Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 12 - ADULT HEALTH
Chapter 10.12.04 - Day Care for the Elderly and Adults with a Medical Disability
Section 10.12.04.15 - Program Components-Required Services
Universal Citation: MD Code Reg 10.12.04.15
Current through Register Vol. 51, No. 19, September 20, 2024
A. Health Services.
(1) Nursing Services. The center shall
provide nursing services under the direction of a registered nurse. The
licensee shall fully disclose the services that will be provided outside the
adult medical day care center's hours of operation, in the service contract
agreement. The registered nurse may delegate nursing services as appropriate,
to other staff in accordance with COMAR 10.27.09, 10.27.10, and
10.27.11.05H(1)-(3).
(2) Consultation with the Health Care
Provider. The RN or LPN nurse shall communicate with the participant's health
care provider to report observed changes in the participant's health status,
including reaction to medicine, and to obtain current medical orders regarding
such items as diet, medications, and treatments. The center shall assist
participants in locating a regular source of health care if a participant does
not have a health care provider.
(3) Mental Health Services. For participants
with mental health needs, the program shall provide, when needed, linkage,
collaboration, and coordination with the participant's treating psychiatrist or
other mental health professional.
(4) Observation. The registered nurse or the
licensed practical nurse shall observe the health, functional status, and
adherence to a prescribed medical regimen, and document his or her observations
in the participant's medical record at least monthly.
(5) The center shall provide meals and snacks
to participants in accordance with Regulation .20 of this chapter.
B. Consultants.
(1) Except as otherwise provided, when
regular employment status, full-time or part-time, is not justified by the
needs of the participants, the center may use consultants to meet the service
and training needs of the center.
(2) When the center uses the services of a
consultant, these services shall be specified in a written agreement that is
signed and dated by the consultant and the center director.
B. Emergency Services and Medical Plan.
(1) The center shall have a written
emergency medical plan for linkage and access to:
(a) Emergency medical care including a health
care provider on call in the event that a participant's primary care provider
is unavailable;
(b) Hospitalization
and emergency room care; and
(c)
Transportation to the center providing the emergency care.
(2) The center shall have an established
procedure to be followed in an emergency that covers:
(a) Immediate care of the
participants;
(b) Individuals to be
notified; and
(c) Reports to be
prepared.
C. Activities Programs.
(1) Activities Plan.
(a) There shall be a written planned program
of daily activities that are age appropriate and culturally relevant for
individuals served and designed to:
(i) Meet
the participant's specific needs, preferences, and interests with the
individual's cognitive and physical limitations being noted in the development
of the activities; and
(ii)
Stimulate interests, rekindle motivation, and provide opportunities for a
variety of types and levels of involvement, including small and large group
activities.
(b) Staff
shall also plan a weekly or monthly calendar of activities that shall be posted
in an area of the center where it is plainly visible and easily read by all
participants.
(2) Each
day's activities shall include:
(a) Physical
exercise;
(b) Rest;
(c) Social interaction;
(d) Personal care, if needed; and
(e) Mental stimulation.
(3) The center shall permit participants to
choose between group and individual activities during some part of the
day.
(4) Participants shall have
the choice of refusing to participate in any activity.
D. Activities of Daily Living (ADL). Staff shall provide the assistance needed by participants to complete activities of daily living.
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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