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. (12) Culture change facility means a nursing home where physical environment and operational changes have been made to establish person-valued and person-directed care activities and services. [.30].53Rehabilitation Facilities Space and Equipment. In this chapter, the following documents are incorporated by reference. A. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. ]; [(6)](5)Specialized rehabilitative services[]includingoccupational therapy[services], physical therapy[services], speech pathology and audiology services[. A. A handsink with hot and cold running water shall be convenient to the nurses station.]. H. Coordination of Nursing and Dietetic Services. A[comprehensive or extended care facility]nursing homeshall recognize the authority of: (3) An[advanced]advancedirective that meets the requirements of Health-General Article, 5-602, Annotated Code of Maryland; [A. To ensure that the ]; and. Opportunity for Public Comment. The[facility]nursing homeshall urge that volunteers, defined as individuals who spend an average of 8 hours per week or more in the institution[patient]residentcare areas and who receive no pay or benefits,[accept]receiveannual influenza vaccination and tuberculinskintesting as considered necessary by the[facility]nursing home. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. reporting and/or correcting unsafe working conditions, equipment repair and maintenance needs. (a) Resident Care, Treatment, Diagnostic. D. Laundries-Existing Facilities. A. Rehabilitative ServicesAdmission Policies. (iii)Destructivealteration of the dosage form[, the container label bears an appropriate instruction to protect the product from freezing]. (g) Receives prompt and appropriate responses to requests for assistance. A. (b) The renewal application shall be submitted on, If the sale, transfer, assignment, or lease of a, The transfer of any stock which results in a change of the person or persons who control the, For purposes of Life Safety Code enforcement, the. The nursing home shall be staffed as referenced in A and B of this regulation. (3) The equipment provided in food service floor pantries shall comply with the requirements of the local health department. A. D. Unusual Occurrences. The Board waives the renewal requirements for military personnel when they are called to active duty. (b) 42 CFR 494.130494.180, as amended. (4) Procedure for[referral of]referringdata to the quality assurance committee, when appropriate. If the[facility does not provide its own facilities but does provide]nursing home onlyprovidestransfusion services[alone], it shall meet at least the requirements[in Regulation.09FH]establishedunder COMAR 10.10.02. The Mandated 10-Day Report Form is required. C. Measles, Mumps, Rubella, and Chickenpox. Yes. F.Space Heaters. (1) All air-supply and air-exhaust systems shall be mechanically operated. (7) The audible signal may not be turned off at the nursing station. (a) There shall be separate clean and soiled utility rooms in each nursing unit: (i)[, accessible]Accessibleto the[patient]residentarea[, no]; (iii) Nomore than 120 feet to the most remote[patient]residentbedroom[. (1) A nursing home shall possess a functioning automated external defibrillator (AED). (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. COMAR is currently updated in print every two years, but the online version, maintained by the Maryland Division of State Documents, is updated as soon as an agency publishes or updates a regulation. According to the National Nursing Database, Maryland currently has 73,086 RNs and 13,538 LPNs. (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. (iv) Personal furnishings that are allowed shall be appropriate for the residents use. (4)If[the]afour or five meal a day plan is used, the meal pattern to provide this plan shall be approved by the Department. [C.]A. . Acall system shall be installed and maintained in operating order in all nursing units. E. Completion of Records and Centralization of Reports. B. 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. Text Size:general jonathan krantz hoi4 remove general traits. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. The Maryland Medical Cannabis Commission (MMCC) certifies and registers certifying providers for medical cannabis. (2) Upon request, the director or assistant director of nursing may accompany physicians visiting residents. to provide constituents, businesses, Dayroom areas shall be provided[, adequate]that are: (1) Adequatefor the[patients capable of using them]residentslocated on each nursing care unit;and. A bodyholdingroom shall be located to facilitate quiet and unobtrusive ingress and egress of bodies, convenient to the elevator and with an isolated exit. (2) Plumbing and water supplies shall be protected against backflow within a nursing home. If you typed in the word submeters the Search feature would take you to the same Subtitle. Find more COVID-19 testing locations on Maryland.gov. (3)As appropriate, respiratory care personnel are competent in the following: (j) Recognition of and attention to the psychosocial needs of residents and their families. Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below). (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. (c) Toilets and bathing rooms within arehabilitationarea shall be equipped with a nurse call system. The sounding of the audible signal shall be continuous or intermittent until answered. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. (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. Agency Note: 10 foot ceiling height is recommended. (44) Nursing care has the meaning stated in Health-General Article, 19-301(k), Annotated Code of Maryland. For questions or . with rehabilitation areas shall provide a, There shall be an allowance of at least 12 square feet per, C. Dayroom Area. Information reported to the A nursing home shall provide a lobby area that shall have: (1) Public toilets for both sexes, either separate or unisex, located conveniently to this area; (3) Drinking fountains or other drinking water dispensers that meet Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. The nursing home shall meet the requirements for handling, treatment, and disposal of special medical wastes as provided in COMAR 10.06.06. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. After meeting requirements of the Board of Nursing (Maryland application, After registering with NCLEX you will receive an Authorization To Test letter (ATT). (1)To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. C. Duties of the Pharmaceutical Services Committee. These events are listed in the regulations in COMAR 10.32.22.02B(19). The lock on the door of a medication room shall be counted as one of the two locks. 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. (11) Table 2. (6) Assistingresidentsto adjust to their disabilitiesandensuring availability anduseoftheir prosthetic and assistive devices. (56) Positive tuberculin skin testmeansa test provided as authorized by the Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings. (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]. records, Medication Administration Records (MARs) and controlled substance The[goal]goalsshall be realistic, practical, and tailored to the residents needs. If the attending physician cannot be reached, the medical director shall be contacted for instructions. truthful and transparent services. Currently, a license has not been required for an individual to operate in this role. (2) The nursing home shall provide a sufficient number of lockers that can be locked securely for all employees working at any one time, and provision shall be made for the employees to use the toilet facility at a convenient location. You are a mandated reporter if you are one of the following: Health Practitioner. (1) A special care unit shall meet the general construction requirements of Regulations[.06,and .26].08, .42, and .41of this chapter, and the requirements in this regulation. (3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. (3)The nursing home shall obtain prior approval from the Department for any part of the premises to be used for tenant occupancy or for unrelated business purposes. (ii) One year of supervised social work experience in a health care setting working directly with individuals. C. Ongoing Monitoring. 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. License Lookup F. The[facility]nursing homeshall provide pulmonary function testing[,]and blood gas or pulse analysis capability[onsite]on-siteor through contractual arrangements with providers who meet applicable State and federal laws and regulations. Maryland Board of Nursing. (v) The medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. (7) Each trainee shall be clearly identified as a trainee during all skills training portions of the training. Again, there are objective tests to determine this. BLS Healthcare Provider certification from American Heart Association; additional life support training, as applicable to unit requirements. The minimum requirements are: D. Call SystemExisting Facilities. (c)The Department shall approve the increase in beds within 72 hours following receipt of the[facilitys]nursing homesdocumentation that the required additional staff is[]in[place]positionto serve the increased number of beds. Definition. (3) To the degree possible, accompanying physicians when visitingresidents. If the serology for varicella is nonreactive, the facility shall request that the employee receive immunization for varicella. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. 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. (1) The Commission, through the Department, shall certify a facility or center to perform dialysis upon determination that the facility or center meets the standards adopted by the Commission, including: (a) 42 CFR 494.1494.110, as amended; and. B. 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. Editors Note on Incorporation by Reference. (28) Infection preventionist means a licensed healthcare worker who: (a) Manages the infection prevention and control program in the nursing home; and. The identity of the specified victim or victims, Injuries Apparently Caused by Auto Accidents ,Lethal Weapons, Gunshots, Burns, or Moving Vessels, Health Gen 20-702 (moving vessel injuries), In Allegany, Anne Arundel, Charles, Kent, Montgomery, Prince Georges , Somerset, Talbot, and Wicomico Counties, a physician, pharmacist, dentist or nurse who treats an individual for an injury that shows evidence of having been caused by an auto accident or lethal weapon shall notify the county sheriff, police, or state police as soon as practicable., Syphilis: Failure to comply with medical observation; contact reporting; positive serological test for mother or infant. (5) The pharmacy shall be responsible for delivering medications to the nursing home. All rights reserved. Comments will be accepted through September 6, 2016. 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. (1) The nursing home shall provide emergency electrical power. 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. (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. (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)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. (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. (1)[Problems]Residents problemsand needs shall be identified, based upon the interdisciplinary assessment. (ii) The soiled area shall allow for sorting and washing soiled laundry. 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. (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. [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. (2) Minimum Space RequirementsNew Construction. [(5)](1)The[facility]nursing homeshall screen[all new employees for immunity to common childhood infections such as mumps, rubella, measles, and chicken pox (varicella), through the use of pre-employment questionnaires and, if appropriate, serologic testing for presence of antibodies of these diseases, to prevent adult exposure of new employees to residents with communicable forms of such disease organisms.] The audible signal may not be turned off at the nursing station. (3) Nursing, housekeeping, laundry, or other personnel may not be[utilized]usedas[dietetic]food servicestaff. (a) The window areawithin each bedroom shallbeat least10 square feet per bed. [Heating pads may not be used instead of hot water bottles.]. Research Exception: The requirements for reporting HIV+ test results do not apply when the test is conducted as part of research conducted by an institution within Maryland under the following conditions: (a) All personal identifiers are removed from the specimen before testing; (b) The specimen cannot be linked to the individual from whom it was taken; (c)The test result cannot be linked to the individual from whom the specimen was taken; and (d)The research protocol has been approved by an institutional review board. truthful and transparent services. [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. (23) Full time means 40 hours per week or the standard work week adopted by the nursing home. 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.]. E. Responsibilities of the Director of Nursing.