Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse(RN), The dietary preferences of a resident shall be ascertained, including preferences arising from a residents religious, cultural, and ethnic heritage, and efforts shall be made to meet those preferences. All rights reserved. For example: Type in Consumer Protection and you will see eleven (11) different Titles covering this topic. Nursing Regulation | NCSBN (b) The renewal application shall be submitted onwritten or electronicforms provided by the Secretary.]. [(6)](f)[Due care]Adequate exhaust ventilationshall be[taken in]provided whenusing vaporous materials or pollutants. Schedule II drugs shall be kept in separately locked, securely fixed boxes or drawers in a cabinet, under two locks, keyed differently; medicine storage and preparation area with illumination of 100 footcandles at the work counter; preparation area shall include a small sink set into the counter or with drain boards; biological refrigerator. If the patient becomes too difficult to manage, the patient shall be transferred to a suitable facility selected by the attending physician. Mandated Reporting Requirements FAQs. ), III. .20 Nursing ServicesDirector of Nursing. Any hiatus during which the health care provider does not exercise staff privileges or fulfill the duties of employment or a contract is a leave of absence. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. One of these is the Department of Electrical Engineering and Computer Science, which offers software engineering degree programs at the bachelors, masters, and Ph.D. levels. (6) Medical and social history ofthe[patient]resident; (13)[Discipline assessment]Assessments done by various disciplines; and. (1) Adequate equipment for preparation, serving, and distribution of food shall be provided[;]. In addition, 10 million men and women are abused by an intimate partner every year. No. There shall be provision for the laundering of patients clothing. These events are listed in the regulations in COMAR 10.32.22.02B(19). 410.764.4777 | Toll Free 800.492.6836 The proposed action has minimal or no economic impact on small businesses. accessible and convenient, and 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. . Current license with the Maryland Board of Nursing as Certified Nurse Assistant. by the Board of Examiners of Nursing Home Administrators for the State. 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. (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. (2)Locatedconvenient to[patients]the residentsbedrooms. A. (a)Adequate space shall be provided[for the storage of]to storefood supplies[;]. [F.]J. (b) With the exception of B(3) of this regulation, servefull-time[except that]. Featured Programs: Sponsored School(s) Sponsored School(s) All school search, finder, or match results, as well as colleges and universities displayed as . (4) Justification for the need for more restrictive standards: This requirement ensures that a licensed social worker is providing medically related social and emotional services to residents of the facility, and requires that residents receive adequate planning and care coordination during discharge and care transitions. (1)New[supportive]supportpersonnel shall be credited for 50 percent of their working time until the employees orientation program, as approved by the Department, is completed. 410.764.4777 | Toll Free 800.492.6836 . non-renewed or expired. [.34] .57Housekeeping Services, Pest Control, and Laundry. (2) The janitors closet or service alcove. [(5)](6)Pest Control. Drug Screening FAQ - ND Board of Nursing Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Currently there is an estimated $11,000 salary differential between the salary of a non-licensed employee performing social work services and a licensed social work employee. [C.]A. B. A. practical nurse, or certified nursing assistant knows of an action or condition [(5)](1)The[facility]nursing homeshall screen[all new employees for immunity to common childhood infections such as mumps, rubella, measles, and chicken pox (varicella), through the use of pre-employment questionnaires and, if appropriate, serologic testing for presence of antibodies of these diseases, to prevent adult exposure of new employees to residents with communicable forms of such disease organisms.] [A. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. C. Conversion of an Existing Structure. B. [B.] (b)The transfer of any stock which results in a change of the person or persons who control the[facility]nursing home, or a 25 percent or greater change in any form of ownership interest, constitutes a sale. D. On regulated industries or trade groups: Nursing homes who hire or contract LCSW or LCSW-C. F. Direct and indirect effects on public: III. (1) In[facilities exceeding]a nursing home with more than50 beds, overall supervisory responsibilities for the[dietetic]foodservicedepartment and food productionshall be assigned to a full-time qualified dietetic service supervisor. Currently, a license has not been required for an individual to operate in this role. Activities spaceshall beof adequate size to meet the needs of the residentsandshall be located on each floor occupied by residents. (3) Submit a copy of the medical directors credentials to the Department upon: (a) The first license renewal of the[facility]nursing homeafter the effective date of this regulation; and. The following procedures are to be used when admitting an individual with a communicable disease into a nursing facility: (3) The Secretary or a designee of the Secretary may prohibit a facility from accepting an individual with a communicable disease if it is determined that admitting the individual with a communicable disease could pose a risk to the health, safety, or welfare of any other resident or individual associated with the facility. (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. 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. media; projects; press; contact; slider. (2) In accordance with a nursing home-developed procedure, a licensed nurse shall prepare medications to be sent with a resident during a short-term leave of absence of 24 hours or less. (2)There shall beat leastone night light in each bedroom forresidents. Comments will be accepted throughMarch 18, 2019. Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. ], [Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility.]. (5) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. The[facility]nursing homeshall[request]requirethat all new employees receive immunization for Hepatitis B[. (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[:]. The identity of the specified victim or victims, Injuries Apparently Caused by Auto Accidents ,Lethal Weapons, Gunshots, Burns, or Moving Vessels, Health Gen 20-702 (moving vessel injuries), In Allegany, Anne Arundel, Charles, Kent, Montgomery, Prince Georges , Somerset, Talbot, and Wicomico Counties, a physician, pharmacist, dentist or nurse who treats an individual for an injury that shows evidence of having been caused by an auto accident or lethal weapon shall notify the county sheriff, police, or state police as soon as practicable., Syphilis: Failure to comply with medical observation; contact reporting; positive serological test for mother or infant. (c) Have attended a program of instruction in training methodologies approved by the Department. It can be filled out with your computer and saved, orprinted out and filled in by hand. (33) Licensed or certified professional health care practitioner means a nurse practitioner, physician assistant, or other practitioner licensed or certified under the Health Occupations Article, Annotated Code of Maryland. 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. (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. following applies: If a nursing home administrator, registered nurse, licensed (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. (4) If a facility can demonstrate that because of the experience and training of its personnel and the physical layout and equipment, less supervisory personnel is required, the Department may modify the above requirements for supervision.]. The licensee may renew the license for an additional 2-year term, if the licensee: Pays the renewal fee; Submits to the Board: A renewal application and satisfactory evidence of compliance with . (2)Standardized recipes adjusted to appropriate yield shall be followed. (3)The[patient]residentmay not be accepted for admission if at least one service[could not]to meet the rehabilitative needs of the resident cannotbe initiated within the 48-hour period[(],excluding Saturday, Sunday,and State and federal holidays[)]. (34) Licensed pharmacist means an individual who is licensed by the Board to practice pharmacy as defined in Health Occupations Article, 12-101(l), Annotated Code of Maryland. [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. [The following shall be observed:]. 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. The quality assurance plan shall include: (3) Procedures to take action when there is a change in the residents condition,including: (a) Communicating changes to the director of nursing or the residents attending physician; and, (b) Changing the residents plan of care as necessary; and. nursing assistant. (5) Consent forms when required,[(]such as[consent for administering]: (a) Administration ofinvestigational drugs[, for burial]; (b) Burialarrangements made in advance[, for release]; (c) Releaseof medical record information[, for handling]; and. (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. Records for all[patients]residentsshall be maintained in accordance with accepted professional standards and practices. (1) Nomenclature. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. A janitorscloset or service alcove fortheexclusive use of food service areas shall be provided in, or adjacent to, the dietetic service department. mbon.nursingdiscipline@maryland.gov, For general inquiries (Safe Practice Program): (2) A nursing home shall develop and implement a method forbody holdingthat minimizes the psychological effects on other residents. A[facility]nursing homeshall use the following forms and procedures for resident assessment as described in the[State Operations Manual for Provider Certification]CMS Manual System, Pub. The[facility]nursing homeshall develop a protocol for selecting residents who are appropriate for feeding by a paid feeding assistant. (6) A call system shall be provided in each residents bathroom and bathing area in locations accessible to the residents. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. (4)A nursing home shall be constructed in accordance with the provisions of the NFPA 101Life Safety Code. No. (3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. Currently, a license has not been required for an individual to operate in this role. H. Transfusion Services. 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. If you typed in the word submeters the Search feature would take you to the same Subtitle. (b) Give the employee acertificate[evidencing]signed by the programs teacher or trainer asevidence ofcompletion of the program[shall be issued to the employee. Yes. [C.](3)Toilet Facilities in Rehabilitation AreaNew Construction. (b)[Be]Make the requestfor a term not to exceed 30 days. (3)In new construction,thenight light shall be switched at theresidentroom door. copies of text messages or social network pages. (6) Each training program shall have behaviorally stated objectives for each unit of instruction, stating measurable performance criteria. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. A catered or satellite system shall be covered by a contractapproved by the Department. (c) Thefollowing floor areas may not be included in the calculation of floor space: (iii) The floor area occupied by wardrobes, bureaus, or lockers, when permanently installed as part of walls or ceilings and as a permanent component of a bedroom; (iv)HVAC equipment, including any steam, water, or electrical supply or return linesthatmay run parallel to the floor or interrupt the floor surface; (v) Supportcolumns, pipe chases, or otherstructures, whether free-standing or as an integral part of a wall; and. resources. [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. (4) The pharmacy shall have access to a copy of the written pharmaceutical care policies. (b) The maximum height from the floor to the top of a window sill shall be 44 inches above the finished floor. Hospitals have to report only if they made a "change" and if that change was based in whole or in part of any of the 14 specific reasons listed in. The event must be reported within ten days of any change made by the hospital. The infectionprevention andcontrol program shall include the handling ofspecialmedical waste as defined in COMAR 10.06.06. Editors Note on Incorporation by Reference. 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. Annapolis, MD. (1) Adequate equipment for preparation, serving, and distribution of food shall be provided, (2) A dumbwaiter, elevator, or ramp shall be provided in a, (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided, (2) The storeroom shall be cool and well-ventilated. The care plan shall address all of the residents special care requirements necessary to improve or maintain the residents status. Agency Note: 10 foot ceiling height is recommended. [C.]B. Under the Nurse Licensure Compact (NLC), qualified nurses can apply for a multistate license, which allows for practice in other compact states without having to obtain additional licenses. Code Ann., Health Occupations Article, 8-302 (b) and (c).. A. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. (2)To the extent medically possible, the[current]Recommended Dietary Allowancesof the Food and Nutrition Board[of the], Commission on Life Sciences, andNational Research Council[, National Academy of Sciences], adjusted for age, sex, and activity,shall be observed. . These requirements are no longer in effect. (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. Incidents are to be reported as soon as they are suspected. Office Hours: Monday - Friday 8:15AM - 5:00PM (except Holidays) (ii) A bed that is certified for Medicaid to a distinct part of the nursing home that is a skilled nursing facility. (10) The orientation may not be included in the required 75 hours of the training course. (2)Theadministratorshall[to]obtain specific items required for individual cases where requested by the attending physician or[supervisor of care services]medical director. (d)Management of the[facility]nursing homemay not permit the[patient]residentcensus to exceed the admissions ceiling without prior approval from the Department. (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. D. It is estimated that 25 percent of nursing homes currently have a licensed social worker (Bachelors level degree). Termination of Services of Director of Nursing. (1) The building and all its parts and facilities shall be kept in good repair, neat,and attractive. The requirement is to tell the Board what the hospital did, not to characterize the underlying conduct. (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. (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. (1)There shall be sufficient equipment to meet the needs of the[typepatients]residentsadmitted. Activities Program. The Maryland State Board of Nursing licenses registered nurses and practical nurses. (c) Within 24 hours of admission, notify and direct residents to the nursing homes emergency plans and maps, including evacuation procedures. Food Service Department. The humidity shall be controlled according to the guidelines prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. [There]The nursing homeshall[be provided]provideone or more attractively furnished areas of adequate size for resident dining, occupational therapy, and social activities. D. Call SystemExisting Facilities. Nursing personnel shall assist the, E. Transportation. I. Infectious/Communicable Diseases, HIV Testing, AIDs Diagnoses. [B. We're available on the following channels. (4) Procedure for[referral of]referringdata to the quality assurance committee, when appropriate. of Legislative Audits operates a toll-free (ii) Passed the national accreditation examination for accredited record technicians. (1) New Construction. A. (f) Residents beds may not belocated near radiators, registers, or sources of draft. (e) Windows shall be provided with shades or draperies adequate to control glare and maintain privacy. Again, there are objective tests to determine this. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. 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. G. Appropriate Care of Residents. from civil liability.-Except as provided in subsection (b) of this section, the Updated Baltimore, Maryland 21202 SS-7, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (6) National Fire Protections Association, NFPA 99 Health Care Facilities Code (2015 Edition); and. See COMAR 10.32.22.02B(18) for alterations in practice and COMAR 10.32.22.02B(20) for resignations. B. (2) Plumbing and water supplies shall be protected against backflow within a nursing home. A. Other forms of evidence may include pictures, (i) There shall be a physical separation between the clean and soiled areas. C. Secured units shall meet the established standards applicable to nursing home set forth in NFPA 99 Health Care Facilities Code and NFPA 101 Life Safety Code. (1) The infectionprevention andcontrol program shall establish written policies and procedures toidentify,investigate, control, and prevent infections in the[facility]nursing home,including policies and procedures to: (a) Identify[facility]health care-associated infections and communicable diseases in accordance with COMAR 10.06.01; (b) Report occurrences of certain[communicable]infectiousdiseases and outbreaks of[communicable]infectiousdiseases to the local health department ina timely manner inaccordance with COMAR 10.06.01 and Health-General Article, 18-202, Annotated Code of Maryland; (c) Institute appropriate[infectioncontrol steps]control measureswhen an infectionor outbreak of infectionsis suspected or identified in order to control infection and prevent spread to other residents; (d) Perform surveillancefor health care-associated and community-associated infectionsof residents and employees[atappropriate intervals]using definitions and methods approved by the infection prevention and control oversight committeeto monitor and investigate causes of infection,[facility-associated and community acquired,]andthe manner in which[it was]the infection isspread; (e) Train employees about infectionprevention andcontrol,[and hygiene]including: (i)[Hand]Standard precautions andhand hygiene; (ii) Respiratory[protection]hygiene and cough etiquette; (iv) Safe handling of needles and sharpsand safe injection techniques; (v) Special medical waste handling and disposal;[and]. (4) Authentication of hospital diagnoses[(], based on a[discharge]: (b) Reportfromthe[patients]residentsattending physician[, or transfer]; or. (a) A resident who smokes shall be assessed for safe smoking behaviors at admission and on significant changes in condition. JavaScript is required to use content on this page. (b) Provide the liaisons contact information to the local emergency management organization. (3) The height of tables provided in dining areas shall accommodate each resident using a wheelchair. New construction providing a conventional type food service program shall have the following minimal space requirements (excluding bulk food-storage areas, dining areas, and separate floor pantries). A The nurse is responsible for the cost of the evaluation and the drug screens. printed copies of the Nurse Practice Act and Regulations can be (3)The relief director of nursing shall be freed from other responsibilities. (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. (2) Upon request, the director or assistant director of nursing may accompany physicians visiting residents. [(3)](4)Aisle space between working areas shall be at least 3 feet[;], andaisle space formain traffic shall be at least 5 feetwide. (1) A system of water supply, plumbing, sewerage, electrical power, garbage or refuse disposal may not be installed or extended untilthe architect or professional engineer of record submits stamped and sealed final construction drawings for Department record and provisional approval in accordance with A of this regulation. ; (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[. The physician shall[note on]document inthe[patients]residentschart any restrictions applicable to the[patients]residentsparticipation in the activities program. A. (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. (iii) Clean linen anda clean, comfortable pillowshall be provided. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment,the nursing home shall providethat treatment, assistive device, or equipment[shall be provided by the facility]unless the[facility]nursing homedocuments in the quality assurance committee minutes the reason or reasons why the treatment, assistive device, or equipment should not be provided. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum.
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