E. Transportation. (iv) All soiled areas within a laundry shall be connected to mechanically operated exhaust ventilation. (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. (1) The disclosure shall be made to the Department and to any person seeking placement or receiving care in a Dementia special care unit or program of a nursing home. This instruction shall include the following topics: (e) Communication and interpersonal skills.]. [(4)](d)[Operators]The operatorsinstruction[booklet]manualshall be available in a designated locationor accessible electronicallyat all times. (b) As high as practical, as such the bottom of the outdoor air intake is: (i) At least 6 feet above ground level; or. (b) Written plans that describe how all residents, staff, and the general public will be kept safe during the duration of the project. (3)[Thenotification shall include]Includean invitation for the family member or residents representative to attend the conference. Example: 20.25.01 would take you to Title 20 (Public Service Commission), Subtitle 25 (Electric and Gas Submeters in Apartment Houses, Office Buildings, and Shopping Centers), and Chapter 01 (General Information). [These facilities]. (32) Licensed graduate social worker (LGSW) means an individual authorized to practice graduate social work under Health Occupations Article, Title 19, Annotated Code of Maryland. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. (b) Has a minimum of 3 years experience in social work programs in a long-term care setting within the last 5 years. [.11-2].17[Facilitys ]Nursing HomesResponsibilities in Relation to the [Facilitys]Nursing HomesMedical Director. A If the nurse is subsequently found in violation of the Nurse Practice Act and is disciplined by the Board of Nursing, this action is then considered public information. Public toilets for both sexes shall be located conveniently to this area. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Attn: Director of Complaints & Investigations. 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. [(5)](e)All flammables shall be stored in compliance with NFPA[30,flammableandcombustible liquids code]99 Health Care Facilities. There shall be sufficient equipment to meet the needs of the. Total number of individuals tested for HIV; Total number confirmed positive HIV tests not due to administration of a vaccine; Total number of individuals tested for CD4+ lymphocyte count; Total number of individuals with CD4+ lymphocyte count less than 200 per cubic millimeter, For those with positive HIV+ or CD4+ lymphocyte counts less than 200, the race, gender, age, county of residence, and risk behavior of the individuals, if the project collects this information. These actions are involuntary if they occur after any of four specified events. Space heatersand portable heaters may not be used. (7)Before the opening of the[facility all supportive]nursing home, supportpersonnel shall have a minimum of 2 days of orientation training. Disclaimer: This information has been gathered from a variety of sources. Evidence-based Nursing Education Program Approval, Board of Nursing Professional Licensure Requirements, Prelicensure Distance Education Requirements, National Simulation Guidelines for Prelicensure Nursing Programs, Safe Student Reports (SSR) Research Study, State Authorization and Crossing State Borders, Part 2: Additional Approvals and Professional 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. D. A federally certified nursing home shall: (1) Encode assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual; and. (2) The compartment shall be large enough to accommodate: (c) A wheelchair, shower chair, or shower bed. (3)Audiologist means an individual who holds a Maryland license issued by the State Board of Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists. First determine if what the hospital did was a "change" according to the regulations. (5) A call system shall provide visual lights at corridor intersections, in multi-corridor nursing units. [(5)](6)Pest Control. Copyright Maryland.gov. [(3)As appropriate, respiratory care personnel are competent in the following: (a) The fundamentals of cardiopulmonary physiology and of fluids and electrolytes; (b) The recognition, interpretation, and recording of signs and symptoms of respiratory dysfunction and medication side effects, particularly those that require notification of a physician; (c) The initiation and maintenance of cardiopulmonary resuscitation and other related life-support procedures; (d) The mechanics of ventilation and ventilator function; (e) The principles of airway maintenance, including endotracheal and tracheostomy care; (f) The effective and safe use of equipment for administering oxygen and other therapeutic gases and for providing humidification, nebulization, and medication; (g) Pulmonary function testing and blood gas analysis, when these procedures are performed within the respiratory care unit; (h) Methods that assist in the removal of secretions from the bronchial tree, such as hydration, breathing and coughing exercises, postural drainage, therapeutic percussion and vibration, and mechanical clearing of the airway through proper suctioning technique; (i) Procedures and observations to be followed during and after extubation; and, (j) Recognition of and attention to the psychosocial needs of residents and their families.]. They should not be read to imply that any other reporting is prohibited. (iii) Inform the appropriate law enforcement agency and, if feasible, the specified victim or victims of: 1. A sticker bearing the date of the most current inspection shall be affixed on each piece of equipment. E. Completion of Records and Centralization of Reports. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. A copy of the clinical record, identification, and summary sheet described in Regulation[.20B].32shall be used as an admission record. a list of all states/jurisdictions where the institutions curriculum meets state educational requirements for professional licensure or certification, a list of all states/jurisdictions where the institutions curriculum does not meet state educational requirements for professional licensure or certification, and. [E.]D.Drinking Fountains. The[facility]nursing homeshall assist the[patient]resident, if necessary, in arranging[for]transportation to and from the source of service. (3) The tuberculin skin test for new admissions may be a two-step skin test that is performed by the facility according to the established infection control policy of the facility. (1) CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual, (Version 1.14, October 2016). D. Call SystemExisting Facilities. Attach documentation supporting your allegation (i.e. 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[. If you are unable to find the exact regulation, contact the Division of State Documents at: To report Waste, Fraud or Abuse to the Office of Legislative Audits. All rights reserved. (1) In[facilities exceeding]a nursing home with more than50 beds, overall supervisory responsibilities for the[dietetic]foodservicedepartment and food productionshall be assigned to a full-time qualified dietetic service supervisor. The administrator of the facility shall be responsible for seeing that appropriate procedures and reporting are carried out. (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. Patients may not be kept behind locked doors, that is, doors which patients cannot open. Bedsareto be placed so that all sides of the bed are at least 18 inches from heating units. [(6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. A. In laundries in new facilities there shall be a physical separation between the clean and soil areas. Thus 172 times $11,000 equals an annual cost increase of $1,892,000 to the regulated industry. Complete and mail Request for Validation of Registration to your licensing agency, Have scores sent to the Maryland Board of Nursing. Search a specific Title (will search only that title for word or codification number). K. GarbageStorage Space. The resident care management system shall. Emergency procedures shall be established and documentedthatenable the nursing home to provide water in all essential areas in the event of the loss of the normal water supplyor if the nursing home would have to shelter in place during an emergency or disaster. Results will be mailed to you within five days of exam date. (f) Smoke dampers shall be equipped with automatic remote control reset devices, except that manual reopening will be permitted if smoke dampers are accessible. (b)The transfer of any stock which results in a change of the person or persons who control the[facility]nursing home, or a 25 percent or greater change in any form of ownership interest, constitutes a sale. (1)If a safe public water supply is not available, a private water supply may be used if it is approved by the Department. 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.
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