Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  terms have the meanings indicated.
B. Terms Defined.
(1) "Body treatment" means cellulite
				  lymphatic drainage and cellulite vacuum massage.
(2) "Cellulite lymphatic drainage"means a
				  therapy in which the practitioner uses a range of specialized and gentle
				  rhythmic pumping techniques to move the skin in the direction of the lymph
				  flow.
(3) "Cellulite vacuum
				  massage" means:
(a) The massage of peripheral
				  blood, lymph, and inter-tissue liquid with the goal of reducing stagnation of
				  these fluids and increasing the skin's elasticity; and
(b) The external use of a vacuum component
				  directly on the area to be massaged followed by a straight line, circular, or
				  zigzag movement to massage the area.
(4) "Chemical peels" also called deep skin
				  peels, means the removal of the top layers of skin using chemicals applied
				  directly to the skin.
(5) "Clinical
				  preceptor" means a licensed or certified individual who is:
(a) Proficient in the procedure for which
				  they are precepting; and
(b)
				  Permitted by the appropriate health occupation licensing board to provide care
				  and treatment for cosmetic services.
(6) "Cryotherapy" means the application of:
(a) Extreme cold to destroy abnormal or
				  diseased tissue, warts, moles, skin tags, and solar keratoses; and
(b) Liquid nitrogen to freeze tissues at the
				  cellular level.
(7)
				  "Dermal fillers" means various types of natural or man-made materials which are
				  injected intradermally to correct imperfections in the skin and subcutaneous
				  tissue.
(8) "Direct supervision"
				  means on site, physically present, accessible in the immediate patient care
				  area and available to intervene if necessary.
(9) "Injectable treatments" means the use of
				  FDA approved medication and includes the following:
(a) Dermal fillers;
(b) Micropigmentation, also known as cosmetic
				  tattoo or permanent make-up; and
(c) Neuromuscular agents.
(10) "Laser treatment" means a
				  technique in which exposure to low-level laser light or light emitting diodes
				  are used to stimulate or inhibit cellular function possibly leading to
				  beneficial clinical effects.
(11)
				  Light Treatment.
(a) "Light treatment" also
				  known as phototherapy, means the use of non-ionizing electro-magnetic radiation
				  for therapeutic benefit.
(b) "Light
				  treatment" does not mean laser treatment.
(12) "Lipodissolve" means a procedure that
				  uses subcutaneous micro-injections of drugs with the sole purpose of dissolving
				  fat for body contouring.
(13)
				  Magenta Light.
(a) "Magenta light" means a
				  non-invasive technique that combines infrared and magenta light with subdermal
				  tissue massage to produce a penetrating light that affects the epidermis,
				  alters cellulite formation,and controls cellulite formation at the cellular
				  level.
(b) "Magenta light" does not
				  mean laser or intensive pulse light.
(14) "Mesotherapy" also known as
				  intradermotherapy, means a non-invasive cosmetic treatment which employs
				  multiple intra or subcutaneous injections of pharmaceutical and homeopathic
				  medications, plant extracts, vitamins, and other ingredients for the treatment
				  of fat or cellulite.
(15) "Micro
				  current treatment" means passing radio frequency electricity through the skin
				  to:
(a) Heat up tissue;
(b) Cause the tissue to contract;
				  and
(c) Stimulate collagen
				  production.
(16)
				  "Neuromuscular agents" means injectable drugs that cause muscle weakness for
				  the purpose of cosmetic softening of wrinkles and includes, but is not limited
				  to, Botox and Dysport.
(17) "Nurse"
				  means a registered nurse (RN) or a licensed practical nurse (LPN).
(18) "Peels" or "Topicals" means:
(a) Chemicals peels;
(b) Cryotherapy; or
(c) Microdermabrasion.
(19) "Photochemotherapy" means the use of a
				  photodynamic light source to destroy dystrophic cells.
(20) "Photodynamic (PDT)" means the use of a
				  light source, combined with a light-sensitive drug to destroy dystrophic
				  cells.
(21) "Photosensitizing
				  agent" means a drug used with a photodynamic light source to produce a
				  therapeutic photosensitivity.
(22)
				  "Precepted clinical practice" means after theoretical learning and until
				  competency is achieved:
(a) Working directly
				  with patients;
(b) Performing
				  cosmetic or dermatologic procedures on patients; and
(c) Working under the direct supervision of a
				  clinical preceptor who has the knowledge and ability to perform the procedure
				  independently.
(23)
				  Radio Frequency and Current.
(a) "Radio
				  frequency and current" means:
(i) Magenta
				  light;
(ii) Microcurrent
				  treatment;
(iii)
				  Photochemotherapy;
(iv)
				  Photodynamic;
(v) Thermage;
				  and
(vi) Ultrasound (therapeutic
				  only).
(b) "Radio
				  frequency and current" does not mean laser.
(24) Theory.
(a) "Theory" means the body of knowledge
				  regarding the principles underlying the safe execution of a cosmetic procedure
				  and is obtained through didactic instruction provided by a licensed health care
				  provider who has the knowledge and skill to perform the procedure.
(b) "Theory" includes didactic instruction by
				  the licensed health care provider which may be augmented by a manufacturer's
				  representative.
(25)
				  "Thermage" means the use of radio frequency technology to:
(a) Target collagen in the dermis layer of
				  the skin around the eyes and forehead; and
(b) Cause the dermis and underlying tissue to
				  tighten.
(26)
				  Ultrasound.
(a) "Ultrasound" means the
				  therapeutic use of inaudible sound in the frequency range of approximately
				  20,000 to 10,000,000,000 cycles per second for therapeutic use at low intensity
				  producing a heating effect to stimulate collagen production.
(b) "Ultrasound" does not mean the use of
				  ultrasound for diagnostic purposes.