Maryland COMAR Study Guide- 10.07.02 Questions
and Correct Answers | Latest Update
What is a concurrent review? Ans: daily rounds by a licensed nurse to
determine changes in physical and mental status, which includes
medications, labs, clinical data, hydration and nutritional needs, skin
integrity, weight changes, appetite, injuries, accidents, incidents
What is a full assessment? Ans: the Minimum Data Set (MDS) without the
Resident Assessment Protocol Summary (RAPS)
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What shall be done when a facility renews its license? Ans: file an
application to renew its license every 2 years at least 60 days before the
expiration date of the issued license
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-submitted on forms provided by the Secretary
-along with a nonrefundable 2 year license renewal fee based on the
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payment schedule
When can a facility exceed its licensed bed capacity? Ans: only if the
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department:
-requests that the facility exceed its licensed bed capacity
-approves a request from a facility to exceed its licensed bed capacity
What happens when the dept request a facility to exceed capacity? Ans:
a written request that includes the circumstances that prompted the dept
to make the request, conditions under which the licensed bed capacity
may be exceeded, and number of residents by which the facility's
licensed capacity may be exceeded.
What happens when the facility request to exceed capacity? Ans: If an
emergency situation exists, a facility may submit written request that
includes circumstances or reasons for the request, identity of any
resident involved, beginning and ending dates for which the request is
, 2 for specific request mail
made and documentation of any objection by a resident affected by the
request, or by the resident's personal rep
-This shall be submitted to the Office of Licensing and Certification
Programs
-Be for a term not to exceed 30 days
Who is responsible for the implementation and enforcement of Patient's
Bill of Rights? Ans: The Administrator
What are the Administrator Time Responsibilities? Ans: shall be
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responsible for the control of the operation on a 24 hour basis and shall
serve full time, except with the Dept approval, serve less than full time
for max of 2 nursing facilities, one of which shall have a licensed
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capacity of 35 beds or less
What does the Dept consider when deciding whether to approve an
Administrator to serve less than full time? Ans: -geographical location of
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the facilities
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-ownership of the facilities
-organizational structure of the facilities
-size of the facilities, and
-background and experience of the Administrator
What happens in the absence of the Administrator? Ans: the facility at
all times shall be under the direct and personal supervision of an
experienced, trained, competent employee.
when the DON serves as relief, DON shall designate an experienced,
qualified RN to direct nursing service
What information does the Administrator give to the Dept's central bed
registry? Ans: -number of vacant licensed beds in the facility
, 3 for specific request mail
-levels of care of the beds reported vacant
-types of patients who will be accepted (private, Medicare, Medicaid, etc)
In-service training shall include at least what? Ans: -prevention and
control of infections
-fire prevention and patient related safety procedures in emergency
situations or conditions
-accident prevention
-confidentiality of patient information
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-preservation of patient dignity (Residents Rights)
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-Psychophysical and psychosocial needs of the aged ill
-appropriate orientation to the facility and its policies
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What is mandatory to be included in employee records? Ans: -employee
social security number
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-home address
-educational background
-past employment with documentation that references have been
considered by the facility
-licensure of personnel employed as registered or practical nurses
What employees shall receive min of 8 hours of cognitive impairment and
mental illness training within the first 90 days of employment? Ans: -
any employee who is licensed, certified, or registered under the Health
Occupations Article
-any employee whose job duties include assisting residents with
activities of daily living