maryland board of nursing reporting requirements

C. A[facility]nursing homethat uses a paid feeding assistant shall ensure that the paid feeding assistant feeds only residents who do not have complicated feeding conditions including, but not limited to: (3) Recurrent lung[aspirations]aspiration; or. Thus 172 times $11,000 equals an annual benefit of $1,892,000 to the social worker industry and trade groups. This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). Phone: (410) 767-8150 All rights reserved. (j) If applicable, lighting in toilet rooms of the common area of refuge. .08 New Construction, Conversion, Alteration, or Addition. FAQs | Mandated Reports (1) All policies and procedures for the mobile food cart shall be approved by the Department and the nursing homes local health department before implementation. [Agency Note:]. B. E. Administration of Medications for Leave of Absence of 24 Hours or Less. [(6)](f)[Due care]Adequate exhaust ventilationshall be[taken in]provided whenusing vaporous materials or pollutants. Pages - Discipline/Compliance - Maryland Board Of Nursing Acall system shall be installed and maintained in operating order in all nursing units. (c) The nursing home shall provide heated toilet rooms adjacent to the common areas of refuge. [(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. (6)The number of daily admissions of[patients]residentsshall be controlled to allow sufficient time for on-the-job training. (6) The sounding of the audible signal shall be continuous or intermittent until answered. Maryland is a Nurse Licensure Compact (Compact) state, meaning that nurses licensed by another Compact state do not need to apply for licensure unless they plan to make Maryland their primary state of residency. non-renewed or expired. (4)In new facilities,the director of nursing and supervisors of[the various services,]dietaryservices, housekeeping, rehabilitationservices, and social services[,]shall be responsible for orienting the new[supportive]supportpersonnel to the[facilitys]nursing homepolicies and procedures and to the physical plant. For a bedroom that has sloping walls, only 50 percent of the floor area with a ceiling height between 4 feet and 7 feet, 6 inches, shall be credited, provided that at least 50 percent of the total area of the bedroom has a ceiling height of 8 feet. A written agreement with at least one acute hospital shall be effected which shall provide for the following actions: (1) Planning to ensure that all services required for the continuity of[patient]residentcare will be made available promptly; (2) Advance discussion with the[patient]residentregarding the reason for the transfer and any available alternatives; (4) Interchange of medical and other information necessary in the care and treatment of[patients]residentstransferred between[the]facilities, including notification of the licensed pharmacist of resident transfer; [(5) Timely admission to the hospital when the attending physician determines acute hospital care is medically appropriate;]. (5) The nursing home shall make its resident care policies available for review by residents and the residents representative. (73) Support personnel means an aide who: (a) Isassigned to a particular service such as: (b) Has been approved by the managerof the services as having sufficient training and experience to perform the assigned duties. Please turn on JavaScript and try again. 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. (29) Licensed bachelor social worker (LBSW) means an individual authorized to practice bachelor social work under Health Occupations Article, Title 19, Annotated Code of Maryland. (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. (a) Air handling duct systems shall meet the requirements applicable to nursing homes cited in NFPA 99 Health Care Facilities Code. 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. (d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department. (3) The equipment provided in food service floor pantries shall comply with the requirements of the local health department. to provide constituents, businesses, [B. A. The[facility]nursing homeunit shall meet all applicable requirements in Regulation[.26F].46of this chapter for emergency electrical power, including the provision of: (a) To service the medical gas systems, a vendor or staff shall be trained and accredited in accordance with NFPA 99 Health Care Facilities Code. The Maryland State Board of Nursing licenses registered nurses and practical nurses. [There shall be at least 12 square feet perbed for 50 percent of the total licensed beds.]. to provide constituents, businesses, A facility which holds full licensure as of the adoption of these regulations shall be considered as having an adequate size dietetic service department. A nursing home shall provide a lobby area that shall have: (1) Public toilets for both sexes, either separate or unisex, located conveniently to this area; (3) Drinking fountains or other drinking water dispensers that meet Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. (c) After being fully informed of the health risks associated with not receiving a vaccine, the resident refuses the immunization. This Search feature provides a chart of the 36 COMAR Titles, and allows a focused search of a specific Title. Contact us via email: OPC@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. The estimated salary differential to hire a licensed social worker versus a non-licensed employee performing social work services is $11,000. R. 9 (January 4, 2019), and is available online at www.dsd.state.md.us. Required: immunity TTY: Facsimile: (410) 333-3616 final decision. [B.] Public toilets for both sexes shall be located conveniently to this area. (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. C. Social History. This is especially important for licensees who are not going to reside in Maryland for an extended period of time. (16) Dietitian-nutritionist means an individual who: (a) Is licensed by the Maryland Board of Dietetic Practice to practice dietetics; (b) Has met the certifying requirements for registration as a dietitian as administered by the Commission on Dietetic Registration; and. A medical committee, or any other entity within a hospital that makes such decisions, is considered part of the hospital. (1)[New Construction. (2) Nurses StationExisting Facility. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. (a) Comply with Health-General Article, 18-404, Annotated Code of Maryland, regarding immunizations of employees; (b) Inform all new and current employees of the health risks of not being immunized; (d) Require that any employee who is not vaccinated with the current influenza vaccine wear a mask when: (ii) During the influenza season as specified by the States Prevention and Health Promotion Administration, based on influenza activity in Maryland. (a) A residents room shall have direct access to an exit in accordance with the requirements applicable to nursing homes specified in NFPA 101 Life Safety Code. (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. However, the nursing home would need to contract with a licensed social worker to provide oversight. 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. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit.]. (1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. (3) A copy of the agreement between the nursing home and the replacement shall be sent to the Department. [B.] Patients may not be kept behind locked doors, that is, doors which patients cannot open. [A.] (1) For every eight beds, there shall be at least one toilet enclosed in a separate room or stall. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. (b)The person in charge of the service to which the employee is assigned shall[have]: (i) Haveinput into the contents of the orientation program;[Policies for the orientation program shall include], (ii) Determinethe number of hours of orientation required for the various levels of[supportive]supportpersonnel;and. If you typed in the word submeters the Search feature would take you to the same Subtitle. (5) An electrically powered call system shall be connected to the emergency power supply. Filing a Complaint against a Medication Technician (MT), Certified (2)Standardized recipes adjusted to appropriate yield shall be followed. Pages - FAQ - Impaired Practice - Maryland Board Of Nursing (3) Laundry use,as referencedin the 2007Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. (3) Approaches to accomplishing each goal shall be established. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. (1) Amend, repeal, recodify, and adopt new language in order to make this chapter more cohesive, comprehensive, and clear; (2) Enable the Department to accept electronic submissions of both initial applications and renewal applications and thereby improve efficiency and decrease the administrative burden on providers and the Department; (6) Incorporate by reference additional documents; (7) Require that new facilities shall satisfy the review of the Maryland Health Care Commission for the establishment of new facilities and the increase or decrease in capacity of existing facilities; (8) Require that an existing facility that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing; (9) Require that a nursing home shall employ supervisory personnel and a sufficient number of support personnel, to provide a minimum of 3 hours of bedside care per occupied bed per day, 7 days per week; (10) Require that the ratio of nursing service personnel on duty providing bedside care to resident may not at any time be less than one to 15; (11) Require that the nurse manager or the Director of Nursing of vent units shall possess a background in ventilator care or be qualified in ventilator management; (12) Require that after January 1, 2021 social services responsibilities in the facility will be assigned to a Licensed Bachelor Social Worker, Licensed Graduate Social Worker, Licensed Certified Social Worker, or Licensed Certified Social WorkerClinical; (13) Require that the facility shall assign at least one infection preventionist staffed at a ratio of1.0 Full Time Equivalentsfor every 200 beds; (14) Require that facilities shall possess a functioning automated external defibrillator (AED) as of July 1, 2020; (15) Allow Certified Dietary Managers to share cooking responsibilities with the full-time cook in facilities with fifty or fewer beds. [(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. YouwillneedAdobe Acrobat Readeror equivalent software. Mandated Reporting Requirements FAQs. (1) A nursing home that uses electronic health records exclusively or along with a paper based medical record shall comply with this chapter and all applicable State and federal laws, including laws governing privacy and security of records. (a) Relocation means the movement of a resident from one room to another within: (i) The same Medicare-certified nursing home; (ii) A Medicaid-only certified nursing home; or. [There]The nursing homeshall[be provided]provideone or more attractively furnished areas of adequate size for resident dining, occupational therapy, and social activities. 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. These events are listed in the regulations in COMAR 10.32.22.02B(19). Pages - Nurse Practice Act - Maryland Board Of Nursing When an owner plans to convert an existing structurethat has not been licensed as a nursing or care home to a nursing home, the owner shall be required to meet all conditions set forth in this chapter. (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. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.]. Director of Nursing. Use of[Hot Water Bottlesand, Ice Caps]Hot Packs, Ice Packs, and Other Therapeutic Medical Devices. A nursing home shall maintain a minimum design temperature of 75F or 24C for all occupied areas. The medical director is responsible for: (2) Monitoring and evaluating thehealth care services andoutcomes[of the health care], including clinical and physician services provided to the[facilitys]nursing homesresidents; and. (Identified by Impact Letter and Number from Section II.). [.35] .58Resident Care Management System. The Department in these cases may require additional space to be provided. [The following requirements shall be met:]. You may be trying to access this site from a secured browser on the server. COMAR is currently updated in print every two years, but the online version, maintained by the Maryland Division of State Documents, is updated as soon as an agency publishes or updates a regulation. FAQs | Medical Cannabis Certifying Provider FAQs for PAs & Physicians Registered Professional Nurse. Maryland Department of Health 10.27, 10.39 and 10.53 Nurse Practice Act Disclaimer: This information has been gathered from a variety of sources. (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. [Statutory exceptions for certain confidential and privileged communications]. If a body holding room is not provided, a holding area shall be designated that approximates the above conditions. [Records shall be maintained]. Food Service Department. (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.]. mbon.complaintsinvestigations@maryland.gov. A. For general inquiries (Safe Practice Program): mbon.nursemonitoringdept@maryland.gov. media; projects; press; contact; slider. [The administrator or the administrators designee shall notify the private or public agency or relative responsible for the patient when the patientis transferred from the facility for any reason or at time of death. (b) Tuberculosis in a communicable form does not include: (i) When the individual who has presumptive or confirmed active disease, has had three negative AFB smears, collected 824 hours apart, shows clinical improvement, and has received chemotherapy to which the strain is susceptible for at least 14 days; or. (4) Authentication of hospital diagnoses[(], based on a[discharge]: (b) Reportfromthe[patients]residentsattending physician[, or transfer]; or. D.Lobby AreaNewNursing Home. (3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. [(4)](3)The[facility]nursing homeshall continue to monitor residents for signs and symptoms of tuberculosis by performing a yearly symptom review. [(2)](3)Respiratory care personnel provide respiratory care services commensurate with their documented training, experience, and competence[; and]. (b) A roomthatopens into the kitchen may not be used as aresidentbedroom. (b) Who require medical services and nursing services rendered by or under the supervision of a licensed nurse together with convalescent, restorative, or rehabilitative services. a list of all states/jurisdictions where the institution has not made a determination of whether the curriculum meets educational requirements. 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. (4) A computer system with a monitor or other electronic display device may be installed to replace the call system enunciator, as long as it reveals the location where the signal originated and sounds an audible alert tone. D. Consultation. (1)A nursing home shall be equipped with a properly maintained air conditioning system. A person maintaining or operating a nursing[facility]homewithout a license is guilty of a misdemeanor, and, on conviction, is liable for a fine of not more than $1,000 for the first offense and not more than $10,000 for each subsequent convictionin accordance with Health-General Article, 19-358, Annotated Code of Maryland. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. (4) The pharmacy shall have access to a copy of the written pharmaceutical care policies. address of all witnesses). A utility sink shall be provided within reasonable distance from the food service department for its use, but it may be shared with other activities. C. A nursing home shall be constructed to comply with the provisions of the NFPA 101 Life Safety Code, as promulgated by the State Fire Prevention Commission, that are applicable to nursing homes. 4. C. Duties of the Pharmaceutical Services Committee. To easily find professional nursing licensure requirements (RN, PN and APRN programs), please select the states/jurisdictions where you want to know their professional licensure requirements. Please enable JavaScript in your browser. (f) The system provided in laundries may not allow the spread of airborne contaminants to other parts of the nursing home that are occupied by residents, staff not working in the laundry, and the general public. The director may not disclose, directly or indirectly, the identity of any individual tested. (3) Local Law or Ordinance, Where Applicable.

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