Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs

Home nursing agencies gain nurse training option

Beginning October 1, 2026, Maryland residential service agencies providing private duty nursing can hire licensed nurses who lack required clinical experience. Agencies must provide state-approved training based on patient needs and state-approved checks of each nurse’s skills. A registered nurse qualified in private duty nursing must supervise the nurse. A qualified trainer or clinical supervisor must stay assigned until the nurse shows the required skills. Agencies must record successful completion in the nurse’s personnel file and check skills annually. More frequent checks are required for disciplinary purposes when ordered by the Maryland Department of Health. Nurse licensing rules, allowed duties, and care standards remain unchanged. The department must also regulate agency licensing, provider qualifications, and patient care and safety standards. Agencies must screen all employed home health care providers and verify their character references.