[.21-4].37Infection Control Standard Precautions. donald sterling height; world invention competition and exhibition 2021; impact indoor soccer omaha; (b)Renovations of[existing]allkitchens shall be approved by the Department,which will consider modification of the minimum space requirement based on space available, costs,and type of service. 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. Karen Hatwood mbon.nurselicenserenewal@maryland.gov. JavaScript is required to use content on this page. (9) The committee shall establish the contents of sealed emergency drug kits. Approaches shall[communicate]indicatethe work to be done,[by whom it is to be done]who is to do it, and how frequently it is to be[performed]done. customers, and stakeholders with Telephone service and drinking fountains which meet ANSI standards also shall be provided.]. The Board concluded that reliance on any one institutions terminology would result in uneven reporting. (2) For hand washing purposes, there shall be a towel dispenser and a supply of paper towels and soap dispenser adjacent to each sink. (1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. (5) Return of License or Renewal Certificate to the Secretary of Health. There shall be a complete orientation for all the employees in life safety and disaster preparedness. , then PI must report to the health officer when a specimen evidences the diseases/conditions listed in the statute. (Identified by Impact Letter and Number from Section II.). You will need to provide evidence of completing the Continuing Education requirements specified in 18 VAC 90-19-160 during the two (2) years immediately preceding application for reinstatement. (1) The nursing home shall return all prescribed medications, for residents who have been discharged or otherwise departed, to the pharmacy in accordance with the nursing homes policy. [Agency Note: 10 foot ceiling height is recommended. The regulations provide an objective test for determining if leaves of absence are involuntary. (c) The soiled utility room shall contain: [(ii) A separate wall-hung hand sink for handwashing, equipped with wrist blades and soap and towel dispensers;]. (2) A minimum pressure of 15 psi during demand period is required at top floor equipment. Position Specifications: (must meet requirements for employment) Education: . However, once a facility elects to use these procedures or systems and a modification is granted, the systems may not be changed without prior approval of the Department. Rollaway type beds, cots, or folding beds may not be used. D. It is estimated that 25 percent of nursing homes currently have a licensed social worker (Bachelors level degree). The following requirements shall bemet:]Distributions. L. Resident Directed Meal Pattern. 2506 mandates that any health care provider or health care entity or carrier report to the Board in writing within 60 days the following information: The name of any nurse employed by or privileged by the health care provider or health care entity when: The nurse's employment, including . Issue/renew license to Advanced Practice Registered Nurses meeting established requirements. A. [(a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities; and]Settings. (3) The facility shall monitor the purified protein derivative (PPD) status of employees at any time that symptoms suggestive of tuberculosis develop, and periodically, consistent with the tuberculosis control plan. The staff shall document[progression]progressof the condition or conditions weekly until the condition or conditions have healed. (1)A nursing home shall be equipped with a properly maintained air conditioning system. Contents of record shall[be]include: (1) Identification and summary sheet or sheets including[patients name, social security number, armed forces status, citizenship, marital status, age, sex, home address, and religion]: (2) Names, addresses, and telephone numbers of referral agencies[(],including[hospital from which admitted), personal physician, dentist, parents names or next of kin, or authorized]: (3)[Documented evidence of assessment of the needs]Documentation of the: (a)Needsof the[patient]resident[, of establishment]; (b)Establishmentof an appropriate[plan of]initial and ongoing treatment[,of the care]plan; and. Copyright Maryland.gov. 6 St. Paul Street, Suite 2102 The[facility]nursing homeshall ensure that: (1)The nurse manager or the director of nursing of vent units has a background in ventilator care or is qualified in ventilator management; [(1)](2)Respiratory care services are provided by a sufficient number of qualified personnel;and. Residents shall be given the opportunity to participate in planning menus. 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. (6)Food and fluid intake ofresidentsis observed, and deviations from normal are recorded and reported to the: (a) Provide acontinuingin-serviceeducationprogram for all nursing service personnel; (b) Provide a thorough job orientation for new personnel; and. American Song Book Lincoln Center, New York, NY Saturday, Feb 6, 2016 8:30 PM A Room of My Own June Havoc Theatre, New York, NY Friday, Feb 13-March 13, 2016. . (3) If warranted, the director of nursing shallreportthe matter to themedical director orprincipal physician. (38)Medical director means an individual licensed to practice medicine in this State who, pursuant to a written agreement, is responsible for the overall coordination of the medical care in the nursing home to ensure the adequacy and appropriateness of the medical services provided to residents and to maintain surveillance of the health status of employees. [A.] (i) There shall be a physical separation between the clean and soiled areas. 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. There shall be an active program of restorative nursing care aimed at assisting each resident to achieve and maintainthe individualshighest level of independent function, including activities of daily living. (b)[Be]Make the requestfor a term not to exceed 30 days. In existing structures, the Departmentshallentertain requests for waivers on itemsthat: (1) Willnot endanger the health and safety ofresidents, visitors, employees, and other individualsusing the nursing home; and. The Maryland General Assemblys Office patient identification, specific nurse behavior, action, or inaction. Clinical Nurse Specialists. (3) The nursing home shall only release prescribed medications to residents at the time of discharge based on the written authorization of the residents authorized prescriber. Reporting Decision Tool: When Do I Report to State Agency and Law Enforcement? [Comprehensive care facilities or extended care facilities]A nursing homelicensed under this regulation may not usethe word hospitalin[their]itstitle[the word Hospital]. (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. Code Ann., Health Occupations Article, 4140 Patterson Avenue, Baltimore, MD 21215-2254, If you have a non- compact active license in another state but never held a Maryland license, you must complete one of the above advance practice applications in, Once registration is completed in nursys.com, your license verification is immediately available for verification. The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. The quality assurance committee shall: (1) Designate[a chairperson to manage]an individual to overseecommittee activities; (2) Meet monthly to[accomplish]carry outquality assurance activities; (3)[Assist in developing]Help developand approve the[facilitys]nursing homesquality assurance plan; (4) Submit the quality assurance plan to the Departments Office of Health Care Quality at the time ofinitialapplicationforlicensure or at the time of licensure renewal; (5) Submit any[change in]changes tothe quality assurance plan to the Office of Health Care Quality within 30 days of the[change]changes; F. Quality Assurance CommitteeNon-members. A. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (5) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. (6) A geriatric nursing assistant[of]atthe[facility]nursing home. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. (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. If you typed in the word submeters the Search feature would take you to the same Subtitle. (3) This position shall be staffed at a ratio of 1.0 Full Time Equivalents for every 200 beds. [B.] The Office of Health Care Quality (OHCQ) is the agency within the Maryland Department of Health charged with monitoring the quality of care in Maryland's health care facilities and community-based programs. 410.764.4777 | Toll Free 800.492.6836 [.35] .58Resident Care Management System. The minimum requirements are: D. Call SystemExisting Facilities. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. Current license with the Maryland Board of Nursing as Certified Nurse Assistant. (1)Covers shall be placed on hot[water bottlesand,ice caps]packs, ice packs and other temperature-related therapeutic medical devicesbefore they are placed in a bed or on a[patient]resident. 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. (3) Submit a copy of the medical directors credentials to the Department upon: (a) The first license renewal of the[facility]nursing homeafter the effective date of this regulation; and. An interdisciplinary team shall complete. If the employee refuses to be immunized, the[facility]nursing homeshall document the refusal and the reason for the refusal. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. (5) An electrically powered call system shall be connected to the emergency power supply. customers, and stakeholders with 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. Body Holding RoomNew Construction. (7) Each trainee shall be clearly identified as a trainee during all skills training portions of the training. (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. InfectionPrevention andControl Program. (1)There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding[:]or increasing the risk for cross-contamination of food or equipment from soiled surfaces. (5) All members of the committee shall review revisions of policies and procedures before implementing any changes. [(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. Primary source equivalent: The Nursys licensure and disciplinary database is the repository of the data provided directly from New Mexico State Board of Nursing and is primary source equivalent. The[facility]nursing homeshall establish,implement, andmaintain[, and implement]aneffective infectionprevention andcontrol program that: (3) Maintains a record of infections in the[facility,]nursing homeand the corrective actions that were taken related to infections; and, (a) Effectiveness of the infectionprevention andcontrol program by surveying rates of infection, especially of[those residents who have an especially high risk of]infectionrates that are significantly higher than usual; and. (8) The audible signal shall be loud enough to be heard at the nurses station. The frequency of communications between the physician and the rehabilitation team members shall[be governed by the statusand]dependonchanges in the[patient]residentand[his]the residentsmedical status. Although this reporting requirement might not appear at first glance to require reporting by investigators, Maryland regulations contemplate that research HIV testing is covered: COMAR, the compilation of State regulation, contains a research exception for truly anonymous HIV testing performed under an IRB-approved protocol, as well as a detailed procedure for seeking a research exemption to reporting from the Director of AIDs Administration. (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. 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. (b) Has 2 years of experience in a social or recreational program in a licensed health care setting within the last 5 years, 1 year of which was full time in a resident activities program with guidance froman individual identified in B(73)(a) of this regulation. (b) Food Preparation Areas and Laundries. Open at all Times for Inspection. There shall be provision for the laundering of patients clothing. 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. If any covered person has reason to believe that a child has been subject to neglect, the person must notify the local department and, if acting as a staff member of a hospital, notify the head of the institution or the institutions designee. A. (2) A call system shall be maintained in a manner that will provide visible and audible signal communication between nursing service personnel and residents. 10.34.23 Pharmaceutical Services to Patients in Comprehensive Care Facilities, Effective September 16, 2013. (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. accessible and convenient, and (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. (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. The[facility]nursing homeshall provide or make arrangements for services to identify and meet the[patients]residentsmedically relatedphysical,social, and[emotional]behavioral healthneeds. As of July 1, 2020, the U.S. Department of Education implemented new regulations that professional nursing programs (PN, RN and APRN) must adhere to if they participate in Title IV HEA funding, and if the program is: designed to meet educational requirements for a specific professional . Regulation34 CFR 668.43 (a) (5) (v) will require the nursing program to provide: Additionally, adirect disclosure to the student in writing is required in regulation 34 CFR 668.43(c) by the education institution if the program leading to professional licensure or certification falls in one of the latter two categories above.
Gilbert Artemus (Artie) Darrell