C. Secured units shall meet the established standards applicable to nursing home set forth in NFPA 99 Health Care Facilities Code and NFPA 101 Life Safety Code. (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. (2) The[facility]nursing homeshall take appropriate infectionprevention andcontrol[steps]measuresto prevent the transmission of[a communicable]an infectiousdisease to residents, employees, and visitors as outlined in the following guidelines: (a)2007Guideline for Isolation Precautions:Preventing Transmission of Infectious Agentsin[Hospitals]HealthcareSettings; and. Tonya Spruill Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. (c) A room may not be used as aresidentbedroomif it can only be reached bypassing through a kitchen. (b) Food Preparation Areas and Laundries. (c) Thefollowing floor areas may not be included in the calculation of floor space: (iii) The floor area occupied by wardrobes, bureaus, or lockers, when permanently installed as part of walls or ceilings and as a permanent component of a bedroom; (iv)HVAC equipment, including any steam, water, or electrical supply or return linesthatmay run parallel to the floor or interrupt the floor surface; (v) Supportcolumns, pipe chases, or otherstructures, whether free-standing or as an integral part of a wall; and. (2)A catered or satellite system shall be covered by a contractapproved by the Department. address of all witnesses). (1)Specialized rehabilitative services shall be provided only[upon]onwritten orders of the attending physician. We are vaccinating all eligible patients. B. A bedroomshall be provided with ahand washing sinkwith both hot and cold running water unlessatoilet or bathroom facilitywith a sinkis connected to the bedroom. A bodyholdingroom shall be located to facilitate quiet and unobtrusive ingress and egress of bodies, convenient to the elevator and with an isolated exit. B. (3)To the extent medical orders permit, bedtime nourishments shall be offered routinely to all[patients]residents. a genuine interest in the well-being and welfare of, (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to, The Department shall approve the increase in beds within 72 hours following receipt of the. Homes Licensed Capacity for[Patients]Residents, [(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.]. 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. Q Who pays for the chemical dependency evaluation and the drug screens? (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. The following requirements shall bemet:]Distributions. (b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format. (a) Resident Assessment Instrument (RAI) meansa standardized and reproducible resident assessment process based on completion of Minimum Data Set (MDS) screening items, and including the MDS Care Area Assessment process, and related process for care planning and evaluation. (e) In an existing nursing home, the usable floor area for rooms havinga bedroom shall have a finished ceiling height of 8 feet. (1) Emergency Power. D. Restrictions on Participation Documented on Chart. For a bedroom that has sloping walls, only 50 percent of the floor area with a ceiling height between 4 feet and 7 feet, 6 inches, shall be credited, provided that at least 50 percent of the total area of the bedroom has a ceiling height of 8 feet. (2)The nursing home shall require that employees who are not immune to measles, mumps, rubella, and varicella receive immunization for measles, mumps, rubella, or varicella, unlessmedically contraindicated or against the employees religious beliefs. (2) The director of nursing shall obtain approval from the Department. (3) When the nursing[facility]homerelocates residents, the[facility]nursing homeshall send a[brief]medical fact sheetand any medically related informationwith each resident that includes at a minimum the residents: (e) Special diets or dietary restrictions;[and], (f) Family or legal representative contact information; and. (c) Toilets and bathing rooms within arehabilitationarea shall be equipped with a nurse call system. (2)Standardized recipes adjusted to appropriate yield shall be followed. (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. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. (b) Controlled medications to be stored within medication storage cabinets in a residents room shall be held within a separate compartment that is locked and inside of the larger medication storage cabinet in that room. Welcome to the Maryland Board of Nursing Temporary Nurse Aide Pathway for CNA/GNA Certification. Investigators who are mental health providers licensed under the Health Occupations Article have a statutory duty to warn of a patients threats to inflict imminent physical harm upon specific victims. A. ]; and. (b)The transfer of any stock which results in a change of the person or persons who control the[facility]nursing home, or a 25 percent or greater change in any form of ownership interest, constitutes a sale. See COMAR 10.32.22.02B(18) for alterations in practice and COMAR 10.32.22.02B(20) for resignations. I. (2) A minimum pressure of 15 psi during demand period is required at top floor equipment. ; (vii) Blood borne pathogens, including hepatitis B and C and human immunodeficiency virus; (ix) Proper use and wearing of personal protective equipment, such as gloves, gowns, and eye protection; (f) Train and[monitor]perform compliance monitoring ofemployee application of infectionprevention andcontrol[and aseptic techniques; and]activities, such as hand hygiene and personal protective equipment used for isolation precautions; (g) Review the infectionprevention andcontrol programelementsat least annually and revise as necessary[. (2) The nursing home shall keep poisons and medications marked for external use only separate from general medications and Schedule II drugs. (a) A resident who smokes shall be assessed for safe smoking behaviors at admission and on significant changes in condition. Professional specialty certifications may be required, in accordance with departmental standards or role . of Legislative Audits operates a toll-free 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. [D.]C.The[facility]nursing homeshall hold the care planning conference not later than 7 calendar days after[completion of]completingthe assessment, but may hold the conference[earlier]soonerif agreed to by the resident, a family member, or a residents representative. (1) Medications shall be accurately and plainly labeled. 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. Issue/renew Prescriptive Authority Recognition to Advanced Practice Registered Nurses meeting approved standards. (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. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department. 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 . (36) Management firm means an organization, under contract with an applicant for a license or a current licensee, that is intended to have or has full responsibility and control for the day-to-day operations of the nursing home. Standardized recipes are those recipes which have been tested by the[facility]nursing homeor another source[which assureconsistency in]and that ensureconsistentquality and quantity. Through the College of Computing, students can earn their Bachelor of Science in Software Engineering. 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. Reports under this COMAR provision must be made to the health officer within 48 hours, except for certain diseases for which reports must be made immediately by telephone. InfectionPrevention andControl Program. Telephone service and drinking fountains which meet ANSI standards also shall be provided.]. In addition, 10 million men and women are abused by an intimate partner every year. (9) The committee shall establish the contents of sealed emergency drug kits. (b) An interferon-gamma release assay (IGRA) blood test. (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. 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. If you save it electronically, email it to mbon.complaintsinvestigations@maryland.gov. (1) A nursing home shall develop policies and procedures to ensure that a resident or, if the resident lacks the capacity, the residents family or other individual accompanying the resident is informed, both orally and in writing, on how the resident shall safely and correctly take the residents medications during a short-term leave of absence of 24 hours or less. Medical Director Qualifications. The[facility]nursing homeshall give appropriate health care information to such volunteers to provide maximum protection to residents. The director may not disclose, directly or indirectly, the identity of any individual tested. [(3)As appropriate, respiratory care personnel are competent in the following: (a) The fundamentals of cardiopulmonary physiology and of fluids and electrolytes; (b) The recognition, interpretation, and recording of signs and symptoms of respiratory dysfunction and medication side effects, particularly those that require notification of a physician; (c) The initiation and maintenance of cardiopulmonary resuscitation and other related life-support procedures; (d) The mechanics of ventilation and ventilator function; (e) The principles of airway maintenance, including endotracheal and tracheostomy care; (f) The effective and safe use of equipment for administering oxygen and other therapeutic gases and for providing humidification, nebulization, and medication; (g) Pulmonary function testing and blood gas analysis, when these procedures are performed within the respiratory care unit; (h) Methods that assist in the removal of secretions from the bronchial tree, such as hydration, breathing and coughing exercises, postural drainage, therapeutic percussion and vibration, and mechanical clearing of the airway through proper suctioning technique; (i) Procedures and observations to be followed during and after extubation; and, (j) Recognition of and attention to the psychosocial needs of residents and their families.]. G. Program of Restorative Nursing Care. (1) Amend, repeal, recodify, and adopt new language in order to make this chapter more cohesive, comprehensive, and clear; (2) Enable the Department to accept electronic submissions of both initial applications and renewal applications and thereby improve efficiency and decrease the administrative burden on providers and the Department; (6) Incorporate by reference additional documents; (7) Require that new facilities shall satisfy the review of the Maryland Health Care Commission for the establishment of new facilities and the increase or decrease in capacity of existing facilities; (8) Require that an existing facility that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing; (9) Require that a nursing home shall employ supervisory personnel and a sufficient number of support personnel, to provide a minimum of 3 hours of bedside care per occupied bed per day, 7 days per week; (10) Require that the ratio of nursing service personnel on duty providing bedside care to resident may not at any time be less than one to 15; (11) Require that the nurse manager or the Director of Nursing of vent units shall possess a background in ventilator care or be qualified in ventilator management; (12) Require that after January 1, 2021 social services responsibilities in the facility will be assigned to a Licensed Bachelor Social Worker, Licensed Graduate Social Worker, Licensed Certified Social Worker, or Licensed Certified Social WorkerClinical; (13) Require that the facility shall assign at least one infection preventionist staffed at a ratio of1.0 Full Time Equivalentsfor every 200 beds; (14) Require that facilities shall possess a functioning automated external defibrillator (AED) as of July 1, 2020; (15) Allow Certified Dietary Managers to share cooking responsibilities with the full-time cook in facilities with fifty or fewer beds. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. All rights reserved. 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. There shall be provision for the laundering of patients clothing. No. (b) Has a minimum of 3 years experience in social work programs in a long-term care setting within the last 5 years. Maryland Board of Nursing. prefilter is employed, the prefilter shall be upstream of the equipment and the main filter bed may be located further downstream. copies of text messages or social network pages. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. accessible and convenient, and [(7) Utility RoomsExistingFacility. mbon.nurselicenserenewal@maryland.gov. (3) Local Law or Ordinance, Where Applicable. Restrictions on Admission and Retention of[Patients]Residents. mbon.nets@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. D. It is estimated that 25 percent of nursing homes currently have a licensed social worker (Bachelors level degree). (43) Nurse practitioner has the meaning stated in Health Occupations Article, 8-101(k), Annotated Code of Maryland. (b) Guideline for Infection Control in Health Care Personnel. [By January 1, 2001, each facility]A nursing homeshall establish an effective quality assurance program that includes components described in this regulation and Regulation[.46].65of this chapter. The facilitys admission policy shall include a statement as to whether or not medical assistance patients will be admitted and if admitted, under what circumstances. (3) Pass standardized edits as defined by CMS and the State. 4140 Patterson Avenue. Otherwise, a dedicated enunciator connected to the wireless call system will be needed. I. Infectious/Communicable Diseases, HIV Testing, AIDs Diagnoses. (1) An applicant desiring to open a comprehensive care facility or an extended care facility[or to continue the operation of an existing facility as a comprehensive care facility or an extended care facility]shall file an application with the Secretary, on awritten or electronicform provided by the Secretary. Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). 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. You may be asked to demonstrate that your license is active, for which you must meet all the necessary continuing education requirements. If a body holding room is not provided, a holding area shall be designated that approximates the above conditions. responsive, accurate and consistent, 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. C. When the attending physician and medical director agree that a particular[facility-developed]nursing home developedprotocol is required to ensure that quality medical care is delivered to the[facilitys]nursing homesresidents, that protocol shall be implemented unless the[facility]nursing homedocuments in the[facilitys patient]nursing homes residentcare committee minutes the reason or reasons why the protocol should not be implemented. (1) All policies and procedures for the mobile food cart shall be approved by the Department and the nursing homes local health department before implementation. A public hearing has not been scheduled. nursing administrator, registered nurse, licensed practical nurse, or certified (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. friendly and courteous, timely and Any investigator who is a licensed health care provider must make such a report (with the exception of AIDs) within 48 hours. (1) Social data about personal and family background to provide understanding of the, (2) Information regarding current personal and family circumstances and attitudes as they relate to, (2) Recommendations made by the social work consultant, if applicable, (1) Space for social work personnel, accessible to, D. Restrictions on Participation Documented on Chart. Exemptions: Out of state patients; Exemption granted by AIDs Administration. The proposed action has no impact on individuals with disabilities. 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. A. Board of Nursing Professional Licensure Requirements. (4) Emergency power shall be provided for the: (b) Duplex receptacles installed 50 feet apart in all corridors in resident areas or appropriately located duplex receptacles in the common area of refuge; (c) Telephone service with at least one telephone available for incoming and outgoing calls; (f) Elevator, if required, for evacuation as referenced in NFPA 101 Life Safety Code; (g) Heating equipment, if applicable, to maintain a minimum temperature of 71F or 22C in the common areas of refuge; (j) Computer system, if applicable, to enable use of electronic medical records system; and. [(5)](4)Transfer or Assignment of License. Maryland licensed practical nurse candidates must have a post-secondary education that leads to a degree in . (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. You may be trying to access this site from a secured browser on the server. ; Public Safety Article, 14-110.1; Annotated Code of Maryland. Telephone service and drinking fountains which meet ANSI standards also shall be provided. Please complete the form(s), providing as much information as (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. 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. JavaScript is required to use content on this page. (2) The information disclosed shall explain the additional care provided in each of the following areas: (a) The Dementia special care units written statement of its overall philosophy and mission, which reflects the needs of residents with dementia; (b) The process and criteria for placement, transfer, or discharge from the unit; (c) The process used for individualized assessment and establishing the resident-centered plan of care and its implementation, including the method by which the plan of care evolves and is responsive to changes in the individuals condition; (d) Staff training and continuing education practices; (e) The physical environment and design features appropriate to support the functioning of cognitively impaired adult residents; (f) The frequency and types of resident activities; (g) The involvement of families and family support programs; and.