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(b) Smoking shall be prohibited at the main entrance to all facilities. Filing a Complaint. and maintain written documentation of each employees proof of immunity to common childhood infections including measles, mumps, rubella, and chickenpox (varicella). C. Assistance by Nursing Personnel. karen.hatwood@maryland.gov, Compliance Staff Specialist A The nurse is responsible for the cost of the evaluation and the drug screens. (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. (8) The audible signal shall be loud enough to be heard at the nurses station. (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. [(f)](g)[Sufficient]A nursing care unit shall have sufficientspace and equipment for medical records[which enables]so thatpersonnel[to]canfunction[in an effective manner]effectivelyand[to]maintaineasily accessiblerecords on all[patientsso they are easily accessible]residents. nursing assistant. A care plan under this regulation shall be based upon assessments conducted at the following times: family member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of, (2) The team shall establish goals for each problem or need identified, (3) Approaches to accomplishing each goal shall be established. (b) Laundry service shall be provided to meet the residents needs. Baltimore, Maryland, 21215-2254. We're available on the following channels. Medical Director Qualifications. (4) The[facility]nursing homeshall maintain written documentation of the following: (a) Results of tuberculin skin tests, recorded in millimeters of induration with dates of administration, dates of reading, results of test, and the manufacturer and lot number of the purified protein derivative (PPD) solution used;and, [(b) Results of chest x-rays required in this regulation; and. You may be trying to access this site from a secured browser on the server. As an example, click only Title 20, then in the search box, type submeters. The search would take you directly to Title 20, Subtitle 25. Maryland Department of Health 10.07.02 Nursing Homes (Office of Health (4) A[patient]residentin a protective device or devices shall be observed periodically by personnel, to[insure]ensurethat the[patients]residentshealthand personal careneeds are met. 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. friendly and courteous, timely and H. Advance Planning and Posting of Menus. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. Responsibility for the Residents Care. E. The Department shall make a site visit and conduct a full survey of each licensed nursing home at least once per calendar year. (ii) The nursing home shall make its residents personal furnishing policies available for review by residents and the residents representative. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. [C. Locked Doors Prohibited. Please turn on JavaScript and try again. (3) The plumbing fixture for the utility sink within a janitors closet shall be provided with an approved back-flow prevention device. We are vaccinating all eligible patients. Copyright Maryland.gov. C. Human remains shall be transported pursuant to COMAR 10.29.21. The estimated salary differential to hire a licensed social worker versus a non-licensed employee performing social work services is $11,000. (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. (f) Any other serious occurrence that threatens the welfare, safety, or health of any resident. (b) Licensedby the Board of Examiners of Nursing Home Administrators for the State. (6)Food and fluid intake ofresidentsis observed, and deviations from normal are recorded and reported to the: (a) Provide acontinuingin-serviceeducationprogram for all nursing service personnel; (b) Provide a thorough job orientation for new personnel; and. The attending physician shall also be notified.] [A.] Phone: (410) 767-8150 [D.]C.The[facility]nursing homeshall have mechanisms for communicating the results of infection control activities to employees[,]andtothe individual or individuals who are responsible for improving the[facilitys]nursing homesperformance. Position Specifications: (must meet requirements for employment) Education: . NOTE 1: 18-202 requires an administrative head of an institution (defined to include hospitals) who has reason to believe that an individual on the premises of the institution has an infectious or contagious disease (except for HIV/AIDs), to immediately submit a report to the health officer. confession, applicable policies and procedures, employee handbook, staffing [B.] If a body holding room is not provided, a holding area shall be designated that approximates the above conditions. The janitors closet shall be equipped for, (a) There shall be separate clean and soiled utility rooms in each nursing unit. (b) The vendor or staff may provide the following services: (c) The nursing home shall ensure that all piped medical gas systems adhere to the following standards: (i) NFPA 99 Health Care Facilities Code; and. (1) A pharmaceutical services committee, or its equivalent, shall develop written policies and procedures for safe and effective drug therapy, distribution, control, and use. Please enable scripts and reload this page. (11) The committee shall make recommendations for improvements to pharmaceutical services. 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. Appropriate provisions shall be made for emergency auxiliary heat by means of alternate sources of electric power, alternate fuels, or standby equipment. (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is[qualified]: (a) Qualifiedby training and experience[,];and[is licensed]. If the employee refuses to be immunized, the[facility]nursing homeshall document the refusal and the reason for the refusal. (iv)[Provision for storing and transporting clean linen in covered container.] investigator will be assigned. (3)The[facility]nursing homeshall be kept free of unnecessary accumulations of personal possessions, boxes, trunks, suitcases, papers, unused furniture, bed clothing, linens, bric-a-brac, and similar items. The Board waives the renewal requirements for military personnel when they are called to active duty. C. Ongoing Monitoring. (1) Medications, legend and non-legend, administered to residents shall be ordered in writing by the residents physician. (2)The physician may document on the record that[his]thereevaluation may be less frequent but in no case may[his]thereevaluation exceed 60 days. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. The facility may use an outside program if it has been reviewed and approved by the Department.] (g) A manometer shall be installed across each filter bed serving central air systems. An investigator who is a health practitioner, police officer, educator, or human service worker, acting in a professional capacity in this State, who has reason to believe that a child has been subject to abuse, shall notify the local department or appropriate law enforcement agency. (2) The charge nurse or nurses shall have the ability to recognize significant changes in the condition of residents and to take necessary action. A nursing home shall have a documented preventative maintenance program. (a)The nurses[station]work areashall be[centrally]located[in relation to beds served]on the unitand[shall provide]withineasy view of corridors outside ofresidentsrooms. actively manage the nursing homes infection prevention and control program. The current weeks basic menu shall be posted in one or more easily accessible places in the. (1) For every eight beds, there shall be at least one toilet enclosed in a separate room or stall. The nursing home shall be serviced by a public sewage disposal system if available. [Facilities]A nursing homeshall maintain a permanent[patient]residentregistry in which the name of each[patient]residentis entered in chronological order with the date and number of entry. The medical director shall actively participate in the[facilitys]nursing homesquality improvement process. (a) New support personnel shall have an employee orientation program. truthful and transparent services. of Legislative Audits operates a toll-free C.The[facility]nursing homeshall maintain documentation of the discussion between the[facility]nursing homeand the volunteer concerning influenza vaccine and tuberculinskintesting. Attn: Director of Complaints & Investigations. (2) In new construction, separate locker rooms and a toilet facility shall be provided for male and female employees in each nursing home. B. (b) Provide a service to nursing home residents or their families. (3)The relief director of nursing shall be freed from other responsibilities. Written Agreement. Current license with the Maryland Board of Nursing as Certified Nurse Assistant. Anyone not on the committee shall be informed of how to present and submit concerns to: (3) A member of the family council if one exists. (6)The number of daily admissions of[patients]residentsshall be controlled to allow sufficient time for on-the-job training. For brevity's sake in these FAQs, the Board will use the term "hospital" to indicate the entity that is required to report. A nursing home shall be protected throughout the entire building by an automatic fire extinguishing system. [E.]I. 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)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. (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. [(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. You will be notified when the Board makes a The Maryland General Assemblys Office of Legislative Audits operates a toll-free (2) Bedside hours include the care provided by: (3) Only those hours which the director of nursing spends in bedside care may be counted in the 3-hour minimum requirement. (iii) Describes provisions for light, heat, food service, washing, and toileting residents. Written Policies. Karen Hatwood (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. D. Laundries-Existing Facilities. , then PI must report to the health officer when a specimen evidences the diseases/conditions listed in the statute. schedule, patient assignment, incident reports, termination notice, names and If you have the exact number, subtitle, and chapter, type it in. Health Security Act Reporting: Discipline: Maine State Board of Nursing (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. . (4) A food service floor panty shall include the following: (d) Sink for purposes other than hand washing; (e)Hand washing sink with soap dispenser and disposable paper towel dispenser; and. A. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. ], [Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility.]. In COMAR 10.32.22.03C, there is a list of common occurrences that do not have to be reported. 2506 mandates that any health care provider or health care entity or carrier report to the Board in writing within 60 days the following information: The name of any nurse employed by or privileged by the health care provider or health care entity when: The nurse's employment, including . The attending physician shall: (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents;[and], (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures; and. Administrative procedures Act under State Government Article, State Documents Law under State-Government Article, This office manages and coordinates all aspects of the Department's internal policy process, The Department's policy program is under the authority of. and Related Areas. (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. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. Human Service Worker. In laundries in new facilities there shall be a physical separation between the clean and soil areas. We're available on the following channels. (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. Spaces housing medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. (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. 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. (4)In new facilities,the director of nursing and supervisors of[the various services,]dietaryservices, housekeeping, rehabilitationservices, and social services[,]shall be responsible for orienting the new[supportive]supportpersonnel to the[facilitys]nursing homepolicies and procedures and to the physical plant. (3) The[facility]nursing homeshall obtain information concerning the[communicable]infectiousdisease status of any resident being transferred or[discharged]admittedto the[facility]nursing homefromelsewhere. Mandated Reporters - Maryland Department of Human Services A. L. Burning. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. B. G. Boiler rooms. A janitorscloset or service alcove fortheexclusive use of food service areas shall be provided in, or adjacent to, the dietetic service department. C. When the attending physician and medical director agree that a particular[facility-developed]nursing home developedprotocol is required to ensure that quality medical care is delivered to the[facilitys]nursing homesresidents, that protocol shall be implemented unless the[facility]nursing homedocuments in the[facilitys patient]nursing homes residentcare committee minutes the reason or reasons why the protocol should not be implemented. 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. In developing these regulations, the Board learned that different hospitals use vastly different terminology to describe similar actions. (3) A centralized system for reporting and monitoring repairs. (1) A nursing home shall possess a functioning automated external defibrillator (AED). (b) Haveartificial light adequate for reading and other uses as required. [(3)As appropriate, respiratory care personnel are competent in the following: (a) The fundamentals of cardiopulmonary physiology and of fluids and electrolytes; (b) The recognition, interpretation, and recording of signs and symptoms of respiratory dysfunction and medication side effects, particularly those that require notification of a physician; (c) The initiation and maintenance of cardiopulmonary resuscitation and other related life-support procedures; (d) The mechanics of ventilation and ventilator function; (e) The principles of airway maintenance, including endotracheal and tracheostomy care; (f) The effective and safe use of equipment for administering oxygen and other therapeutic gases and for providing humidification, nebulization, and medication; (g) Pulmonary function testing and blood gas analysis, when these procedures are performed within the respiratory care unit; (h) Methods that assist in the removal of secretions from the bronchial tree, such as hydration, breathing and coughing exercises, postural drainage, therapeutic percussion and vibration, and mechanical clearing of the airway through proper suctioning technique; (i) Procedures and observations to be followed during and after extubation; and, (j) Recognition of and attention to the psychosocial needs of residents and their families.].