Md. Code Regs. 10.07.05.18

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.07.05.18 - Special Requirements for the Provision of Ventilator Services

A. A provider of ventilator services shall meet the requirements of this regulation in addition to meeting the requirements of Regulations .01-.16 of this chapter.

B. This regulation applies to ventilator services provided in the home, including:

(1) Volume ventilation;

(2) Pressure ventilation;

(3) Emergency back-up power systems;

(4) Alarms and troubleshooting equipment;

(5) Emergency resuscitation; and

(6) All related medical equipment used with the provision of ventilator services, including but not limited to:

(a) Nebulizers;

(b) Suction equipment; and

(c) Oxygen.

C. Education and Training. When an agency provides ventilator services, the agency shall:

(1) Use either a licensed registered nurse or a licensed respiratory care practitioner to supervise the provision of education and training and written instruction to the client, client representative, or individual caring for the client; and

(2) Provide retraining and review on a monthly basis, and as frequently as necessary.

D. Client Record. For a client receiving ventilator services, the agency shall maintain a clinical record, in addition to the documents required to be maintained in accordance with the provisions set forth in Regulations .14 and .15 of this chapter, that includes the following:

(1) An evaluation of use of the ventilator and all related medical equipment by the client, client representative, or individual caring for the client that includes:

(a) Training at least monthly on the provision of ventilator services; and

(b) Retraining, more frequently as needed, on the provision of ventilator services;

(2) A prescription that includes the mode, frequency, and ventilator settings;

(3) Respiratory and all specialized services, including the results, complications, and outcomes;

(4) Physician orders and pharmacy-dispensed respiratory medications;

(5) Evidence that the client, client representative, or individual caring for the client was instructed that medications are to be obtained from a licensed pharmacy; and

(6) A discharge summary when a client is no longer receiving ventilator-related services.

Md. Code Regs. 10.07.05.18

Regulations .18 adopted effective May 1, 2012 (38:21 Md. R. 1277)