(b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format. Mandated reporting is required when: Title 24 M.R.S. (4) In new construction or renovation, the nursing home shall comply with the regulations and building codes effective at the date of construction or renovation. Please enable JavaScript in your browser. Nurses who have an advanced degree from a U.S. college or university, are. (See the attached table for detailed descriptions of the reporting obligations that could potentially apply in the research setting.). This program shall consist of: (a) An explanation of organizational structure, policies, and procedures; (b) Discussion of the philosophy of care; (c) Description of the resident population; and. (2) Minimum Space RequirementsNew Construction. Provision for Dental Care. Effective in 2013. (60) Qualified social work consultant means an individual who: (a) Is a licensed certifiedsocial worker; and. (1) There shall be at least one separate room or compartment with a bathtub, shower, or other bathing device, as approved by the Department, for every 15 licensed beds. (c) Within 24 hours of admission, notify and direct residents to the nursing homes emergency plans and maps, including evacuation procedures. [A. Telephone service and drinking fountains which meet ANSI standards also shall be provided.]. (v) Special medical waste handling and disposal; (vi) Appropriate use of antiseptics and disinfectants, (1) The infection control program shall include a risk assessment program, including monitoring for tuberculosis infection for employees that is in accordance with the. 410-585-1900 nursing administrator, registered nurse, licensed practical nurse, or certified B. (7) Culture Change Nursing Home. A. The staff shall document[progression]progressof the condition or conditions weekly until the condition or conditions have healed. The reporting requirements for a positive HIV test or low CD4+ lymphocyte count apply to facilities and offices ordering the tests, as well as to medical laboratory directors. (4) Ensure that the immunization is given in the form of Tdap (tetanus, diphtheria, acellular pertussis) vaccine, in accordance with the guidelines prescribed in Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Health Care Infection Control Practices Advisory Committee (HICPAC). (2) The director of nursing shall obtain approval from the Department. C. Lobby Area. (b) Maintained and applied by trained staff. (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. It looks like your browser does not have JavaScript enabled. (2)When[the director of nursing serves]servingas relief for the administrator,[he]the director of nursingshall designate an experienced, qualified registered nurse to direct the nursing service. The minimum requirements are: D. Call SystemExisting Facilities. Records for all[Patients]Residents. Modification of the following minimum space will be made in the event that the facility can demonstrate that the use of convenience food, disposables, or equipment, require less space for operation. (4) Medicine may not be returned to the container. (6) The nursing home shall make available to residents educational and informational materials relating to immunization against influenza virus and immunization against pneumococcal disease. If the employees history is unclear, then the facility shall request a serology for varicella. (b) A nursing home shall register at least four representatives, including the administrator and the director of nursing. C. Human remains shall be transported pursuant to COMAR 10.29.21. (1) Shall be provided on each side of all corridors in resident areas; and. [E.]D.Drinking Fountains. 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. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation.]. 201 W. Preston Street, Baltimore, MD 21201-2399, COMAR 10.01.07 Petitions for Adoption, Amendment or Repeal of Regulations, MDHPolicy 02.10.01 Policy For Regulations, MDHProcedures 02.10.01.P1 - Procedures For Regulations, State Government Article, 2-102, Annotated Code of Maryland, MDHPolicy 02.10.03 MDHPolicy On Policies, RR&EA - Work Plans and Evaluation Reports, Regulatory Review and Evaluation Act (RREA General Information). (f) Any other serious occurrence that threatens the welfare, safety, or health of any resident. Designated Staff Responsibility. (b) Smoking shall be prohibited at the main entrance to all facilities. This status is required for RNs who wish to practice nursing in the state of California. Pursuant to State Government Article, 7-207, Annotated Code of Maryland, the following have been declared documents generally available to the public and appropriate for incorporation by reference: (1) CMS Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual (Version 1.14, October 2016); (2) CMS Manual System, Pub. resources. C. Duties of the Pharmaceutical Services Committee. G. Current RecordsLocation and Facilities. friendly and courteous, timely and 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. A freezer is a cold place in which the temperature is maintained thermostatically between[-20C and -10C (-4 and -14F)]-4F and -14F or -20C and -26C. (8) During training, a trainee may provide only that care for which the trainee has demonstrated competency to the satisfaction of the appropriate program instructor. (2)The administrator shall maintain recordsreflecting attendance, by name and title, and training content. .20 Nursing ServicesDirector of Nursing. [.35] .58Resident Care Management System. For a bedroom that has sloping walls, only 50 percent of the floor area with a ceiling height between 4 feet and 7 feet, 6 inches, shall be credited, provided that at least 50 percent of the total area of the bedroom has a ceiling height of 8 feet. [E.]C.[All facilities]A nursing homecertified for participation in Medicare or Medicaid shall complete and electronically submit the assessment to the[Department not later than 31 days after completion oftheassessment]Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. (f) Each living room forresidentsuse shall be provided with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. Please enable JavaScript in your browser. You are a mandated reporter if you are one of the following: Health Practitioner. [In new construction,facilities], (a)A nursing homewith rehabilitation areas shall provide a[lavatory]hand washing sinkand toilet which meet[ANSI]Guidelines for Design and Construction of Residential Health, Care, and Support Facilitiesstandards forresidents who are dependent on the use of awheelchair[patients]. (1) CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual, (Version 1.14, October 2016). The[facility]nursing homeshall provide[for a]: (1)Aprogram of structured and unstructured activities[,]; and. (1)If no approved public sewerage system is available, a private sewage disposal may be accepted, if approved by the Department. (b) Receives nursing services rendered by or under the supervision of a registered nurse. G. Boiler rooms. (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. 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. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. (b)[Be]Make the requestfor a term not to exceed 30 days. C. Measles, Mumps, Rubella, and Chickenpox. 3. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. A bedroomshall be provided with ahand washing sinkwith both hot and cold running water unlessatoilet or bathroom facilitywith a sinkis connected to the bedroom. (a) Medication storage cabinets with locks shall be permitted for the storage of resident medications that do not require refrigeration within a resident bedroom. 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. However, the nursing home would need to contract with a licensed social worker to provide oversight. (13) Supervision of certified medicine aides to ensure that the aides act within the limitations and restrictions placed on them. The nurse who is being treated for chronic . The resident care management system shall[be comprised]consistof three[interrelated]relatedcomponents: [A. (2)There shall beat leastone night light in each bedroom forresidents. The baccalaureate degree program in nursing, master's degree program in nursing, Doctor of Nursing Practice program and post-graduate APRN certificate programs at University of Maryland School of Nursing are accredited by the Commission on Collegiate Nursing Education. This is especially important for licensees who are not going to reside in Maryland for an extended period of time. C. The[facility]nursing homeshall obtain Departmental approval of the following pertaining to thespecial care unit: (2) An organization chartofthe special care unitandits[inter-relatedness]relationshipto the rest of the nursing[facility]home; (5) A quality assurance plan which includes: (b) Identification of the[most important]predominantaspects of care provided; (b) The administration of[medicines unique to the needs of]medicationsthat are relevant tothe special care residents; (9) An inventory of[the]anyspecialized equipment to be housed[in]onthe unit to provide services in the special care unit. To easily find professional nursing licensure requirements (RN, PN and APRN programs), please select the states/jurisdictions where you want to know their professional licensure requirements. (3) All fans serving exhaust systems shall be located at the discharge end of the system. (g) A manometer shall be installed across each filter bed serving central air systems. Please complete the form(s), providing as much information as [Service Areas Required in New Construction or for New Facilities.] State resources. A. Activities spaceshall beof adequate size to meet the needs of the residentsandshall be located on each floor occupied by residents. friendly and courteous, timely and

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