Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 30 - COMMISSION ON KIDNEY DISEASE › Chapter 10.30.01 - General Regulations › Section 10.30.01.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this
				  subtitle, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Abusive and dangerous patient" means a
				  patient who is physically or verbally threatening to the patient's person,
				  facility staff, or other patients.
(2) "Acute dialysis" means dialysis employed
				  in the treatment of temporary renal failure, with the expectation that dialysis
				  may be necessary for 4 weeks or less because recovery of kidney function is
				  anticipated.
(3) "Administrator"
				  means an individual appointed by the governing body who is responsible for the
				  facility's daily operations and the duties set forth in COMAR
				  10.30.02.03F.
(4) "Certified nursing
				  assistant-dialysis technician" means an individual licensed by the Maryland
				  Board of Nursing to perform nursing tasks delegated by a licensed nurse in the
				  dialysis facility.
(5) "Certified
				  patient" means a patient who is certified by the Commission on Kidney Disease
				  and is eligible for benefits from the Kidney Disease Program.
(6) "Chief executive officer" means an
				  individual who meets the requirements set forth in
				  42 CFR §
												494.180, which is incorporated by
				  reference;
(7) "Chronic dialysis"
				  means dialysis employed to compensate for the severe and irreversible loss of
				  renal function and is a permanent treatment modality unless replaced by renal
				  transplantation.
(8) "Chronic
				  peritoneal dialysis" means dialysis performed repetitively by exchanging large
				  volumes of solution within the peritoneal cavity.
(9) "Commission" means the Commission on
				  Kidney Disease.
(10) "Department"
				  means the Department of Health and Mental Hygiene.
(11) Dialysis.
(a) "Dialysis" means the process of filtering
				  waste products and excess fluid from the blood of a patient with severely
				  compromised kidney function.
(b)
				  "Dialysis" includes the terms hemodialysis and peritoneal dialysis.
(12) "Governing body" means an
				  identifiable individual or individuals who are designated in writing with full
				  legal authority and responsibility for the governance and operation of the
				  facility.
(13) "Home dialysis"
				  means chronic hemodialysis or chronic peritoneal dialysis performed regularly
				  in the home by the patient and an assistant, if necessary.
(14) "Home training dialysis" means:
(a) Chronic peritoneal dialysis, including
				  continuous ambulatory peritoneal dialysis and continuous cycling peritoneal
				  dialysis; or
(b) Instructional
				  chronic hemodialysis.
(15) "In-center hemodialysis" means a
				  hemodialysis treatment that:
(a) Lasts 3 to 5
				  hours;
(b) Is performed on a
				  routine basis, usually three times a week, to treat a chronic condition; and
(c) Is provided in a kidney
				  dialysis facility center during daytime hours.
(16) "In-center nocturnal hemodialysis" means
				  a hemodialysis treatment that:
(a) Lasts 6 to
				  9 hours;
(b) Is performed on a
				  routine basis, usually three times a week, to treat a chronic condition;
				  and
(c) Is provided in a kidney
				  dialysis facility.
(17)
				  "Monitoring individual" means an individual who is a direct patient care
				  provider.
(18) "Nurse manager"
				  means an individual who is responsible for nursing services and provides
				  oversight and direction to all direct care staff that provide dialysis and
				  nursing care in the facility including:
(a)
				  Input into hiring; and
(b)
				  Evaluating staff.