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B. A[facility]nursing homelicensed under[these regulations]this chaptermay not discriminate in admitting or providing care to an individual because of[the race, color, national origin, or physical or mental handicap]the individuals: (7) Mental disability[of the individual]. A. This program shall include: (1) Periodic service and testing of items as recommended by manufacturers of at least the following: (e) Resident bathing and shower equipment; (2) Ongoing staff monitoring for evidence of malfunction or deterioration; and. (10) The committee shall oversee the accuracy and adequacy of pharmaceutical services to the nursing home. (3) Local Law or Ordinance, Where Applicable. maryland board of nursing reporting requirements maryland board of nursing reporting requirements. Maryland Board of Nursing Minimum Requirements. to provide constituents, businesses, (3)The relief director of nursing shall be freed from other responsibilities. C.Heating System. (2) Private sewage disposal systems shall comply with COMAR 26.04.02. (1)At least three meals or their equivalent shall be[served]offereddaily, at regular times,with not more than 14-hour intervals between the substantial evening meal and breakfast. The nursing home shall make its admission and discharge policies available for review by residents and the residents representative. 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. (a) A resident who smokes shall be assessed for safe smoking behaviors at admission and on significant changes in condition. You may be trying to access this site from a secured browser on the server. [B. [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. Unless otherwise indicated, all general requirements apply to both new constructionand anexisting nursing home. customers, and stakeholders with With respect to naturopathic doctors, different parties are required to make reports in different circumstances and within different time frames. However, once a facility elects to use these procedures or systems and a modification is granted, the systems may not be changed without prior approval of the Department. Boiler rooms shall be provided with sufficient outdoor air to maintain combustion rates of equipment and to limit temperatures in working stations to 97F or 36C. (b) A copy of the record of disposal shall be forwarded to the Office of Controlled Substances Administration. The State of Maryland pledges (2) Foodinstorage shall be arranged so that new food items are stored behind old food items. Written Policies. (1)[Each facility]A nursing homeshall conduct or arrange a[nurses aide]geriatric nursing assistanttraining program for unlicensed personnel assignedtodirect[patient]residentcare duties. Mandated Reporters. (70) Serious and immediate threat means a situation in which immediate corrective action is necessary because a deficiency has caused or is likely to cause serious injury, harm, impairment to, or death of a resident receiving care in the nursing home. (4) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007). 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. certain fraudulent activities and protect Alternative means to provide drinking water to residents, staff, and the general public may be used as approved by the Department. karen.hatwood@maryland.gov, Compliance Staff Specialist Both oral and written reports in a specific form are required, with a copy to the local States Attorney where abuse is suspected. Tonya Spruill Yes. (b) Laundry service shall be provided to meet the residents needs. (ii) Passed the national accreditation examination for accredited record technicians. (25) Grant means the award of money to an individual or an organization to: (a) Study an aspect for the geriatric population; or. Please enable JavaScript in your browser. (3) A centralized system for reporting and monitoring repairs. friendly and courteous, timely and (6) The pharmaceutical services committee may not develop policies and procedures that prohibit or restrict a resident from receiving medications from the pharmacy of the residents choice. For brevity's sake in these FAQs, the Board will use the term "hospital" to indicate the entity that is required to report. Complete and mail Request for Validation of Registration to your licensing agency, Have scores sent to the Maryland Board of Nursing. The posting on each floor shall include: (1) Names of the staff members on duty and the room numbers of the residents[that]to whomeach is assigned; (2)Name of the charge nurse or personwho isin charge of the unit;[and], (3) If the person in charge is not a registered nurse, the name of the registered nurse responsible for the unit; and. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. (4) If the resident refuses to be immunized, the nursing home shall document the refusal and the reason for the refusal. [E.]D.Drinking Fountains. There shall be sufficient equipment to meet the needs of the. Menus shall be written at least 1 week in advance. There shall be provision for the laundering of patients clothing. (3)When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. The[facility]nursing homeshall[request]requirethat all new employees receive immunization for Hepatitis B[. (2) The air conditioning system shall be in compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and all federal, State, and local codes. (5) A[patient]residentwho is in a protective device or devices may not be left in the same postural position for more than 2 consecutive hours. [Signed]The nursing home shall file signedand dated reports of diagnostic services[shall be filed with]inthe[patients]residentsmedical record. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. Yes. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit. Standardized recipes adjusted to appropriate yield shall be followed. Construction inan Existing Structure. copies of text messages or social network pages. [Agency Note:]. 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. All rights reserved. from civil liability.-Except as provided in subsection (b) of this section, the [.35] .58Resident Care Management System. Agency Note: The following equipment is recommended: dwashing sink with soap and towel dispenser or approved drying device. No caregiver-patient relationship is necessary to trigger the reporting obligation. A nursing home shall be protected throughout the entire building by an automatic fire extinguishing system. [It shall be the responsibility of the]. (a) Anursing unit shall contain at least one janitors closet containing a floor receptor or service sink and storage space for housekeeping equipment and supplies. Public toilets for both sexes shall be located conveniently to this area. H. Closed or Inactive Records. (3) Prevention of backflowshall beensured by proper installation of: C.Sewage. A. Rehabilitative ServicesAdmission Policies. (1)The physicians orders, the initial evaluations, the plan of rehabilitative care, goals, services rendered, evaluations of progress, and other pertinent information shall be[recorded]: (a) Recordedin the[patients]residentsmedical record[,];and[shall be dated], (i) Physicianordering the service;and[the person or persons]. (2) Renovations ofexistingkitchens shall be approved by the Department which will consider modification of the minimum space requirement based on space available, costs, and type of service. (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. (2)The Department shall be notified of the name of the assistant director of nursing. A bodyholdingroom shall be located to facilitate quiet and unobtrusive ingress and egress of bodies, convenient to the elevator and with an isolated exit. (6) Each training program shall have behaviorally stated objectives for each unit of instruction, stating measurable performance criteria. (5) Existing Facility. BLS Healthcare Provider certification from American Heart Association; additional life support training, as applicable to unit requirements. A. Comments will be accepted through, (b) Is a graduate of a certified dietetic technician program approved by the, (47) Occupational therapist means an individual who is currentlylicensed by the, (48) Occupational therapy assistant means an individual who is currentlylicensedby the, (1) The Secretary may issue a license to a, (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, (1) An applicant desiring to open a comprehensive care facility or an extended care facility. (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. (2) A nursing home shall develop and implement a method forbody holdingthat minimizes the psychological effects on other residents. Food Service Department. Medical Director Qualifications. 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) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. (1) The nursing home shall store medications in a locked medication storage area that: (b) Is located where personnel preparing drugs for administration will not be interrupted; (c) Is spacious enough to allow separate storage of external and internal medications; (d) Is kept in a clean, orderly and uncluttered manner; and. (46) Nursing service personnel means staff licensed or certified by the Maryland Board of Nursing. 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 . Welcome to the Maryland Board of Nursing Temporary Nurse Aide Pathway for CNA/GNA Certification. (ii) A bed that is certified for Medicaid to a distinct part of the nursing home that is a skilled nursing facility. 410.764.4777 | Toll Free 800.492.6836 (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. G. Admissions Procedures for Patients With Communicable Diseases. (3)The nursing home shall obtain prior approval from the Department for any part of the premises to be used for tenant occupancy or for unrelated business purposes. (b) Increase or decrease in capacity of an existing nursing home. (27) HVAC means heating, ventilation and air conditioning. (e) Windows shall be provided with shades or draperies adequate to control glare and maintain privacy. [(5)](6)Pest Control. 10.34.23 Pharmaceutical Services to Patients in Comprehensive Care Facilities, Effective September 16, 2013. non-renewed or expired. [.07-1].10Employee Training on Cognitive Impairment and Mental Illness. (3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. C. A new nursing home shall adhere to the requirements of this chapter. (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. Position Specifications: (must meet requirements for employment) Education: . Primary source equivalent: The Nursys licensure and disciplinary database is the repository of the data provided directly from New Mexico State Board of Nursing and is primary source equivalent. (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. The current license shall immediately become void and shall be returned to the Secretary if the: (a) Nursing home is sold, leased, or discontinued; C. Request for Departmental Permission to Exceed Capacity. Thisallowance shall be substantially increased proportionate tothe number of residents who depend on using awheelchair[cases]. (37)MDS Care Area Assessmentmeansthe investigation of triggered care areas, to determine if the care area or areas require interventions and care planning. (1) The[facility]nursing homeshall assess residents for tuberculosis according to the[following guidelines: (a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health Care[Facilities; and]Settings. As of July 1, 2020, the U.S. Department of Educationimplemented 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: This new regulation applies to programs using all modalities, including online, in-person, or a combination of both. [(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]. In all instances sufficient consultation shall be provided to fulfill all required responsibilities. [D.]C.The[facility]nursing homeshall hold the care planning conference not later than 7 calendar days after[completion of]completingthe assessment, but may hold the conference[earlier]soonerif agreed to by the resident, a family member, or a residents representative. (2) The nursing home shall provide a sufficient number of lockers that can be locked securely for all employees working at any one time, and provision shall be made for the employees to use the toilet facility at a convenient location. and Related Areas. [The location of thefood serviceareshall be approved by the Department. G. Current RecordsLocation and Facilities. Licensure requirements vary by state. (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. (a) Details of the proposed nursing home changes; and. B. (2)A nursing home may not employ an individual as a geriatric nursing assistant until the individual has successfully completed a competency evaluation approved by the Maryland Board of Nursing. Nurses who have an advanced degree from a U.S. college or university, are. (2) Ifindicated,the supervisor shallrefer the matter to the director of nursing. Responsibility for the Residents Care. (1) Emergency Power. [(c)](d)Room TemperatureThe temperature prevailing in a working area. The search provides a list of Subtitle Chapters. Provide a detailed description of the incident:dates, (1) Administrator means the individual licensed by the Board of Examiners of Nursing Home Administrators who is responsible for the operation of the nursing home. [B.] Office Hours: Monday - Friday 8:15AM - 5:00PM (except Holidays) (b) Receive signals originating from residents bedrooms, bathrooms, bathing areas, and therapy areas. This program shall consist of: (a) An explanation of organizational structure, policies, and procedures; (b) Discussion of the philosophy of care; (c) Description of the resident population; and. The 3D modeling software has a user-friendly interface that can be used to create designs or machinery parts. Closed or inactive records shall be filed and stored in a safe place, (3) Maintains a record of infections in the, (b) Effective implementation of the policies and procedures that are outlined in. (a) Receives treatments, medications, and diet as prescribed; (b) Receives rehabilitative nursing care as needed; (c) Receives proper care to prevent pressure ulcers and deformities; (d) Is kept comfortable, clean, and well-groomed; (e) Is protected from accident, injury, and infection; (f) Is encouraged, assisted, and trained in self-care and group activities; and. Virginia Board of Nursing Jay P. Douglas, MSM, RN, CSAC, FRE, Executive Director Brandon A. Jones, MSN, RN, CEN, NEA-BC, President . (ii) Ahand washing sink equipped with[4 inch wrist blades,]goose-neck spout,[and]separate soap dispensers,anddisposable papertowel dispensers. [C.]B. Clean linen shall be stored separately from[non-clean]uncleanitems. When a resident has signs and symptoms of tuberculosis, a physician shall[within 48 hours]be notified to: (a) Evaluate the resident forpossibletuberculosis in a communicable form; (c) Coordinate management of the resident and the residents contacts with thelocalhealth officer. 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.