Please enable scripts and reload this page. (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to[give adequate patient care and to do feeding,]: (a) Providemaintenance, cleaning, and housekeeping; (a)A[facility]nursing homemay request a[]voluntary admissions ceiling[]by submitting a written request to the Department to authorize a temporary restriction on[patient]residentadmissions based upon anticipated bed usage. (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. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. resources. B. When the investigator is a physician with a patient under care, the investigator must make immediate reports of infectious or contagious diseases, including AIDs, to the health officer in the county where the physician cares for the patient. Any occurrence such as the occurrence of suspected mental disturbance, communicable disease, or symptomatic condition of importance to public health, poisoning, or other serious occurrence which threatens the welfare, safety, or health of any patient shall be reported immediately to the local health department. In existing facilities where a physical separation is not possible, exceptions as to approved laundry facilities may be made at the discretion of the Department. If the designee is not a certified social worker, the facility shall effect an agreement with a qualified social work consultant. of Legislative Audits operates a toll-free The Maryland General Assemblys Office The current weeks basic menu shall be posted in one or more easily accessible places in the. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. E. Completion of Records and Centralization of Reports. Welcome to the Maryland Board of Nursing Temporary Nurse Aide Pathway for CNA/GNA Certification. Dayroom areas shall be provided[, adequate]that are: (1) Adequatefor the[patients capable of using them]residentslocated on each nursing care unit;and. Registered Professional Nurse. [.34] .57Housekeeping Services, Pest Control, and Laundry. [(2) Existing Facility. 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. (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. 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. The sounding of the audible signal shall be continuous or intermittent until answered. mbon.complaintsinvestigations@maryland.gov. D. Consultation. The estimated salary differential to hire a licensed social worker versus a non-licensed employee performing social work services is $11,000. In laundries in new facilities there shall be a physical separation between the clean and soil areas. responsive, accurate and consistent, (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. Written Policy. mbon.nurselicenserenewal@maryland.gov. (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. Filing a Complaint against a Medication Technician (MT), Certified 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. In person purchases can be made at 16 Francis Street - Wineland Building, Annapolis, MD. This action was considered by the Board of Nursing at a public meeting held on March 22, 2017, notice of which was given by publication on the Board's website in January, February, and March 2017 at . (a) Medication storage cabinets with locks shall be permitted for the storage of resident medications that do not require refrigeration within a resident bedroom. (1) The Secretary may issue a license to a[comprehensive care facility]nursing homeor an extended care facility for less than a 24-month period under any of the following conditions: (d) If new construction is completed to the point of being able to provide all necessary services to its residents but certain substantial items of equipment[of]foroptional servicesare temporarily lacking, which in the opinion of the Department will have no immediate adverse effect on the safety or health of its residents[, are lacking temporarily]; or. (2) Plumbing and water supplies shall be protected against backflow within a nursing home. After meeting requirements of the Board of Nursing (Maryland application, After registering with NCLEX you will receive an Authorization To Test letter (ATT). 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. certain fraudulent activities and protect In our example, you can read each and then select Subtitle 25. Updated printed copies of the Nurse Practice Act and Regulations can be purchased at the Division of State Documents in person, by internet, or by telephone. [(f)](g)[Sufficient]A nursing care unit shall have sufficientspace and equipment for medical records[which enables]so thatpersonnel[to]canfunction[in an effective manner]effectivelyand[to]maintaineasily accessiblerecords on all[patientsso they are easily accessible]residents. You may be trying to access this site from a secured browser on the server. Incidents are to be reported as soon as they are suspected. possible. There shall be provision for the laundering of patients clothing. The attending physician shall: (5) For a resident who is to be transferred to the care of another[health care practitioner]attending physician, continue to provide all necessarymedical care and services pending transfer until anotherattendingphysicianhas accepted responsibility for the resident. (2)[The total areas]The nursing home shallset asideareasfor[patients]residentsdining and recreation[areas shall be no less than]that totalat least30 square feet perlicensedbed for the first 100 beds[and], plus27 square feet perlicensedbed for all beds in excess of 100. Effective in 2013. (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. 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. For example: Type in Consumer Protection and you will see eleven (11) different Titles covering this topic. B. hotline in the past has helped to eliminate 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. Boiler rooms. (1) All air-supply and air-exhaust systems shall be mechanically operated. (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. Getting started with CalCentral. Ch. 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.)] COMAR 10.32.22.03B(15) covers other actions that "may constitute a violation" of the Act or other applicable laws. Order forms can be downloaded from the Division of State Documents . If the[facilitys]nursing homesmedical director does not have special training and experience in diagnosing, treating, and assessing respiratory problems, the[facility]nursing homeshall[hire]employ or contract witha[physician]Board-certified pulmonologistwho has the special knowledge and experience to provide: D. Staffing. (2)A nursing home may not employ an individual as a geriatric nursing assistant until the individual has successfully completed a competency evaluation approved by the Maryland Board of Nursing. Standardized recipes adjusted to appropriate yield shall be followed. (2) The janitors closet or service alcove. 201 W. Preston Street, Baltimore, MD 21201-2399, 10.07.02 [Comprehensive Care Facilities and Extended Care Facilities], The Secretary of Health proposes to repeal the Preface and Regulations, (13) Require that the facility shall assign at least one infection preventionist staffed at a ratio of1.0 Full Time Equivalents. A catered or satellite system shall be covered by a contractapproved by the Department. (66) Resident Assessment Instrument (RAI). 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. It looks like your browser does not have JavaScript enabled. H. Advance Planning and Posting of Menus. A. (35) Licensed practical nurse means an individual authorized to practice licensed practical nursing under Health Occupations Article, Title 8, Annotated Code of Maryland. (3)In new construction,thenight light shall be switched at theresidentroom door. Any member of the research team is covered by the requirement that any person report to the health officer any knowledge of an animal bite. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. (5) A nursing home shall develop a system to ensure that nursing home staff have access to residents health records in the event of a failure of the nursing homes electronic medical record system. (49) Ongoing pattern means the occurrence of any potential for more than minimal harm or greater deficiency on two consecutive on-site visits as a result of: (b) Follow-up visits and unscheduled visits; or. (a) Tuberculosis in a communicable form means that an individual: (i) Is presumed to have active pulmonary or laryngeal tuberculosis as evidenced by positive X-ray findings with or without positive acid-fast bacilli (AFB) sputum smear or positive AFB sputum culture; and. Responsibilities delegated to other staff besides the director of nursing shall have a clear delegation of authority. [Appropriate action shall be taken.]. The care plan shall address all of the residents special care requirements necessary to improve or maintain the residents status. The activities shall be designed to promote the general health, B. (17) Discharge means the removal of a resident from a nursing home when the releasing nursing home is no longer responsible for the residents care. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. Mandated Reporters. If a deficiency exists, the Department, in addition to the sanctions set forth in this regulation and Regulations, (c) Issuing written reports to the Department and the nursing, A. [(g)](h)Storage under Non-specific Conditions. (1) At least one licensed nurse shall be: (b) Be designated by the director of nursing to be in charge of the nursing activities during each tour of duty. Bedsareto be placed so that all sides of the bed are at least 18 inches from heating units. (c) Toilets and bathing rooms within arehabilitationarea shall be equipped with a nurse call system. (b) A roomthatopens into the kitchen may not be used as aresidentbedroom. (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. The requirement is to tell the Board what the hospital did, not to characterize the underlying conduct. Standardized recipes are those recipes which have been tested by the, A. Rehabilitative ServicesAdmission Policies. mbon.nursemonitoringdept@maryland.gov, Director of Discipline & ComplianceKaren E. B. Evanskarene.evans@maryland.gov, Administrative Officer - Discipline: 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. (g) Advance directives, living will, or a copy of the residents Marylands Medical Orders for Life-Sustaining Treatment (MOLST) form. Temperature. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit.]. A nursing home shall be equipped with a properly maintained and operational central heating system. Please enable JavaScript in your browser. (a) Identify an emergency and disaster planning liaison for the nursing home; and. 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. (1) The building and all its parts and facilities shall be kept in good repair, neat,and attractive. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. The frequency of communications between the physician and the rehabilitation team members shall[be governed by the statusand]dependonchanges in the[patient]residentand[his]the residentsmedical status. Please enable JavaScript in your browser. Anursing home may not burn or incinerate garbage at the nursing home. B. (7) The call system shall enable residents in the rehabilitation area to summon rehabilitation staff. Afacility which holds full licensure as of the adoption date of these regulations shall be considered as having an appropriately located food service area.]. Information reported to the A respiratory care unit shall meet the: (1) General requirements established for all special care units as outlined in Regulation[.14-1].23of this chapter; and. hotline in the past has helped to eliminate Other forms of evidence may include pictures, (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. D.Contract. Passing score of 85% or better on Sagepoint Certified Nursing Assistant Competency Exam. JavaScript is required to use content on this page. (3) This position shall be staffed at a ratio of 1.0 Full Time Equivalents for every 200 beds. to provide constituents, businesses, [E.]F.JanitorsCloset or Service Area. The nursing home shall meet the requirements for handling, treatment, and disposal of special medical wastes as provided in COMAR 10.06.06. Public toilets for both sexes shall be located conveniently to this area. B. (ii)Those disciplineswho provided the service. The administrator of the facility shall be responsible for seeing that appropriate procedures and reporting are carried out. (15) Department means the Maryland Department of Health. 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. customers, and stakeholders with [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.]. The[facilitys]nursing homesquality assurance committee shall develop and implement a quality assurance plan that includes procedures for: B. Concurrent Review. (2) The duty described under this section is deemed to have been discharged if the mental health care provider or administrator makes reasonable and timely efforts t. (i) Seek civil commitment of the patient; (ii) Formulate a diagnostic impression and establish and undertake a documented treatment plan calculated to eliminate the possibility that the patient will carry out the threat; or. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. (3) As of January 1, 2021, a license is required for an employee to provide social services except if: (a) On the effective date of these regulations, the employee was assigned responsibility for social services; and. (b) Connected to mechanically operated exhaust ventilation. A. (See the attached table for detailed descriptions of the reporting obligations that could potentially apply in the research setting.). (e) In an existing nursing home, the usable floor area for rooms havinga bedroom shall have a finished ceiling height of 8 feet. B. Licensure requirements vary by state. (3)The relief director of nursing shall be freed from other responsibilities. Maryland Board of Nursing Minimum Requirements. (1)There shall be sufficient equipment to meet the needs of the[typepatients]residentsadmitted. (e) If windows can be opened, but the nursing home has concern over the window being opened due to resident safety issues and elopement, the window sash may be restricted by hardware as approved by the Department. 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. (a)The nurses[station]work areashall be[centrally]located[in relation to beds served]on the unitand[shall provide]withineasy view of corridors outside ofresidentsrooms. The information is fluid and evolving. (2) A minimum pressure of 15 psi during demand period is required at top floor equipment. Any practicing nurse needs to consider what the Nurse Practice Act and COMAR states when consuming alcohol, taking medications or substances that could be considered controlled dangerous substances, using illicit or any substance that affects mood, attention, alertness, judgment, decision-making etc. Telephone service and drinking fountains which meet ANSI standards also shall be provided. (3) All fans serving exhaust systems shall be located at the discharge end of the system. D. Unusual Occurrences. Baltimore, Maryland, 21215-2254. License Lookup 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. CCNE 2014 Self Study Appendices. (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. 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. (iii) The clean area shall allow for drying and folding of clean laundry. Termination of Services of Director of Nursing. Notification of Responsible Persons When[Patient]ResidentMoves. B. The[goal]goalsshall be realistic, practical, and tailored to the residents needs. (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. We're available on the following channels. (19) Clarifying that supervisory responsibilities for a food service department and food production within a facility shall be assigned to a qualified dietetic service supervisor. 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. Attach documentation supporting your allegation (i.e. The resident care management system shall. LoginAsk is here to help you access Maryland Board Of Accountancy Cpe Central quickly and handle each specific case you encounter. Third, determine if any of the specific exceptions to those reasons apply. A. [(5)](4)Transfer or Assignment of License. (2) Ifcorrected, will result in an unreasonable,substantial financial burdenon the nursing home. The following requirements shall bemet:]Distributions. (2)There shall be an allowance of at least 12 square feet per[ambulatory patient]resident[;this]. (ii) To avoid injury to the resident, the mattress and foundation shall fit the bed. (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. (e) No morethanfour individualsmay occupy a multiple occupancy bedroom. K. GarbageStorage Space. media; projects; press; contact; slider. Written Policies. (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. (2) A call system shall be maintained in a manner that will provide visible and audible signal communication between nursing service personnel and residents. The Department in these cases may require additional space to be provided.]. (1) The nursing home shall offer influenza and pneumococcal immunization to each resident. (5) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. friendly and courteous, timely and Members of the residents family or the responsible party for the resident may not deliver medications to the resident or to the nursing home. [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. (3) If the pharmacy fails to comply with the policies, a representative of the nursing home shall discuss the situation with the pharmacy and the resident, and if the pharmacy subsequently refuses to follow the policies, the resident shall select another pharmacy that agrees to comply. A. Rehabilitative ServicesAdmission Policies. General Requirements. (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. [F.]J. 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.