored behind old food items. Information reported to the
There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. Baltimore, Maryland, 21215-2254. (6) The nursing home shall make available to residents educational and informational materials relating to immunization against influenza virus and immunization against pneumococcal disease. A nursing homeshall be served by water from a safe public water supply, if available, as determined by the Department. Further, we believe that federal Certificates of Confidentiality do not shield a researcher from the obligation to report diseases, conditions, or circumstances when such reports are required by state law. The additional food servicearearequired when meals are provided to anyone outside of the[facility]nursing homeis to be calculated by using the total number of individuals to whom meals are provided. C. Body Holding RoomExisting Nursing Home. A utility sink shall be provided within reasonable distance from the food service department for its use, but it may be shared with other activities. (4) Ensure that the immunization is given in the form of Tdap (tetanus, diphtheria, acellular pertussis) vaccine, in accordance with the guidelines prescribed in Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Health Care Infection Control Practices Advisory Committee (HICPAC). (32) Licensed graduate social worker (LGSW) means an individual authorized to practice graduate social work under Health Occupations Article, Title 19, Annotated Code of Maryland. (a) A facility shall file an application to renew its license every 2 years at least 60 days before expiration of the issued license. 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. [(a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities; and]Settings. F. Employee Health Oversight. (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) The[facility]nursing homeshall ensure that[all]employees[who]maynotprovide services that require direct access to residents[may not provide such services]without documented evidence that the employee is free fromcommunicabletuberculosis[in a communicable form]. [D.]B. A. The nurse who is being treated for chronic . [Agency Note:]. We are vaccinating all eligible patients. (a) A resident who smokes shall be assessed for safe smoking behaviors at admission and on significant changes in condition. L. Burning. D. Unusual Occurrences. (2)There shall be an allowance of at least 12 square feet per[ambulatory patient]resident[;this]. (1) An applicant desiring to open a comprehensive care facility or an extended care facility[or to continue the operation of an existing facility as a comprehensive care facility or an extended care facility]shall file an application with the Secretary, on awritten or electronicform provided by the Secretary. B. Currently there is an estimated $11,000 salary differential between the salary of a non-licensed employee performing social work services and a licensed social work employee. Reporting Decision Tool: When Do I Report to State Agency and Law Enforcement? E. Auxiliary Heat. require that all employees receive annual immunization for influenza, unless: (b) Against the employees religious beliefs; or. D. Laundries-Existing Facilities. (3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (e) Communication and interpersonal skills. As described in the chart below, health care providers must make these reports in specific oral and written forms, however, any person, is also required to make either an oral or written report of suspected child abuse. The Maryland Board of Nursing requires applicants for Temporary licenses to use a permanent Mailing Address when completing the application for licensure. Participation shall include: (1) Regularreports andattendance at[, and reporting to,]the[facilitys]nursing homesquality improvement committee meetings; and. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. A nursing home shall posta noticeon each floor or unit of the nursing home, for each shift, a notice that[explains]givesthe ratio of licensed and unlicensed staff to residents. (2) The charge nurse or nurses shall have the ability to recognize significant changes in the condition of residents and to take necessary action. B. (a) The Secretary shall require an applicant for licensure to submit to the Secretary the following information concerning the applicants: (ii) Ability to comply with[minimum]the applicablestandards of medical and nursing care and applicable State or federal laws and regulations by disclosing the identities of its medical director, director of nursing, and administrator, and by providing the[facilitys]nursing homesquality assurance plan, as required in Regulation[.46].66of this chapter; and. certain fraudulent activities and protect
The quality assurance plan shall include: (1) A description of a complaint process that effectively addresses resident[or]andfamily concerns including: (a) The designated person or persons and their phone numbers to receive complaints[or]andconcerns; (c) The time frames for investigating complaints[dependent upon], depending onthe nature or seriousness of the complaint; E. Accidents and Injuries. (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. (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. F. Retention and Preservation of Records. public is protected from incompetent or impaired nurses. Again, there are objective tests to determine this. (9) Chemical restraint means the administration of any drug that is used for discipline or convenience and not required to treat medical symptoms. (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]. (3) Approaches to accomplishing each goal shall be established. F. Staffing. 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. The Maryland State Board of Nursing licenses registered nurses and practical nurses. [(a)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. J. Contents of Record. In an existing nursing home, curtains or screens shall be acceptable. that might be grounds for action under 8-316 or Subtitle 6A of this title, the
[E.]F.JanitorsCloset or Service Area. A physician or physician assistant may find the registration requirements outlined in COMAR 10.62.03.01, . (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. 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 Board concluded that reliance on any one institutions terminology would result in uneven reporting. (iii) Prevents a resident from a precipitating potential physical problem. (3) If warranted, the director of nursing shallreportthe matter to themedical director orprincipal physician. (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. [New Construction. The relief director of nursing shall be freed from other responsibilities. B. (4)For reference purposes, copies of the[patient]residentcare policies shall be readily available to all personnel responsible for[patient]residentcare. A. (a) New support personnel shall have an employee orientation program. Second, determine if the change was made, in whole or in part, for any of the reasons set out in the regulations. These actions are involuntary if they occur after any of four specified events. (b) Guideline for Infection Control in Health Care Personnel. non-renewed or expired. . (c) A room may not be used as aresidentbedroomif it can only be reached bypassing through a kitchen. [(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. This is especially important for licensees who are not going to reside in Maryland for an extended period of time. (59) Qualified medical record practitioner means an individual who: (i) Received a baccalaureate degree from an accredited college or university including or supplemented by a successful completion of a course in health record administration approved by the Council on Medical Education of the American Medical Association; and, (ii) Passed the national registration examination for registered record administrators; or, (i) Received an associate of arts degree in health record technology from a college or university approved by the American Medical Association Council on Medical Education or an equivalent approved health record technology correspondence course of the American Medical Record Association; and. No. (39)Minimum Data Set (MDS) means acore set of screening, clinical, and functional status elements, including common definitions and coding categories, which: (a) Forms the foundation of a comprehensive assessment for all nursing home and swing bed residents; and. Exemptions: Out of state patients; Exemption granted by AIDs Administration. Temperatures. The quality assurance plan shall include: (3) A policy statement that[includes a provision that reporting]ensures thatincidents can be[done]reportedwithout fear of reprisal; (4) A description of how internal investigations of accidents and injuries will be handled including: (b) Interview of the resident, staff, and[witness]anywitnesses; (5) A description of the process for notifyingafamily or guardian about the incident; (6) A description of a process for the ongoing evaluation ofpatterns and trends inaccidents and injuries[to determine patterns and trends]; and. If a comprehensive care facility is unable to effect a transfer agreement with a hospital in the community and can document its attempts to secure an agreement, the facility shall be considered to have such an agreement in effect. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation.]. 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. (2014) Facility Guidelines Institute, which is incorporated in COMAR 10.07.01.02. (4) There shall be an agenda to guide meeting participants. Extra pillows shall be available. The baccalaureate degree program in nursing, master's degree program in nursing, Doctor of Nursing Practice program and post-graduate APRN certificate programs at University of Maryland School of Nursing are accredited by the Commission on Collegiate Nursing Education. Filing a Complaint against a Medication Technician (MT), Certified
truthful and transparent services. You may be trying to access this site from a secured browser on the server. (1)There shall be sufficient equipment to meet the needs of the[typepatients]residentsadmitted. (2) Policies and procedures shall address, at a minimum the following: (a) Identify how many staff members will assist with serving food items, pushing the mobile cart, and delivering meals to the residents; (b) Ensure proper food protection on three sides to protect the food; (c) Maintain proper temperature control, hot food at a minimum of 135F and cold food maintained at a maximum of 41F; (d) Record of temperatures before serving meals on each individual unit; (3) The hand washing policy and procedures referenced in L(2)(f) of this regulation shall include the following: (a) Use of a hand sanitizer in lieu of proper hand washing is not permitted; (b) Bare hands may not have direct contact with ready-to-eat food; (c) Hand washing shall be done before starting meal service on each individual unit; (d) When and at what location hand washing will be done; (e) Hand washing may not be done in resident rooms; (f) Access to a hand washing sink may not require the opening of a door; (g) The hand washing sink shall be in a central, unobstructed location; (h) Mobile hand sinks are acceptable as long as a written procedure to meet sanitation requirements is developed; (i) The hand sink shall be supplied with hot and cold water under pressure; (j) The unit shall be supplied with adequate waste containers to hold dirty water until dumping is done; and. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. A If the nurse is subsequently found in violation of the Nurse Practice Act and is disciplined by the Board of Nursing, this action is then considered public information. 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. records, Medication Administration Records (MARs) and controlled substance
(68) Restraint means any physical or chemical restraint as defined in thischapter. Yes. Please enable scripts and reload this page. If you only knew the topic word, it could take longer, but could narrow to the Agency Titles where the topic appears. resources. (30) Licensed certified social worker (LCSW) means an individual authorized to practice certified social work under Health Occupations Article, Title 19, Annotated Code of Maryland. Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. (61) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system means the standard nationwide system to which several types of health care providers submit CMS required resident information to the National Submissions Database. D. Restrictions on Participation Documented on Chart. [(3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. (19) Clarifying that supervisory responsibilities for a food service department and food production within a facility shall be assigned to a qualified dietetic service supervisor. G.Emergency Procedures. All rights reserved. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. A. The Secretary of Health proposes to repeal the Preface and Regulations.01,.01-1,.06,.12,.15,.25,.26,.28,.40, and.42.44, adopt new Regulations.01,.02,.08,.18.20,.25.27,.41.46,.4851, amend and recodify existing Regulations.02,.03,.03-1,.05,.07,.07-1,.08,.08-1,.09.11,.11-1, .11-2,.13,.14,.14-1,.14-2,.16.21-4,.22.24,.27,.29.39,.41,.45,.46,.48,.49, and.56to be Regulations.03,.04,.05,.07,.09.17,.21.24,.28.40,.47,.52.68, and.75, and recodify existing Regulations.04,.47,.50.55, and.57.61to be Regulations.06,.66,.69.74, and.76.80underCOMAR 10.07.02 Nursing Homes. [.05].07Inspection by Secretary [of Health and Mental Hygiene]. 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 . (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. (4) Each month, the nursing home shall perform a drug regimen review on each residents records at the nursing home and document the findings in the residents medical record. These requirements are no longer in effect. B. (b) Medicine storage cabinet with locks. (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. The Maryland Medical Cannabis Commission (MMCC) certifies and registers certifying providers for medical cannabis. The Maryland General Assemblys Office
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. After registering with NCLEX you will receive an Authorization To Test letter (ATT) Immediately treat ill effects to resident. (2) Existing Facility. The nursing home shall provide for an organized nursing service, under the direction of a full-time registerednurse. ]; (c)[Usage shall conform]Ensure that usage of toxic and flammable insecticides and rodenticides conformsto the U.S. Environmental ProtectionAdministrationand Maryland Department of Agriculture requirements[. (12) Exhaust Hoods. (d) A filter or filter efficiency shall comply with the standards ofthe Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. (2) Medications shall be administered by: (a) Appropriately licensed personnel in accordance with laws and regulations governing these acts; or. Currently, a license has not been required for an individual to operate in this role. Please enable scripts and reload this page. If you are requesting licensure as an Advance Practice provider and hold an active compact/multistate license, you only need to apply at: Verify Nursing Education is approved by the Maryland Board of Nursing, Complete and take to any fingerprinting facility in Maryland, Request an Out-of-State fingerprinting card at Criminal Justice Information System (CJIS), Criminal Justice Information System (CJIS)-located in Reisterstown Road Plaza. Professional specialty certifications may be required, in accordance with departmental standards or role . Provision for Dental Care. [(2)](4)The Department shall consider the following factors when[considering]decidingwhether to approve an administrator to serve on a less than full-time basis: (a)[Geographical]Geographiclocation of the facilities; (1)In the absence of the administrator, the[facility]nursing homeat all times shall be under the direct and personal supervision of an experienced, trained, competent employee. 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. A written application shall be on file for each employee and shall contain. (v) The medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. The New Mexico State Board of Nursing's on-line verification is a service provided to licensees, employers and the public. C. A[facility]nursing homethat uses a paid feeding assistant shall ensure that the paid feeding assistant feeds only residents who do not have complicated feeding conditions including, but not limited to: (3) Recurrent lung[aspirations]aspiration; or. (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. All rights reserved. If the position of director of nursing remains vacant for a period exceeding 30 days, the nursing homes license may be revoked unless the administrator and the governing body are able to demonstrate that they have made every effort to obtain a replacement.