maryland board of nursing reporting requirements

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. If the employee refuses to be immunized, the[facility]nursing homeshall document the refusal and the reason for the refusal. (25) Grant means the award of money to an individual or an organization to: (a) Study an aspect for the geriatric population; or. C.The[facility]nursing homeshall maintain documentation of the discussion between the[facility]nursing homeand the volunteer concerning influenza vaccine and tuberculinskintesting. (4) A call system shall have a visible signal above the door of each residents bedroom that shall be visible from all parts of the corridor. (2) The nursing home shall keep poisons and medications marked for external use only separate from general medications and Schedule II drugs. (5) All members of the committee shall review revisions of policies and procedures before implementing any changes. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. (c) After being fully informed of the health risks associated with not receiving a vaccine, the employee refuses the immunization. [(6)]D. Hepatitis B. Therapeutic diets shall be planned, prepared, and served as prescribed by the attending physician: (1) Therapeutic diets shall be planned by alicensedregistered dietitian[or other qualified person]; (2) Preparation and serving shall be supervised by a qualified dietetic supervisor;and. (2)Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. (i) Each bed providedshall bein good repair, witha cleanandcomfortable standard sizemattress and foundation. All comprehensive care facilities and extended care facilities shall have written policies and procedures, acceptable to the Department, for tuberculosis surveillance of all residents. A bodyholdingroom shall be located to facilitate quiet and unobtrusive ingress and egress of bodies, convenient to the elevator and with an isolated exit. (1) Nursing homes shall provide at least the following supervisory personnel: (2) The director of nursings time is included in A(1) of this regulation. Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first. All rights reserved. (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. CCNE 2014 Self Study Report. Written Policies. (1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. input into the contents of the orientation program; the number of hours of orientation required for the various levels of. The regulations deal only with what must be reported. A score of 26 is passing on the TOEFL iBT. A. [.14-2].24Special Care Units Respiratory Care Unit. (5) The ventilation systems shall be designed and balanced to provide the pressure relationships as shown in Table 1 under D(10) of this regulation. (3) A copy of the agreement between the nursing home and the replacement shall be sent to the Department. [(d)](e)WarmAny temperature between[30C and 40C (86 and 104F)]86F and 104F or 30C and 40C. (1)New[supportive]supportpersonnel shall be credited for 50 percent of their working time until the employees orientation program, as approved by the Department, is completed. tonya.spruill@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. 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. B. A handsink with hot and cold running water shall be convenient to the nurses station. (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit.]. (ii) Office space shall be at least 110 square feet for one therapist, or 85 square feet per therapist if there are two or more. The charge nurse or nurses shall make daily roundsonall nursing units for which they are responsible, performing such functions as: (2)Reviewing clinical records, medication orders, resident care plans, and staff assignments; and. (3) As requested by the Department, the administrator or his designee shall telephone the Departments central bed registry, advising the Department of: In-service training shall include at least: H. Employment Records. records, Medication Administration Records (MARs) and controlled substance (1) A sufficient number of food service personnel shall be employed to, (2) Working hours shall be scheduled to ensure that the, (3) Nursing, housekeeping, laundry, or other personnel may not be, (1) Therapeutic diets shall be planned by a. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. The relief director of nursing shall be freed from other responsibilities. Elevatorsshall meet the requirements for elevators in a long-term care nursing home as set forth in theGuidelines for Design and Construction of Health Care Facilities. Please enable JavaScript in your browser. (26) Health officer means the health officer or the designated representative in each of the 23 counties and the Commissioner of Health in Baltimore City. ; Public Safety Article, 14-110.1; Annotated Code of Maryland. (62) Registered nurse means an individual licensed to practice as a registered nurse in this State. (1)Residents shall be given the opportunity to participate in planning menus. (1)If no approved public sewerage system is available, a private sewage disposal may be accepted, if approved by the Department. (6) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. (iii) Clean linen anda clean, comfortable pillowshall be provided. Results will be mailed to you within five days of exam date. For this reason, they will not be printed in the Maryland Register or the Code of Maryland Regulations (COMAR). (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided[for transportation of]totransportfood to the[patients]residents. (5)There shall be a complete orientation for all the employees in life safety and disaster preparedness. However, the national certification agency you are registered with will have requirements that you must complete. Thus 172 times $11,000 equals an annual cost increase of $1,892,000 to the regulated industry. truthful and transparent services. A. B. 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. . (3) Areas that meet this requirement may include: (b) Lobbies, portion not required for egress per NFPA 101 Life Safety Code, as are applicable to nursing homes; (m) No more than 50 percent of the floor area of all occupational therapy and physical therapy areas, and other areas as approved by the Department. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. (74) Tuberculin skin test means a test to diagnose tuberculosis infection using purified protein derivative (PPD) that is injected intradermally and read within 4872 hours with results recorded in millimeters of induration. The director of a medical laboratory defined at Health-Gen 17-201(b)(1) as any facility, entity, or site that offers or performs tests or examinations in connection with the diagnosis and control of human diseases or the assessment of human health, nutritional, or medical conditions . [(7) Utility RoomsExistingFacility. (12) Exhaust Hoods. [C.]E.Registry. In person purchases can be made at 16 Francis Street - Wineland Building, (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. (b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format. Contact the Discipline & Compliance Division, For general inquiries (Discipline): (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. Advisory Dentist. Unless otherwiseindicated, all generalrequirementsapply to both new construction and anexisting nursing home unless a waiver has been granted by the Office of Health Care Qualityin accordance with Regulation .03G of this chapter. [It]. 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. (68) Restraint means any physical or chemical restraint as defined in thischapter. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. 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. [Adequate]The nursing home shall provide adequatespace and a variety of supplies and equipment[shall be provided by the facility]to satisfy the appropriate individual activity needs of[patients]residents. The culture change nursing home shall be required to have service areas that meet the specifications in this chapter for: [C. Call SystemNew Construction. The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. 516 2017 LAWS OF MARYLAND - 4 - (4) A LICENSEE APPLYING FOR RENEWAL OF AN ADVANCED PRACTICE REGISTERED NURSE CERTIFICATION; OR [(3)] (5) An individual applying for reinstatement of a license in accordance with 8-319 of this title. (ii)Those disciplineswho provided the service. (2) FurnishingsNew Construction. F. Delegation of Responsibilities. The current license shall immediately become void and shall be returned to the Secretary if the: (a) Nursing home is sold, leased, or discontinued; C. Request for Departmental Permission to Exceed Capacity. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. Approved employees shall read the skin test and manage the results of the skin test in accordance with Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities. There shall be a separate entrance into each room]. (1) A nursing home shall develop resident, group of professional personnel including one or more physicians and one or more registered nurses, Written policies shall be kept current with the policies used to administer the, (5) For a resident who is to be transferred to the care of another. [B.] (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. Written Agreement. If the employees history is unclear, then the facility shall request a serology for varicella. (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. 410-585-1900 When a resident has signs and symptoms of tuberculosis, a physician shall[within 48 hours]be notified to: (a) Evaluate the resident forpossibletuberculosis in a communicable form; (c) Coordinate management of the resident and the residents contacts with thelocalhealth officer. ], [Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility.]. The director of nursing shall assume responsibility for maintaining professional competence of staff through their participation in education programs. (2) The ventilation rates shown in Table 1 under D(10)of this regulation shall be considered the minimum acceptable rates and may not be construed as precluding the use of higher ventilation rates. 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 . In, Initiation of services to meet the rehabilitative needs of the. confession, applicable policies and procedures, employee handbook, staffing [The location of thefood serviceareshall be approved by the Department. and Related Areas. Afacility which holds full licensure as of the adoption date of these regulations shall be considered as having an appropriately located food service area.]. A. (d) "Board" means the State Board of Nursing. (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. 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. (6) Assistingresidentsto adjust to their disabilitiesandensuring availability anduseoftheir prosthetic and assistive devices. C. Conversion of an Existing Structure. (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. (1) A system of water supply, plumbing, sewerage, electrical power, garbage or refuse disposal may not be installed or extended untilthe architect or professional engineer of record submits stamped and sealed final construction drawings for Department record and provisional approval in accordance with A of this regulation. (2) Transmit assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual except as excluded in E of this regulation. The[facilitys]nursing homesquality assurance committee shall develop and implement a quality assurance plan that includes procedures for: B. Concurrent Review. Although licensed providers are obligated to report suspected neglect or abuse of a vulnerable adult, non-provider investigators, who are permitted but not obligated to make such reports for adults, may be precluded from doing so if the reporting involves disclosure of protected health information (HIPAA may restrict disclosure of PHI to reports of adult abuse or neglect to those circumstances under which the report is required by law or the circumstances constitute an emergency. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. (iii) Inform the appropriate law enforcement agency and, if feasible, the specified victim or victims of: 1. (1) The[facility]nursing homeshall assess residents for tuberculosis according to the[following guidelines: (a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health Care[Facilities; and]Settings. 410.764.4777 | Toll Free 800.492.6836 Human Service Worker. [C. Lobby Area. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. 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. (4) The[facility]nursing homeshall require employees to perform hand hygienebefore andafter each direct resident contact for which hand hygiene is indicated by accepted professional practice. In new construction, facilityshall provide a lobby area. (c) Aportablewindowair-conditioning unit may not block window space. (c) A nursing care units medicine shall be stored in accordance with the following procedures: (i) Shall be stored in a cabinet with locks; (ii) Schedule II drugs shall be kept in a separately locked, securely fixed box or drawer in the medicine storage cabinet under two locks, keyed differently; (iii) The medicine storage and preparation area shall be illuminated with at least 100 foot-candles at the work counter; (iv) The preparation area shall include a small sink set into the counter or with drain boards and a biological refrigerator; and. 22, referenced in B of this regulation. Yes, if the hospital made any "change" in the health care providers employment, that change is reportable, irrespective of any root cause analysis. (b) A roomthatopens into the kitchen may not be used as aresidentbedroom. This istoallowentry of fire fighters, removal of smoke, and emergency evacuation. Dry Food Storage. These requirements are no longer in effect. responsive, accurate and consistent, (5) The pharmacy shall be responsible for delivering medications to the nursing home. You may be asked to demonstrate that your license is active, for which you must meet all the necessary continuing education requirements. Please enable JavaScript in your browser. ]; [(6)](5)Specialized rehabilitative services[]includingoccupational therapy[services], physical therapy[services], speech pathology and audiology services[. (1) A new nursing home shall satisfy the review of the Maryland Health Care Commission for the: (a) Establishment of a new nursing home; and. Maryland Board of Nursing. Open at all Times for Inspection. C. Duties of the Pharmaceutical Services Committee. (4) The pharmacy shall have access to a copy of the written pharmaceutical care policies.

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