M. SpecialMedical Wastes. schedule, patient assignment, incident reports, termination notice, names and Search a specific Title (will search only that title for word or codification number). 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 . B. [(6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. customers, and stakeholders with [(f)](g)Protection from Freezing. (54) Physician assistant has the meaning stated in Health Occupations Article, 15-101(o), Annotated Code of Maryland. to provide constituents, businesses, (a) Receives treatments, medications, and diet as prescribed; (b) Receives rehabilitative nursing care as needed; (c) Receives proper care to prevent pressure ulcers and deformities; (d) Is kept comfortable, clean, and well-groomed; (e) Is protected from accident, injury, and infection; (f) Is encouraged, assisted, and trained in self-care and group activities; and. (g) Advance directives, living will, or a copy of the residents Marylands Medical Orders for Life-Sustaining Treatment (MOLST) form. These written procedures shall: (1) Be a part of the nursing homes Emergency and Disaster Plan, in conformance with Regulation .40 of this chapter; and. (2)Soiled containersshall be thoroughly scoured and aired before using again. If the designee is not a certified social worker, the facility shall effect an agreement with a qualified social work consultant. Maryland law contains a number of statutory reporting obligations that may apply to researchers, whether the researchers are physicians, non-physicians who are licensed health care providers, or, in some circumstances, researchers who are not care providers. Persons other than licensed health care providers may report suspected abuse or neglect of a vulnerable adult. (b) An interferon-gamma release assay (IGRA) blood test. Participation shall include: (1) Regularreports andattendance at[, and reporting to,]the[facilitys]nursing homesquality improvement committee meetings; and. Licensed[comprehensive care facilities and extended care facilities]nursing homesand any premises[proposed]that an applicant for a license proposes to[be operated by an applicant for a license]operate shall be open at all times to inspection by the Secretary and by any agency designated by the Secretary. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply.]. (2)Progress notesrelated to rehabilitative servicesshall be written at least every 2 weeks. (42) Nurse means a licensed practical nurse or registered nurse licensed in the State as defined in Health Occupations Article, 8-101, Annotated Code of Maryland. A. Specialized rehabilitative services shall be provided only, Orders shall include modalities to be used, frequency, and anticipated goals, The physician and the rehabilitation team members shall reevaluate the, The physician may document on the record that, The physicians orders, the initial evaluations, the plan of rehabilitative care, goals, services rendered, evaluations of progress, and other pertinent information shall be, The record and progress notes concerning the, (2) Departments Office of Capital Planning, Budgeting and Engineering Services, (2) An organization chartofthe special care unitandits, (1) A special care unit shall meet the general construction requirements of Regulations, (1) General requirements established for all special care units as outlined in Regulation, (2) Policies and procedures for all aspects of care as outlined in Regulation. A score of 26 is passing on the TOEFL iBT. (c) Air ducts that pass through a required smoke barrier shall be provided with a smoke damper at the barrier. Storage and Handling Requirements for . [(4)](3)The[facility]nursing homeshall continue to monitor residents for signs and symptoms of tuberculosis by performing a yearly symptom review. The 3D modeling software has a user-friendly interface that can be used to create designs or machinery parts. (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. A care plan under this regulation shall be based upon assessments conducted at the following times: family member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of, (2) The team shall establish goals for each problem or need identified, (3) Approaches to accomplishing each goal shall be established. (1)Specialized rehabilitative services shall be provided only[upon]onwritten orders of the attending physician. purchased at the Division of State Documents in person, by internet, or Complete transcripts from all Nursing Schools/Programs will need to be emailed to the Maryland Board of Nursing Endorsement Unit. Agency Note: 10 foot ceiling height is recommended. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. A]; and. 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. H. Closed or Inactive Records. (c) The janitors closet shall be connected to mechanically operated exhaust ventilation. of Legislative Audits operates a toll-free C. Duties of the Pharmaceutical Services Committee. H. Advance Planning and Posting of Menus. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. (c) After being fully informed of the health risks associated with not receiving a vaccine, the resident refuses the immunization. as stated in Regulation .14 of this chapter. 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. 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. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit. Yes. Please enable JavaScript in your browser. The resident care management system shall[be comprised]consistof three[interrelated]relatedcomponents: [A. The Maryland General Assemblys Office (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. (iv)[Provision for storing and transporting clean linen in covered container.] (13) The licensee shall prepare an executive summary of the nursing homes evacuation procedures to provide to a resident, family member, or residents representative upon request. (2)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. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (1) Schedule II drugs shall be kept in separately locked, securely fixed boxes or drawers in the storage area, under two locks. InfectionPrevention andControl Program. General Requirements. Please enable JavaScript in your browser. (3)With the Departments approval,an administrator may[, with the Departments approval,]serve on a less than full-time basis for a maximum of two nursing facilities, one of which shall have a licensed capacity of 35 beds or less. (3) The use of hot and cold medical devices shall be: (a) Consistent with manufacturer guidelines and nursing home policies; and. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. (2) The architect or professional engineer of record shall also submit a letter certifying that the project has been designed in accordance with all applicable federal, State, and local codes, laws, ordinances, and regulations. [.30].53Rehabilitation Facilities Space and Equipment. customers, and stakeholders with If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. [The following shall be observed:]. (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. A. (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. (13) Supervision of certified medicine aides to ensure that the aides act within the limitations and restrictions placed on them. responsive, accurate and consistent, [D.]B. The attending physician shall: (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents;[and], (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures; and. Please enable scripts and reload this page. (2) The janitors closet or service alcove. (1) The size and location of the food service area shall comply with COMAR 10.15.03. mbon.nurselicenserenewal@maryland.gov. (7) The facility shall request that each employee receive immunization from influenza virus in accordance with Health-General Article, 18-404, Annotated Code of Maryland. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. The Office of Health Care Quality surveyed multiple facilities and determined that 25 percent of nursing homes employed or contracted with a licensed social worker. (2) The storeroom shall be cool and well-ventilated[;]. 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. A person maintaining or operating a nursing. (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. immediately give the required information to the institution head/designee. (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. (2) Private water systems shall comply with all federal, State, and local requirements. Again, there are objective tests to determine this. (e) Contains a refrigerator to be used for medication storage only. (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. Amber Havensamber.havens@maryland.gov, Compliance Coordinator: (4) Authentication of hospital diagnoses[(], based on a[discharge]: (b) Reportfromthe[patients]residentsattending physician[, or transfer]; or. (d)Management of the[facility]nursing homemay not permit the[patient]residentcensus to exceed the admissions ceiling without prior approval from the Department. (a) A central ventilation or air conditioning system shall be equipped with filters having efficiencies no less than those specified in Table 2 under D(11) of this regulation. ]; (c)[Usage shall conform]Ensure that usage of toxic and flammable insecticides and rodenticides conformsto the U.S. Environmental ProtectionAdministrationand Maryland Department of Agriculture requirements[. (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. If you EVER held a Maryland license and it is currently listed as Inactive, Non-Renewed, or Invalid, you must request a renewal packet from (2) Private sewage disposal systems shall comply with COMAR 26.04.02. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. [E.]D.The[facilitys]nursing homescommunication mechanism shall ensure that theadministrator, director of nursing, and the medical director receive and address reports of infectionprevention andcontrol findings and recommendations in a timely manner. The additional food servicearearequired when meals are provided to anyone outside of the[facility]nursing homeis to be calculated by using the total number of individuals to whom meals are provided. The administrator shall[be]: (2) Bein good physical and mental health[,];and[shall demonstrate]. The physician shall[note on]document inthe[patients]residentschart any restrictions applicable to the[patients]residentsparticipation in the activities program. (3) In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.]. OHCQ estimates that 172 nursing homes would need to hire or contract with a licensed social worker. [F.]E.InfectionPrevention andControl Policies and Procedures. mbon.complaintsinvestigations@maryland.gov. (b) Certified graduates of a State-approved medicine aide course. Records for all[Patients]Residents. Code Ann., Health Occupations Article, 4140 Patterson Avenue, Baltimore, MD 21215-2254, If you have a non- compact active license in another state but never held a Maryland license, you must complete one of the above advance practice applications in, Once registration is completed in nursys.com, your license verification is immediately available for verification. In addition, 10 million men and women are abused by an intimate partner every year. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. An investigator who is a health practitioner, police officer, educator, or human service worker, acting in a professional capacity in this State, who has reason to believe that a child has been subject to abuse, shall notify the local department or appropriate law enforcement agency. The statutory language implies but does not specifically require a patient-provider relationship, so it is possible that the duty to warn might be found to extend to certain research settings involving investigators who are mental health providers. (2) May not be more than 36 inches high as measured from the floor to the top of the handrail. [Policies shall be reviewed at least annually by a]. 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. The signature of the programs teacher or trainer shall be required for authentication]. Appropriate provisions shall be made for emergency auxiliary heat by means of alternate sources of electric power, alternate fuels, or standby equipment. B. ; (16) Require that unless the supervisor is a licensed registered dietitian, they shall receive regularly scheduled consultation from a licensed dietician; (17) Specifying that during admission, a resident may not be accepted unless at least one service to meet the rehabilitative needs of the resident can be initiated within the 48-hour period; (18) Allowing for the provision of a waiver of general requirements for bedrooms in long term care facilitiesboth for newly constructed bedrooms and already-existing bedrooms; and. [Agency Note: The following equipment is recommended: (a) Equipment to maintain food at correct temperature; (e) Ice-making machine or ice-storage container; (g) Equipment for delivery of completed trays; (h) Three-compartment sink or dishwasher; (i) Cabinet for dry storage and supplies; (j) Storage for trays, tableware, flatware, and utensils; (k) Hand washing sink with soap and towel dispenser or approved drying device. B. A. A member of the facilitys staff shall be assigned responsibility for social services. (ii)Those disciplineswho provided the service. (27) HVAC means heating, ventilation and air conditioning. (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. (2)Nurses andsupportpersonnel shall be chosen for their training, experience,and ability. (5) A nursing home that administers Schedule II drugs shall maintain a drug record that documents: (b) The date, time, kind, dosage, and method of administration of all Schedule II drugs; and. There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. In compliance with Executive Order 01.01.1996.03, this proposed regulation is more restrictive or stringent than corresponding federal standards as follows: (1) Regulation citation and manner in which it is more restrictive than the applicable federal standard: (1) The facility must provide medically-related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. (2) Departments Office of Capital Planning, Budgeting and Engineering Services. (iii) Adequate storage and work counter space for storage and assembly of supplies for nursing procedures; (ii) A separate wall-hung hand sink for handwashing, equipped with wrist blades and soap and towel dispensers; (7) Utility RoomsExistingFacility. Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. Capacity shall be provided for[storage]storingof at least two completelinenchanges per bed. (2)Providefor thestaffuse of toilet facilities at a convenient location. of Legislative Audits operates a toll-free Human Service Worker. (a) Stored in water-tight containers with tight-fitting covers; and. Common Space. (g) The plumbing fixtures for all water supply connections to washing machines and the plumbing fixtures for all utility sinks shall have an integrated atmospheric vacuum breaker or other approved back-flow prevention devices. (8) Charge nurse means the registered or licensed practical nurse who is responsible for day-to-day operations of a unit in the nursing home on which residents live.