Currently there is an estimated $11,000 salary differential between the salary of a non-licensed employee performing social work services and a licensed social work employee. Second, determine if the change was made, in whole or in part, for any of the reasons set out in the regulations. See Regulation .21G of this chapter for tuberculosis surveillance requirements.] (6) A geriatric nursing assistant[of]atthe[facility]nursing home. (2)The record and progress notes concerning the[patient]residentshall reflect at all times the most recent and current status of the[patient]resident, including current short-term and long-term goals. (27) HVAC means heating, ventilation and air conditioning. A. Standardized recipes adjusted to appropriate yield shall be followed. [email protected]. All rights reserved. (60) Qualified social work consultant means an individual who: (a) Is a licensed certifiedsocial worker; and. Members of the residents family or the responsible party for the resident may not deliver medications to the resident or to the nursing home. B. (6) The pharmaceutical services committee may not develop policies and procedures that prohibit or restrict a resident from receiving medications from the pharmacy of the residents choice. (2) Benefit to the public health, safety or welfare, or the environment: This requirement ensures that a licensed social worker is providing services to residents of the facility and ensures that residents receive adequate discharge planning and care coordination. friendly and courteous, timely and The proposed action has no impact on individuals with disabilities. If the applicant simply withdrew of his or her own accord and without any suggestion or recommendation by anyone associated with the hospital, this need not be reported. [(f)](g)Protection from Freezing. D. Laundries-Existing Facilities. Licensed Practical Nurses. 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. hotline in the past has helped to eliminate A medical committee, or any other entity within a hospital that makes such decisions, is considered part of the hospital. (3)The Department may requirethat the nursing home havespecific types of equipment based on the needs of the[patients]residents. (48) Occupational therapy assistant means an individual who is currentlylicensedby theStateBoard of Occupational Therapy Practice as an occupational therapy assistant. (ii) Passed the national accreditation examination for accredited record technicians. (2)[All residents]A new residentshall receive atwo-steptuberculin skin test within 10 days of[initial]admissionto the nursing homeunless the resident has had[a]: (a) Adocumented negativetuberculinskin testwithin the previous[month, a]12 months; (b) Aprevious positivetuberculin skintest[,]; (c) Ahistory of preventive therapy[, or]treatment; (e) Thetreatment ofactivetuberculosis. (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. A[facility]nursing homeshall use the following forms and procedures for resident assessment as described in the[State Operations Manual for Provider Certification]CMS Manual System, Pub. 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 OHCQ estimates that 172 nursing homes would need to hire or contract with a licensed social worker. (3) To the degree possible, accompanying physicians when visitingresidents. When the investigator is a physician with a patient under care, the investigator must make immediate reports of infectious or contagious diseases, including AIDs, to the health officer in the county where the physician cares for the patient. A. A list of these depositories was published in 46:1 Md. (20) Extended care facility means a nursing home that offers sub-acute care and provides medical treatment services for residents who require inpatient care but who do not currently require continuous hospital services. by telephone. 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. (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. Public records report utah county real . [It shall be the responsibility of the]. (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. OHCQ believes that requiring a licensed social worker with adequate training will increase successful care coordination. 4. The federal regulations only require the employ of a qualified social worker (a bachelors degree in social work or a bachelors degree in a human services field) if the facility has more than 120 beds. Designated Staff Responsibility. Report of State Board of Nursing to Senate Education, Health & Environmental Affairs Committee & House Health & Government Operations Committee on online program for processing medication technician applications, measures implemented to increase online applications, & analysis of current & projected staffing needs due Dec. 31, 2011 (Chapter 123 . reporting and/or correcting unsafe working conditions, equipment repair and maintenance needs. Medical Director Qualifications. (2) Describe the nursing homes plan to assure that there is an adequate amount of safe drinking water for all residents and staff for a minimum of 72 hours. (3)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. (13) The licensee shall prepare an executive summary of the nursing homes evacuation procedures to provide to a resident, family member, or residents representative upon request. [The administrator or the administrators designee shall notify the private or public agency or relative responsible for the patient when the patientis transferred from the facility for any reason or at time of death. Except for a designated anonymous HIV test site, a facility or office that orders a test for HIV and receives a test result that documents the presence of HIV as defined by the CDC laboratory criteria shall, upon the Secretary's request, make available to the Secretary, or an agent of the Secretary, the information necessary to compile an HIV/AIDS case report. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. (9) The committee shall establish the contents of sealed emergency drug kits. (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. Copyright Maryland.gov. (3) The individual who prepares medications shall give and record them. E. Transportation. Thisallowance shall be substantially increased proportionate tothe number of residents who depend on using awheelchair[cases]. (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. As you may recall . investigator will be assigned. To Search COMAR online, go to the MD Division of State Documents website. (30) Licensed certified social worker (LCSW) means an individual authorized to practice certified social work under Health Occupations Article, Title 19, Annotated Code of Maryland. (5) Return of License or Renewal Certificate to the Secretary of Health. hotline in the past has helped to eliminate Karen Hatwood 410.764.4777 | Toll Free 800.492.6836. An occurrence of a confirmed or suspected infection shall be reported and acted on in accordance with COMAR 10.06.01 and COMAR 10.15.03. However, the national certification agency you are registered with will have requirements that you must complete. This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). (2) The architect or professional engineer of record shall also submit a letter certifying that the project has been designed in accordance with all applicable federal, State, and local codes, laws, ordinances, and regulations. ]; (2) Strive to accommodate the schedules of invited family members and residents representatives when scheduling care plan meetings; and. (d) The plumbing fixture for the utility or service sink within a janitors closet must be provided with a back-flow prevention device. , then PI must report to the health officer when a specimen evidences the diseases/conditions listed in the statute. (2) Thearchitect or professional engineer of record shall submit a letter certifying thattheproject has been designedinaccordance with all applicable federal, State, and local codes, laws, ordinances, and regulations for construction. [Facilities]A nursing homeshall maintain a permanent[patient]residentregistry in which the name of each[patient]residentis entered in chronological order with the date and number of entry. To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. ; (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[. (3) The plumbing fixture for the utility sink within a janitors closet shall be provided with an approved back-flow prevention device. 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. Police Officer. These events are listed in the regulations in COMAR 10.32.22.02B(19). (2)The physician may document on the record that[his]thereevaluation may be less frequent but in no case may[his]thereevaluation exceed 60 days. JavaScript is required to use content on this page. 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. Existing facilities (those facilities licensed at the time this regulation becomes effective) shall provide some method/means of a patient summoning aid that shall include as minimum a combined visual and audible signal that is audible at the nurses station and simultaneously activates a light located in the hall, outside of and adjacent to the patients room. Third, determine if any of the specific exceptions to those reasons apply. 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. The infectionprevention andcontrol program shall include the handling ofspecialmedical waste as defined in COMAR 10.06.06. B. B. require that all employees receive annual immunization for influenza, unless: (b) Against the employees religious beliefs; or. [.11-2].17[Facilitys ]Nursing HomesResponsibilities in Relation to the [Facilitys]Nursing HomesMedical Director. (c) Other legal representatives as set forth in COMAR 10.07.09.08 and authorized by law to obtain access. (2) The name and license number of the replacement director of nursing shall be supplied to the Department as soon as employment begins. The nursing home shallinformall new and current employeesof the health risks of not being immunized. B. [C. Lobby Area. (1) Medications shall be accurately and plainly labeled. [(3)](c)All electrical equipment shall be[periodically]testedperiodicallyfor proper grounding, current leakage, and calibration where appropriate. 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. The ratio of nursing service personnel on duty providing bedside care toresidents may not at any time be less than one to 15. [C. Effective January 1, 2005, the facilitys infection control coordinator shall attend a basic infection control training course that is approved by the Office of Health Care Quality and the Office of Epidemiology and Disease Control Program for the Department.]. Maryland licensed practical nurse candidates must have a post-secondary education that leads to a degree in . (49) Ongoing pattern means the occurrence of any potential for more than minimal harm or greater deficiency on two consecutive on-site visits as a result of: (b) Follow-up visits and unscheduled visits; or. (5) A food service floor panty shall include the following additional equipment: (b) Ice-making machine or ice-storage container; (d) Equipment to deliver completed trays; (e) Three-compartment sanitizing sink or dishwasher; (f) Cabinet for dry storage, supplies, and kitchenware; and. If a question or section does not apply to this complaint, (k) The written procedure shall include the disposal of the dirty water. General Requirements. (1) Although daily rounds are primarily the responsibility of the charge nurse or nurses, the director or assistant director of nursing shall periodically make clinical rounds to nursing units, randomly reviewing clinical records, medication orders, resident care plans, and staff assignments and visiting residents. F. Therapeutic Diets. A. Order forms can be downloaded from the, 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee, Division ofState Documents' Maryland Department of HealthPublications, FAQ: End Stage Renal Disease (ESRD) Setting, Frequently Asked Questions regarding activities of the Registered Nurse, Case Manager/Delegating Nurses (RN CM/DN) in Assisted Living, Frequently Asked Questions Developmental Disabilities (DD) Practice Setting, Delegation of Nursing Functions in Dialysis Settings. (6)The number of daily admissions of[patients]residentsshall be controlled to allow sufficient time for on-the-job training. B. E. Completion of Records and Centralization of Reports. Disciplines shall record all assessments on a form approved by the Department. (ii) A small sink equipped with soap and individual paper towels in a dispenser; (iv) Equipment[, approved by the Department,]to clean and sanitize bedpans, urinals, and basins;and. (b) Who require medical services and nursing services rendered by or under the supervision of a licensed nurse together with convalescent, restorative, or rehabilitative services. Thus, if the reason is not one of the 14 listed in COMAR 10.32.22.03B (1) to (14), reporting entities should contact Board staff to determine if the underlying reason for the change falls into this 15th category. of Legislative Audits operates a toll-free Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. I. (b) Written plans that describe how all residents, staff, and the general public will be kept safe during the duration of the project. Janet McIntyre fraud hotline to receive allegations of Yes. A. (iii) Is a Certified Food Protection Professional (CFPP). Yes, if the hospital made any "change" in the health care providers employment, that change is reportable, irrespective of any root cause analysis. (e) Special diets or dietary restrictions; (f) Family or legal representative contact information, (a) Orient staff to the emergency and disaster plan and to their individual responsibilities, (b) Document completion of the orientation in the staff members personnel file through the signature of the employee, (d) A filter or filter efficiency shall comply with the standards of, the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities, The Department may specify the location and size of a nurses. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. Consequently, OHCQ has observed inadequate discharge planning and lack of coordination of care transitions. [(19)](18)[Patient]Residentcare management. A. (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. Maryland Board of Nursing Attn: Director of Complaints & Investigations 4140 Patterson Avenue, Baltimore, MD 21215-2254. . (2) The nursing home shall provide the Office of Health Care Quality with the documentation that verifies that the applicable local and State governmental authorities have approved work that was done. (a) Comply with Health-General Article, 18-404, Annotated Code of Maryland, regarding immunizations of employees; (b) Inform all new and current employees of the health risks of not being immunized; (d) Require that any employee who is not vaccinated with the current influenza vaccine wear a mask when: (ii) During the influenza season as specified by the States Prevention and Health Promotion Administration, based on influenza activity in Maryland. Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. There shall be sufficient equipment to meet the needs of the. Licensed, (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is. (4)Spacefor Storage of Linen[New Construction and Existing Facilities]. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. As of November 1, 2016, there were 229 licensed nursing homes, with an estimated 172 nursing homes that would be out of compliance after January 1, 2021. Existing facilities (those facilities licensed at the time this regulation becomes effective) shall provide some method/means of a patient summoning aid that shall include as minimum a combined visual and audible signal that is audible at the nurses station and simultaneously activates a light located in the hall, outside of and adjacent to the patients room. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. [These facilities]. A handsink with hot and cold running water shall be convenient to the nurses station.]. (5) Existing Facility. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.].
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