maryland board of nursing reporting requirements
(3) When the nursing[facility]homerelocates residents, the[facility]nursing homeshall send a[brief]medical fact sheetand any medically related informationwith each resident that includes at a minimum the residents: (e) Special diets or dietary restrictions;[and], (f) Family or legal representative contact information; and. (a) Orient staff to the emergency and disaster plan and to their individual responsibilitiesin relation to the planwithin 24 hours of the commencement of job duties;[and], (b) Document completion of the orientation in the staff members personnel file through the signature of the employee; and. J. A written application shall be on file for each employee and shall contain. The[facility]nursing homeshall maintain adequate space and equipment, conveniently located, to provide for efficient processing[of medical records (],reviewing, indexing, filing, and prompt retrieval[)]of medical records. (2) A dumbwaiter, elevator, or ramp shall be provided in a[facility]nursing homeof more than one story where more than eight[patients]residentsabove or below the kitchen level[,]receive bedside tray service[;]. (60) Qualified social work consultant means an individual who: (a) Is a licensed certifiedsocial worker; and. (c) Coordinate management of the resident and the residents contacts with the. [Agency Note: The following equipment is recommended: (a) Equipment to maintain food at correct temperature; (e) Ice-making machine or ice-storage container; (g) Equipment for delivery of completed trays; (h) Three-compartment sink or dishwasher; (i) Cabinet for dry storage and supplies; (j) Storage for trays, tableware, flatware, and utensils; (k) Hand washing sink with soap and towel dispenser or approved drying device. (b)The Department may specify the location and size of a nurses[station]work areawhich serves a nursing care unit exceeding 40 beds. (67) Residents representative means a person with the authority to act on the residents behalf regarding the matter at issue. (a)[Because specific temperatures are often required for the safe storage of drugs, the]Thestorage[facilities]facilityshall provide for the[following]conditionslisted in C(3)(b)(g) of this regulationwhen prescribed[:]. C.Outside Service Entrance. to provide constituents, businesses, If you save it electronically, email it to mbon.complaintsinvestigations@maryland.gov. [Each]. to provide constituents, businesses, Thisallowance shall be substantially increased proportionate tothe number of residents who depend on using awheelchair[cases]. [Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first.]. Specialized rehabilitative services shall be provided only, Orders shall include modalities to be used, frequency, and anticipated goals, The physician and the rehabilitation team members shall reevaluate the, The physician may document on the record that, The physicians orders, the initial evaluations, the plan of rehabilitative care, goals, services rendered, evaluations of progress, and other pertinent information shall be, The record and progress notes concerning the, (2) Departments Office of Capital Planning, Budgeting and Engineering Services, (2) An organization chartofthe special care unitandits, (1) A special care unit shall meet the general construction requirements of Regulations, (1) General requirements established for all special care units as outlined in Regulation, (2) Policies and procedures for all aspects of care as outlined in Regulation. [A. (25) Grant means the award of money to an individual or an organization to: (a) Study an aspect for the geriatric population; or. Body Holding RoomNew Constructionand Existing Nursing Home. (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. 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. License Lookup [(2) Nurses StationExisting Facility. A person maintaining or operating a nursing. 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. In new construction, facilityshall provide a lobby area. Within ten days after the change is made, it must be reported. customers, and stakeholders with Approaches shall[communicate]indicatethe work to be done,[by whom it is to be done]who is to do it, and how frequently it is to be[performed]done. [A.] (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. certain fraudulent activities and protect In all instances sufficient consultation shall be provided to fulfill all required responsibilities. The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. Currently, a license has not been required for an individual to operate in this role. E. Space. Although this reporting requirement might not appear at first glance to require reporting by investigators, Maryland regulations contemplate that research HIV testing is covered: COMAR, the compilation of State regulation, contains a research exception for truly anonymous HIV testing performed under an IRB-approved protocol, as well as a detailed procedure for seeking a research exemption to reporting from the Director of AIDs Administration. [B.] (2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement. The resident care management system shall. (f) Any other serious occurrence that threatens the welfare, safety, or health of any resident. (7) The audible signal may not be turned off at the nursing station. 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. (1) Abody holding room shall beequipped with ventilation by mechanical means at the same rateandspecifications as designed for soiled linen sortingandstorage areas. Maryland Board of Nursing. A. Medical Director Qualifications. (b) Standardize communication about resident problems and conditions: (iii) Between these facilities and outside agencies. Yes. (2)A visible signal in the corridor above the corridor door of eachpatientsbedroom, visible from all parts of the corridor. The nursing. (3)[Unless medically contraindicated, the]Thephysician shall[discuss]reviewwith the[patient]residentor[his]thefamily or[sponsor]residents representativethe goals and the treatment program. A. (6) A geriatric nursing assistant[of]atthe[facility]nursing home. [(2)](b)[Seventy-five]A nursing home shall allot 75square feet[shall be allotted]for treatment area per[patient]resident,based on peak treatment schedules. (14) Dentist means an individual licensed to practice dentistry in this State. (Identified by Impact Letter and Number from Section II. [It shall be the responsibility of the]. With respect to naturopathic doctors, different parties are required to make reports in different circumstances and within different time frames. (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. (a) A nursing home shall provide laundry service, whether on-site or off-site. 272, April 1995 and Transmittal No. The lock on the door of a medication room shall be counted as one of the two locks. D. Protocol. purchased at the Division of State Documents in person, by internet, or truthful and transparent services. ]; (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[. A. [(19)](18)[Patient]Residentcare management. E. Character. (2)Existing Facilities. 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. The following requirements shall bemet:]Distributions. [(6)](f)[Due care]Adequate exhaust ventilationshall be[taken in]provided whenusing vaporous materials or pollutants. G. Appropriate Care of Residents. Yes and no. (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. (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. The agreement shall provide for sufficient hours of consultation to assure that the staffs services meet the medically related social and emotional needs of the patients.]. The person in charge of the service to which the employee is assigned shall. M. SpecialMedical Wastes. (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. A bodyholdingroom shall be located to facilitate quiet and unobtrusive ingress and egress of bodies, convenient to the elevator and with an isolated exit. National Council of State Boards of Nursing, Inc. All Rights Reserved. (41) NFPA means National Fire Protection Association. [(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. ]; and. A. (2) Medications shall be administered by: (a) Appropriately licensed personnel in accordance with laws and regulations governing these acts; or. (3) Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. 272, April 1995 and Transmittal No. (27) HVAC means heating, ventilation and air conditioning. (1) A nursing home shall ensure that screened doors and windows are installed and maintained in accordance with applicable fire and safety codes and COMAR 10.15.03 Food Service Facilities. [E.]C.[All facilities]A nursing homecertified for participation in Medicare or Medicaid shall complete and electronically submit the assessment to the[Department not later than 31 days after completion oftheassessment]Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. (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. [(b) Medicine storage cabinet with locks. Thereshall be sufficient space to accommodate all activities without[interference]interferingwith each other. (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. 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. non-renewed or expired. National Human Trafficking Hotline - 24/7 Confidential. accessible and convenient, and (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. This meal represents, To the extent medical orders permit, bedtime nourishments shall be offered routinely to all. The responsible departments approval shall be in writing, signed by the appropriate department head whose license number, if applicable, shall be recorded in the record. [D.]B. A. (1) The nursing home shall provide emergency electrical power. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. The Office of Health Care Quality (OHCQ) is the agency within the Maryland Department of Health charged with monitoring the quality of care in Maryland's health care facilities and community-based programs. (1) Schedule II drugs shall be kept in separately locked, securely fixed boxes or drawers in the storage area, under two locks. You may be trying to access this site from a secured browser on the server. (1) The nursing home shall inform a residents designated pharmacy about the nursing homes written policies concerning the provision of drugs. (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. (74) Tuberculin skin test means a test to diagnose tuberculosis infection using purified protein derivative (PPD) that is injected intradermally and read within 4872 hours with results recorded in millimeters of induration. (2)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. C.The[facility]nursing homeshall maintain documentation of the discussion between the[facility]nursing homeand the volunteer concerning influenza vaccine and tuberculinskintesting. Dayroom areas shall be provided[, adequate]that are: (1) Adequatefor the[patients capable of using them]residentslocated on each nursing care unit;and. The heating system shall be: (1) Capable of maintaining 75F or 24C throughout the residents section of the building with the outside temperature as prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities; and. D.Humidity. ; (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[. Transcripts must be evaluated by the Commission on Foreign Nursing Schools (CGFNS). (b) Any previoustuberculin skin tests, chest x-ray,or blood test results,chemotherapy, and chemoprophylaxis[,which]thatare the basis for[the certification]certifyingthat the individual is free from tuberculosis in a communicable form. Q Who pays for the chemical dependency evaluation and the drug screens? JavaScript is required to use content on this page. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. A. (26) Health officer means the health officer or the designated representative in each of the 23 counties and the Commissioner of Health in Baltimore City. Physicians, pharmacists, dentists, or nurses who treat injuries that appear to have been caused by gunshots or moving vessels must submit a report containing specific information to the city or county police (or, for vessels, the DNR), as soon as possible. Licensed physicians or registered nurses who are primarily responsible for the treatment of certain serious burn injuries must submit a report as soon as practicable to the county fire chief or state fire marshal. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. If a resident-directed meal pattern is provided, the following is required: (1) Counseling regarding the risks and benefits of a resident-selected diet which is documented within the medical record; and. (2) Departments Office of Capital Planning, Budgeting and Engineering Services. The[facility]nursing homeshall ensure that: (1)The nurse manager or the director of nursing of vent units has a background in ventilator care or is qualified in ventilator management; [(1)](2)Respiratory care services are provided by a sufficient number of qualified personnel;and. [E.]F.Employee FacilitiesExisting Facilities. Minimum equipment shall include the following: (b) Cabinets for dry storage and supplies; (d) Sink for purposes other than handwashing; dwashing sink with soap and towel dispenser or approved drying device.]. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. As of July 1, 2020, the U.S. Department of Education implemented new regulations that professional nursing programs (PN, RN and APRN) must adhere to if they participate in Title IV HEA funding, and if the program is: designed to meet educational requirements for a specific professional . Educator. hotline in the past has helped to eliminate 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. C. Social History. (b) Connected to mechanically operated exhaust ventilation. F.Space Heaters. (2) The infection preventionist shall attend or have attended a basic infection prevention and control training course that is approved by the: (b) Office of Infectious Disease Epidemiology and Outbreak Response for the Department. Acall system shall be installed and maintained in operating order in all nursing units. Complete the mandatory pre-license education hours (RN and LPN) or Maryland School of Health Professions equivalent coursework to be accepted by the Maryland Board of Nursing. 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. Acall system shall be installed and maintained in operating order in all nursing units. Aresidentshall be provided with the following furnishings, which shall be convenient to theresident: (iv)A chest of drawers with at least one locking drawer; (vi) A wallmirror in each room,unless contraindicated by physicians order; and. (19) Distinct part extended care facility means a portion of a nursing home that is licensed as an extended care facility. (b) The maximum height from the floor to the top of a window sill shall be 44 inches above the finished floor. (b) The following shall be considered a minimumallowance of floor space: (i)100 square feet, single-bed room; and.