maryland board of nursing reporting requirements

(39)Minimum Data Set (MDS) means acore set of screening, clinical, and functional status elements, including common definitions and coding categories, which: (a) Forms the foundation of a comprehensive assessment for all nursing home and swing bed residents; and. (a) Orient staff to the emergency and disaster plan and to their individual responsibilitiesin relation to the planwithin 24 hours of the commencement of job duties;[and], (b) Document completion of the orientation in the staff members personnel file through the signature of the employee; and. (6) Each training program shall have behaviorally stated objectives for each unit of instruction, stating measurable performance criteria. [(2)](3)Respiratory care personnel provide respiratory care services commensurate with their documented training, experience, and competence[; and]. Written Policies. (11) Table 2. (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. (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. (f) Except for trays that are assembled in the main kitchen and then distributed to the nursing care units, equipment to hold hot food if bulk foods are plated and served to the residents on the nursing care unit. B. [A.] K. GarbageStorage Space. (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. (12) Exhaust Hoods. (2) The team shall establish goals for each problem or need identified, or a combination thereof. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. In person purchases can be made at 16 Francis Street - Wineland Building, Annapolis, MD. Comments will be accepted throughMarch 18, 2019. (i) Each bed providedshall bein good repair, witha cleanandcomfortable standard sizemattress and foundation. [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 . The Virginia Board of Nursing may request additional evidence that the nurse is prepared to resume practice in a safe, competent manner. 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.]. Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below). (ii) The individual who has inactive pulmonary scarring,calcification, or a normal chest X-ray. accessible and convenient, and (a) New support personnel shall have an employee orientation program. According to the National Nursing Database, Maryland currently has 73,086 RNs and 13,538 LPNs. D. A record of the posting shall be retained for 1 year. Comprehensive care facilities and extended care facilities shall develop written policies, consistent with these regulations, to govern the nursing care and related medical or other services they provide covering the following: (1) Admission, transfer, and discharge policies including categories of patients accepted and not accepted by the facility, or those who are required to transfer to another level of care. (5) All members of the committee shall review revisions of policies and procedures before implementing any changes. [(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. If the comprehensive care facility or the extended care facility is sold, leased, discontinued, the operation moved to a new location, the license revoked, or its renewal denied, the current license immediately shall become void and shall be returned to the Secretary.]. (vi) The arc of anydoors that open into the room, excluding closet doors. (b) Smoking shall be prohibited at the main entrance to all facilities. The Secretary of Health and Mental Hygiene proposes to amend Regulations .01.04 under COMAR 10.27.22 Multistate Licensure Compact Regulations. (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. Mandated Reporting Requirements FAQs. The culture change nursing home shall be required to have service areas that meet the specifications in this chapter for: [C. Call SystemNew Construction. (c) Coordinate management of the resident and the residents contacts with the. We're available on the following channels. [In new construction,facilities], (a)A nursing homewith rehabilitation areas shall provide a[lavatory]hand washing sinkand toilet which meet[ANSI]Guidelines for Design and Construction of Residential Health, Care, and Support Facilitiesstandards forresidents who are dependent on the use of awheelchair[patients]. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. [The location of thefood serviceareshall be approved by the Department. We're available on the following channels. 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. General Requirements. ALL FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE, In order to be endorsed in the state of Maryland, please complete the steps below, Questions- email us at Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. [(3) The facility shall monitor the purified protein derivative (PPD) status of employees at any time that symptoms suggestive of tuberculosis develop, and periodically, consistent with the tuberculosis control plan. E. Objective. 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. Members of the residents family or the responsible party for the resident may not deliver medications to the resident or to the nursing home. Applies to anyone: Any individual having knowledge of an animal bite shall report the bite to the health officer., Maryland Reporting Obligations that May Apply to Investigators or Other Members of the Research Team, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Office of Human Subjects Research - Institutional Review Board. (2)There shall be an allowance of at least 12 square feet per[ambulatory patient]resident[;this]. fraud and/or abuse of State government responsive, accurate and consistent, (c) All laundry shall be processed and handled in a manner that prevents the spread of infections. An occurrence of a communicable or suspected communicable disease shall be reported and acted upon in accordance with medical asepsis as described in COMAR 10.06.01 Communicable Diseases and COMAR 10.15.03 Food Service Facilities. The employee may refuse to be immunized if medically contraindicated, against the employees religious beliefs, or after being fully informed], unless medically contraindicated, against the employees religious beliefs, or after being fully informed of the health risks of not being immunized. A member of the facilitys staff shall be assigned responsibility for social services. Copyright Maryland.gov. Thus 172 times $11,000 equals an annual benefit of $1,892,000 to the social worker industry and trade groups. [(1)](a)Equipment shall[be of a type that will provide]allow for providingsafe and effective[patient]residentcare. 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. (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. Copyright Maryland.gov. (5) The[facility]nursing homeshall[record]: (a) Recordthe satisfactory completion of the program in each employees personnel record[. An article for which storage in a cool place is directed may, alternatively, be stored in a refrigerator, unless otherwise specified in the individual monograph. (b)The janitors closet shall be equipped for[handwashing]hand washing. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. The activities shall be designed to promote the general health[,]andphysical, social, and mentalwell-being of the[patients]residents. (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. ]; and. If a deficiency exists, the Department, in addition to the sanctions set forth in this regulation and Regulations[.5058].69.77of this chapter, may: (1) The duties of the State monitor shall be specified in a written agreement between the Department and the State monitor and shall include but are not limited to: (c) Issuing written reports to the Department and the nursing[facility]nursing home,detailing the findings of the on-site inspections and the status of[recommended actions that]requirements andrecommendations forthe[facility shall complete]nursing hometo achieve compliance. There shall be sufficient[supportive]supportstaff to accomplish all medical[record]recordsfunctions. [(a)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. F. Therapeutic Diets. Effective in 2013. [.39] .62Geriatric Nursing AssistantTrainingProgram. C. Ongoing Monitoring. (5) Certified dietary manager means an individual who: (a) Is licensed as a dietitian-nutritionist by the Maryland State Board of Dietetic Practice and registered as a dietitian by the Commission on Dietetic Registration; (b) Is a graduate of a certified dietetic technician program approved by theAcademy of Nutrition and Dietetics; or. (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. Dry Food Storage. The[facilitys]nursing homesinfectionprevention andcontrol program shall monitor the relevant health status of all employees, as it relates to infectionprevention andcontrol. Contents of record shall[be]include: (1) Identification and summary sheet or sheets including[patients name, social security number, armed forces status, citizenship, marital status, age, sex, home address, and religion]: (2) Names, addresses, and telephone numbers of referral agencies[(],including[hospital from which admitted), personal physician, dentist, parents names or next of kin, or authorized]: (3)[Documented evidence of assessment of the needs]Documentation of the: (a)Needsof the[patient]resident[, of establishment]; (b)Establishmentof an appropriate[plan of]initial and ongoing treatment[,of the care]plan; and. Public records report utah county real . The[facility]nursing homeshall provide or make arrangements for services to identify and meet the[patients]residentsmedically relatedphysical,social, and[emotional]behavioral healthneeds. A digital passport style photograph in PNG or JPG file format, The 12 digit tracking number from under the barcode on the fingerprint card or 12 digit tracking number on the Live Scan receipt, A Visa or Masters card credit or debit card, This section applies only to nurses whose basic nursing education was completed in another country. Any hiatus during which the health care provider does not exercise staff privileges or fulfill the duties of employment or a contract is a leave of absence. Please enable JavaScript in your browser. Closed or inactive records shall be filed and stored in a safe place, (3) Maintains a record of infections in the, (b) Effective implementation of the policies and procedures that are outlined in. There shall be sufficient equipment to meet the needs of the. Any investigator who is a licensed health care provider must make such a report (with the exception of AIDs) within 48 hours. A written application shall be on file for each employee and shall containat least the: (1) Employees[social security]Social Securitynumber[. The reporting requirements also do not apply if the specimen is taken from a patient known to reside outside of Maryland, or is tested as part of a research project granted an exemption by the Director of AIDs Administration. (58) Protective device means any device or equipment: (b) That limits, but does not eliminate the movement of the residents head, body, or limbs; and, (ii) Prevents a resident from aggravating an existing physical problem; or. If the comprehensive care facility or the extended care facility is sold, leased, discontinued, the operation moved to a new location, the license revoked, or its renewal denied, the current license immediately shall become void and shall be returned to the Secretary. A nursing home shall be protected throughout the entire building by an automatic fire extinguishing system. (2)[Resident]MDS Care AreaAssessment[Protocol Summary]process;and. (3) A call station shall provide readily accessible and detachable extension cords to each residents bed in the residents rooms at all times. The sounding of the audible signal shall be continuous or intermittent until answered. 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. (3) Approaches to accomplishing each goal shall be established. [B.] (b) Has 2 years of experience in a social or recreational program in a licensed health care setting within the last 5 years, 1 year of which was full time in a resident activities program with guidance froman individual identified in B(73)(a) of this regulation. . As you may recall . (1)Adequate refrigerated storage, refrigerators,and frozen food storage cabinets[,]shall be provided[which are]andregulated to maintain temperatures prescribed in COMAR 10.15.03[Food Service Facilities]. In developing these regulations, the Board learned that different hospitals use vastly different terminology to describe similar actions. (32) Licensed graduate social worker (LGSW) means an individual authorized to practice graduate social work under Health Occupations Article, Title 19, Annotated Code of Maryland. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the requirement to have a licensed social worker employed. Citation numbers for the Annotated Code begin with a (section sign), for example 1-101. Contents of record shall, (1) Identification and summary sheet or sheets including, (2) Names, addresses, and telephone numbers of referral agencies, D. Consultation. 10.34.23 Pharmaceutical Services to Patients in Comprehensive Care Facilities, Effective September 16, 2013. (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. (c) The name of the authorized prescriber who prescribed the medication. by telephone. . 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. Search on a word or phrase, or enter the codification number (search is word-specific unless you add an asterisk *). (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.]. 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. To ensure that the C. Duties of the Pharmaceutical Services Committee. A facility which holds full licensure as of the adoption of these regulations shall be considered as having an adequate size dietetic service department.]. NCSBN assumes no liability or responsibility for any errors or omissions in the information contained in this resource. The training on cognitive impairment and mental illness shall be designed to meet the specific needs of the. (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. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. [(5)](4)The[facility]nursing homeshall assess and manage a resident with a history ofaprevious positive tuberculin skin test,a history of latent infection, or aprevious history of active tuberculosis,[or positive skin test conversion]in accordance with Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities]Settings. A written application shall be on file for each employee and shall contain. (j) If applicable, lighting in toilet rooms of the common area of refuge. [E.]D.Drinking Fountains. The quality assurance plan shall include: (1) A description of the measurable criteria for ongoing monitoring of all aspects of resident care including: (b) Prevention of[decubitus]pressureulcers, dehydration, and malnutrition; (2) The methodology for[collection of]collectingdata; (3) The methodology for[evaluation]evaluatingand[analysis of]analyzingdata to determine trends and patterns; D. Patient Complaints. In, Initiation of services to meet the rehabilitative needs of the. (3) Is in a readily visible type font and size. Police Officer. The janitors closet shall be equipped for, (a) There shall be separate clean and soiled utility rooms in each nursing unit. Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to [email protected], or fax to 410-767-6483. (2)A visible signal in the corridor above the corridor door of eachpatientsbedroom, visible from all parts of the corridor. accessible and convenient, and Temperatures. 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. [(6)]D. Hepatitis B. 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. If a question or section does not apply to this complaint, Filing a Complaint. (9) Recommended Dietary Allowances, (10th Edition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). A. (b) An interferon-gamma release assay (IGRA) blood test. Contents of Record. [(5)](e)All flammables shall be stored in compliance with NFPA[30,flammableandcombustible liquids code]99 Health Care Facilities. However, the nursing home would need to contract with a licensed social worker to provide oversight. (c) Other legal representatives as set forth in COMAR 10.07.09.08 and authorized by law to obtain access. Please turn on JavaScript and try again. (5) Existing Facility. Dayroom areas shall be provided. (b)The amount of storage space needed[is dependent upon]to store food depends on thefrequency of deliveries. (2) The nursing home shall obtain written consent to administer the immunization from: (3) A resident is not required to receive the influenza and pneumococcal immunization if it is: (b) Against the residents religious beliefs; or. Nursing service personnel shall help the resident perform daily routine dental hygiene. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. (b) Standardize communication about resident problems and conditions: (iii) Between these facilities and outside agencies. F. Staffing. 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. (2) Ifcorrected, will result in an unreasonable,substantial financial burdenon the nursing home. E. Completion of Records and Centralization of Reports. C. Call SystemNew Construction. You may be trying to access this site from a secured browser on the server. 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.