Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.02 - Nursing Homes
Section 10.07.02.35 - Resident Health Program
Universal Citation: MD Code Reg 10.07.02.35
Current through Register Vol. 51, No. 19, September 20, 2024
A. Immunization.
(1) The nursing home shall
offer influenza and pneumococcal immunization to each resident.
(2) The nursing home shall obtain written
consent to administer the immunization from:
(a) The resident; or
(b) The resident's representative.
(3) A resident is not required to
receive the influenza and pneumococcal immunization if it is:
(a) Medically contraindicated;
(b) Against the resident's religious beliefs;
or
(c) After being fully informed
of the health risks associated with not receiving a vaccine, the resident
refuses the immunization.
(4) If the resident refuses to be immunized,
the nursing home shall document the refusal and the reason for the
refusal.
(5) The nursing home shall
notify each prospective resident of the immunization requirements and request
that the resident agree to be immunized.
(6) The nursing home shall make available to
residents educational and informational materials relating to immunization
against influenza virus and immunization against pneumococcal
disease.
B. Tuberculosis Assessment.
(1) The nursing home shall assess
residents for tuberculosis according to the Guidelines for Preventing the
Transmission of Mycobacterium tuberculosis in Health Care Settings.
(2) A new resident shall receive a two-step
tuberculin skin test within 10 days of admission to the nursing home unless the
resident has had:
(a) A documented negative
tuberculin skin test within the previous 12 months;
(b) A previous positive tuberculin skin
test;
(c) A history of preventive
therapy treatment;
(d) A latent
infection; or
(e) The treatment of
active tuberculosis.
(3)
The nursing home shall continue to monitor residents for signs and symptoms of
tuberculosis by performing a yearly symptom review. When a resident has signs
and symptoms of tuberculosis, a physician shall be notified to:
(a) Evaluate the resident for possible
tuberculosis in a communicable form;
(b) Notify the health officer within 24 hours
if the physician suspects tuberculosis; and
(c) Coordinate management of the resident and
the resident's contacts with the local health officer.
(4) The nursing home shall assess and manage
a resident with a history of a previous positive tuberculin skin test, a
history of latent infection, or a previous history of active tuberculosis, in
accordance with Guidelines for Preventing the Transmission of Mycobacterium
tuberculosis in Health-Care Settings.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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