(2) The air conditioning system shall be in compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and all federal, State, and local codes. Information reported to the M. Except where inappropriate for safety reasons, an employee and any other individual who provides a health care service within or on the premises of the nursing home shall wear a personal identification tag that: (2) States the profession or other title of the individual; and. (c) The name of the authorized prescriber who prescribed the medication. COMAR regulations are Maryland State agency regulations, which are referenced by Title numbers (currently 1-36). (1)[Problems]Residents problemsand needs shall be identified, based upon the interdisciplinary assessment. Activities Program. [Records shall be maintained]. When no specific storage directions or limitations are provided in the individual monograph,[it is to be understood that]the storage conditionsshallinclude protection from moisture, freezing, and excessive heat. The director of a medical laboratory must submit a report of a positive HIV test or of a CD4+ lymphocyte count less than 200 per cubic millimeter, within 48 hours to the health officer. (56) Positive tuberculin skin testmeansa test provided as authorized by the Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings. (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. (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. (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. You will need to complete an English Proficiency Exam, Take either the TOEFL IBT or the IELTS o Have scores sent to the Maryland Board of Nursing, A score of 26 is passing on the TOEFL IBT, The Board accepts the IELTS if administered on October 01,2005, or later, A score of 7 on speaking, 6 on all other modules, and 6.5 overall is passing on the IELTS, Direct Entry Midwifery Advisory Committee, Certified Registered Nurse Anesthetist (CRNA), https://www.dpscs.state.md.us/publicservs/fingerprint.shtml. (2)There shall beat leastone night light in each bedroom forresidents. (5) All members of the committee shall review revisions of policies and procedures before implementing any changes. In addition, any withdrawal or denial of an application made for any of the three reasons listed in COMAR 10.32.22.03C(6) need not be reported. (6)The number of daily admissions of[patients]residentsshall be controlled to allow sufficient time for on-the-job training. Arrangements shall be made, when necessary, for the[patient]residentto be transported to the dentists office. Call us at (425) 485-6059. For general inquiries (Discipline): mbon.nursingdiscipline@maryland.gov. A handsink with hot and cold running water shall be convenient to the nurses station. E. Objective. A. A physician in attendance must report positive syphilis tests for patients, pregnant women, and infants, and must notify the health officer if a patient who tests positive fails to return for medical observation. (a) The window areawithin each bedroom shallbeat least10 square feet per bed. [F.]E.InfectionPrevention andControl Policies and Procedures. The[facility]nursing homeshall[request]requirethat all new employees receive immunization for Hepatitis B[. (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. In COMAR 10.32.22.03C, there is a list of common occurrences that do not have to be reported. Temperature. (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. (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. F. Charge Nurses Daily Rounds. [.34] .57Housekeeping Services, Pest Control, and Laundry. Director of Nursing. The new regulations explicitly define changes that must be reported to the Board within ten days of their occurrence and provide penalties for failing to do so. Maryland Board of Nursing Minimum Requirements. (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. D.Humidity. (3) Pass standardized edits as defined by CMS and the State. [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.]. (b) Fire and smoke dampers shall be constructed, located, and installed in accordance with the requirements of NFPA 101 Life Safety Code. (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. (3) BedroomExisting Construction. (2)Activitiesdesignedand monitored appropriately to meet the day-to-day needs and interests of each[patient, to]resident andencourage[self-care,resumption of normal activities, and maintenance]: (b) Engagement inresident-selected activities;and. 410-585-1900 A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. The minimum requirements are: D. Call SystemExisting Facilities. Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. Mandated Reporting Requirements FAQs. (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. After meeting requirements of the Board of Nursing (Maryland application, Criminal History Record Check, Declaration of State Primary Residence Form, TOEFL iBT or IELTS CES report), complete registration with NCLEX. Comments will be accepted through September 6, 2016. fraud hotline to receive allegations of (2) Private sewage disposal systems shall comply with COMAR 26.04.02. If a resident-directed meal pattern is provided, the following is required: (1) Counseling regarding the risks and benefits of a resident-selected diet which is documented within the medical record; and. (4) The pharmacy shall have access to a copy of the written pharmaceutical care policies. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference. The[facility]nursing homeshall[be]: (a) Bemaintained free of insects and rodents by operation of an active pest-control program, either by use of maintenance personnel or by contract withapest-control company[. Interior walls and floors shall be of a[character to permit]type to allowfrequent and easy cleaning. (25) Grant means the award of money to an individual or an organization to: (a) Study an aspect for the geriatric population; or. (iii) Prevents a resident from a precipitating potential physical problem. NOTE 1: 18-202 requires an administrative head of an institution (defined to include hospitals) who has reason to believe that an individual on the premises of the institution has an infectious or contagious disease (except for HIV/AIDs), to immediately submit a report to the health officer. The Secretary of Health proposes to repeal the Preface and Regulations.01,.01-1,.06,.12,.15,.25,.26,.28,.40, and.42.44, adopt new Regulations.01,.02,.08,.18.20,.25.27,.41.46,.4851, amend and recodify existing Regulations.02,.03,.03-1,.05,.07,.07-1,.08,.08-1,.09.11,.11-1, .11-2,.13,.14,.14-1,.14-2,.16.21-4,.22.24,.27,.29.39,.41,.45,.46,.48,.49, and.56to be Regulations.03,.04,.05,.07,.09.17,.21.24,.28.40,.47,.52.68, and.75, and recodify existing Regulations.04,.47,.50.55, and.57.61to be Regulations.06,.66,.69.74, and.76.80underCOMAR 10.07.02 Nursing Homes. (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. (3) Nursing, housekeeping, laundry, or other personnel may not be[utilized]usedas[dietetic]food servicestaff. (47) Occupational therapist means an individual who is currentlylicensed by theStateBoard of Occupational TherapyPracticeas a registered occupational therapist. (1) The nursing home shall offer influenza and pneumococcal immunization to each resident. (1) A nursing home shall be staffed with at least one registered nurse, 24 hours per day and 7 days per week. A utility sink shall be provided within reasonable distance from the food service department for its use, but it may be shared with other activities. 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. Clinical Nurse Specialists. The Maryland Board of Nursing requires applicants for Temporary licenses to use a permanent Mailing Address when completing the application for licensure. 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. To provide for this, a nursing home shall have at least one private bedroom with an attached private bathroom that includes a: [.22] .38Reports and Action Required in Unusual Circumstances. (a) New support personnel shall have an employee orientation program. All rights reserved. (55) Plan of correction means a written response from the nursing home addressing each deficiency cited as a result of an inspection by the Department. 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. (f) A joint between filter segments and the enclosing duct work shall be gasketed or sealed to provide a positive seal against air leakage. (2)Soiled containersshall be thoroughly scoured and aired before using again. (11) Table 2. (2)The Department shall be notified of the name of the assistant director of nursing. (59) Qualified medical record practitioner means an individual who: (i) Received a baccalaureate degree from an accredited college or university including or supplemented by a successful completion of a course in health record administration approved by the Council on Medical Education of the American Medical Association; and, (ii) Passed the national registration examination for registered record administrators; or, (i) Received an associate of arts degree in health record technology from a college or university approved by the American Medical Association Council on Medical Education or an equivalent approved health record technology correspondence course of the American Medical Record Association; and. 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. Residents shall be given the opportunity to participate in planning menus. (c) All tobacco products shall be extinguished and disposed of in noncombustible containers with self-closing lids in accordance with the provisions of NFPA 101 Life Safety Code. There shall be an active program of restorative nursing care aimed at assisting each resident to achieve and maintainthe individualshighest level of independent function, including activities of daily living. These requirements are no longer in effect. (b) Tuberculosis in a communicable form does not include: (i) When the individual who has presumptive or confirmed active disease, has had three negative AFB smears, collected 824 hours apart, shows clinical improvement, and has received chemotherapy to which the strain is susceptible for at least 14 days; or. B. F. Retention and Preservation of Records. or Advanced Practice Registered Nurse (APRN). (Identified by Impact Letter and Number from Section II. [(2) Nurses StationExisting Facility. 3. Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below). (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. E. Auxiliary Heat. If you only knew the topic word, it could take longer, but could narrow to the Agency Titles where the topic appears. A. [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. Information reported to the At least one month before the license expires, the Board sends notices to the licensee, by first-class mail to the last known address of the licensee. 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 qualified[patient]residentactivities coordinator as defined in Regulation[.01Y,].01ofthis chapter, the Department may approve the designee based on the persons education, performance, and experience. (1)If the[administrator is absent from the facility an excessive amount of time and the Department determines that the]director of nursings absence[from nursing service]while covering for the administratoris having an adverse effect on[patient]residentcare,the Department may require the designation of a specific registered nurse who shall be named the[]assistant director of nursing[]. [C.]B. COMAR regulations are Maryland State agency regulations, which are referenced by Title numbers (currently 1-36). (3) The[facility]nursing homeshall prohibit employees with[a communicable]an infectiousdisease or with infected skin lesions fromhavingdirect contact with residents or their food if direct contact could transmit the disease. F. Space, Supplies. [B.] There are currently 36 subjects and 101 Articles in the Annotated code. 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. Dayroom areas shall be provided. The responsible departments approval shall be in writing, signed by the appropriate department head whose license number, if applicable, shall be recorded in the record. A. National Council of State Boards of Nursing, Inc. All Rights Reserved. gaussian elimination row echelon form calculator. The[facility]nursing homeshall provide or make arrangements for services to identify and meet the[patients]residentsmedically relatedphysical,social, and[emotional]behavioral healthneeds. J. (3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (e) Communication and interpersonal skills. (1)New Construction. (2)A nursing home desiring to provide services other than thosefor which it is alreadylicensed shall obtain prior approval from the Department. [(1)](a)[There]A nursing homeshall[be]provideadequate space[for the reception, examination, and treatment ofpatients;storage of]to: (i) Receive, examine, and treat residents; (ii) Storesupplies and equipment,including wheelchairs and stretchers; and[office]. (3)The Diet Manual for Long-Term Care[Patients]Residents,as published by the Department,[which]or any other similar reference material thatcontains food allowances and guides for regular and therapeutic diets[may],shallbe used. 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. truthful and transparent services. Again, there are objective tests to determine this. (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. G. Before discharge the nursing home shall: (1) Verify that the transfer and discharge to an assisted living nursing home is licensed and appropriate to meet the needs of the resident; and. A. 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. (44) Nursing care has the meaning stated in Health-General Article, 19-301(k), Annotated Code of Maryland. hotline in the past has helped to eliminate A. (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.
maryland board of nursing reporting requirements
