(iii)Destructivealteration of the dosage form[, the container label bears an appropriate instruction to protect the product from freezing]. Unless otherwiseindicated, all generalrequirementsapply to both new construction and anexisting nursing home unless a waiver has been granted by the Office of Health Care Qualityin accordance with Regulation .03G of this chapter. If the employees history is unclear, then the facility shall request a serology for varicella. [B. Virginia Board of Nursing - Registered Nurse (b) Has 2 years of experience in a social or recreational program in a licensed health care setting within the last 5 years, 1 year of which was full time in a resident activities program with guidance froman individual identified in B(73)(a) of this regulation. The installation of a portable air-conditioning unit shall be approved by the: (d) If windows cannot be opened for ventilation, a central HVAC system shall be provided and maintained. (3)The Department may requirethat the nursing home havespecific types of equipment based on the needs of the[patients]residents. [I.] A bodyholdingroom shall be located to facilitate quiet and unobtrusive ingress and egress of bodies, convenient to the elevator and with an isolated exit. (a) Relocation means the movement of a resident from one room to another within: (i) The same Medicare-certified nursing home; (ii) A Medicaid-only certified nursing home; or. (1)[Effective with employees hired on or after July 1, 1990, the]Thegeriatric nursing assistanttraining program[course]shall consist of 75 hours or more, and include at least 37.5 hours of classroom instruction and[not less than]at least37.5 hours of supervised clinical experience in long-term care. (1) A signed copy of the agreement between thenursing homeand the director of nursing, showing the license numberof the nurse, shall be filed with the Department upon: (a) Application for an initial nursing home license; and. (1) If the supervisor is not alicensed registereddietitian, the individual shall receive regularly scheduled consultation from alicensedregistered dietitian or other qualified person. Director of Nursing. COVID-19 Wastage and Temperature Excursion Reporting Form| 5.3.21; Maryland Department of Health Statement on the Reintroduction of Johnson & Johnson's Janssen COVID-19 Vaccine | 4.24.21 . A. For general inquiries (Safe Practice Program): mbon.nursemonitoringdept@maryland.gov. [B. (3) The tuberculin skin test for new admissions may be a two-step skin test that is performed by the facility according to the established infection control policy of the facility. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. (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. (c) All laundry shall be processed and handled in a manner that prevents the spread of infections. 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. Currently, a license has not been required for an individual to operate in this role. Designated Staff Responsibility. (c) A nursing care units medicine shall be stored in accordance with the following procedures: (i) Shall be stored in a cabinet with locks; (ii) Schedule II drugs shall be kept in a separately locked, securely fixed box or drawer in the medicine storage cabinet under two locks, keyed differently; (iii) The medicine storage and preparation area shall be illuminated with at least 100 foot-candles at the work counter; (iv) The preparation area shall include a small sink set into the counter or with drain boards and a biological refrigerator; and. (2) Transmit assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual except as excluded in E of this regulation. (2) The administrator of the nursing home shall be responsible for ensuring that appropriate procedures and reporting are carried out for all reportable infections. (3) Demonstratea genuine interest in the well-being and welfare of[patients]residentsin the[facility]nursing home. (1)Residents shall be given the opportunity to participate in planning menus. 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. tonya.spruill@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. The ratio of nursing service personnel on duty providing bedside care toresidents may not at any time be less than one to 15. (4) Outdoor air intakes shall be located: (a) As far as practical but not less than 25 feet from: (i) Exhaust outlets of ventilating systems; (v) Areas that may collect vehicular exhaust and other noxious fumes; and. or Advanced Practice Registered Nurse (APRN). RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA). (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. You may be asked to demonstrate that your license is active, for which you must meet all the necessary continuing education requirements. (d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (5) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. 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. If the[facility does not provide its own facilities but does provide]nursing home onlyprovidestransfusion services[alone], it shall meet at least the requirements[in Regulation.09FH]establishedunder COMAR 10.10.02. Toll Free: 1-800-207-4055 Menus shall be written at least 1 week in advance. (1)To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. (2)There shall be an allowance of at least 12 square feet per[ambulatory patient]resident[;this]. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Licensure, designed to meet educational requirements for a specific professional license or certification that is required for employment in an occupation; or, Is advertised as meeting such requirements. A list of these depositories was published in 46:1 Md. (b) Connected to mechanically operated exhaust ventilation. The director may not disclose, directly or indirectly, the identity of any individual tested. Copyright Maryland.gov. It you scrolled down to Title 20 (Public Service Commission), and click on the Title, you are presented with a list of Subtitles. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. [(e)](f)Excessive HeatAny temperature above[40C (104F)]104F or 40C. D. Nursing Service Personnel on Duty. (9) The committee shall establish the contents of sealed emergency drug kits. The audible signal may not be turned off at the nursing station. (5) Existing Facility. Disciplines shall record all assessments on a form approved by the Department. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment, C. When the attending physician and medical director agree that a particular. (2) As of July 1, 2020, a nursing home shall install a functioning AED unit. In new construction, facilityshall provide a lobby area. [There shall be at least 12 square feet perbed for 50 percent of the total licensed beds.]. (46) Nursing service personnel means staff licensed or certified by the Maryland Board of Nursing. Body Holding RoomNew Constructionand Existing Nursing Home. Records for all[patients]residentsshall be maintained in accordance with accepted professional standards and practices. (76) Two-step tuberculin skin testing means the administration of a second tuberculin skin test 1 to 3 weeks after the initial skin test is negative, to identify individuals with a past TB infection who may now have reduced skin reactivity. (ii) Ahand washing sink equipped with[4 inch wrist blades,]goose-neck spout,[and]separate soap dispensers,anddisposable papertowel dispensers. A. (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. 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. [Agency Note: 10 foot ceiling height is recommended. (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to[give adequate patient care and to do feeding,]: (a) Providemaintenance, cleaning, and housekeeping; (a)A[facility]nursing homemay request a[]voluntary admissions ceiling[]by submitting a written request to the Department to authorize a temporary restriction on[patient]residentadmissions based upon anticipated bed usage. [(1)](a)[There]A nursing homeshall[be]provideadequate space[for the reception, examination, and treatment ofpatients;storage of]to: (i) Receive, examine, and treat residents; (ii) Storesupplies and equipment,including wheelchairs and stretchers; and[office]. A. (2) In orderto prevent accidents and promote efficiency of service, the nursing home shall ensure that the following areas have sufficient artificial lighting: G.Minimally Maintained Lighting Levels. Foods shall be prepared by methods that conserve nutritive value, flavor, and appearance, and shall be served at proper temperatures, in a form to meet individual needs. resources. [B.] (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. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply.]. This is especially important for licensees who are not going to reside in Maryland for an extended period of time. Please complete the form(s), providing as much information as Use of[Hot Water Bottlesand, Ice Caps]Hot Packs, Ice Packs, and Other Therapeutic Medical Devices. (d)Residentsmay not occupy rooms extending below the ground level. Staffing. of Legislative Audits operates a toll-free (c) A[party aggrieved by a]person that disagrees with thedecision of the Secretaryto deny a license applicationunder this section[shall have the right to appeal as provided under the authority of Health-General Article, 2-207, Annotated Code of Maryland]may appeal the Secretarys action by filing a request for a hearing in accordance with Regulation .78 of this chapter. (b) Relocation does not mean the movement of a resident if the effect of the movement is to move the resident from: (i) The distinct part of the nursing home that is a skilled nursing facility to a distinct part of the nursing home that is not a skilled nursing facility; or. Thus approximately 172 facilities would be impacted by this proposal. (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. (g) All devices shall be interlocked with the fire alarm system. A. (2)A substantial evening meal is an offering of three or more menu items at one time, one of which includes a high quality protein such as meat, fish, eggs, or cheese. accessible and convenient, and To Search COMAR online, go to the MD Division of State Documents website. A digital passport style photograph in PNG or JPG file format, The 12 digit tracking number from under the barcode on the fingerprint card or 12 digit tracking number on the Live Scan receipt, A Visa or Masters card credit or debit card, This section applies only to nurses whose basic nursing education was completed in another country. 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. (iii) Is a Certified Food Protection Professional (CFPP). (2) If the social worker is not a licensed certified social worker (LCSW) or a licensed certified social worker-clinical (LCSW-C), the nursing home shall arrange for an LCSW or LCSW-C to provide sufficient hours of supervision. You may be trying to access this site from a secured browser on the server. (2) A nurse and a second staff member who is a nurse or an administrator may destroy controlled dangerous substances in Schedules IIVon the premises of the nursing home. (5) Timely admission to the hospital when the attending physician determines acute hospital care is medically appropriate; C. Exception for Comprehensive Care Facility. surveillance; [(18)](17)Housekeeping services, pest control, and laundry[. 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. (2) The certification of the . 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. (1) The nursing home shall providea multi-purpose room[is used]for dining, occupationaltherapy,physicaltherapy,and social activities[, there]. C. Staffing. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. These areas may be reduced to 35 percent for all-outdoor air systems. 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. [H.]I. (1)Within 2 weeks of[the]referral to specialized rehabilitative services, the rehabilitation team members shall provide[to]the attending physicianwitha written report of the evaluation, including goals and progress of the[patient]resident. The Office of Health Care Quality surveyed multiple facilities and determined that 25 percent of nursing homes employed or contracted with a licensed social worker. 18008 Bothell Everett Hwy SE # F, Bothell, WA 98012. COMAR 10.32.22.03B(15) covers other actions that "may constitute a violation" of the Act or other applicable laws. (5) Return of License or Renewal Certificate to the Secretary of Health. (12) Exhaust Hoods. (d) Theminimum horizontaldimensions of a bedroom areto be 10 feet to: (i) Facilitate the placement of beds as required inRegulation .44of thischapter;and. (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents; (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures, (9) Properly refer residents to specialty services and providers when the care needs of the resident exceed the scope of the attendingphysicians knowledge and skill, A. If the employee refuses to be immunized, the[facility]nursing homeshall document the refusal and the reason for the refusal. friendly and courteous, timely and (a) A residents room shall have direct access to an exit in accordance with the requirements applicable to nursing homes specified in NFPA 101 Life Safety Code. (f) Except for trays that are assembled in the main kitchen and then distributed to the nursing care units, equipment to hold hot food if bulk foods are plated and served to the residents on the nursing care unit. nursing unit shall contain at least one janitors closet containing a floor receptor or service sink and storage space for housekeeping equipment and supplies. E.Water Supply. B. (c)It is recommended that 2 square feetper[patient]residentbe provided and that thedry food storagearea be located within easy access to the receiving area and the kitchen. It looks like your browser does not have JavaScript enabled. If you prefer to send it by U.S. Mail, our address is: Maryland Board of NursingAttn: Director of Complaints & Investigations4140 Patterson Avenue, Baltimore, MD 21215-2254, National Human Trafficking Hotline - 24/7 Confidential. ]; [(8)](7)Laboratory and radiologic services[. (2) Describe the nursing homes plan to assure that there is an adequate amount of safe drinking water for all residents and staff for a minimum of 72 hours. Because specific temperatures are often required for the safe storage of drugs, the. (2)The record and progress notes concerning the[patient]residentshall reflect at all times the most recent and current status of the[patient]resident, including current short-term and long-term goals. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. A. The provider industry is in agreement with the proposed changes in this requirement. B. If the serology for varicella is nonreactive, the facility shall request that the employee receive immunization for varicella. The attending physician shall also be notified.] (a)A distance of at least 3 feet shall be maintained between each bed. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. License/Certificate Renewal - California Responsibility for the Residents Care. Please enable scripts and reload this page. Contents of record shall, (1) Identification and summary sheet or sheets including, (2) Names, addresses, and telephone numbers of referral agencies, D. Consultation. (2)Theadministratorshall[to]obtain specific items required for individual cases where requested by the attending physician or[supervisor of care services]medical director. Nursing | Office of the Professions - New York State Education Department immediately give the required information to the institution head/designee. ; (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[. CCNE 2014 Self Study Appendices. Comments will be accepted through September 6, 2016. We're available on the following channels. (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. [(4)](d)[Operators]The operatorsinstruction[booklet]manualshall be available in a designated locationor accessible electronicallyat all times. Responsibilities delegated to other staff besides the director of nursing shall have a clear delegation of authority. (1)There shall be sufficient equipment to meet the needs of the[typepatients]residentsadmitted. A nursing home shall provide a lobby area that shall have: (1) Public toilets for both sexes, either separate or unisex, located conveniently to this area; (3) Drinking fountains or other drinking water dispensers that meet Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. (c)For purposes of Life Safety Code enforcement, the[facility]nursing homeis considered[as]to bean existing[facility]nursing homeif it has been in continuous use as a nursing home. B. and maintain written documentation of each employees proof of immunity to common childhood infections including measles, mumps, rubella, and chickenpox (varicella). (1)When the director of nursing is absent, the individual shall designate an experienced, qualified registered nurse to direct the nursing service. These events are listed in the regulations in COMAR 10.32.22.02B(19). Search on a word or phrase, or enter the codification number (search is word-specific unless you add an asterisk *). (c) The name of the authorized prescriber who prescribed the medication. JavaScript is required to use content on this page. 410.764.4777 | Toll Free 800.492.6836. The facility shall make information available to all employees concerning other conditions in which pneumococcal vaccine may be of benefit for certain other underlying medical conditions. E. Auxiliary Heat. (a) Air handling duct systems shall meet the requirements applicable to nursing homes cited in NFPA 99 Health Care Facilities Code. .41 Physical Plant New and Existing Construction Requirements. (iii) Shall maintain a minimum temperature of 71F or 22C and a maximum temperature of 81F or 27C. (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. In our example, you can read each and then select Subtitle 25. In existing structures, the Departmentshallentertain requests for waivers on itemsthat: (1) Willnot endanger the health and safety ofresidents, visitors, employees, and other individualsusing the nursing home; and. Applies to anyone: Any individual having knowledge of an animal bite shall report the bite to the health officer., Maryland Reporting Obligations that May Apply to Investigators or Other Members of the Research Team, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Office of Human Subjects Research - Institutional Review Board. (j) If applicable, lighting in toilet rooms of the common area of refuge. Body Holding RoomNew Construction.
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