maryland board of nursing reporting requirements
To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. Licensed, (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is. (1) The infectionprevention andcontrol program shall establish written policies and procedures toidentify,investigate, control, and prevent infections in the[facility]nursing home,including policies and procedures to: (a) Identify[facility]health care-associated infections and communicable diseases in accordance with COMAR 10.06.01; (b) Report occurrences of certain[communicable]infectiousdiseases and outbreaks of[communicable]infectiousdiseases to the local health department ina timely manner inaccordance with COMAR 10.06.01 and Health-General Article, 18-202, Annotated Code of Maryland; (c) Institute appropriate[infectioncontrol steps]control measureswhen an infectionor outbreak of infectionsis suspected or identified in order to control infection and prevent spread to other residents; (d) Perform surveillancefor health care-associated and community-associated infectionsof residents and employees[atappropriate intervals]using definitions and methods approved by the infection prevention and control oversight committeeto monitor and investigate causes of infection,[facility-associated and community acquired,]andthe manner in which[it was]the infection isspread; (e) Train employees about infectionprevention andcontrol,[and hygiene]including: (i)[Hand]Standard precautions andhand hygiene; (ii) Respiratory[protection]hygiene and cough etiquette; (iv) Safe handling of needles and sharpsand safe injection techniques; (v) Special medical waste handling and disposal;[and]. [(2)](b)[Seventy-five]A nursing home shall allot 75square feet[shall be allotted]for treatment area per[patient]resident,based on peak treatment schedules. Other forms of evidence may include pictures, E. Administration of Medications for Leave of Absence of 24 Hours or Less. 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. (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. The nursing home shall, with the residents consent: (1) Give an interested and appropriatefamily member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of[the]acare planning conference for a resident[for whom a family member or representative is interested. (h) All occupants of any bedroom shall be of the same sex, except in the case of a two-bed room occupiedby: (2) BedroomNew Construction. Thereshall be sufficient space to accommodate all activities without[interference]interferingwith each other. The Maryland General Assemblys Office (62) Registered nurse means an individual licensed to practice as a registered nurse in this State. (1)[In a decentralized]There shall be at least onefood service[,the area or areas for]floor[pantries shall be approved by the Department]pantry per nursing care unit. (3)Audiologist means an individual who holds a Maryland license issued by the State Board of Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists. responsive, accurate and consistent, Afacility which holds full licensure as of the adoption date of these regulations shall be considered as having an appropriately located food service area.]. prefilter is employed, the prefilter shall be upstream of the equipment and the main filter bed may be located further downstream. 201 W. Preston Street, Baltimore, MD 21201-2399 (410)767-6500 or 1-877-463-3464 fraud and/or abuse of State government Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. (60) Qualified social work consultant means an individual who: (a) Is a licensed certifiedsocial worker; and. No. C. A nursing home shall be constructed to comply with the provisions of the NFPA 101 Life Safety Code, as promulgated by the State Fire Prevention Commission, that are applicable to nursing homes. C. Social History. (28) Infection preventionist means a licensed healthcare worker who: (a) Manages the infection prevention and control program in the nursing home; and. (3) Pass standardized edits as defined by CMS and the State. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. If the[facilitys]nursing homesmedical director does not have special training and experience in diagnosing, treating, and assessing respiratory problems, the[facility]nursing homeshall[hire]employ or contract witha[physician]Board-certified pulmonologistwho has the special knowledge and experience to provide: D. Staffing. (b) Licensedby the Board of Examiners of Nursing Home Administrators for the State. No. ]; [(13)](12)Reports and action required in unusual circumstances[. A. (2) CMS Manual System, Pub. [New Construction. The relief director of nursing shall be freed from other responsibilities. For questions or . (3)[Unless medically contraindicated, the]Thephysician shall[discuss]reviewwith the[patient]residentor[his]thefamily or[sponsor]residents representativethe goals and the treatment program. A sticker bearing the date of the most current inspection shall be affixed on each piece of equipment. Abuse of Developmentally-Delayed Individual, Any person who believes that an individual with a developmental disability has been abused shall report the abuse promptly to the executive officer or administrative head of the licensed service provider, who shall in turn make a report to law enforcement authorities. 410.764.4777 | Toll Free 800.492.6836 [F.]E.InfectionPrevention andControl Policies and Procedures. Responsibility to Report CarethatIs Considered Questionable. [(g)](h)Storage under Non-specific Conditions. (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. (a)Adequate space shall be provided[for the storage of]to storefood supplies[;]. (7)Before the opening of the[facility all supportive]nursing home, supportpersonnel shall have a minimum of 2 days of orientation training. J. [Facility]Nursing HomeResponsibilities. (iii) Shall maintain a minimum temperature of 71F or 22C and a maximum temperature of 81F or 27C. Maryland Nurse Practice Act. (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. The[facilitys]nursing homesquality assurance committee shall develop and implement a quality assurance plan that includes procedures for: B. Concurrent Review. The medical director shall actively participate in the[facilitys]nursing homesquality improvement process. (1) The nursing home shall provide appropriate methods and procedures for administering drugs and biologicals to the nursing homes res. [E.]C.[All facilities]A nursing homecertified for participation in Medicare or Medicaid shall complete and electronically submit the assessment to the[Department not later than 31 days after completion oftheassessment]Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. (b) A resident assessed to exhibit unsafe behaviors shall have a care plan to ensure the resident is safe when smoking. (2) Existing Facility. Arrangements shall be made, when necessary, for the. accessible and convenient, and 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. The provider industry is in agreement with the proposed changes in this requirement. Report must be made immediately to the health officer in the county where the physician cares for the patient. [(5)](e)All flammables shall be stored in compliance with NFPA[30,flammableandcombustible liquids code]99 Health Care Facilities. D. Restrictions on Participation Documented on Chart. (iii) Prevents a resident from a precipitating potential physical problem. (5) Consent forms when required,[(]such as[consent for administering]: (a) Administration ofinvestigational drugs[, for burial]; (b) Burialarrangements made in advance[, for release]; (c) Releaseof medical record information[, for handling]; and. Residents shall be given the opportunity to participate in planning menus. (3) Laundry use,as referencedin the 2007Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. D. Assistance by Nursing Service Personnel. The minimum requirements are: (1)A call station or stations providing detachable extension cords to eachpatientsbed in the patientsrooms. (b) The maximum height from the floor to the top of a window sill shall be 44 inches above the finished floor. The following table lists the minimum lighting requirements in the followinggiven areas: (7) Medicine storage and preparation area. (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. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. (6) A call system shall be provided in each residents bathroom and bathing area in locations accessible to the residents. Contact the Discipline & Compliance Division, For general inquiries (Discipline): [.14-2].24Special Care Units Respiratory Care Unit. A. (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. Attn: Director of Complaints & Investigations. accessible and convenient, and ]; [Agency Note:Refer to Regulation.26 Sof this chapter for window screening requirements.]. (2)Attending physician means an individual licensed to practice medicine in the State who: (a) Admits residents to the nursing home; and. following applies: If a nursing home administrator, registered nurse, licensed Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). Goal[outcome]outcomesshall be measurable in time or degree, or both. These requirements are no longer in effect. 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.]. (5) A call system shall provide visual lights at corridor intersections, in multi-corridor nursing units. ], (1) The administrator shall plan anongoing educational program[shall be planned and conducted for the development and improvement of]to develop and improve theskills of all the[facilitys]nursing homespersonnel, including training related to problems and needs of the aged, ill, and disabled. Patients may not be kept behind locked doors, that is, doors which patients cannot open. (b)The amount of storage space needed[is dependent upon]to store food depends on thefrequency of deliveries. Closed or inactive records shall be filed and stored in a safe place[(],free from fire hazards[)],which provides for confidentiality and, when necessary, retrieval. (6) Assistingresidentsto adjust to their disabilitiesandensuring availability anduseoftheir prosthetic and assistive devices. ]; (2) Strive to accommodate the schedules of invited family members and residents representatives when scheduling care plan meetings; and. (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.
maryland board of nursing reporting requirements