maryland board of nursing reporting requirements

If you are unable to find the exact regulation, contact the Division of State Documents at: To report Waste, Fraud or Abuse to the Office of Legislative Audits. The nursing home shall provide for an organized nursing service, under the direction of a full-time registerednurse. Human Service Worker. Abuse of Developmentally-Delayed Individuals. (1) Emergency Power. Featured Programs: Sponsored School(s) Sponsored School(s) All school search, finder, or match results, as well as colleges and universities displayed as . Report must be made immediately to the health officer in the county where the physician cares for the patient. (1) New Construction. Use of[Hot Water Bottlesand, Ice Caps]Hot Packs, Ice Packs, and Other Therapeutic Medical Devices. The Board: protects the public from unsafe nursing practice, provides approval for more than 200 nursing education programs, issues licenses to more than 27,000 nurses per year by examination to new graduates and by endorsement to licensees from other states seeking a Texas license, as well as providing nursing practice and education guidance . (iii) The clean area shall allow for drying and folding of clean laundry. In laundries in new facilities there shall be a physical separation between the clean and soil areas. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (5) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. Body Holding RoomNew Constructionand Existing Nursing Home. (3) Is in a readily visible type font and size. resources. (1)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. (2)Providefor thestaffuse of toilet facilities at a convenient location. (1) A pharmaceutical services committee, or its equivalent, shall develop written policies and procedures for safe and effective drug therapy, distribution, control, and use. (2) In compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and other applicable codes, and all federal, State, and local codes. . (b) Receive signals originating from residents bedrooms, bathrooms, bathing areas, and therapy areas. C. Director of Nursings Vacancy Exceeding 30 Days. (4) There shall be an agenda to guide meeting participants. Mandated reporting is required when: Title 24 M.R.S. Anyone not on the committee shall be informed of how to present and submit concerns to: (3) A member of the family council if one exists. (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. The State of Maryland pledges Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. from civil liability.-Except as provided in subsection (b) of this section, the (2) FurnishingsNew Construction. The[facilitys]nursing homesinfectionprevention andcontrol program shall monitor the relevant health status of all employees, as it relates to infectionprevention andcontrol. [C.]A. Nurse Practitioners. With respect to naturopathic doctors, different parties are required to make reports in different circumstances and within different time frames. A. prefilter is employed, the prefilter shall be upstream of the equipment and the main filter bed may be located further downstream. (ii) The individual who has inactive pulmonary scarring,calcification, or a normal chest X-ray. (7) Certified social worker means an individual licensed to practice as a certified social worker in this State. A. (1) Planning to ensure that all services required for the continuity of, (4) Interchange of medical and other information necessary in the care and treatment of. (2)A visible signal in the corridor above the corridor door of eachpatientsbedroom, visible from all parts of the corridor. (1) The nursing home shall providea multi-purpose room[is used]for dining, occupationaltherapy,physicaltherapy,and social activities[, there]. . F. Staffing. Helen Bowlus, Assistant Attorney General and advisor to the Maryland Department of Health and Mental Hygiene, has advised us that subjects enrolled in research protocols may in many cases be considered under care, and that no categorical exclusion from reporting requirements exists for providers who are conducting research. (2) CMS Manual System, Pub. There are currently 36 subjects and 101 Articles in the Annotated code. or Advanced Practice Registered Nurse (APRN). Responsibility for the Residents Care. as stated in Regulation .14 of this chapter. certain fraudulent activities and protect 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. Passing score of 85% or better on Sagepoint Certified Nursing Assistant Competency Exam. (6) Assistingresidentsto adjust to their disabilitiesandensuring availability anduseoftheir prosthetic and assistive devices. possible. (7) The audible signal may not be turned off at the nursing station. (c) Within 24 hours of admission, notify and direct residents to the nursing homes emergency plans and maps, including evacuation procedures. (b) As high as practical, as such the bottom of the outdoor air intake is: (i) At least 6 feet above ground level; or. (3) A call station shall provide readily accessible and detachable extension cords to each residents bed in the residents rooms at all times. D. A record of the posting shall be retained for 1 year. 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. (b) Increase or decrease in capacity of an existing nursing home. (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. The Maryland General Assemblys Office (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. The nursing home shall be serviced by a public sewage disposal system if available. The audible signal may not be turned off at the nursing station. (2) The name and license number of the replacement director of nursing shall be supplied to the Department as soon as employment begins. (f) A joint between filter segments and the enclosing duct work shall be gasketed or sealed to provide a positive seal against air leakage. (2) The nursing home shall provide the Office of Health Care Quality with the documentation that verifies that the applicable local and State governmental authorities have approved work that was done. Yes. D.Humidity. [The following requirements shall be met:]. E. Auxiliary Heat. E. Space. [Heating pads may not be used instead of hot water bottles.]. Copyright Maryland.gov. Minimum equipment shall include the following: (b) Cabinets for dry storage and supplies; (d) Sink for purposes other than handwashing; dwashing sink with soap and towel dispenser or approved drying device.]. Persons other than licensed health care providers may report suspected abuse or neglect of a vulnerable adult. (7) Corridors may not be used to supply air to or exhaust air from any room, except that air from corridors may be used to ventilate bathrooms, toilet rooms, janitors closets, and small electrical or telephone closets opening directly on corridors. Temperature. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment, C. When the attending physician and medical director agree that a particular. ]; and. Please enable JavaScript in your browser. B. hotline in the past has helped to eliminate Please enable JavaScript in your browser. If the patient becomes too difficult to manage, the patient shall be transferred to a suitable facility selected by the attending physician. The administrator of the facility shall be responsible for seeing that appropriate procedures and reporting are carried out. Appropriate provisions shall be made for emergency auxiliary heat by means of alternate sources of electric power, alternate fuels, or standby equipment. H. Director of Nursings Continuing Education. (37)MDS Care Area Assessmentmeansthe investigation of triggered care areas, to determine if the care area or areas require interventions and care planning. (b) Smoking shall be prohibited at the main entrance to all facilities. Contents of Record. immediately give the required information to the institution head/designee. .20 Nursing ServicesDirector of Nursing. If the social worker is not a licensed certified social worker LCSW or a licensed certified social worker-clinical LCSW-C, the facility shall provide for an LCSW or LCSW-C to provide sufficient hours of supervision. [(5)](6)Pest Control. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. For questions or . Find more COVID-19 testing locations on Maryland.gov. [(3) The tuberculin skin test for new admissions may be a two-step skin test that is performed by the facility according to the established infection control policy of the facility. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. If the patient becomes too difficult to manage, the patient shall be transferred to a suitable facility selected by the attending physician. Amber Havensamber.havens@maryland.gov, Compliance Coordinator: The quality assurance committee shall: (1) Designate[a chairperson to manage]an individual to overseecommittee activities; (2) Meet monthly to[accomplish]carry outquality assurance activities; (3)[Assist in developing]Help developand approve the[facilitys]nursing homesquality assurance plan; (4) Submit the quality assurance plan to the Departments Office of Health Care Quality at the time ofinitialapplicationforlicensure or at the time of licensure renewal; (5) Submit any[change in]changes tothe quality assurance plan to the Office of Health Care Quality within 30 days of the[change]changes; F. Quality Assurance CommitteeNon-members. (2)The administrator shall maintain recordsreflecting attendance, by name and title, and training content. The nursing home shall meet the requirements for handling, treatment, and disposal of special medical wastes as provided in COMAR 10.06.06. 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. Afacility which holds full licensure as of the adoption date of these regulations shall be considered as having an appropriately located food service area.]. [F.]E.A[facility]nursing homelicensedas a[comprehensive or extended care facility]nursing homebut not certified for participation in the Medicare or Medicaid Program shall comply with the[State Operations Manual for Provider Certification]CMS Manual System, Pub. (3) The equipment provided in food service floor pantries shall comply with the requirements of the local health department. You are a mandated reporter if you are one of the following: Health Practitioner. [Signed]The nursing home shall file signedand dated reports of diagnostic services[shall be filed with]inthe[patients]residentsmedical record. (1)New Construction. Financial Help With My Gas and Electric Bill, How to Buy an Energy-Efficient Home Appliance, Search on a word or phrase, or enter the codification number, Access through Table of Contents Structure. (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. (1) A new nursing home shall be constructed, equipped, and maintained to protect the health and safety ofresidents,personnel, and the public. A staff memberwho isqualified by experience or training shall be appointed to be responsible for the activities program. For general inquiries (Discipline): mbon.nursingdiscipline@maryland.gov. (5) Return of License or Renewal Certificate to the Secretary of Health. (3) In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction. (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. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. Call us at (425) 485-6059. (6) The nursing home shall make available to residents educational and informational materials relating to immunization against influenza virus and immunization against pneumococcal disease. (1) The administrator of the nursing home shall immediately report to the local health department and the Department the occurrence of: (e) Any symptomatic condition of importance to public health that affects the nursing home; or. Please enable scripts and reload this page. (iii)Destructivealteration of the dosage form[, the container label bears an appropriate instruction to protect the product from freezing]. Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below). In the case of naturopathic doctors, please consult the regulations at, Medical Cannabis Certifying Provider FAQs for PAs & Physicians. (2) A facility with more than 120 beds must employ a qualified social worker on a full-time basis. As described in the chart below, health care providers must make these reports in specific oral and written forms, however, any person, is also required to make either an oral or written report of suspected child abuse. [In existing facilities,]. Adequate storage space shall be provided forresidentspersonal possessions, including the storage of seasonal clothing. (3)The nursing home shall obtain prior approval from the Department for any part of the premises to be used for tenant occupancy or for unrelated business purposes. Exceptions may be made in part at the discretion of the Department for an individual facility only when the facility can demonstrate compliance with the intent of this section by showing an effective patient call system to provide quality patient care. (iv) All soiled areas within a laundry shall be connected to mechanically operated exhaust ventilation. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. All employees shall routinely use appropriate barrier precautions to prevent skin and mucous membrane exposure when contact with blood or the body fluids of any resident is anticipated as outlined in: (1)2007Guideline for Isolation Precautions[in Hospitals]:Preventing Transmission of Infectious Agents in Healthcare Settings; and. [.30].53Rehabilitation Facilities Space and Equipment. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee, Credentials Evaluation Service Application (CGFNS), CREDENTIALS EVALUATION SERVICE APPLICATION, Complete on-line application and fee to CGFNS. Except for those over-the-counter medications that the Department may list as suitable for purchasing in bulk and dispensing as needed, the labels for all medications shall bear at least: (d) Original filling date and date refilled, if applicable; (f) Expiration date of medication (month, year); (g) Any special handling and storage instructions; (h) Name and address of dispensing pharmacy; (2) A nurse may not package, repackage, bottle, or label any medication, in whole or in part, or alter any labeled medication in any way. (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. (40) New nursing home means a nursing home that does not yet have plans approved by the Department at the time of the adoption of this chapter. You may be trying to access this site from a secured browser on the server. State resources. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (e) In an existing nursing home, the usable floor area for rooms havinga bedroom shall have a finished ceiling height of 8 feet. Filing a Complaint. (3) The individual who prepares medications shall give and record them. 201 W. Preston Street, Baltimore, MD 21201-2399, COMAR 10.01.07 Petitions for Adoption, Amendment or Repeal of Regulations, MDHPolicy 02.10.01 Policy For Regulations, MDHProcedures 02.10.01.P1 - Procedures For Regulations, State Government Article, 2-102, Annotated Code of Maryland, MDHPolicy 02.10.03 MDHPolicy On Policies, RR&EA - Work Plans and Evaluation Reports, Regulatory Review and Evaluation Act (RREA General Information). Incidents are to be reported as soon as they are suspected. (c) Maintains the continuing education requirements of registration. 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. tonya.spruill@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. 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. The information is fluid and evolving. (1)The physician and the rehabilitation team members shall reevaluate the[patients]residentsprogress as necessary, but at least every 30 days. There shall be a separate entrance into each room]. (1)[In a decentralized]There shall be at least onefood service[,the area or areas for]floor[pantries shall be approved by the Department]pantry per nursing care unit. (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. Dayroom areas shall be provided[, adequate]that are: (1) Adequatefor the[patients capable of using them]residentslocated on each nursing care unit;and. (3) The use of hot and cold medical devices shall be: (a) Consistent with manufacturer guidelines and nursing home policies; and. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. [Agency Note:]. require that all employees receive annual immunization for influenza, unless: (b) Against the employees religious beliefs; or. Police Officer. (2)There shall beat leastone night light in each bedroom forresidents. (5) A food service floor panty shall include the following additional equipment: (b) Ice-making machine or ice-storage container; (d) Equipment to deliver completed trays; (e) Three-compartment sanitizing sink or dishwasher; (f) Cabinet for dry storage, supplies, and kitchenware; and. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference. ]; [(16)](15)Tuberculosis[Surveillance. JavaScript is required to use content on this page. ]; [(6)](5)Specialized rehabilitative services[]includingoccupational therapy[services], physical therapy[services], speech pathology and audiology services[. (71) Special care unit means a nursing home unit that provides intensive specialized care, such as respiratory, rehabilitative, dementia, or dialysis care, continuously on a 24-hour basis.

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