You will need Adobe Acrobat Reader or equivalent software. Please fill out the form. It can be filled out with your computer and saved, or printed out and filled in by hand. If you save it electronically, email it to mbon.complaintsinvestigations@maryland.gov. If you prefer to send it by U.S. Mail, our address is:
Maryland Board of Nursing
Attn: Director of Complaints & Investigations
4140 Patterson Avenue,
Baltimore, MD 21215-2254
WHAT: Filing a Complaint against a Medication Technician (MT), Certified
Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse (RN),
or Advanced Practice Registered Nurse (APRN).
A license or certificate exists even if it is inactive,
non-renewed or expired.
WHO: Anyone may
file a complaint
Please see the Nurse Practice Act §8-505.Report of certain
actions or conditions.
(a) Required: immunity
from civil liability.-Except as provided in subsection (b) of this section, the
following applies:
(1)
If a nursing home administrator, registered nurse, licensed
practical nurse, or certified nursing assistant knows of an action or condition
that might be grounds for action under §8-316 or Subtitle 6A of this title, the
nursing administrator, registered nurse, licensed practical nurse, or certified
nursing assistant shall report
(emphasis added) the action or condition
to the Board;
(2)
An individual shall have the
immunity from liability described under § 5-709 of the Courts and
Judicial Proceedings Article for making a report as required under this
subsection.
and
Nurse Practice Act §8-207.
Good faith exemption from civil liability.
A person shall
have the immunity from liability described under § 5-708 of the Courts and
Judicial Proceedings Article for giving information to the Board or otherwise
participating in its activities.
WHEN: As soon as
possible after the incident.
WHERE:
Maryland Board of Nursing
Attn: Director of Complaints & Investigations.
4140 Patterson Avenue,
Baltimore, MD 21215-2254
WHY: To ensure that the
public is protected from incompetent or impaired nurses.
·
Please complete the form(s), providing as much information as
possible. If a question or section does not apply to this complaint,
indicate "N/A"
·
Provide a detailed description of the incident: dates,
patient identification, specific nurse behavior, action, or inaction.
Attach documentation supporting your allegation (i.e. copies of patient
records, Medication Administration Records (MARs) and controlled substance
records, name and/or statements of witnesses and/or persons involved,
confession, applicable policies and procedures, employee handbook, staffing
schedule, patient assignment, incident reports, termination notice, names and
address of all witnesses). Other forms of evidence may include pictures,
copies of text messages or social network pages.
·
The Maryland Board of Nursing does
not accept anonymous complaints.
·
Once the complaint is received at the Board office, an
investigator will be assigned. You will be notified when the Board makes a
final decision. This may take up to a
year or longer.