maryland board of nursing reporting requirements

In certain Maryland counties (although not Baltimore County or City), physicians, pharmacists, dentists or nurses who treat individuals with injuries that appear to have been caused by auto accidents or lethal weapons must report this information to local or state police as soon as possible. not accept anonymous complaints. The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. (b) Effective implementation of the policies and procedures that are outlined in[F(1)]E(1)of this regulation. General Responsibilities. 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. D. Assistance by Nursing Service Personnel. JavaScript is required to use content on this page. hotline in the past has helped to eliminate (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. (31) Licensed certified social workerclinical (LCSW-C) means an individual authorized to practice clinical social work under Health Occupations Article, Title 19, Annotated Code of Maryland. Would you know your responsibility as a nurse and mandated reporter if you suspected a patient . General Requirements. (c) Following any changes in the initial registration of the four representatives, a nursing home shall update the information within 5 business days of the change. E.Water Supply. The activities shall be designed to promote the general health[,]andphysical, social, and mentalwell-being of the[patients]residents. (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. [(3) The tuberculin skin test for new admissions may be a two-step skin test that is performed by the facility according to the established infection control policy of the facility. (5) The nursing home shall make its resident care policies available for review by residents and the residents representative. The[facility]nursing homeshall complete all assessments in accordance with the provisions of 42 CFR[]483.20[and 413.343],as amended. (ii) A bed that is certified for Medicaid to a distinct part of the nursing home that is a skilled nursing facility. (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. Aresidentshall be provided with the following furnishings, which shall be convenient to theresident: (iv)A chest of drawers with at least one locking drawer; (vi) A wallmirror in each room,unless contraindicated by physicians order; and. (a) Air handling duct systems shall meet the requirements applicable to nursing homes cited in NFPA 99 Health Care Facilities Code. responsive, accurate and consistent, (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. to provide constituents, businesses, Please enable scripts and reload this page. [Statutory exceptions for certain confidential and privileged communications]. Masks are required inside all of our care facilities. (4) A food service floor panty shall include the following: (d) Sink for purposes other than hand washing; (e)Hand washing sink with soap dispenser and disposable paper towel dispenser; and. Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). (1) In[facilities exceeding]a nursing home with more than50 beds, overall supervisory responsibilities for the[dietetic]foodservicedepartment and food productionshall be assigned to a full-time qualified dietetic service supervisor. C.The[facility]nursing homeshall maintain documentation of the discussion between the[facility]nursing homeand the volunteer concerning influenza vaccine and tuberculinskintesting. (2) Policies and procedures shall address, at a minimum the following: (a) Identify how many staff members will assist with serving food items, pushing the mobile cart, and delivering meals to the residents; (b) Ensure proper food protection on three sides to protect the food; (c) Maintain proper temperature control, hot food at a minimum of 135F and cold food maintained at a maximum of 41F; (d) Record of temperatures before serving meals on each individual unit; (3) The hand washing policy and procedures referenced in L(2)(f) of this regulation shall include the following: (a) Use of a hand sanitizer in lieu of proper hand washing is not permitted; (b) Bare hands may not have direct contact with ready-to-eat food; (c) Hand washing shall be done before starting meal service on each individual unit; (d) When and at what location hand washing will be done; (e) Hand washing may not be done in resident rooms; (f) Access to a hand washing sink may not require the opening of a door; (g) The hand washing sink shall be in a central, unobstructed location; (h) Mobile hand sinks are acceptable as long as a written procedure to meet sanitation requirements is developed; (i) The hand sink shall be supplied with hot and cold water under pressure; (j) The unit shall be supplied with adequate waste containers to hold dirty water until dumping is done; and. (4) A nursing home, whether or not operating a licensed pharmacy, shall maintain a signed record of a Schedule II count at each change of shift. (2) If the social worker is not a licensed certified social worker (LCSW) or a licensed certified social worker-clinical (LCSW-C), the nursing home shall arrange for an LCSW or LCSW-C to provide sufficient hours of supervision. The summary shall, at a minimum: (a) List means of potential transportation to be used in the event of evacuation; (b) List potential alternative facilities or locations to be used in the event of evacuation; (c) Describe means of communication with family members and residents representatives; (d) Describe the role and responsibilities of the resident, family member, or residents representative in the event of an emergency situation; and. (d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department. C. A[facility]nursing homethat uses a paid feeding assistant shall ensure that the paid feeding assistant feeds only residents who do not have complicated feeding conditions including, but not limited to: (3) Recurrent lung[aspirations]aspiration; or. Once the complaint is received at the Board office, an Effective in 2013. (3) As of January 1, 2021, a license is required for an employee to provide social services except if: (a) On the effective date of these regulations, the employee was assigned responsibility for social services; and. 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. (3)[Thenotification shall include]Includean invitation for the family member or residents representative to attend the conference. G. Boiler rooms. (2) Private sewage disposal systems shall comply with COMAR 26.04.02. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department. (2) In orderto prevent accidents and promote efficiency of service, the nursing home shall ensure that the following areas have sufficient artificial lighting: G.Minimally Maintained Lighting Levels. There shall be a separate entrance into each room]. The facility shall document refusals and shall conduct surveillance of nonimmune employees during the recognized influenza season.]. (c) The name of the authorized prescriber who prescribed the medication. (3)Policies and procedures shall be adopted and made available to all nursingservicepersonnel. fraud hotline to receive allegations of Results will be mailed to you within five days of exam date. 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. (h) The cost of care and any additional fees. C. Call SystemNew Construction. 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. Open at all Times for Inspection. Find more COVID-19 testing locations on Maryland.gov. Agency Note: Utilization Review. (6) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. This instruction shall include the following topics: (e) Communication and interpersonal skills.]. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department.]. C. Social History. These actions are involuntary if they occur after any of four specified events. (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. (2) The janitors closet or service alcove. The responsibilities of the director of nursing shall include: (1) Assisting in the development and updating of statements of nursing philosophy and objectives to define the type of nursing care the nursing home shall provide; (2) Preparation of written job descriptions for nursing service personnel; (3) Planning to meet the total nursing needs of residents to be met and recommending the assignment of a sufficient number of supervisory and support personnel for each tour of duty; (4) Development and maintenance of nursing service policies and procedures to implement the program of care; (5) Participation in the coordination of resident services through appropriate staff committee meetings on issues relating to: (6) Cooperation with administration in planning the orientation program and the staff development program to upgrade the competency of personnel; (7) Assurance that nursing personnel understand the philosophy and meet the objectives; (8) Participation in planning and budgeting for nursing services; (9) Establishment of a procedure to ensure that nursing service personnel, including private duty nurses, have valid and current Maryland licenses; (10) Execution of resident care policies unless delegated to the principal physician or medical director; (11) Participation in the selection of prospective admissions to ensure thatthenursing homes staff is capable of meeting the needs of all residents admitted; (12) Coordination of the interdisciplinary resident care management efforts; and. (2)A visible signal in the corridor above the corridor door of eachpatientsbedroom, visible from all parts of the corridor. (iii) Is a Certified Food Protection Professional (CFPP). These areas may be reduced to 35 percent for all-outdoor air systems. (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. (3) The nursing home shall provide additional information upon request. (a) The window areawithin each bedroom shallbeat least10 square feet per bed. (d) Smoke dampers shall activate by smoke detectors located in the ducts at the smoke barrier, or by the smoke detectors used to close smoke barrier doors. 4. (1) A nursing home shall develop policies and procedures to ensure that a resident or, if the resident lacks the capacity, the residents family or other individual accompanying the resident is informed, both orally and in writing, on how the resident shall safely and correctly take the residents medications during a short-term leave of absence of 24 hours or less. In developing these regulations, the Board learned that different hospitals use vastly different terminology to describe similar actions. (1) A nurse call system shall be installed and maintained in operating order in all nursing units. A person maintaining or operating a nursing[facility]homewithout a license is guilty of a misdemeanor, and, on conviction, is liable for a fine of not more than $1,000 for the first offense and not more than $10,000 for each subsequent convictionin accordance with Health-General Article, 19-358, Annotated Code of Maryland. (1) Amend, repeal, recodify, and adopt new language in order to make this chapter more cohesive, comprehensive, and clear; (2) Enable the Department to accept electronic submissions of both initial applications and renewal applications and thereby improve efficiency and decrease the administrative burden on providers and the Department; (6) Incorporate by reference additional documents; (7) Require that new facilities shall satisfy the review of the Maryland Health Care Commission for the establishment of new facilities and the increase or decrease in capacity of existing facilities; (8) Require that an existing facility that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing; (9) Require that a nursing home shall employ supervisory personnel and a sufficient number of support personnel, to provide a minimum of 3 hours of bedside care per occupied bed per day, 7 days per week; (10) Require that the ratio of nursing service personnel on duty providing bedside care to resident may not at any time be less than one to 15; (11) Require that the nurse manager or the Director of Nursing of vent units shall possess a background in ventilator care or be qualified in ventilator management; (12) Require that after January 1, 2021 social services responsibilities in the facility will be assigned to a Licensed Bachelor Social Worker, Licensed Graduate Social Worker, Licensed Certified Social Worker, or Licensed Certified Social WorkerClinical; (13) Require that the facility shall assign at least one infection preventionist staffed at a ratio of1.0 Full Time Equivalentsfor every 200 beds; (14) Require that facilities shall possess a functioning automated external defibrillator (AED) as of July 1, 2020; (15) Allow Certified Dietary Managers to share cooking responsibilities with the full-time cook in facilities with fifty or fewer beds. [The following shall be observed:]. Ch. 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. A mental health care provider licensed under the Health Occupations Article or any institution or facility that provides treatment or services to individuals who have mental disorders has a statutory duty to warn of known threats of imminent physical injury: b) In general.- A cause of action or disciplinary action may not arise against any mental health care provider or administrator for failing to predict, warn of, or take precautions to provide protection from a patient's violent behavior unless the mental health care provider or administrator knew of the patient's propensity for violence and the patient indicated to the mental health care provider or administrator, by speech, conduct, or writing, of the patient's intention to inflict imminent physical injury upon a specified victim or group of victims. Please enable scripts and reload this page. (44) Nursing care has the meaning stated in Health-General Article, 19-301(k), Annotated Code of Maryland. The additional food servicearearequired when meals are provided to anyone outside of the[facility]nursing homeis to be calculated by using the total number of individuals to whom meals are provided. The charge nurse or nurses shall make daily roundsonall nursing units for which they are responsible, performing such functions as: (2)Reviewing clinical records, medication orders, resident care plans, and staff assignments; and. (b) Laundry service shall be provided to meet the residents needs. Nurses who have an advanced degree from a U.S. college or university, are. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. A. A public hearing has not been scheduled. The University of Maryland Francis King Carey School of Law is one of seven professional and graduate schools at The University of Maryland Baltimore (UMB).For more help crafting your Fordham supplemental essays, create your free account or schedule a free advising consultation by calling (844) 343-6272 How to Write the Fordham University Essay . F. Retention and Preservation of Records. (b) A roomthatopens into the kitchen may not be used as aresidentbedroom. A written application shall be on file for each employee and shall contain. Contents of record shall, (1) Identification and summary sheet or sheets including, (2) Names, addresses, and telephone numbers of referral agencies, D. Consultation. (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. (3) The individual who prepares medications shall give and record them. (1)Medical records shall be retained for a period of[not less than]at least5 years from the date of discharge or, in the case of a minor, 3 years after the[patient]residentbecomes of age or 5 years, whichever is longer. 6. Patients may not be kept behind locked doors, that is, doors which patients cannot open. (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. Opportunity for Public Comment. New York State Licensed Professions. 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. Minimum equipment shall include the following: (b) Cabinets for dry storage and supplies; (d) Sink for purposes other than handwashing; dwashing sink with soap and towel dispenser or approved drying device.]. The heating system shall be: (1) Capable of maintaining 75F or 24C throughout the residents section of the building with the outside temperature as prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities; and. Mandated Reporting Requirements FAQs. A handsink with hot and cold running water shall be convenient to the nurses station. G. Appropriate Care of Residents. Standard Precautions. [(f)](g)Protection from Freezing. (1) If the supervisor is not alicensed registereddietitian, the individual shall receive regularly scheduled consultation from alicensedregistered dietitian or other qualified person. .08 New Construction, Conversion, Alteration, or Addition. A convenient outside service entrance shall[be planned]existto facilitate receiving food supplies and the disposal of waste. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. (2) FurnishingsNew Construction. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. [Each]. A facility which holds full licensure as of the adoption of these regulations shall be considered as having an adequate size dietetic service department. A janitorscloset or service alcove fortheexclusive use of food service areas shall be provided in, or adjacent to, the dietetic service department. Clinical Nurse Specialists. C.Heating System. 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. E. Transportation. B. B. ]; (b)[Care shall be exercised in the usage and storage of toxic]Use and storetoxicand flammable insecticides and rodenticideswith care[. (i) In the event of failure of the normal electrical service, be activated immediately; (ii) Come to full speed and load acceptance within 10 seconds; (iii) Have a capacity of 48 hours of operation from fuel stored on-site; and. A. [(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. To obtain an exemption, the principal investigator must submit to the AIDS Administration a copy of the approved protocol, a notice of IRB approval, and a letter from the PI stating that the project will provide the Director of AIDs Administration annual reports of the following: A physician who has diagnosed a patient under the physician's care with acquired immunodeficiency syndrome according to the current definition published in the morbidity and mortality weekly report by the Centers for Disease Control and Prevention of the Department of Health and Human Services shall submit immediately a report to the health officer for the county where the physician cares for that patient. (3) If a controlled dangerous substance is destroyed on the nursing home premises in accordance withF(2) of this regulation: (a) A record of the disposal, in addition to any other required records, shall be maintained in the nursing home; and. It can be filled out with your computer and saved, orprinted out and filled in by hand. Helen Bowlus, Assistant Attorney General and advisor to the Maryland Department of Health and Mental Hygiene, has advised us that subjects enrolled in research protocols may in many cases be considered under care, and that no categorical exclusion from reporting requirements exists for providers who are conducting research. (1) The disclosure shall be made to the Department and to any person seeking placement or receiving care in a Dementia special care unit or program of a nursing home. An existingnursing homeshall meetall local codes and standards for safety and maintenance of institutional elevators. [(b) Medicine storage cabinet with locks. (c) Successful completion of a curriculum in physician management or administration from[the American Medical Directors Association or another curriculum approved by the Department or its designee; and]: (i) AMDA: The Society for Post-Acute and Long-Term Care Medicine; or. (2) The[facility]nursing homeshall take appropriate infectionprevention andcontrol[steps]measuresto prevent the transmission of[a communicable]an infectiousdisease to residents, employees, and visitors as outlined in the following guidelines: (a)2007Guideline for Isolation Precautions:Preventing Transmission of Infectious Agentsin[Hospitals]HealthcareSettings; and. (5) Existing Facility. (b)The transfer of any stock which results in a change of the person or persons who control the[facility]nursing home, or a 25 percent or greater change in any form of ownership interest, constitutes a sale. (b) Guideline for Infection Control in Health Care Personnel. (2) Departments Office of Capital Planning, Budgeting and Engineering Services. A. (iii) Inform the appropriate law enforcement agency and, if feasible, the specified victim or victims of: 1. The nursing home shall provide for an organized nursing service, under the direction of a full-time registerednurse. Baltimore, Maryland, 21215-2254. The medical director shall actively participate in the, (1) Advising on the development and execution of an employee health program, which shall include provisions for determining that employees are free of communicable diseases according to current. NCSBN assumes no liability or responsibility for any errors or omissions in the information contained in this resource.

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