maryland board of nursing reporting requirements

(3) At least one nourishment pantry convenient to the nursing station shall be provided on each floor in facilities using a centralized food service system. There are currently 36 subjects and 101 Articles in the Annotated code. fraud hotline to receive allegations of (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. (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. General Responsibilities. printed copies of the Nurse Practice Act and Regulations can be Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. (1) The size and location of the food service area shall comply with COMAR 10.15.03. A nursing home shall have a documented preventative maintenance program. A. Phone: (410) 767-8150 (a) The nursing home shall provide a common area or areas of refuge in an emergency situation if all resident rooms, day rooms, and toilet rooms are not tied into the emergency generator to provide heat and cooling. (b) As high as practical, as such the bottom of the outdoor air intake is: (i) At least 6 feet above ground level; or. (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. (2) Private sewage disposal systems shall comply with COMAR 26.04.02. (b)Renovations of[existing]allkitchens shall be approved by the Department,which will consider modification of the minimum space requirement based on space available, costs,and type of service. The activities shall be designed to promote the general health, B. Baltimore, Maryland, 21215-2254. (a) Orient staff to the emergency and disaster plan and to their individual responsibilitiesin relation to the planwithin 24 hours of the commencement of job duties;[and], (b) Document completion of the orientation in the staff members personnel file through the signature of the employee; and. The physician shall[note on]document inthe[patients]residentschart any restrictions applicable to the[patients]residentsparticipation in the activities program. In addition, 10 million men and women are abused by an intimate partner every year. B. (4) Authentication of hospital diagnoses[(], based on a[discharge]: (b) Reportfromthe[patients]residentsattending physician[, or transfer]; or. 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. (3) The nursing home shall make its administrative and resident care policies available for review by residents and the residents representative. A nursing home shall develop written policies consistent with Regulation .11 of this chapter pertaining to: [(3)](2)[Patients]Residentsrights[. In this chapter, the following documents are incorporated by reference. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. (2) If the nursing home does not employ a licensed pharmacist, the nursing home shall arrange by written contract for a pharmacy to provide consultation on administering the pharmacy services in accordance with the policies and procedures established by the pharmaceutical services committee. 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. Extra pillows shall be available. registered nurse requirements for the Executive Director; (3) hiring and paying for an external . (3) The vendor providing the food shall have a valid food service permit. (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. This table below refers to the filter efficiencies for central ventilation and air conditioning systems in a nursing home other than chronic disease hospitals. 410.764.4777 | Toll Free 800.492.6836 National Council of State Boards of Nursing, Inc. All Rights Reserved. (9) The committee shall establish the contents of sealed emergency drug kits. Provide a detailed description of the incident:dates, Report must be made immediately to the health officer in the county where the physician cares for the patient. (4)If[the]afour or five meal a day plan is used, the meal pattern to provide this plan shall be approved by the Department. (g) Advance directives, living will, or a copy of the residents Marylands Medical Orders for Life-Sustaining Treatment (MOLST) form. (61) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system means the standard nationwide system to which several types of health care providers submit CMS required resident information to the National Submissions Database. (1)[New Construction. There shall be provision for the laundering of patients clothing. Patients may not be kept behind locked doors, that is, doors which patients cannot open. . Upon successful completion of the curriculum, the graduate is granted the AS in nursing and is eligible to take the state board examination for registered nurse licensure. (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. G. Boiler rooms. B. [(1)](a)Equipment shall[be of a type that will provide]allow for providingsafe and effective[patient]residentcare. (5) The[facility]nursing homeshall[record]: (a) Recordthe satisfactory completion of the program in each employees personnel record[. D.Each day that the nursing[facility]homeoperates after the first conviction, without correction of the cited violation, is considered a subsequent offense and may subject the operator to further prosecution. 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. A nurse's practice and behavior is expected to be safe, competent, ethical and in compliance with applicable laws and rules. D. Assistance by Nursing Service Personnel. (1) The nursing home shall provide emergency electrical power. [A. [The following shall be observed:]. (i) Shall be at least 30 square feet per bed, not including corridors; (ii) May not include toilet rooms in the 30 square feet per bed; and. The director of a medical laboratory defined at Health-Gen 17-201(b)(1) as any facility, entity, or site that offers or performs tests or examinations in connection with the diagnosis and control of human diseases or the assessment of human health, nutritional, or medical conditions . We're available on the following channels. (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. Comments will be accepted throughMarch 18, 2019. [(2)](b)All electrical equipment shall be calibrated according tothemanufacturers directions and shall be[periodically]servicedperiodicallyas part of a preventive maintenance program. 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. final decision. (3)Audiologist means an individual who holds a Maryland license issued by the State Board of Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. If the hospital made a "change" for a reason listed in the regulations, and if none of the exceptions apply, the change must be reported to the Board within ten days. Q Who pays for the chemical dependency evaluation and the drug screens? (b)The janitors closet shall be equipped for[handwashing]hand washing. (b) A nursing home shall register at least four representatives, including the administrator and the director of nursing. All rights reserved. C. Dayroom Area. Under 5-705, any person other than the persons listed above who has reason to believe that a child has been subject to abuse or neglect shall make either an oral or written report that meets specified requirements to the extent possible [with exceptions for certain confidential and privileged communications]. Aresidentshall be provided with the following furnishings, which shall be convenient to theresident: (iv)A chest of drawers with at least one locking drawer; (vi) A wallmirror in each room,unless contraindicated by physicians order; and. 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. The nursing home shall make its admission and discharge policies available for review by residents and the residents representative. B. In our example, you can read each and then select Subtitle 25. H. Director of Nursings Continuing Education. When the resident is transferred from the nursing home for any reason or at time of death, the administrator or the administrators designee shall notify the attending physician and the: (3) Responsible party designated by the resident. (1)Written administrative and[patient]residentcare policies and procedures shall be developed for rehabilitative services by appropriate rehabilitation team members and representatives of the medical, administrative, and nursing staff. The mandatory reporting . [(1) New Construction. 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. (d) "Board" means the State Board of Nursing. Research Exception: The requirements for reporting HIV+ test results do not apply when the test is conducted as part of research conducted by an institution within Maryland under the following conditions: (a) All personal identifiers are removed from the specimen before testing; (b) The specimen cannot be linked to the individual from whom it was taken; (c)The test result cannot be linked to the individual from whom the specimen was taken; and (d)The research protocol has been approved by an institutional review board. Each day that the nursing[facility]homecontinues to operate without a license after the first conviction is a subsequent offense and may subject the operator to further criminal prosecution. [.35] .58Resident Care Management System. In cases where the facility has an individual providing medically related physical, social, and behavioral health needs of the residents that is not licensed but was providing the services both before and at the time of the adoption of this proposal, they are exempt from this requirement. (a) A facility shall file an application to renew its license every 2 years at least 60 days before expiration of the issued license. [B. We're available on the following channels. B. (3) Other emergency lighting shall be as follows: (b) Drug distribution station or unit dose storage; (c) A lighted area for emergency telephone use; (f) Generator set location and switch gear location; (g) Elevator, if operable on emergency power; (h) Areas where life support equipment is used; (i) If applicable, lighting for the common area of refuge; 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. (v) The medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. (2) Staff and nursing home-approved practitioners shall be trained in the use of electronic health records. Comments will be accepted through September 6, 2016. If the patient becomes too difficult to manage, the patient shall be transferred to a suitable facility selected by the attending physician. (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. [It shall be the responsibility of the]. patient identification, specific nurse behavior, action, or inaction. C.A person maintaining and operating a nursing[facility]homethat is in violation of this chapter is guilty of a misdemeanor, and, on conviction, shall be fined not more than $1,000under the authority of Health-General Article, 19-359, Annotated Code of Maryland. Existing facilities (those facilities licensed at the time this regulation becomes effective) shall provide some method/means of a patient summoning aid that shall include as minimum a combined visual and audible signal that is audible at the nurses station and simultaneously activates a light located in the hall, outside of and adjacent to the patients room. License Status Options Active. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. Yes. (2) The[facility]nursing homeshall ensure that floor space allocated to each bed meets minimum requirements listed in Regulation[.28C].49ofthis chapter, andis sufficient to accommodate the special equipment necessary to meet the needs of residents. (11) A training program shall provide at least 16 hours of training prior to a trainees direct assignment to resident care. Approved employees shall read the skin test and manage the results of the skin test in accordance with Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities.]. (e) Windows shall be provided with shades or draperies adequate to control glare and maintain privacy. (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. A. Patients may not be kept behind locked doors, that is, doors which patients cannot open. E. Transportation. F. Space, Supplies. A[facility]nursing homewhich holds a current and valid operating license may establish special care units with the approval of the: (1)Office of[Licensing and Certification Programs and the Departments Division of Engineering and Maintenance]Health Care Quality;and. Goal[outcome]outcomesshall be measurable in time or degree, or both. A. 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. (d) Smoke dampers shall activate by smoke detectors located in the ducts at the smoke barrier, or by the smoke detectors used to close smoke barrier doors. (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.