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(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. Any hiatus during which the health care provider does not exercise staff privileges or fulfill the duties of employment or a contract is a leave of absence. [.21-4].37Infection Control Standard Precautions. When an owner plans to convert an existing structurethat has not been licensed as a nursing or care home to a nursing home, the owner shall be required to meet all conditions set forth in this chapter. (8) The audible signal shall be loud enough to be heard at the nurses station. Medical Director Qualifications. (iii) Provideofficespace for theemployedpersonnel[employed;]to work. [(a)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. (2) Bedside hours include the care provided by: (3) Only those hours which the director of nursing spends in bedside care may be counted in the 3-hour minimum requirement. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee, Credentials Evaluation Service Application (CGFNS), CREDENTIALS EVALUATION SERVICE APPLICATION, Complete on-line application and fee to CGFNS. (b) Isresponsible for the overall care of a resident. National Council of State Boards of Nursing, Inc. All Rights Reserved. (c)It is recommended that 2 square feetper[patient]residentbe provided and that thedry food storagearea be located within easy access to the receiving area and the kitchen. .41 Physical Plant New and Existing Construction Requirements. The installation of a portable air-conditioning unit shall be approved by the: (d) If windows cannot be opened for ventilation, a central HVAC system shall be provided and maintained. Police Officer. require that all employees receive annual immunization for influenza, unless: (b) Against the employees religious beliefs; or. (3) The oldest foods shall be used first, known as the first in, first out method. Please enable JavaScript in your browser. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit.]. 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 physician in attendance upon a patient having syphilis shall request the health officer to conduct a contact investigation or report to the health officer any untreated individual identified as having had potentially infectious contact with an individual having syphilis. (7) Each trainee shall be clearly identified as a trainee during all skills training portions of the training. (20) Extended care facility means a nursing home that offers sub-acute care and provides medical treatment services for residents who require inpatient care but who do not currently require continuous hospital services. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. (1) The size and location of the food service area shall comply with COMAR 10.15.03. If the social worker is not a licensed certified social worker LCSW or a licensed certified social worker-clinical LCSW-C, the facility shall provide for an LCSW or LCSW-C to provide sufficient hours of supervision. the satisfactory completion of the program in each employees personnel record, (2) The course content shall adhere to the. [Heating pads may not be used instead of hot water bottles.]. Citation numbers for the Annotated Code begin with a (section sign), for example 1-101. (c) Have attended a program of instruction in training methodologies approved by the Department. 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. (61) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system means the standard nationwide system to which several types of health care providers submit CMS required resident information to the National Submissions Database. (2) A call system shall be maintained in a manner that will provide visible and audible signal communication between nursing service personnel and residents. [(3)](4)Aisle space between working areas shall be at least 3 feet[;], andaisle space formain traffic shall be at least 5 feetwide. You may be asked to demonstrate that your license is active, for which you must meet all the necessary continuing education requirements. The administrator shall[be]: (2) Bein good physical and mental health[,];and[shall demonstrate]. (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. BLS Healthcare Provider certification from American Heart Association; additional life support training, as applicable to unit requirements. All rights reserved. (d) The plumbing fixture for the utility or service sink within a janitors closet must be provided with a back-flow prevention device. Required . This istoallowentry of fire fighters, removal of smoke, and emergency evacuation. Except for those over-the-counter medications that the Department may list as suitable for purchasing in bulk and dispensing as needed, the labels for all medications shall bear at least: (d) Original filling date and date refilled, if applicable; (f) Expiration date of medication (month, year); (g) Any special handling and storage instructions; (h) Name and address of dispensing pharmacy; (2) A nurse may not package, repackage, bottle, or label any medication, in whole or in part, or alter any labeled medication in any way. These documents may also be inspected at the office of the Division of State Documents, 16 Francis Street, Annapolis, Maryland 21401. Provider Resources - Maryland ALL FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE, In order to be endorsed in the state of Maryland, please complete the steps below, Questions- email us at 100-07 State Operations Provider Certification (Transmittal 126, November 26, 2014, U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services); (3) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007); (4) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. (3) A copy of the agreement between the nursing home and the replacement shall be sent to the Department. Updated printed copies of the Nurse Practice Act and Regulations can be purchased at the Division of State Documents in person, by internet, or by telephone. (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. (3)To the extent medical orders permit, bedtime nourishments shall be offered routinely to all[patients]residents. (5) Existing Facility. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. D. Call SystemExisting Facilities. (7) In cases where the cost of any medication obtained from the pharmacy selected by the resident exceeds the cost of the same or equivalent medication available through a pharmacy that the nursing home has contracted with to provide pharmaceutical services, the resident shall be responsible for the additional amount. A handsink with hot and cold running water shall be convenient to the nurses station.]. , then PI must report to the health officer when a specimen evidences the diseases/conditions listed in the statute. friendly and courteous, timely and Maryland Department of Health License Renewal (8) National Fire Protection Association, NFPA 101 Life Safety Code, which is incorporated by reference at COMAR 29.06.01.06. Contact the Discipline & Compliance Division, For general inquiries (Discipline): C.Outside Service Entrance. [There shall be at least 12 square feet perbed for 50 percent of the total licensed beds.]. G. Program of Restorative Nursing Care. (2) The ventilation rates shown in Table 1 under D(10)of this regulation shall be considered the minimum acceptable rates and may not be construed as precluding the use of higher ventilation rates. (3) If warranted, the director of nursing shallreportthe matter to themedical director orprincipal physician. A. (3)In-service training shall include at least: [(2)](b)Fire prevention programs and[patient]residentrelated safety procedures in emergency situations or conditions; [(4)](d)Confidentiality of[patient]residentinformation; [(5)](e)Preservation of[patient]residentdignity, including protection of the[patients]residentsprivacy and personal and property rights; [(6)](f)[Psychophysical]Physical,functional,and psychosocial needs of the aged ill; H. Employment Records. Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. (e) A filter frame shall be durable and carefully dimensioned and shall have an airtight fit with the enclosing duct work. 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. that might be grounds for action under 8-316 or Subtitle 6A of this title, the Geriatric Nursing Assistant - GNA Job in La Plata, MD at Charles County (1)[Effective with employees hired on or after July 1, 1990, the]Thegeriatric nursing assistanttraining program[course]shall consist of 75 hours or more, and include at least 37.5 hours of classroom instruction and[not less than]at least37.5 hours of supervised clinical experience in long-term care. Applies to anyone: Any individual having knowledge of an animal bite shall report the bite to the health officer., Maryland Reporting Obligations that May Apply to Investigators or Other Members of the Research Team, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Office of Human Subjects Research - Institutional Review Board. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. (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. (3) Analysis of additional burden or cost on the regulated person: The proposed requirement that social work services be performed by a licensed social worker becomes effective January 1, 2021. E. Administration of Medications for Leave of Absence of 24 Hours or Less. The Secretary of Health and Mental Hygiene proposes to amend Regulations .01.04 under COMAR 10.27.22 Multistate Licensure Compact Regulations. (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. A licensee[aggrieved by]that disagrees withthe imposition of a sanction under A(2) of this regulation may appeal the Secretarys action in accordance with Health-General Article, 19-364 and 19-367, Annotated Code of Maryland. Contact us via email: OPC@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. (2) Ifcorrected, will result in an unreasonable,substantial financial burdenon the nursing home. 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. (1)Thearchitectorprofessional engineer of record shall submit stamped and sealedfinal constructiondrawings to the Department. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. If a deficiency exists, the Department, in addition to the sanctions set forth in this regulation and Regulations[.5058].69.77of this chapter, may: (1) The duties of the State monitor shall be specified in a written agreement between the Department and the State monitor and shall include but are not limited to: (c) Issuing written reports to the Department and the nursing[facility]nursing home,detailing the findings of the on-site inspections and the status of[recommended actions that]requirements andrecommendations forthe[facility shall complete]nursing hometo achieve compliance.