reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.03 - Nursing Education Programs › Section 10.27.03.12 - Resources, Facilities, and Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Physical Facilities. The physical
				  facilities shall be adequate to meet the needs of the nursing program and
				  include the following:
(1) Office for the
				  administrator, faculty members, and staff;
(2) Adequate space for privacy of
				  faculty-student conferences;
(3)
				  Classroom, laboratories, simulation laboratories, and conference
				  rooms;
(4) Space for equipment and
				  instructional materials; and
(5)
				  Space for noninstructional activities of nursing faculty and
				  students.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.03 - Nursing Education Programs › Section 10.27.03.13 - Curriculum

Current through Register Vol. 51, No. 14, July 12, 2024
A. The curriculum
				  shall be:
(1) Planned, implemented, and
				  evaluated by the faculty;
(2) Based
				  on the philosophy and program objectives, outcomes, or competencies;
(3) Organized logically and sequenced
				  appropriately; and
(4) Based on
				  sound educational principles.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.03 - Nursing Education Programs › Section 10.27.03.14 - Students

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  shall be available to students:
(1) A written
				  statement of students' rights and responsibilities;
(2) The opportunity to participate in program
				  development and evaluation;
(3) A
				  written grievance mechanism; and
(4) Guidance and advisement
				  services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.03 - Nursing Education Programs › Section 10.27.03.15 - Program Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  faculty shall develop and implement a Board-approved evaluation plan for
				  evaluating the total nursing education program not less than:
(1) Every 10 years for programs that are
				  accredited by a BRNAA; and
(2) 5
				  years for programs without BRNAA accreditation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.03 - Nursing Education Programs › Section 10.27.03.16 - Annual Review

Current through Register Vol. 51, No. 14, July 12, 2024
A. Annually, a
				  program shall submit the following to the Board:
(1) An annual report on the form that the
				  Board requires;
(2) A program
				  catalog;
(3) Any annual reports to
				  the BRNAA;
(4) Any correspondence
				  related to the status of the program's accreditation;
(5) A summary of practices followed in safeguarding
				  the health and well-being of students;
(6) An audited fiscal report covering the
				  previous 2 years, including a statement of income and expenditures;
				  and
(7) Accurate and complete data
				  including, but not limited to, number of enrollments, admissions, graduates,
				  and faculty.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.03 - Nursing Education Programs › Section 10.27.03.17 - Removal from Approved List

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Pursuant to Health Occupations Article, §
										8-404, Annotated
				  Code of Maryland, at least 30 days before issuing a formal notice of violation
				  of regulations to a program, the Board shall notify the chief administrator of
				  the controlling institution and the chief administrator of the nursing
				  education program that the Board is considering issuing a formal notice of
				  violation.
B. During the 30-day
				  period, the Board shall provide the chief administrator of the controlling
				  institution and the nursing education program with an opportunity to meet with
				  representatives of the Board to discuss the Board's proposed action against the
				  program.
C. The program shall
				  notify the Board within the 30-day period if it is interested in meeting with
				  the Board. If the program requests a meeting, the Board shall set up the
				  meeting.
D. At the meeting, the
				  program shall submit to the Board a plan with a proposed time frame for
				  correcting the violations.
E. The
				  Board shall:
(1) Evaluate the plan;
(2) Approve or modify the plan; and
(3) Have discretion to make changes to the
				  time frames for correcting violations or other components of the
				  plan.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.03 - Nursing Education Programs › Section 10.27.03.18 - New Programs and Continuing Approval Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A. New Program Requirements.
(1) An institution wishing to establish a
				  nursing program shall submit to the Board:
(a) A letter of intent;
(b) Proof that the institution is accredited
				  by the appropriate national or regional accrediting agency;
(c) A copy of the prospectus and program
				  proposal submitted to MHEC;
(d) An
				  addendum that describes in detail the:
(i)
				  Type and length of nursing program;
(ii) Curriculum plan;
(iii) Program objectives, outcomes, or
				  competencies; and
(iv) Description
				  of available clinical resources;
(e) Evidence that the proposed nursing
				  program is based upon sound educational principles; and
(f) Materials validating that the educational
				  institution is prepared to meet the requirements specified in this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.03 - Nursing Education Programs › Section 10.27.03.19 - Closure of Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A. Upon
				  request, the Board shall provide consultation concerning closing of a
				  program.
B. Upon the decision by a
				  program to close, and at least 90 days before closing, the nurse administrator
				  shall notify the Board of its intent, giving the following information:
(1) Date and reason for closing;
(2) Plans for phasing out the
				  program;
(3) Disposition of the
				  records of students, graduates, and faculty; and
(4) Title of the position of the individual
				  to be responsible for the records and the name of the agency in which the
				  records will be located.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.04 - Methadone Dispensing › Section 10.27.04.01 - Dispensing Methadone

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  registered nurse or licensed practical nurse working in a methadone clinic
				  licensed by the Department of Health and Mental Hygiene may dispense methadone
				  in accordance with:
(1) The patient's standing
				  medication order;
(2) The methadone
				  clinic's policies and procedures for dispensing methadone; and
(3) State and federal laws and regulations
				  for labeling.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.02 - Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant for
				  certification as a nurse midwife shall:
(1)
				  Hold a current Maryland license in good standing to practice registered nursing
				  or a multistate licensure privilege to practice registered nursing;
(2) Have graduated from a Board-approved
				  graduate level program for nurse midwives at the Masters' level or higher that
				  is accredited by:
(a) The National League for
				  Nursing Accreditation Commission (NLNAC);
(b) The Commission on Nursing Education
				  (CCNE);
(c) ACME; or
(d) Any other accrediting body recognized by
				  the Board;
(3) Hold a current national
				  certification as a nurse midwife from the AMCB or any other national certifying
				  body recognized by the Board;
(4)
				  Submit to the Board a completed application for certification as a nurse
				  midwife;
(5) Submit an affidavit
				  that the applicant agrees to comply at all times with the clinical practice
				  guidelines in accordance with Regulation .01B(8) of this chapter when providing
				  clinical midwifery services;
(6)
				  Comply with all the requirement set forth in COMAR
				  10.27.01.04;
(7) Demonstrate written and oral competency
				  in the English language; and
(8)
				  Pay all fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.03 - Collaborative Plan

Current through Register Vol. 51, No. 14, July 12, 2024
A. A certified
				  nurse midwife may not practice in Maryland unless the Board has approved a
				  collaborative plan submitted by the nurse midwife to the Board which includes:
(1) The name of the collaborating physician;
				  and
(2) An attestation by the nurse
				  midwife that the:
(a) Patient has agreed to
				  the collaborating physician; and
(b) Physician has agreed to collaborate in
				  the care of the patient.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.04 - Required Documentation

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  certified nurse midwife who provides home birth services and other services
				  across the reproductive lifespan shall:
(1)
				  Maintain a medical record for each client; and
(2) In the case of a transfer of care to
				  another provider or a facility, transfer the client's medical records with the
				  client.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.05 - Required Documentation

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  certified nurse midwife shall complete an individual care plan for each patient
				  that includes plans for:
(1) Emergency
				  consultation;
(2) Transfer of care;
				  and
(3) When needed, admission to a
				  hospital within the client's geographic area.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.06 - Scope of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  certified nurse midwife who meets the requirements of Regulation .02 of this
				  chapter may perform the following functions:
(1) Independent management of clients
				  appropriate to the skill and educational preparation of the certified nurse
				  midwife and the nurse midwife's clinical practice guidelines;
(2) Consult or collaborate with a physician
				  or other health care provider as needed; and
(3) Refer clients with complications beyond
				  the scope of practice of the certified nurse midwife to a licensed
				  physician.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.07 - Nurse Midwife Peer Review Advisory Committee

Current through Register Vol. 51, No. 14, July 12, 2024
The Board shall appoint at least four certified nurse
					 midwives from names submitted for consideration to act as its Advisory
					 Committee, in accordance with Health Occupations Article, §
										8-503, Annotated
					 Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.08 - Renewal of Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Certification as a nurse midwife expires at the same time as the nurse
				  midwife's registered nursing license unless the certification is
				  renewed.
B. Before a nurse
				  midwife's certification expires, the nurse midwife may renew the certification
				  biennially if the nurse midwife:
(1) Is
				  otherwise entitled to be certified;
(2) Submits to the Board:
(a) Documentation of a current national
				  certification as a nurse midwife from AMCB or another national certifying body
				  recognized by the Board; and
(b) A
				  completed renewal application on the form that the Board requires; and
(3) Pays all
				  fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.09 - Compliance

Current through Register Vol. 51, No. 14, July 12, 2024
The certified nurse
					 midwife shall develop and comply with clinical practice guidelines as defined
					 in Regulation .01B of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.10 - Unlawful Practices

Current through Register Vol. 51, No. 14, July 12, 2024
Pursuant to Health Occupations Article, Title 8, Subtitle
					 7, Annotated Code of Maryland, an individual may not:
A. Practice nurse midwifery unless certified
				  under these regulations or otherwise permitted by law to engage in those
				  activities;
B. Use the title nurse
				  midwife, certified nurse midwife, or any other similar designation unless
				  certified by the AMCB, or other certifying body approved by the Board; or
C. Use the title certified nurse
				  midwife unless certified by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.05 - Practice of Nurse Midwifery › Section 10.27.05.11 - Prescribing of Substances by a Certified Nurse Midwife

Current through Register Vol. 51, No. 14, July 12, 2024
Pursuant to Health
					 Occupations Article, §
										8-601, Annotated
					 Code of Maryland, a certified nurse midwife may prescribe:
A.
				  Substances commonly used in the practice of nurse midwifery; and
B.
				  Controlled substances on Schedules II-V under Criminal Law Article,
				  §§ 5-403-5 -406, Annotated Code of Maryland, commonly used in the
				  practice of nurse midwifery, and
C. Dispense substances
				  prescribed in accordance with §§A and B of this regulation in the
				  course of treating a client at a:
(1)
				  Nonprofit medical facility or clinic;
(2) Health center operating on the campus of
				  an institution of higher learning;
(3) Public health facility;
(4) Medical facility under contract with a
				  State or local health department; or
(5) Facility funded with public
				  funds.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.06 - Practice of Nurse Anesthetist › Section 10.27.06.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "A.A.N.A." means the American Association
				  of Nurse Anesthetists.
(2)
				  "Advanced practice registered nurse (APRN)" means a registered nurse who is
				  certified by the Board as:
(a) A certified
				  nurse midwife (CNM);
(b) A
				  certified registered nurse anesthetist (CRNA);
(c) A certified nurse practitioner (CRNP);
				  or
(d) A clinical nurse specialist
				  (CNS).
(3)
				  "Anesthesiologist" means a Maryland-licensed physician who:
(a) Has had special training in the field of
				  anesthesiology;
(b) Administers
				  anesthesia on a regular basis; and
(c) Devotes a substantial portion of the
				  physician's medical practice to the practice of anesthesiology.
(4) "Board" means the Board of
				  Nursing.
(5) "Certification" means
				  the permission to practice nurse anesthesia granted by the Board to a
				  registered nurse who has:
(a) Met all the
				  specified requirements of a national certifying body recognized by the Board;
				  and
(b) Complied with the
				  requirements of this chapter.
(6) "Certified registered nurse anesthetist
				  (CRNA)" means an advanced practice registered nurse who is certified by the
				  Board to practice as a nurse anesthetist in this State.
(7) "Licensed physician or dentist" means a
				  Maryland-licensed physician or dentist who has knowledge and experience in
				  resuscitation, anesthetic drugs, and their reactions.
(8) "Multistate licensure privilege" has the
				  meaning set forth in COMAR
				  10.27.01.01B.
(9) "Perioperative assessment and
				  management" means the assessment and management of the patient preoperatively,
				  intraoperatively, and postoperatively.
(10) "Practice of nurse anesthesia" means the
				  performance of acts in collaboration with an anesthesiologist, licensed
				  physician, or dentist, which require substantial specialized knowledge,
				  judgment, and skill related to the administration of anesthesia, including:
(a) Perioperative assessment and management
				  of patients requiring anesthesia services;
(b) Administering anesthetics;
(c) Management of fluid in intravenous
				  therapy; and
(d) Respiratory
				  care.
(11) "Qualified
				  anesthesia provider" means a physician, dentist, or certified registered nurse
				  anesthetist trained and duly authorized under the respective provisions of the
				  Health Occupations Article to administer local, regional, and general
				  anesthesia.
(12) "Registered Nurse"
				  means an individual who is licensed by the Board to practice registered nursing
				  or has a multistate licensure privilege to practice registered nursing in this
				  State under the Nurse Licensure Compact.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.06 - Practice of Nurse Anesthetist › Section 10.27.06.02 - Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant for
				  certification as a CRNA shall:
(1) Hold a
				  current Maryland license in good standing or a multistate licensure privilege
				  to practice registered nursing in this State under the Nurse Licensure
				  Compact;
(2) Have graduated from an
				  education program in nurse anesthesia approved by the Board;
(3) Hold current national certification from
				  the Council on Certification of Nurse Anesthetists or from another national
				  certifying body recognized by the Board;
(4) Submit to the Board a completed
				  application for certification as a nurse anesthetist;
(5) Comply with all the requirements set
				  forth in COMAR
				  10.27.01.04;
(6) Demonstrate oral and written competency
				  in the English language; and
(7)
				  Pay all fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.06 - Practice of Nurse Anesthetist › Section 10.27.06.03 - Practice Before Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  A registered nurse who has completed a program for preparation of nurse
				  anesthetists and who has applied to take a national certifying examination
				  acceptable to the Board may practice as a nurse anesthetist graduate before
				  certification in the State, on approval of the Board, if the nurse:
(1) Has a current license or multistate
				  privilege to practice registered nursing in the State;
(2) Submitted in full the application for
				  State certification as a CRNA;
(3)
				  Paid all fees established by the Board;
(4) Completed a nurse anesthetist program
				  approved by the Board;
(5)
				  Practices under the supervision of an anesthesiologist or CRNA and the
				  supervisor is on site and immediately available to the nurse anesthetist
				  graduate;
(6) Provides the Board a
				  copy of the admission document to the national certification examination which
				  must be taken not later than 6 months after program completion; and
(7) Immediately notifies the Board and the
				  supervising anesthesiologist or CRNA of the results of the certification
				  examination.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.06 - Practice of Nurse Anesthetist › Section 10.27.06.04 - Renewal of Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Certification as a nurse anesthetist expires at the same time as the nurse
				  anesthetist's registered nursing license unless the certification is
				  renewed.
B. Before a nurse
				  anesthetist's certification expires, the nurse anesthetist may renew the
				  certification biennially, if the nurse anesthetist:
(1) Is otherwise entitled to be certified;
(2) Pays all appropriate renewal
				  fees set by the Board; and
(3)
				  Submits to the Board:
(a) A completed renewal
				  application on the form required by the Board; and
(b) Documentation of a current national
				  certification as a nurse anesthetist from the Council on Certification of Nurse
				  Anesthetists or some other national certifying body recognized by the
				  Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.06 - Practice of Nurse Anesthetist › Section 10.27.06.05 - Scope of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. A nurse
				  anesthetist may perform the following functions:
(1) Perioperative assessment and management
				  of patients requiring anesthesia services;
(2) Administration of anesthetic
				  agents;
(3) Management of fluids in
				  intravenous therapy; and
(4)
				  Respiratory care.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.06 - Practice of Nurse Anesthetist › Section 10.27.06.06 - Standards of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A.A nurse
				  anesthetist shall collaborate with an anesthesiologist, licensed physician, or
				  dentist in the following manner:
(1) An
				  anesthesiologist, licensed physician, or dentist shall be physically available
				  to the nurse anesthetist for consultation at all times during the
				  administration of, and recovery from, anesthesia;
(2) An anesthesiologist shall be available
				  for consultation to the nurse anesthetist for other aspects of the practice of
				  nurse anesthesia; and
(3) If an
				  anesthesiologist is not available, a licensed physician or dentist shall be
				  available to provide this type of consultation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.06 - Practice of Nurse Anesthetist › Section 10.27.06.07 - Unlawful Practices

Current through Register Vol. 51, No. 14, July 12, 2024
A. Under
				  Health Occupations Article, Title 8, Subtitle 7, Annotated Code of Maryland, a
				  person may not:
(1) Practice nurse anesthesia
				  unless certified under this chapter, or otherwise permitted by law to engage in
				  these activities; or
(2) Use the
				  title nurse anesthetist, or any other words, letters, or symbols with the
				  intent to represent that the individual is a nurse anesthetist unless certified
				  by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.06 - Practice of Nurse Anesthetist › Section 10.27.06.08 - CRNA Peer Review/Advisory Committee

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall appoint at least four
				  CRNAs to act as the Board's advisory committee.
B. The Committee shall:
(1) Meet at least four times a
				  year;
(2) Report at least annually
				  on its overall activities; and
(3)
				  Function at the Board's direction and provide the Board with expert advice
				  related to the practice of nurse anesthesia.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.07 - Practice of the Nurse Practitioner › Section 10.27.07.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "AANPNCB" means the American Academy of
				  Nurse Practitioners National Certification Board.
(2) "Advanced practice registered nurse
				  (APRN)" means a registered nurse who is certified by the Board as:
(a) A certified nurse midwife
				  (CNM);
(b) A certified registered
				  nurse anesthetist (CRNA);
(c) A
				  certified nurse practitioner (CRNP); or
(d) A clinical nurse specialist
				  (CNS).
(3) "Board" means
				  the Board of Nursing.
(4)
				  "Certification" means permission to practice as a nurse practitioner granted by
				  the Board to a registered nurse who has:
(a)
				  Met all the specified requirement of a national certifying body recognized by
				  the Board; and
(b) Complied with
				  the requirements of this chapter.
(5) "Collaborating" means a cooperative
				  relationship with other health care providers.
(6) "Facility" means a health care facility
				  as defined under Health General Article, §19-114(d), Annotated Code of
				  Maryland.
(7) "Mentor" means a
				  certified nurse practitioner or physician, licensed in Maryland, who:
(a) Has 3 or more years of clinical practice
				  experience; and
(b) Will be
				  available for advice, consultation, and collaboration, as needed for 18 months
				  beginning on the date an application is received by the Board from an applicant
				  who has never been certified in this or any other State.
(8) "Multistate licensure privilege" has the
				  meaning set forth in COMAR
				  10.27.01.01B.
(9) "Nurse practitioner" means an advanced practice
				  registered nurse who is certified by the Board to practice as a nurse
				  practitioner in this State.
(10)
				  "Personally prepare and dispense" means that a nurse practitioner:
(a) Is physically present on the premises
				  where the prescription is filled; and
(b) Performs a final check of the
				  prescription before the prescription is provided to the patient.
(11) "Physician" means an
				  individual who has an unencumbered license to practice medicine, issued under
				  Health Occupations Article, Title 14, Annotated Code of Maryland.
(12) "Registered nurse (RN)" means an
				  individual who:
(a) Is licensed by the Board
				  to practice registered nursing; or
(b) Has a multistate licensure privilege to
				  practice registered nursing.
(13) "Starter dosage" means an amount of a
				  drug sufficient to begin therapy:
(a) Of a
				  short duration of 72 hours or less; or
(b) Before obtaining a larger quantity of the
				  drug to complete therapy.
(14) "Unencumbered license" means a license
				  that is not:
(a) Revoked;
(b) Suspended; or
(c) On probationary status.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.07 - Practice of the Nurse Practitioner › Section 10.27.07.02 - Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant for
				  certification as a nurse practitioner shall obtain certification from the Board
				  before commencing practice.
B. An
				  applicant for certification as a nurse practitioner shall:
(1) Hold a current Maryland license in good
				  standing to practice registered nursing or a multistate licensure privilege to
				  practice registered nursing;
(2)
				  Have graduated from a Board-approved accredited graduate level program for
				  nurse practitioners at the Masters' level or higher that meets the requirements
				  of Regulation .06 of this chapter;
(3) Hold a current national certification:
(a) For each area of specialization in which
				  certification is sought; and
(b)
				  From the AANPNCB or other national certifying body recognized by the
				  Board;
(4) Submit to the
				  Board a completed application for certification as a nurse practitioner for
				  each area of specialization in which certification is sought;
(5) Comply with all the requirements set
				  forth in COMAR
				  10.27.01.04;
(6) Demonstrate written and oral competency
				  in the English language;
(7) If the
				  applicant has not been certified by the Board or any other Board of Nursing,
				  identify a designated mentor for 18 months as defined in Regulation .01 of this
				  chapter; and
(8) Pay all
				  fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.07 - Practice of the Nurse Practitioner › Section 10.27.07.03 - Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. A nurse
				  practitioner may independently perform the following functions:
(1) A comprehensive physical assessment of
				  patients;
(2) In accordance with
				  Family Law Article, §
											2-301, Annotated Code of
				  Maryland, certify to the clerk of the court that a:
(a) 16 or 17 year old individual, who wants
				  to get married without parental consent, has been examined and found to be
				  pregnant or has given birth to a child; or
(b) 15 year old individual, who has parental
				  consent to be married, has been examined and found to be pregnant or has given
				  birth to a child;
(3) In
				  accordance with Transportation Article, §
											13-704, Annotated Code
				  of Maryland, certify to the Department of Transportation that an individual
				  needs special consideration for certain health reasons;
(4) In accordance with Health General
				  Article, §4-208, Annotated Code of Maryland, complete the date of birth
				  and medical information required on a birth certificate;
(5) In accordance with Health General
				  Article, §4-212, Annotated Code of Maryland, complete a death certificate
				  if:
(a) The medical examiner does not take
				  charge of the body; and
(b) The
				  deceased was under the care of the nurse practitioner;
(6) Establish medical diagnosis for common
				  short-term and chronic stable health problems;
(7) In accordance with Health General
				  Article, §4-212, Annotated Code of Maryland, file a replacement death
				  certificate;
(8) In accordance with
				  Health General Article, §5-601, Annotated Code of Maryland, issue a "do
				  not resuscitate order" on a Maryland Emergency Medical Services form.
(9) Order, perform, and interpret laboratory
				  and diagnostic tests;
(10) Order
				  and perform diagnostic, therapeutic, and corrective measures;
(11) Prescribe drugs;
(12) Provide emergency care;
(13) Refer patients to appropriate licensed
				  physicians or other health care providers as needed;
(14) In accordance with COMAR
				  20.31.03.01, certify that the
				  utility client has a serious illness or the need for life-support equipment;
				  and
(15) In accordance with Health
				  General Article, §5-602, Annotated Code of Maryland, witness an advance
				  directive.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.07 - Practice of the Nurse Practitioner › Section 10.27.07.04 - Renewal of Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  certification as a nurse practitioner expires at the same time as the nurse
				  practitioner's registered nursing license.
B. Before a nurse practitioner's
				  certification expires, the nurse practitioner may renew the certification
				  biennially if the nurse practitioner.
(1) Is
				  otherwise entitled to be certified;
(2) Submits to the
				  Board:
(a)
				  Documentation of every current national certification as a nurse practitioner
				  from a national certifying body recognized by the Board that was the basis of
				  the Board's initial certification under Regulation .02B of this chapter;
				  and
(b) A completed renewal
				  application on the form that the Board requires; and
(3) Pays all fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.07 - Practice of the Nurse Practitioner › Section 10.27.07.05 - Practice Before Maryland Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. A registered nurse who has completed a
				  Board-approved educational program for nurse practitioners and who has applied
				  to take a Board-approved national certifying examination may practice as a
				  nurse practitioner graduate before certification in this State upon approval of
				  the Board if the nurse has:
(1) Submitted a completed application for
				  certification as a nurse practitioner in this State in accordance with
				  Regulation .02 of this chapter;
(2) Completed a nurse
				  practitioner education program approved by the Board;
(3)
				  Presented evidence of submission of an application to take a Board-approved
				  national certification examination;
(4) Provided the name
				  of a certified nurse practitioner, who has an active unencumbered Maryland
				  license to practice as a registered nurse or a multistate privilege to practice
				  registered nursing, who will directly supervise the nurse practitioner
				  graduate; and
(5) Paid all
				  fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.07 - Practice of the Nurse Practitioner › Section 10.27.07.06 - Education

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant
				  certified by a national certifying body before October 1, 2010, who is
				  certified by the Board and in good standing shall be deemed to meet the
				  education requirements under this regulation.
B. An applicant for certification shall be a
				  graduate from a Board-approved nationally accredited education program for
				  nurse practitioners in a school of nursing that:
(1) Provides advanced practice instruction at
				  the Masters' level or higher in a clinical nursing program;
(2) Is accredited by a nursing accrediting body
				  recognized by the United States Department of Education, the Council for Higher
				  Education Accreditation or any other national accrediting body recognized by
				  the Board;
(3) Follows established
				  educational standards that build upon educational preparation and experience as
				  a registered nurse;
(4) Ensures
				  completion of the advanced practice core, nurse practitioner core, and
				  population specific core competencies;
(5) Has a didactic and clinical curriculum that, at a
				  minimum, includes advanced courses in:
(a)
				  Physiology and pathophysiology;
(b)
				  Physical and health assessment;
(c)
				  Pharmacology; and
(d) Diagnosis and
				  management of health problems and diseases commonly encountered within the
				  respective nurse practitioner's population focus;
(6) Provides didactic courses and supervised
				  clinical experiences of sufficient depth and breadth in the nurse practitioner
				  role and the specific population focus of the program; and
(7) Ensures that graduates of the program are
				  eligible for national certification and Maryland certification.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.07 - Practice of the Nurse Practitioner › Section 10.27.07.07 - Preparing and Dispensing

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  nurse practitioner may personally prepare and dispense any drug that a nurse
				  practitioner is authorized to prescribe in the course of treating a patient at:
(1) A medical facility or clinic that
				  specializes in the treatment of medical cases reimbursable through workers'
				  compensation insurance;
(2) A
				  medical facility or clinic that is operated on a nonprofit basis;
(3) A health center that operates on a campus
				  of an institution of higher education;
(4) A public health facility, a medical
				  facility under contract with a State or local health department, or a facility
				  funded with public funds; or
(5) A
				  nonprofit hospital or a nonprofit hospital out-patient facility as authorized
				  under the policies established by the hospital.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.07 - Practice of the Nurse Practitioner › Section 10.27.07.08 - Unlawful Practices

Current through Register Vol. 51, No. 14, July 12, 2024
Unless authorized to practice as a nurse practitioner under
					 Health Occupations Article, Title 8, Annotated Code of Maryland, an individual
					 may not:
A. Represent to the public by
				  title or by description of services, methods, procedures, or otherwise, that
				  the individual is authorized to practice as a nurse practitioner in this
				  State;
B. Use as a title or
				  describe the services the individual provides by use of the words "nurse
				  practitioner" or "certified nurse practitioner"; or
C. Use the abbreviation "NP", "CRNP", "CNP",
				  or any other words, letters, or symbols with the intent to represent that the
				  individual practices as a nurse practitioner.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.08 - Petition for Declaratory Ruling › Section 10.27.08.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  terms have the meanings indicated.
B. Terms Defined.
(1) "Board" means the Board of
				  Nursing.
(2) "Person" means an
				  individual, an agency, an association, a corporation, or any other
				  entity.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.08 - Petition for Declaratory Ruling › Section 10.27.08.02 - Petition

Current through Register Vol. 51, No. 14, July 12, 2024
A. An interested
				  person may file with the Board a petition for a declaratory ruling with respect
				  to the manner in which the Board would apply:
(1) A statute;
(2) A regulation; or
(3) An order which the Board enforces to a
				  particular case based on the facts presented in the petition.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.08 - Petition for Declaratory Ruling › Section 10.27.08.03 - Consideration and Disposition

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				  rendering its ruling the Board or its designee:
(1) Shall consider all materials submitted
				  with the petition;
(2) May consider
				  any document, data, or other relevant material;
(3) May consult individuals;
(4) May consider comments from the staff;
				  or
(5) May require argument of the
				  question or permit the introduction of evidence.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.08 - Petition for Declaratory Ruling › Section 10.27.08.04 - Effect, Revision, and Appeal

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Effect. A declaratory ruling shall be binding upon the Board and the petitioner
				  on the statement of facts covered in the declaratory ruling and set forth in
				  the petition.
B. Revision.
(1) The petitioner's application for revision
				  of the declaratory ruling shall:
(a) Be filed
				  within 10 days after the issuance of the declaratory ruling; and
(b) State the grounds for the
				  revision;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.09 - Standards of Practice for Registered Nurses › Section 10.27.09.02 - Standards of Care

Current through Register Vol. 51, No. 14, July 12, 2024
A. Assessment.
(1) The RN shall collect client health
				  data.
(2) Measurement Criteria.
(a) Data collection shall involve the client,
				  family, significant others, other members of the health care team, and the
				  health record, when appropriate.
(b) Data may include the following
				  dimensions:
(i) Physical;
(ii) Psychological;
(iii) Sociocultural;
(iv) Spiritual;
(v) Cognitive;
(vi) Functional abilities;
(vii) Developmental;
(viii) Economic;
(ix) Technology; and
(x) Life-style.
(3) Priority of data collection is
				  determined by the client's immediate condition or needs, health status, and
				  setting.
(4) Pertinent data shall
				  be collected using appropriate assessment techniques.
(5) Data collection shall include a
				  technology assessment.
(6) The data
				  collection process shall be comprehensive, systematic, and ongoing.
(7) Relevant health status data, including
				  changes, shall be documented in an authorized record which is accessible and in
				  a retrievable form.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.09 - Standards of Practice for Registered Nurses › Section 10.27.09.03 - Standards of Professional Performance

Current through Register Vol. 51, No. 14, July 12, 2024
A. Quality of Care.
(1) The RN systematically shall evaluate the
				  quality and effectiveness of nursing practice in the aggregate.
(2) Measurement Criteria. The RN shall:
(a) Participate in activities to evaluate
				  quality of care including, but not limited to, monitoring the structure,
				  process, and outcome of nursing practice, with consideration for access and
				  cost;
(b) Use quality monitoring
				  data to identify opportunities for improving care; and
(c) Participate in activities related to
				  implementing changes designed to improve care.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.09 - Standards of Practice for Registered Nurses › Section 10.27.09.04 - Specialty Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  registered nurse functioning in a specialty practice shall have additional
				  education, training, and experience. Specialty practice does not include
				  advanced practice nursing.
B.
				  Definitions.
(1) In this regulation, the
				  following terms have the meanings indicated.
(2) Terms Defined.
(a) "Critically ill client" means a client
				  who:
(i) Has developed or is at high risk for
				  developing life threatening problems;
(ii) Requires constant intensive
				  multidisciplinary assessment and intervention to restore stability and prevent
				  complications; and
(iii) Needs
				  restoration or maintenance of physiologic stability.
(b) "Interfacility specialty care transport"
				  means the movement of a critically ill client by transport vehicle when the
				  client's level of care requires the care of a registered nurse during
				  transport.
(c) On-Line Medical
				  Direction.
(i) "On-line medical direction"
				  meansoversight and orders by licensed physicians at base stations to EMS
				  providers or members of the transport teamproviding patient care at an Advanced
				  Life Support (ALS) or Basic Life Support (BLS) level.
(ii) "On-line medical direction" includes
				  medical orders and oversight by a licensed practitioner at a specialty care
				  unit at a hospital to a registered nurse during a specialty care transport,
				  provided the licensed practitioner is permitted by the facility to provide
				  these services and the services are within the scope of the individual's
				  license.
(d) Licensed
				  Practitioner.
(i) "Licensed practitioner"
				  means a dentist, physician, nurse practitioner, nurse anesthetist, or nurse
				  midwife or any other individual permitted by law and the facility to provide
				  care and services within the scope of the individual's license.
(ii) "Licensed practitioner" does not include
				  a student in a graduate education program whose practice requires supervision
				  and whose orders must be countersigned.
(e) "Specialty care transport" means
				  transport for all ages of critically ill clients in accordance with the
				  definitions under COMAR 30.09.01.02.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.10 - Standards of Practice for Licensed Practical Nurses › Section 10.27.10.02 - Nursing Process

Current through Register Vol. 51, No. 14, July 12, 2024
A. In a team
				  relationship the licensed practical nurse contributes to the nursing process.
				  The nursing process shall include, but is not limited to, the following
				  elements listed in §B"C of this regulation.
B. Nursing Assessment. The LPN contributes to
				  the nursing assessment by:
(1) Collecting data
				  for the assessment of the client:
(a) Through
				  direct observation;
(b) From
				  interviews with the client, client's family, and significant others;
(c) From the review of the client's medical
				  records including, but not limited to:
(i)
				  Past history;
(ii) Laboratory
				  studies;
(iii) Medications;
				  and
(iv) Consultations;
				  and
(d) By assessing the
				  environment;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.10 - Standards of Practice for Licensed Practical Nurses › Section 10.27.10.03 - Standards of Professional Performance

Current through Register Vol. 51, No. 14, July 12, 2024
A. Quality of Care.
(1) The LPN shall participate in evaluating
				  the quality and effectiveness of nursing practice.
(2) Measurement Criteria. The LPN shall:
(a) Assist in collecting quality data;
				  and
(b) Participate in activities
				  related to implementing changes designed to improve care.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.10 - Standards of Practice for Licensed Practical Nurses › Section 10.27.10.04 - Prohibited Acts

Current through Register Vol. 51, No. 14, July 12, 2024
The LPN may not:
A. Perform nursing triage;
B. Perform the responsibilities of, or serve
				  in the role of, the circulating nurse in the intraoperative phase of surgery
				  including, but not limited to:
(1) Assessing
				  the client in the intraoperative phase of surgery to identify emerging client
				  situations which would require anticipating and responding to the needs of the:
(a) Client;
(b) Anesthesiologist; and
(c) Surgical team;