(3) If warranted, the director of nursing shallreportthe matter to themedical director orprincipal physician. (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. (3) A nursing home shall equip all screened doors with self-closing devices, to provide for the normal flow of ingress and egress of traffic. (70) Serious and immediate threat means a situation in which immediate corrective action is necessary because a deficiency has caused or is likely to cause serious injury, harm, impairment to, or death of a resident receiving care in the nursing home. Pharmaceutical services shall be under the general supervision of a licensed pharmacist who shall: (a) With the advice of the pharmaceutical services committee, be responsible for developing, coordinating, and supervising pharmaceutical services and provide in-service training at least twice yearly; (b) Visit the nursing home frequently enough to assure that policies and procedures established by the pharmaceutical services committee are enforced; (c) Notify the attending physician of any potential drug problems found during the drug regimen review; and. 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. Contact the Discipline & Compliance Division. (b) Is paid by a nursing home to feed residents who are unable to perform the task themselves. (c) Other legal representatives as set forth in COMAR 10.07.09.08 and authorized by law to obtain access. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. (67) Residents representative means a person with the authority to act on the residents behalf regarding the matter at issue. Telephone service and drinking fountains which meet ANSI standards also shall be provided.]. Updated NOTE 2: COMAR 10.06.01 further requires the following: (1) Health Care Providers. (8) National Fire Protection Association, NFPA 101 Life Safety Code, which is incorporated by reference at COMAR 29.06.01.06. [Each]. Members of the residents family or the responsible party for the resident may not deliver medications to the resident or to the nursing home. (d) Smoke dampers shall activate by smoke detectors located in the ducts at the smoke barrier, or by the smoke detectors used to close smoke barrier doors. If you only knew the topic word, it could take longer, but could narrow to the Agency Titles where the topic appears. (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents; (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures, (9) Properly refer residents to specialty services and providers when the care needs of the resident exceed the scope of the attendingphysicians knowledge and skill, A. The infectionprevention andcontrol program shall include the handling ofspecialmedical waste as defined in COMAR 10.06.06. JavaScript is required to use content on this page. C. Assistance by Nursing Personnel. (4) A food service floor panty shall include the following: (d) Sink for purposes other than hand washing; (e)Hand washing sink with soap dispenser and disposable paper towel dispenser; and. [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. (2)Existing Facilities. [Applicants unable to obtain certification of oral competency in the English language, which is required in A(3)(e) of this regulation, from the school of nursing or the state of original licensure, may evidence of competency by obtaining a minimum passing score, as determined by the Board, on the Test of Spoken English administered by the Educational Testing Service before applying for . A. 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.]. [(a)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. (3) Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. The State of Maryland pledges G. Admissions Procedures for Patients With Communicable Diseases. A. Skills Agile SAFe Product Owner / Product Manager certified Pragmatic Institute Management Certified: PMC-I Product Management Director Product Manager Product Owner Business Analyst<br>Project . A health practitioner, police officer, or human service worker who contacts, examines, attends, or treats an alleged vulnerable adult, and who has reason to believe that the adult has been subject to abuse, neglect, self-neglect, or exploitation shall notify the local department, and if acting as a staff member of a hospital . (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. [(b) Guideline for Infection Control in Health Care Personnel.]. The activating device for those signals shall be located in each patients room and each and every bathing compartment and toilet room or compartment used by patients. (b) Relocation does not mean the movement of a resident if the effect of the movement is to move the resident from: (i) The distinct part of the nursing home that is a skilled nursing facility to a distinct part of the nursing home that is not a skilled nursing facility; or. This table below refers to the filter efficiencies for central ventilation and air conditioning systems in a nursing home other than chronic disease hospitals. B. Temperatures. (a) There shall be separate clean and soiled utility rooms in each nursing unit: (i)[, accessible]Accessibleto the[patient]residentarea[, no]; (iii) Nomore than 120 feet to the most remote[patient]residentbedroom[. schedule, patient assignment, incident reports, termination notice, names and (i) In the event of failure of the normal electrical service, be activated immediately; (ii) Come to full speed and load acceptance within 10 seconds; (iii) Have a capacity of 48 hours of operation from fuel stored on-site; and. (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. (1)Nursing service personnel shall provide care appropriate to theresidentsneeds with the organizational plan, authority, functions, and duties clearlydefined. The final regulations are codified at COMAR 10.32.22 and became effective November 7, 2016. confession, applicable policies and procedures, employee handbook, staffing 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. Search a specific Title (will search only that title for word or codification number). The baccalaureate degree program in nursing, master's degree program in nursing, Doctor of Nursing Practice program and post-graduate APRN certificate programs at University of Maryland School of Nursing are accredited by the Commission on Collegiate Nursing Education. 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) Ifindicated,the supervisor shallrefer the matter to the director of nursing. (7)Before the opening of the[facility all supportive]nursing home, supportpersonnel shall have a minimum of 2 days of orientation training. 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. Staffing. No. 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 (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. (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. 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 basic nursing curriculum covers two academic years, is approved by the Maryland Board of Nursing, and is accredited by the National League for Nursing Accrediting Commission. (1) The duty to take the actions under paragraph (2) of this subsection arises only under the limited circumstances described under subsection (b) of this section. The nursing home shall make its admission and discharge policies available for review by residents and the residents representative. Waiting for proof may involve grave risk to the child and . [There]The nursing homeshall[be provided]provideone or more attractively furnished areas of adequate size for resident dining, occupational therapy, and social activities. (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. fraud and/or abuse of State government 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. Temperature. Please enable JavaScript in your browser. If the serology for varicella is nonreactive, the facility shall request that the employee receive immunization for varicella. (14) Dentist means an individual licensed to practice dentistry in this State. A. (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. E. Objective. Please enable scripts and reload this page. (2) The nursing home shall keep poisons and medications marked for external use only separate from general medications and Schedule II drugs. final decision. (c) The janitors closet shall be connected to mechanically operated exhaust ventilation. (6) The bottoms of ventilation openings may not be not less than 3 inches above the floor of any room. (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. The State of Maryland pledges Hospitals have to report only if they made a "change" and if that change was based in whole or in part of any of the 14 specific reasons listed in. (b) Laundry service shall be provided to meet the residents needs. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. The physician shall, E. Objective. of Legislative Audits operates a toll-free Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. accessible and convenient, and friendly and courteous, timely and 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.