Ch. 460                                          LAWS OF MARYLAND

(1)  That accept patients for skilled care do so only
on the signed order of a physician OBTAINED WITHIN A REASONABLE
PERIOD OF TIME 10 DAYS AFTER ACCEPTANCE;

(2)  Provide skilled nursing services, home health aid
services, and at least one other defined service;

(3)  Adopt procedures for the administration of drugs
and biologicals;

(4)  Maintain clinical records on all patients
accepted for skilled care;

(5)  Establish patient care policies and personnel
policies;

(6)  Have services available at least 8 hours a day, 5
days a week, and available on an emergency basis 24 hours a day,
7 days a week;

(7)  Make service available to an individual in need
within 24 hours of a referral when stipulated by a physician's
order;

(8)  Have a designated supervisor of patient care who
is a full-time employee of the agency and is available at all
times during operating hours and additionally as needed; and

(9)  Have as the administrator of the agency a person
who has at least 1 year of supervisory experience in hospital
management, home health management, or public health program
management and who is:

(i) A licensed physician;

(ii) A registered nurse; or

(iii) A college graduate with a bachelor's
degree in a health-related field.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall
take effect July 1, 1988.

Approved May 17, 1988.

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