copies of text messages or social network pages. In an existing nursing home, curtains or screens shall be acceptable. (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. [These facilities]. (42) Nurse means a licensed practical nurse or registered nurse licensed in the State as defined in Health Occupations Article, 8-101, Annotated Code of Maryland. (b) Medicine storage cabinet with locks. Other forms of evidence may include pictures, (2) Renovations ofexistingkitchens shall be approved by the Department which will consider modification of the minimum space requirement based on space available, costs, and type of service. Otherwise, a dedicated enunciator connected to the wireless call system will be needed. As long as the cumulative days of suspension imposed solely for the five reasons listed in COMAR 10.32.22.03C(7) do not exceed 30 in a calendar year, that suspension need not be reported. 100-07 State Operations Provider Certification,and with RAI instructions in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual,except that data may not be[electronically]submittedelectronicallyto the Department. G. Boiler rooms. (d)Management of the[facility]nursing homemay not permit the[patient]residentcensus to exceed the admissions ceiling without prior approval from the Department. (b) Maintained and applied by trained staff. National Council of State Boards of Nursing, Inc. All Rights Reserved. The relief director of nursing shall be freed from other responsibilities. ]; [(16)](15)Tuberculosis[Surveillance. Filing a Complaint. (3) The vendor providing the food shall have a valid food service permit. (7) The facility shall request that each employee receive immunization from influenza virus in accordance with Health-General Article, 18-404, Annotated Code of Maryland. We're available on the following channels. The attending physician shall: (5) For a resident who is to be transferred to the care of another[health care practitioner]attending physician, continue to provide all necessarymedical care and services pending transfer until anotherattendingphysicianhas accepted responsibility for the resident. hotline in the past has helped to eliminate B. Agency Note: Recommended space: Storage10 percent of area designated for exercise and rehabilitation; Officeone therapist, 110 square feet; two or more, 85 square feet per therapist. A. (2) If the nursing home does not employ a licensed pharmacist, the nursing home shall arrange by written contract for a pharmacy to provide consultation on administering the pharmacy services in accordance with the policies and procedures established by the pharmaceutical services committee. Thus approximately 172 facilities would be impacted by this proposal. (1)[New Construction. ], (1) The administrator shall plan anongoing educational program[shall be planned and conducted for the development and improvement of]to develop and improve theskills of all the[facilitys]nursing homespersonnel, including training related to problems and needs of the aged, ill, and disabled. (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. 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 Maryland Department of Health will update resources for health care providers as they become available. This program shall include: (1) Periodic service and testing of items as recommended by manufacturers of at least the following: (e) Resident bathing and shower equipment; (2) Ongoing staff monitoring for evidence of malfunction or deterioration; and. (1) The infectionprevention andcontrol program shall establish written policies and procedures toidentify,investigate, control, and prevent infections in the[facility]nursing home,including policies and procedures to: (a) Identify[facility]health care-associated infections and communicable diseases in accordance with COMAR 10.06.01; (b) Report occurrences of certain[communicable]infectiousdiseases and outbreaks of[communicable]infectiousdiseases to the local health department ina timely manner inaccordance with COMAR 10.06.01 and Health-General Article, 18-202, Annotated Code of Maryland; (c) Institute appropriate[infectioncontrol steps]control measureswhen an infectionor outbreak of infectionsis suspected or identified in order to control infection and prevent spread to other residents; (d) Perform surveillancefor health care-associated and community-associated infectionsof residents and employees[atappropriate intervals]using definitions and methods approved by the infection prevention and control oversight committeeto monitor and investigate causes of infection,[facility-associated and community acquired,]andthe manner in which[it was]the infection isspread; (e) Train employees about infectionprevention andcontrol,[and hygiene]including: (i)[Hand]Standard precautions andhand hygiene; (ii) Respiratory[protection]hygiene and cough etiquette; (iv) Safe handling of needles and sharpsand safe injection techniques; (v) Special medical waste handling and disposal;[and]. (5) Thenursescall system shall be sodesignedas to require resetting at the station where the call originates. JavaScript is required to use content on this page. There shall be provision for the laundering of patients clothing. The State of Maryland pledges (6) The bottoms of ventilation openings may not be not less than 3 inches above the floor of any room. [E.]F.Employee FacilitiesExisting Facilities. Maryland Nursing License Requirements | MD - NursingLicensure.org 2. (3)The[facility]nursing homeshall be kept free of unnecessary accumulations of personal possessions, boxes, trunks, suitcases, papers, unused furniture, bed clothing, linens, bric-a-brac, and similar items. (9) Recommended Dietary Allowances, (10th Edition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). G. Before discharge the nursing home shall: (1) Verify that the transfer and discharge to an assisted living nursing home is licensed and appropriate to meet the needs of the resident; and. (b) Certified graduates of a State-approved medicine aide course. The[facility]nursing homeshall complete all assessments in accordance with the provisions of 42 CFR[]483.20[and 413.343],as amended. A physician in attendance must report positive syphilis tests for patients, pregnant women, and infants, and must notify the health officer if a patient who tests positive fails to return for medical observation. COMAR regulations are Maryland State agency regulations, which are referenced by Title numbers (currently 1-36). B. [The location of thefood serviceareshall be approved by the Department. In new construction, facilityshall provide a lobby area. If the patient becomes too difficult to manage, the patient shall be transferred to a suitable facility selected by the attending physician. accessible and convenient, and The current license shall immediately become void and shall be returned to the Secretary if the: (a) Nursing home is sold, leased, or discontinued; C. Request for Departmental Permission to Exceed Capacity. (69) Secretary means the Secretary of Health. (b) Guideline for Infection Control in Health Care Personnel. (5) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. (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. E. Completion of Records and Centralization of Reports. (2) The nursing home shall destroy adulterated, deteriorated, or outdated medications in the following manner: (a) Disposal shall occur in the presence of two witnesses who are authorized by the nursing home; and. (68) Restraint means any physical or chemical restraint as defined in thischapter. If you prefer to send it by U.S. Mail, our address is: Maryland Board of NursingAttn: Director of Complaints & Investigations4140 Patterson Avenue, Baltimore, MD 21215-2254, National Human Trafficking Hotline - 24/7 Confidential. Shauna Wastradowski - Manager Senior Financial Operations - LinkedIn (1) All policies and procedures for the mobile food cart shall be approved by the Department and the nursing homes local health department before implementation. The janitors closet shall be equipped for, (a) There shall be separate clean and soiled utility rooms in each nursing unit. [.21-4].37Infection Control Standard Precautions. The bed shall be at least 36 inches wideandbe substantially constructed. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment, C. When the attending physician and medical director agree that a particular. (1) Medications shall be accurately and plainly labeled. (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.]. Welcome to the Maryland Board of Nursing Temporary Nurse Aide Pathway for CNA/GNA Certification. (g) A manometer shall be installed across each filter bed serving central air systems. [B.] 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. The activities shall be designed to promote the general health, B. Services Provided. Please turn on JavaScript and try again. M. SpecialMedical Wastes. NOTE 1: 18-202 requires an administrative head of an institution (defined to include hospitals) who has reason to believe that an individual on the premises of the institution has an infectious or contagious disease (except for HIV/AIDs), to immediately submit a report to the health officer. (2) The name and license number of the replacement director of nursing shall be supplied to the Department as soon as employment begins. Controlled room temperature is a temperature maintained thermostatically between[15C and 30C (59 and 86F)]59F and 86 F or 15C and 30C. Immediately treat ill effects to resident. Code of Maryland Regulations: Commission on Kidney Disease (b)A nursing care unit[also]bathroomshall include: [(a)](i)A toilet, within the care unit, for the use of personnel[, a]; and. Copyright Maryland.gov. [New Construction. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. (iii) Shall maintain a minimum temperature of 71F or 22C and a maximum temperature of 81F or 27C. The[facility]nursing homeshall provide[for a]: (1)Aprogram of structured and unstructured activities[,]; and. immediately give the required information to the institution head/designee. Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility. In[those facilities]a nursing homewhich[do]doesnot accept[patients]residentsin need of specialized rehabilitative services, the minimal acceptable restorative service shall be the restorative nursing care plan designed to maintain function or improve the[patients]residentsability to carry out[the]activities of daily living as set forth in Regulation[.12S].18G, of this chapter[, Program of Restorative Nursing Care]. (ii) Has received chemotherapy for less than 14 days. Maryland licensed practical nurse candidates must have a post-secondary education that leads to a degree in . The Maryland Board of Nursing does (1) Abody holding room shall beequipped with ventilation by mechanical means at the same rateandspecifications as designed for soiled linen sortingandstorage areas. (1) Shall be provided on each side of all corridors in resident areas; and. Nursing and dietetic services shall establish an effective policy toensurethat: (1) Nursingservicepersonnel are aware of the nutritional needs and food and fluid intake ofresidents; (2) Nursing service personnel providespecialmealsand nourishment when required; (3) Residents food choices and preferences are honored as much as practical; (4)Nursingservicepersonnel promptlyaid residentswhen necessary ineating; (5)The dietetic service is informed of physicians diet orders and ofresidentsnutrition-related issues; and. There shall be sufficient equipment to meet the needs of the. Maryland is a Nurse Licensure Compact (Compact) state, meaning that nurses licensed by another Compact state do not need to apply for licensure unless they plan to make Maryland their primary state of residency. (3) A centralized system for reporting and monitoring repairs. A. In person purchases can be made at 16 Francis Street - Wineland Building, Annapolis, MD. (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. (1)[Problems]Residents problemsand needs shall be identified, based upon the interdisciplinary assessment. (4) Other persons hired asgeriatric nursing assistants[nurse aides after July 1, 1990]shall complete an approvedgeriatric nursing assistant trainingprogram within 120 days of employment. This table below refers to the filter efficiencies for central ventilation and air conditioning systems in a nursing home other than chronic disease hospitals. Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the . Office Hours: Monday - Friday 8:15AM - 5:00PM (except Holidays) (2) All walls, floors, ceilings, windows, and fixtures shall be kept clean. Medical Director Qualifications. (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. 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. (1) Adequate equipment for preparation, serving, and distribution of food shall be provided[;]. (b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format.