as stated in Regulation .14 of this chapter. (b) Maintained and applied by trained staff. 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. Medical Director Qualifications. (c) Air ducts that pass through a required smoke barrier shall be provided with a smoke damper at the barrier. (3) To the degree possible, accompanying physicians when visitingresidents. (2) The administrator of the nursing home shall be responsible for ensuring that appropriate procedures and reporting are carried out for all reportable infections. (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)Standardized recipes adjusted to appropriate yield shall be followed. Unless otherwise indicated, all general requirements apply to both new constructionand anexisting nursing home. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. (c) All tobacco products shall be extinguished and disposed of in noncombustible containers with self-closing lids in accordance with the provisions of NFPA 101 Life Safety Code. The summary shall, at a minimum: (a) List means of potential transportation to be used in the event of evacuation; (b) List potential alternative facilities or locations to be used in the event of evacuation; (c) Describe means of communication with family members and residents representatives; (d) Describe the role and responsibilities of the resident, family member, or residents representative in the event of an emergency situation; and. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. 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. . (a) Resident Care, Treatment, Diagnostic. Welcome to the Maryland Board of Nursing Temporary Nurse Aide Pathway for CNA/GNA Certification. D.Contract. All hoods over cooking surfaces shall comply with the requirements as provided in COMAR 10.15.03. If the employees history is unclear, then the facility shall request a serology for varicella. (e) Smoke dampers shall be controlled to close automatically to prevent flow of smoke-laden air in either direction. It is not necessary to determine anyones subjective intent. [(6)](5)Safeandtimely transportation and care of the[patient]residentduring transfer; [(7)](6)Security and accountability for the[patients]residentspersonal effects; [(8)](7)Prompt readmission to the[comprehensive care facility or the extended care facility]nursing homeat the end of the hospital stay[(when program fiscal controls permit)]; [(9)](8)Annual review of[execution of]transfer arrangements[(]byautilization review committee or other designated group[)]to assure that each party is fulfilling the needs of[both]the[patients and]residents,the providers[(],the hospital,and the[comprehensive care facility or the extended care facility)]nursing home; [(10)](9)If needs are not being met,[it is the responsibility of]the administrator of the[comprehensive care facility or the extended care facility to]nursing home shallact on recommendations of the reviewing group[and]to effect compliance; [C. Exception for Comprehensive Care Facility. For this reason, they will not be printed in the Maryland Register or the Code of Maryland Regulations (COMAR). (2)Nurses andsupportpersonnel shall be chosen for their training, experience,and ability. 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. Foods shall be prepared by methods that conserve nutritive value, flavor, and appearance, and shall be served at proper temperatures, in a form to meet individual needs. The[facility]nursing homeshall urge that volunteers, defined as individuals who spend an average of 8 hours per week or more in the institution[patient]residentcare areas and who receive no pay or benefits,[accept]receiveannual influenza vaccination and tuberculinskintesting as considered necessary by the[facility]nursing home. [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. 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 . Reports shall be in writing or by telephone, and must be made as soon as possible.. (13) Deficiency means a condition existing in a nursing home or an action or inaction by the nursing home staff that results in potential for more than minimal harm, actual harm, or serious and immediate threat to one or more residents. E. The Department shall make a site visit and conduct a full survey of each licensed nursing home at least once per calendar year. of Legislative Audits operates a toll-free (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. (5) All members of the committee shall review revisions of policies and procedures before implementing any changes. (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. A. Passing score of 85% or better on Sagepoint Certified Nursing Assistant Competency Exam. (5) Timely admission to the hospital when the attending physician determines acute hospital care is medically appropriate; C. Exception for Comprehensive Care Facility. Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. (d)Residentsmay not occupy rooms extending below the ground level. (2) To provide services to the resident, a designated pharmacy shall agree to comply with the nursing homes policies. (1) The Commission, through the Department, shall certify a facility or center to perform dialysis upon determination that the facility or center meets the standards adopted by the Commission, including: (a) 42 CFR 494.1494.110, as amended; and. (c)It is recommended that 2 square feetper[patient]residentbe provided and that thedry food storagearea be located within easy access to the receiving area and the kitchen. In new construction, facilityshall provide a lobby area. Please enable scripts and reload this page. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. Regulation34 CFR 668.43 (a) (5) (v) will require the nursing program to provide: Additionally, adirect disclosure to the student in writing is required in regulation 34 CFR 668.43(c) by the education institution if the program leading to professional licensure or certification falls in one of the latter two categories above. (7)Before the opening of the[facility all supportive]nursing home, supportpersonnel shall have a minimum of 2 days of orientation training. Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below). (4) Each month, the nursing home shall perform a drug regimen review on each residents records at the nursing home and document the findings in the residents medical record. There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. responsive, accurate and consistent, Tonya Spruill (43) Nurse practitioner has the meaning stated in Health Occupations Article, 8-101(k), Annotated Code of Maryland. (3) The oldest foods shall be used first, known as the first in, first out method. The Maryland General Assemblys Office [There shall be at least 12 square feet perbed for 50 percent of the total licensed beds.]. (2) The janitors closet or service alcove. (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. (c) Administrative, Bulk Storage and Soiled. D. Conversion, Alteration, and Additions. (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. Arrangements shall be made, when necessary, for the[patient]residentto be transported to the dentists office. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Attn: Director of Complaints & Investigations. The Maryland General Assemblys Office Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials. 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. D. A licensee[aggrieved by]that disagrees withthe imposition of a sanction under A(1) or (5) of this regulation may appeal the Secretarys action by filing a request for a hearing in accordance with Regulation[.59].78of this chapter. purchased at the Division of State Documents in person, by internet, or (Identified by Impact Letter and Number from Section II.). (c) The soiled utility room shall contain: [(ii) A separate wall-hung hand sink for handwashing, equipped with wrist blades and soap and towel dispensers;]. (3) A centralized system for reporting and monitoring repairs. (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. [(3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. In this chapter, the following documents are incorporated by reference. NOTE 1: 18-202 requires an administrative head of an institution (defined to include hospitals) who has reason to believe that an individual on the premises of the institution has an infectious or contagious disease (except for HIV/AIDs), to immediately submit a report to the health officer. The requirement is to tell the Board what the hospital did, not to characterize the underlying conduct. The new regulations explicitly define changes that must be reported to the Board within ten days of their occurrence and provide penalties for failing to do so. certain fraudulent activities and protect 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. (1) Nomenclature. The Maryland Department of Health will update resources for health care providers as they become available. actively manage the nursing homes infection prevention and control program. (b) A copy of the record of disposal shall be forwarded to the Office of Controlled Substances Administration. At least one month before the license expires, the Board sends notices to the licensee, by first-class mail to the last known address of the licensee. Attention - New Law Effective April 1, 2022: Implicit Bias Training Required for License and Certificate Renewal Communica tions from the Board of Nursing Public Board Orders issued after January 1, 2022 are now accessible here. There shall be a separate entrance into each room]. (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. (6) Certified medicine aide means an individual who meets the requirements as stated in COMAR 10.39.01 and 10.39.03. (3) The nursing home shall provide additional information upon request. .44 Physical PlantHeating and Cooling. Mandated Reporters. A. (3) The individual who prepares medications shall give and record them. Agency Note: Utilization Review. [A.] (9) Chemical restraint means the administration of any drug that is used for discipline or convenience and not required to treat medical symptoms. (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. (b) Certified graduates of a State-approved medicine aide course. If the designee is not a certified social worker, the facility shall effect an agreement with a qualified social work consultant. [.21-4].37Infection Control Standard Precautions. 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. (4)For reference purposes, copies of the[patient]residentcare policies shall be readily available to all personnel responsible for[patient]residentcare. [Facilities]A nursing homeshall provide: (1) Space for social work personnel, accessible to[patients]residents, medical, and other staff;and. (2)Theadministratorshall[to]obtain specific items required for individual cases where requested by the attending physician or[supervisor of care services]medical director. (1) A nursing home shall providedining[areashall be]areaslarge enough to accommodate all[patients able to eat out of their rooms]residents who eat there at the same time. (6) The sounding of the audible signal shall be continuous or intermittent until answered. 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. (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. (3)The Diet Manual for Long-Term Care[Patients]Residents,as published by the Department,[which]or any other similar reference material thatcontains food allowances and guides for regular and therapeutic diets[may],shallbe used. Persons other than licensed health care providers may report suspected abuse or neglect of a vulnerable adult. resources. [.07].09Administration and Resident Care. [(3)](c)[Space may be planned and arranged]A nursing home shall plan and arrange spacefor shared use by physical therapy and occupational therapy staff and[patients]residents,if scheduling permits. However, the nursing home would need to contract with a licensed social worker to provide oversight. A If the nurse is subsequently found in violation of the Nurse Practice Act and is disciplined by the Board of Nursing, this action is then considered public information. B. Responsibility to Report CarethatIs Considered Questionable. Abuse of Developmentally-Delayed Individuals. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. (3) If a controlled dangerous substance is destroyed on the nursing home premises in accordance withF(2) of this regulation: (a) A record of the disposal, in addition to any other required records, shall be maintained in the nursing home; and. A]; and. D. A federally certified nursing home shall: (1) Encode assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual; and. (4) The[facility]nursing homeshall maintain written documentation of the following: (a) Results of tuberculin skin tests, recorded in millimeters of induration with dates of administration, dates of reading, results of test, and the manufacturer and lot number of the purified protein derivative (PPD) solution used;and, [(b) Results of chest x-rays required in this regulation; and. (a) A nursing home shall register with the Maryland Health Alert Network. Agency Note: The following equipment is recommended: dwashing sink with soap and towel dispenser or approved drying device. To ensure that the (1) Emergency Power. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA). Before or at admission, a contract shall be executed by the administrator and[patient]resident,guardian, or responsible agency which is consistent with the requirements of Health-General Article, 19-344, Annotated Code of Maryland, Rights of Individuals. Comments will be accepted throughMarch 18, 2019. Complete and mail Request for Validation of Registration to your licensing agency, Have scores sent to the Maryland Board of Nursing. (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. Regulations: This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the Maryland Department of Health (MDH). 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.