(67) Residents representative means a person with the authority to act on the residents behalf regarding the matter at issue. (4) Emergency power shall be provided for the: (b) Duplex receptacles installed 50 feet apart in all corridors in resident areas or appropriately located duplex receptacles in the common area of refuge; (c) Telephone service with at least one telephone available for incoming and outgoing calls; (f) Elevator, if required, for evacuation as referenced in NFPA 101 Life Safety Code; (g) Heating equipment, if applicable, to maintain a minimum temperature of 71F or 22C in the common areas of refuge; (j) Computer system, if applicable, to enable use of electronic medical records system; and. schedule, patient assignment, incident reports, termination notice, names and 2. (3) When the nursing[facility]homerelocates residents, the[facility]nursing homeshall send a[brief]medical fact sheetand any medically related informationwith each resident that includes at a minimum the residents: (e) Special diets or dietary restrictions;[and], (f) Family or legal representative contact information; and. (v) The medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. Standardized recipes are those recipes which have been tested by the, A. Rehabilitative ServicesAdmission Policies. (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. (a) Relocation means the movement of a resident from one room to another within: (i) The same Medicare-certified nursing home; (ii) A Medicaid-only certified nursing home; or. (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.]. There shall be sufficient equipment to meet the needs of the. 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. reporting and/or correcting unsafe working conditions, equipment repair and maintenance needs. The nursing home shallinformall new and current employeesof the health risks of not being immunized. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (2) Thearchitect or professional engineer of record shall submit a letter certifying thattheproject has been designedinaccordance with all applicable federal, State, and local codes, laws, ordinances, and regulations for construction. B. (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. The Virginia Board of Nursing may request additional evidence that the nurse is prepared to resume practice in a safe, competent manner. All rights reserved. The physician shall, E. Objective. Construction inan Existing Structure. (3)[Unless medically contraindicated, the]Thephysician shall[discuss]reviewwith the[patient]residentor[his]thefamily or[sponsor]residents representativethe goals and the treatment program. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. Assumptions. [(6)]D. Hepatitis B. G. Program of Restorative Nursing Care. Would you know your responsibility as a nurse and mandated reporter if you suspected a patient . B. The[facility]nursing homeunit shall meet all applicable requirements in Regulation[.26F].46of this chapter for emergency electrical power, including the provision of: (a) To service the medical gas systems, a vendor or staff shall be trained and accredited in accordance with NFPA 99 Health Care Facilities Code. (19) Clarifying that supervisory responsibilities for a food service department and food production within a facility shall be assigned to a qualified dietetic service supervisor. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA). (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. 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. (b)When the[facility]nursing homewishes to request that the restriction be removed, the request shall include the specific effective date and a statement that personnel staffing is sufficient to meet the States requirements at the designated census[figure]level. Copyright Maryland.gov. A physician in attendance upon an infant born to an untreated woman with a positive serological test for syphilis shall report test results for the mother and infant to the health officer immediately. Reporting does NOT require PROOF that child abuse or neglect has occurred. The current weeks basic menu shall be posted in one or more easily accessible places in the. (1) Administrator means the individual licensed by the Board of Examiners of Nursing Home Administrators who is responsible for the operation of the nursing home. General Requirements. [(a)](b)ColdAny temperature[not exceeding 8C (46F)]at or below46F or 8C. C. Social History. (18) Discipline means the medical, rehabilitative, nursing, dietetic, activities and social service components affiliated with the operation of a nursing home. (3) At least one nourishment pantry convenient to the nursing station shall be provided on each floor in facilities using a centralized food service system. (2) The janitors closet or service alcove. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. Karen E. B. Evans. Menus shall be written at least 1 week in advance. (b) A roomthatopens into the kitchen may not be used as aresidentbedroom. COMAR is currently updated in print every two years, but the online version, maintained by the Maryland Division of State Documents, is updated as soon as an agency publishes or updates a regulation. D. Laundries-Existing Facilities. (iii) Clean linen anda clean, comfortable pillowshall be provided. As you may recall . ]; [(11)](10)[Patient]Residentactivities[. Patients may not be kept behind locked doors, that is, doors which patients cannot open. possible. Ch. (4)Spacefor Storage of Linen[New Construction and Existing Facilities]. (b) Guideline for Infection Control in Health Care Personnel. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. A handsink with hot and cold running water shall be convenient to the nurses station. Masks are required inside all of our care facilities. 410.764.4777 | Toll Free 800.492.6836 Amber Havensamber.havens@maryland.gov, Compliance Coordinator: National Human Trafficking Hotline - 24/7 Confidential. (iv) Be tested once a month, for at least 30 minutes under normal emergency nursing home connected load, and the test recorded in a permanent log book maintained for that purpose. E. Responsibilities of the Director of Nursing. The facilitys infection control program shall include monitoring of the health status of all residents to determine if the residents are free from tuberculosis in a communicable form. (2014) Facility Guidelines Institute, which is incorporated in COMAR 10.07.01.02. State resources. Copyright Maryland.gov. (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. (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. (3) A nursing home that uses electronic health records shall: (a) Ensure access to residents as specified in COMAR 10.07.09.08C(13) and (14); and. (b) As high as practical, as such the bottom of the outdoor air intake is: (i) At least 6 feet above ground level; or. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit.]. ]; and. (v) Equipment for the disposal of liquid and semi-solid wastes and bodily fluids via the nursing homes sanitary sewer connection or on-site sewage disposal system. (6) The pharmaceutical services committee may not develop policies and procedures that prohibit or restrict a resident from receiving medications from the pharmacy of the residents choice. (9) Chemical restraint means the administration of any drug that is used for discipline or convenience and not required to treat medical symptoms. A. (a) Stored in water-tight containers with tight-fitting covers; and. Existing facilities (those facilities licensed at the time this regulation becomes effective) shall provide some method/means of a patient summoning aid that shall include as minimum a combined visual and audible signal that is audible at the nurses station and simultaneously activates a light located in the hall, outside of and adjacent to the patients room. JavaScript is required to use content on this page. The Maryland General Assemblys Office (3) To the degree possible, accompanying physicians when visitingresidents. Please enable scripts and reload this page. In new construction, facilityshall provide a lobby area. friendly and courteous, timely and (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. Staff working in laundry shall be given personal protective equipment, including: (d) All laundry shall be processed through the use of sufficiently hot water, chemical agents, or a combination of the both, to remove or destroy infectious biological materials. (1) A signed copy of the agreement between thenursing homeand the director of nursing, showing the license numberof the nurse, shall be filed with the Department upon: (a) Application for an initial nursing home license; and. C.Outside Service Entrance. Waiting for proof may involve grave risk to the child and . (2)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. of Legislative Audits operates a toll-free (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. For example: Type in Consumer Protection and you will see eleven (11) different Titles covering this topic. Approved employees shall read the skin test and manage the results of the skin test in accordance with Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities.]. [A facility shall give a]Care Plan Meeting. It shall be the responsibility of the supervisor to delegate relief duties to[a person]an individualqualified to serve as relief[(See Supportive Personnel, Regulation .07, of this chapter.)] (1) Medications, legend and non-legend, administered to residents shall be ordered in writing by the residents physician. Resident Dining, Occupational Therapy, and Activities Program. (1) For every eight beds, there shall be at least one toilet enclosed in a separate room or stall. The nursing home shall provide for an organized nursing service, under the direction of a full-time registerednurse. Baltimore, Maryland, 21215-2254. [B.] (2) After obtaining approval by the Maryland Health Care Commission, the nursing home shall provide written verification of the approval to the Office of Health Care Quality. (1)To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. There shall be an advisory dentist[, licensed to practice in the State,]who shall: (1) Recommend oral hygiene policies and practices for the care of the[patients]residentsand for arrangements for emergency treatment; (3) Provide direction for in-service training to give the nursing staffanunderstanding of[patients]residentsdental problems. D. Protocol. (ii) The soiled area shall allow for sorting and washing soiled laundry. 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) 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). (3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (e) Communication and interpersonal skills. (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. by telephone. You may be trying to access this site from a secured browser on the server. (2) The air conditioning system shall be in compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and all federal, State, and local codes. [B. (i) A nursing home shall develop policies and procedures to give residents the opportunity to use the residents own furnishings as detailed in this chapter. In COMAR 10.32.22.03C, there is a list of common occurrences that do not have to be reported. You may be trying to access this site from a secured browser on the server. (c) Maintenanceof an[optional]optimallevel of psychosocial functioning. (6) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. (ii) Passed the national accreditation examination for accredited record technicians. The identity of the patient making the threat; and 3. Extra pillows shall be available. responsive, accurate and consistent, The]initiate a written socialhistory,whichshall be as complete as possible and shall include: (1) Social data about personal and family background to provide understanding of the[patient]residentand how[he]the residentfunctions;[and], (2) Information regarding current personal and family circumstances and attitudes as they relate to[patients]the residentsillness and care[. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. A. (1) A nursing home shall develop resident, group of professional personnel including one or more physicians and one or more registered nurses, Written policies shall be kept current with the policies used to administer the, (5) For a resident who is to be transferred to the care of another. (b) The clean utility room shall contain: (i)[Wall and base cabinets with stain resistantcountertop; (ii)]A small sink[set into the counter, or with drainboards; sink shall be]equipped with gooseneck spout and wrist blades; (ii) Soap and individual paper towels in a dispenser; (iii) Adequate storage and work counter space for storage and assembly of supplies for nursing procedures;and. You are a mandated reporter if you are one of the following: Health Practitioner. A[facility]nursing homeshall use the following forms and procedures for resident assessment as described in the[State Operations Manual for Provider Certification]CMS Manual System, Pub. B. Thewindow opening shall be at least 28 inchesso that the total area equals 10 square feet per bed. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. ], (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. . Director of Nursing. 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. The director of a medical laboratory must submit a report of a positive HIV test or of a CD4+ lymphocyte count less than 200 per cubic millimeter, within 48 hours to the health officer.