(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. Complete and mail Request for Validation of Registration to your licensing agency, Have scores sent to the Maryland Board of Nursing. The Virginia Board of Nursing may request additional evidence that the nurse is prepared to resume practice in a safe, competent manner. No. [(a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities; and]Settings. (1) A nursing home shall develop policies and procedures to ensure that a resident or, if the resident lacks the capacity, the residents family or other individual accompanying the resident is informed, both orally and in writing, on how the resident shall safely and correctly take the residents medications during a short-term leave of absence of 24 hours or less. Emergency procedures shall be established and documentedthatenable the nursing home to provide water in all essential areas in the event of the loss of the normal water supplyor if the nursing home would have to shelter in place during an emergency or disaster. (a) Resident Assessment Instrument (RAI) meansa standardized and reproducible resident assessment process based on completion of Minimum Data Set (MDS) screening items, and including the MDS Care Area Assessment process, and related process for care planning and evaluation. Alternative means to provide drinking water to residents, staff, and the general public may be used as approved by the Department. 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. (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. See COMAR 10.32.22.02B(18) for alterations in practice and COMAR 10.32.22.02B(20) for resignations. (5) Before invoking stop order policies, the residents attending physician shall be contacted for instructions so that continuity of the residents therapeutic regimen is not interrupted. [B.] resources. (2) A call system shall be maintained in a manner that will provide visible and audible signal communication between nursing service personnel and residents. B. The[facility]nursing home, in consultation with the medical director and other physicians, if necessary, shall establish and maintain surveillance of the health status of employees, including: (1) Advising on the development and execution of an employee health program, which shall include provisions for determining that employees are free of communicable diseases according to current[acceptable]acceptedstandards of practice; and. No. R. 9 (January 4, 2019), and is available online at www.dsd.state.md.us. Yes. (d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department. [(19)](18)[Patient]Residentcare management. (2014) Facility Guidelines Institute, which is incorporated in COMAR 10.07.01.02. [(5)](4)The[facility]nursing homeshall assess and manage a resident with a history ofaprevious positive tuberculin skin test,a history of latent infection, or aprevious history of active tuberculosis,[or positive skin test conversion]in accordance with Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities]Settings. G.Emergency Procedures. (66) Resident Assessment Instrument (RAI). D. Nursing Service Personnel on Duty. (g) A manometer shall be installed across each filter bed serving central air systems. (1)Thearchitectorprofessional engineer of record shall submit stamped and sealedfinal constructiondrawings to the Department. In a culture change nursing home, service areas shall be provided for resident care needs as approved bythe Department. Order forms can be downloaded from the Division of State Documents . (3) An audible signal and a nurses call enunciator indicating the room from which the call originates or an alternate system approved in writing by the Department, shall be located at the nurses station. The call system shall enablepatientsin the rehabilitation area to summon rehabilitation staff. [Service Areas Required in New Construction or for New Facilities.] In an existing nursing home, curtains or screens shall be acceptable. Approaches shall[communicate]indicatethe work to be done,[by whom it is to be done]who is to do it, and how frequently it is to be[performed]done. of Legislative Audits operates a toll-free friendly and courteous, timely and The container label bears appropriate instructions to protect the product from freezing[When in addition to the risk]when freezing it may subject a product to: (ii)Riskof breakage of the container[, freezing subjects a product to loss of strength or potency,];or[to destructive]. hotline in the past has helped to eliminate The person in charge of the service to which the employee is assigned shall. Storage and Handling Requirements for . Copyright Maryland.gov. (65)Resident activities coordinator means an individual who: (i) Certifiedtherapeutic recreation specialist; (iii)Licensed occupational therapy assistant; or. 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. Please see the Nurse Practice Act 8-505.Report of certain [A.] (2) After obtaining approval by the Maryland Health Care Commission, the nursing home shall provide written verification of the approval to the Office of Health Care Quality. (vi) Appropriate use of antiseptics and disinfectants[.] Exemptions: Out of state patients; Exemption granted by AIDs Administration. [.111].16Medical Director Responsibilities. A handsink with hot and cold running water shall be convenient to the nurses station.]. [(g)](h)Storage under Non-specific Conditions. If a question or section does not apply to this complaint, 410.764.4777 | Toll Free 800.492.6836. I. (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. 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. 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) Anursing unit shall contain at least one janitors closet containing a floor receptor or service sink and storage space for housekeeping equipment and supplies. (2)Orders shall include modalities to be used, frequency, and anticipated goals[,]and shall be made a part of the[patient]residentcare plan. (74) Tuberculin skin test means a test to diagnose tuberculosis infection using purified protein derivative (PPD) that is injected intradermally and read within 4872 hours with results recorded in millimeters of induration. (2) The[facility]nursing homeshall provide information concerning the[communicable]infectiousdisease status of any resident being transferred or discharged to any other[facility]nursing home, including a funeral home. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. B. (8) The committee may not require the pharmacy to provide drugs by way of a specific drug distribution system such as unit dose or use of a particular packaging system. (11) Table 2. The resident care management system shall[be comprised]consistof three[interrelated]relatedcomponents: [A. (6) Each training program shall have behaviorally stated objectives for each unit of instruction, stating measurable performance criteria. fraud hotline to receive allegations of (1) CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual, (Version 1.14, October 2016). responsive, accurate and consistent, (3)[Thenotification shall include]Includean invitation for the family member or residents representative to attend the conference. (1) The nursing home shall inform a residents designated pharmacy about the nursing homes written policies concerning the provision of drugs. (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. (a) The nursing home shall provide residentswith theirown bed. (1)If a safe public water supply is not available, a private water supply may be used if it is approved by the Department. to provide constituents, businesses, If you have the exact number, subtitle, and chapter, type it in. (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. (e) Windows shall be provided with shades or draperies adequate to control glare and maintain privacy. 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. . The facility may use an outside program if it has been reviewed and approved by the Department.] (1) The nursing home shall providea multi-purpose room[is used]for dining, occupationaltherapy,physicaltherapy,and social activities[, there]. 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. truthful and transparent services. Standard Precautions. (ii) A curriculum approved by the Department or its designee; [(d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department.]. You may be trying to access this site from a secured browser on the server. (1) The size and location of the food service area shall comply with COMAR 10.15.03. (1) A call system that uses wireless pagers or other wireless communication devices may be used as an alternative system. The final regulations are codified at COMAR 10.32.22 and became effective November 7, 2016. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation. F. Charge Nurses Daily Rounds. truthful and transparent services. Please enable scripts and reload this page. karen.hatwood@maryland.gov, Compliance Staff Specialist 18008 Bothell Everett Hwy SE # F, Bothell, WA 98012. The Maryland Medical Cannabis Commission (MMCC) certifies and registers certifying providers for medical cannabis. (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. 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. All rights reserved. The proposed action has minimal or no economic impact on small businesses. Medical Director Qualifications. schedule, patient assignment, incident reports, termination notice, names and There shall be an active program of restorative nursing care aimed at assisting each resident to achieve and maintainthe individualshighest level of independent function, including activities of daily living. New LSAT and GPA medians are out for the Class of 2023! To help you (g) All devices shall be interlocked with the fire alarm system. (c) Document the content of the continuing in-service education program and include the names and titles of participants. If the applicant simply withdrew of his or her own accord and without any suggestion or recommendation by anyone associated with the hospital, this need not be reported. In COMAR 10.32.22.03C, there is a list of common occurrences that do not have to be reported. Yes. (6) The sounding of the audible signal shall be continuous or intermittent until answered. Janet McIntyre These studies have listed reoccurring . (46) Nursing service personnel means staff licensed or certified by the Maryland Board of Nursing. (b) The renewal application shall be submitted onwritten or electronicforms provided by the Secretary.]. (2) The nursing home shall destroy adulterated, deteriorated, or outdated medications in the following manner: (a) Disposal shall occur in the presence of two witnesses who are authorized by the nursing home; and. fraud hotline to receive allegations of The facilitys infection control program shall include monitoring of the health status of all residents to determine if the residents are free from tuberculosis in a communicable form. (g) Advance directives, living will, or a copy of the residents Marylands Medical Orders for Life-Sustaining Treatment (MOLST) form. (2) The compartment shall be large enough to accommodate: (c) A wheelchair, shower chair, or shower bed. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. Investigators who are mental health providers licensed under the Health Occupations Article have a statutory duty to warn of a patients threats to inflict imminent physical harm upon specific victims. I. Please enable scripts and reload this page. C. Lobby Area. Maryland Board of Nursing. The nurse who is being treated for chronic . 100-07 State Operations Provider Certification,and with RAI instructions in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual,except that data may not be[electronically]submittedelectronicallyto the Department. C. A new nursing home shall adhere to the requirements of this chapter. Activities spaceshall beof adequate size to meet the needs of the residentsandshall be located on each floor occupied by residents. 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. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. nursing unit shall contain at least one janitors closet containing a floor receptor or service sink and storage space for housekeeping equipment and supplies. fraud and/or abuse of State government The Maryland General Assemblys Office (3) The individual who prepares medications shall give and record them. (1)When the director of nursing is absent, the individual shall designate an experienced, qualified registered nurse to direct the nursing service. It shall be the responsibility of the supervisor to delegate relief duties to[a person]an individualqualified to serve as relief[(See Supportive Personnel, Regulation .07, of this chapter.)] . (7) Certified social worker means an individual licensed to practice as a certified social worker in this State. The[facility]nursing homeshall submit to the Department and obtain approval of the following: (1) All documents required in Regulation[.14-1].23of this chapter; (2) Policies and procedures for all aspects of care as outlined in Regulation[.14-1C(6)].23of this chapter, and the following: (a) Qualifications, duties, and responsibilities of staff, including the staff who are permitted to perform the following procedures: (iv) Therapeuticchestpercussion and vibration; C. Physician Coordinator. Yes, if the hospital made any "change" in the health care providers employment, that change is reportable, irrespective of any root cause analysis. (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. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials.]. Maryland Department of Health 10.27.22 Multistate Licensure Compact 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. investigator will be assigned. BLS Healthcare Provider certification from American Heart Association; additional life support training, as applicable to unit requirements. (2) The nursing home shall obtain written consent to administer the immunization from: (3) A resident is not required to receive the influenza and pneumococcal immunization if it is: (b) Against the residents religious beliefs; or. (4) A nursing homeshallscreen with wire screen or its equivalent, not less than 16 meshes per linear inch for doors and windows that provide ventilation. (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. In certain Maryland counties (although not Baltimore County or City), physicians, pharmacists, dentists or nurses who treat individuals with injuries that appear to have been caused by auto accidents or lethal weapons must report this information to local or state police as soon as possible. (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. (1) Nomenclature. (1)[New Construction. B. Please fill out the form. (b)[Be]Make the requestfor a term not to exceed 30 days. Storage space shall be provided for garbage and trash awaiting pickup. This table refers to the pressure relationships and ventilation of certain areas of a nursing home other than chronic disease hospitals. Staff working in laundry shall be given personal protective equipment, including: (d) All laundry shall be processed through the use of sufficiently hot water, chemical agents, or a combination of the both, to remove or destroy infectious biological materials. (2) A nurse and a second staff member who is a nurse or an administrator may destroy controlled dangerous substances in Schedules IIVon the premises of the nursing home. [(3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (a) Be a registered nurse licensed in Maryland; (b) Have at least 2 years of nursing experience, at least 1 year of which shall have been in caring for the elderly or chronically ill in the past 5 years; and. non-renewed or expired.