Professional specialty certifications may be required, in accordance with departmental standards or role . [.11].15Medical Director Qualifications. [.14-1].23Special Care Units General. You will need to provide evidence of completing the Continuing Education requirements specified in 18 VAC 90-19-160 during the two (2) years immediately preceding application for reinstatement. (1)If a[facilitys]nursing homesadmission policies include the admission of[patients]residentsrequiring rehabilitative services, the[facility]nursing homeshall provide, or arrange for under written agreement, specialized rehabilitative services by qualified personnel[(],such asaphysical therapist, speech-languagepathologist and audiologist, and occupational therapist[)]. The Department's regulatory process is governed by the: Administrative procedures Act under State Government Article, State Documents Law under State-Government Article . A. 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. JavaScript is required to use content on this page. (1)[Problems]Residents problemsand needs shall be identified, based upon the interdisciplinary assessment. If a question or section does not apply to this complaint, (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. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. (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. (2)[The total areas]The nursing home shallset asideareasfor[patients]residentsdining and recreation[areas shall be no less than]that totalat least30 square feet perlicensedbed for the first 100 beds[and], plus27 square feet perlicensedbed for all beds in excess of 100. G. Current RecordsLocation and Facilities. (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. Comprehensive care facilities and extended care facilities shall develop written policies, consistent with these regulations, to govern the nursing care and related medical or other services they provide covering the following: (1) Admission, transfer, and discharge policies including categories of patients accepted and not accepted by the facility, or those who are required to transfer to another level of care. (2)When[the director of nursing serves]servingas relief for the administrator,[he]the director of nursingshall designate an experienced, qualified registered nurse to direct the nursing service. 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. 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. (3)As appropriate, respiratory care personnel are competent in the following: (j) Recognition of and attention to the psychosocial needs of residents and their families. Please enable JavaScript in your browser. customers, and stakeholders with (b) Increase or decrease in capacity of an existing nursing home. (1) A nursing home shall develop residentcare policies[shall be developed]with the advice of[the]: (a)Theprincipal physician[(]or medical staff or medical director, if applicable[)]; and[at], (b)Atleast one registered nurse. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.]. 272, April 1995 and Transmittal No. The activities shall be designed to promote the general health, B. (iv) Be tested once a month, for at least 30 minutes under normal emergency nursing home connected load, and the test recorded in a permanent log book maintained for that purpose. (2) Minimum Space RequirementsNew Construction. Please enable scripts and reload this page. For brevity's sake in these FAQs, the Board will use the term "hospital" to indicate the entity that is required to report. ]; [(13)](12)Reports and action required in unusual circumstances[. . [(7) Utility RoomsExistingFacility. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. 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. (2)Soiled containersshall be thoroughly scoured and aired before using again. (17) Discharge means the removal of a resident from a nursing home when the releasing nursing home is no longer responsible for the residents care. B. [Records shall be maintained]. gaussian elimination row echelon form calculator. The mandatory reporting . National Human Trafficking Hotline - 24/7 Confidential. (a) Tuberculosis in a communicable form means that an individual: (i) Is presumed to have active pulmonary or laryngeal tuberculosis as evidenced by positive X-ray findings with or without positive acid-fast bacilli (AFB) sputum smear or positive AFB sputum culture; and. (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. (b)The amount of storage space needed[is dependent upon]to store food depends on thefrequency of deliveries. (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. ), III. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. (1) For every four licensed beds, there shall be at least one hand washing sink. 10.07.02.30 B Social Work Staff Responsibility. (c) After being fully informed of the health risks associated with not receiving a vaccine, the employee refuses the immunization. [(19)](18)[Patient]Residentcare management. The signature of the programs teacher or trainer shall be required for authentication]. (4)[All facilities]A nursing homeshall establish and enforce a written preventive maintenance program to ensure that all[essential mechanical, electrical, and patient care]resident care and therapyequipment is maintained in safe operating condition. (c) The janitors closet shall be connected to mechanically operated exhaust ventilation. (2)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. (9) Recommended Dietary Allowances, (10th Edition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). A written application shall be on file for each employee and shall contain. mbon.nursingdiscipline@maryland.gov, For general inquiries (Safe Practice Program): 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. Thus, if the reason is not one of the 14 listed in COMAR 10.32.22.03B (1) to (14), reporting entities should contact Board staff to determine if the underlying reason for the change falls into this 15th category. NOTE 3: COMAR 10.06.01.02 defines physician to include physicians designee working under the supervision of the physician.. American Song Book Lincoln Center, New York, NY Saturday, Feb 6, 2016 8:30 PM A Room of My Own June Havoc Theatre, New York, NY Friday, Feb 13-March 13, 2016. . Licensure Process for International Educated Nurses Requesting (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. (3) The height of tables provided in dining areas shall accommodate each resident using a wheelchair. The requirement is to tell the Board what the hospital did, not to characterize the underlying conduct. 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. OHCQ estimates that 172 nursing homes would need to hire or contract with a licensed social worker. B. Telephone service and drinking fountains which meet ANSI standards also shall be provided. hotline in the past has helped to eliminate This status is required for RNs who wish to practice nursing in the state of California. (1) Plumbingshall be installed in conformance withallapplicable federal, State, and local codes and ordinances. 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. Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the . (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. Health, Maryland Department of - Reports (Mandated) (1)If no approved public sewerage system is available, a private sewage disposal may be accepted, if approved by the Department. (2) The director of nursing shall obtain approval from the Department. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department. (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. The[facility]nursing homeshall establish,implement, andmaintain[, and implement]aneffective infectionprevention andcontrol program that: (3) Maintains a record of infections in the[facility,]nursing homeand the corrective actions that were taken related to infections; and, (a) Effectiveness of the infectionprevention andcontrol program by surveying rates of infection, especially of[those residents who have an especially high risk of]infectionrates that are significantly higher than usual; and. 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. This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). (h) All occupants of any bedroom shall be of the same sex, except in the case of a two-bed room occupiedby: (2) BedroomNew Construction. (12) Exhaust Hoods. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. (62) Registered nurse means an individual licensed to practice as a registered nurse in this State. (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. (2) Benefit to the public health, safety or welfare, or the environment: This requirement ensures that a licensed social worker is providing services to residents of the facility and ensures that residents receive adequate discharge planning and care coordination. (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. In some cases, the statutory language that requires reporting seems to contemplate the existence of a patient-provider relationship, while in others the reporting requirements apply broadly to any person, which would include members of the research team. responsive, accurate and consistent, The ratio of nursing service personnel on duty providing bedside care toresidents may not at any time be less than one to 15. (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. Although licensed providers are obligated to report suspected neglect or abuse of a vulnerable adult, non-provider investigators, who are permitted but not obligated to make such reports for adults, may be precluded from doing so if the reporting involves disclosure of protected health information (HIPAA may restrict disclosure of PHI to reports of adult abuse or neglect to those circumstances under which the report is required by law or the circumstances constitute an emergency. 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. (1) All policies and procedures for the mobile food cart shall be approved by the Department and the nursing homes local health department before implementation. The director of a medical laboratory must submit a report of a positive HIV test or of a CD4+ lymphocyte count less than 200 per cubic millimeter, within 48 hours to the health officer. Copyright Maryland.gov. fraud and/or abuse of State government The culture change nursing home shall be required to have service areas that meet the specifications in this chapter for: [C. Call SystemNew Construction. D. Call SystemExisting Facilities. (2) Preparation and serving shall be supervised by a qualified dietetic supervisor; At least three meals or their equivalent shall be, 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. Laurie has 1 job listed on their profile. (1) The nursing home shall provide emergency electrical power. (55) Plan of correction means a written response from the nursing home addressing each deficiency cited as a result of an inspection by the Department. fraud and/or abuse of State government State resources. F.Space Heaters. (5) The ventilation systems shall be designed and balanced to provide the pressure relationships as shown in Table 1 under D(10) of this regulation. (b) With the exception of B(3) of this regulation, servefull-time[except that]. Example: 20.25.01 would take you to Title 20 (Public Service Commission), Subtitle 25 (Electric and Gas Submeters in Apartment Houses, Office Buildings, and Shopping Centers), and Chapter 01 (General Information).