(b) An interferon-gamma release assay (IGRA) blood test. (3) A nursing home shall equip all screened doors with self-closing devices, to provide for the normal flow of ingress and egress of traffic. (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. (1) The nursing home shall provide appropriate methods and procedures for administering drugs and biologicals to the nursing homes res. (d) The nursing home shall provide a Department-approved written plan that: (i) Defines the specified area of refuge; (ii) Outlines paths of egress from the common areas of refuge; and. Designated Staff Responsibility. No. We're available on the following channels. C. Administrative AreasExisting[Facilities]Nursing Homes. Food Service Department. confession, applicable policies and procedures, employee handbook, staffing Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse(RN), (e) In an existing nursing home, the usable floor area for rooms havinga bedroom shall have a finished ceiling height of 8 feet. The following procedures are to be used when admitting an individual with a communicable disease into a nursing facility: (1) A facility may not deny admissions to, or involuntarily discharge, an individual solely because the individual has a communicable disease; (2) Any facility that intends to accept an individual with a communicable disease shall notify the Department before admitting the individual; and, (3) The Secretary or a designee of the Secretary may prohibit a facility from accepting an individual with a communicable disease if it is determined that admitting the individual with a communicable disease could pose a risk to the health, safety, or welfare of any other resident or individual associated with the facility.]. Oklahoma Board of Nursing 2501 N. Lincoln Blvd., Ste. (33) Licensed or certified professional health care practitioner means a nurse practitioner, physician assistant, or other practitioner licensed or certified under the Health Occupations Article, Annotated Code of Maryland. (Identified by Impact Letter and Number from Section II.). [E.]D.The[facilitys]nursing homescommunication mechanism shall ensure that theadministrator, director of nursing, and the medical director receive and address reports of infectionprevention andcontrol findings and recommendations in a timely manner. Upon successful completion of the curriculum, the graduate is granted the AS in nursing and is eligible to take the state board examination for registered nurse licensure. B. Maryland Department of Health 10.27.22 Multistate Licensure Compact K. GarbageStorage Space. Each day that the nursing[facility]homecontinues to operate without a license after the first conviction is a subsequent offense and may subject the operator to further criminal prosecution. Required . The[facility]nursing homeunit shall meet all applicable requirements in Regulation[.26F].46of this chapter for emergency electrical power, including the provision of: (a) To service the medical gas systems, a vendor or staff shall be trained and accredited in accordance with NFPA 99 Health Care Facilities Code. Complete the form below for state-specific nurse licensure . (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. E. Quality Assurance. friendly and courteous, timely and A State-approved training course for paid feeding assistants shall consist of at least 8 hours of training that includes: (9) Successful completion of a two-part test that includes a: (b) Demonstration of proper feeding skills performed on a resident[under observation]while being observed. The[facility]nursing homeshall select[a resident]eligibleresidents based on the: E. State-Approved Training. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. Maryland Board of Nursing Attn: Director of Complaints & Investigations 4140 Patterson Avenue, Baltimore, MD 21215-2254. . (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. to provide constituents, businesses, Clean linen shall be stored separately from[non-clean]uncleanitems. maryland board of nursing reporting requirements 410.764.4777 | Toll Free 800.492.6836 address of all witnesses). Space heatersand portable heaters may not be used. [B.] Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department. A janitorscloset or service alcove fortheexclusive use of food service areas shall be provided in, or adjacent to, the dietetic service department. by telephone. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. ]; [(6)](5)Specialized rehabilitative services[]includingoccupational therapy[services], physical therapy[services], speech pathology and audiology services[. (4)In new facilities,the director of nursing and supervisors of[the various services,]dietaryservices, housekeeping, rehabilitationservices, and social services[,]shall be responsible for orienting the new[supportive]supportpersonnel to the[facilitys]nursing homepolicies and procedures and to the physical plant. (54) Physician assistant has the meaning stated in Health Occupations Article, 15-101(o), Annotated Code of Maryland. D.Humidity. National Council of State Boards of Nursing, Inc. All Rights Reserved. D. Excessive Absenteeism of Administrator. (ii)80 square feet, per bed, for multiple-bed rooms. Currently, a license has not been required for an individual to operate in this role. Further, we believe that federal Certificates of Confidentiality do not shield a researcher from the obligation to report diseases, conditions, or circumstances when such reports are required by state law. (b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format. However, the nursing home would need to contract with a licensed social worker to provide oversight. (8) Charge nurse means the registered or licensed practical nurse who is responsible for day-to-day operations of a unit in the nursing home on which residents live. 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. Copies of these documents are filed in special public depositories located throughout the State. Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. (a)[Because specific temperatures are often required for the safe storage of drugs, the]Thestorage[facilities]facilityshall provide for the[following]conditionslisted in C(3)(b)(g) of this regulationwhen prescribed[:]. When the resident is transferred from the nursing home for any reason or at time of death, the administrator or the administrators designee shall notify the attending physician and the: (3) Responsible party designated by the resident. (vi) The arc of anydoors that open into the room, excluding closet doors. Restrictions on Admission and Retention of[Patients]Residents. (4) A[patient]residentin a protective device or devices shall be observed periodically by personnel, to[insure]ensurethat the[patients]residentshealthand personal careneeds are met. Pages - Office of Health Care Quality - Maryland.gov Enterprise Agency D. Restrictions on Participation Documented on Chart. (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. customers, and stakeholders with possible. [(a)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. The stark reality in 21st-century America is that child abuse is reported to authorities every ten seconds.During the time they are being trafficked, 30-88% of survivors of human trafficking see a healthcare provider. . If the employee refuses to be immunized, the[facility]nursing homeshall document the refusal and the reason for the refusal. (1)The[facility]nursing homeshall assign at least one[individualwith education and]infection preventionistthat has attendedtraining in infection surveillance, prevention, and control to[be responsible for approving actions to prevent and control infections.] (2) The compartment shall be large enough to accommodate: (c) A wheelchair, shower chair, or shower bed. (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. (4) Outdoor air intakes shall be located: (a) As far as practical but not less than 25 feet from: (i) Exhaust outlets of ventilating systems; (v) Areas that may collect vehicular exhaust and other noxious fumes; and. [(3)](c)All electrical equipment shall be[periodically]testedperiodicallyfor proper grounding, current leakage, and calibration where appropriate. (1)Residents shall be given the opportunity to participate in planning menus. The proposed action has minimal or no economic impact on small businesses. [F.]J. (75) Tuberculosis in a Communicable Form. [(2) Existing Facility. C. Social History. (2) The duty described under this section is deemed to have been discharged if the mental health care provider or administrator makes reasonable and timely efforts t. (i) Seek civil commitment of the patient; (ii) Formulate a diagnostic impression and establish and undertake a documented treatment plan calculated to eliminate the possibility that the patient will carry out the threat; or.