reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.11 - Delegation of Nursing Functions › Section 10.27.11.01 - Exclusion from Regulations

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter is not applicable to and does not restrict or
					 limit:
A. Other health care
				  practitioners who are authorized delegatory powers under their respective
				  acts;
B. The gratuitous provision
				  of care by self, family, or friends;
C. Provision of care by a child care provider
				  employed in the child's home by the child's parent or by a child care provider
				  licensed by the Child Care Administration under COMAR 07.04.01 (Family Day
				  Care) or COMAR 07.04.02 (Child Care Center Licensing) except for those
				  providers enrolling a majority of children with health or medical conditions or
				  both;
D. The cognitively capable
				  adult from employing an unlicensed caregiver in the adult's home to assist the
				  adult in treatments of a routine nature and in self-administration of
				  medication;
E. An individual who
				  performs nursing assistant tasks while a nursing student enrolled in an
				  accredited nursing education program and practicing under the direct
				  supervision of:
(1) Qualified faculty or
				  preceptors; or
(2) A nurse while
				  working as a nursing assistant;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.11 - Delegation of Nursing Functions › Section 10.27.11.03 - Criteria for Delegation

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  nurse may delegate the responsibility to perform a nursing task to an
				  unlicensed individual, a certified nursing assistant, or a medication
				  technician. The delegating nurse retains the accountability for the nursing
				  task.
B. A nursing task delegated
				  by the nurse shall be:
(1) Within the area of
				  responsibility of the nurse delegating the act;
(2) Such that, in the judgment of the nurse,
				  it can be properly and safely performed by the unlicensed individual, certified
				  nursing assistant, or medication technician without jeopardizing the client
				  welfare; and
(3) A task that a
				  reasonable and prudent nurse would find is within the scope of sound nursing
				  judgment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.11 - Delegation of Nursing Functions › Section 10.27.11.04 - Supervision

Current through Register Vol. 51, No. 14, July 12, 2024
A. The nurse shall
				  determine the required degree of supervision after an evaluation of appropriate
				  factors including, but not limited to the:
(1)
				  Stability of the condition of the client;
(2) Training of the individual to whom the
				  nursing task is being delegated;
(3) Nature of the nursing task being
				  delegated;
(4) Orientation of the
				  unlicensed individual, certified nursing assistant, or medication technician to
				  the specific patient environment;
(5) Ability of the unlicensed individual,
				  certified nursing assistant, or medication technician to perform the delegated
				  nursing task in a safe and competent manner; and
(6) Reevaluation of the client's health
				  status.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.11 - Delegation of Nursing Functions › Section 10.27.11.05 - Nursing Functions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  following nursing functions require nursing knowledge, judgment, and skill and
				  may not be delegated:
(1) The nursing
				  assessment including, but not limited to, the admission, shift, transfer, or
				  discharge assessment;
(2)
				  Development of the nursing diagnosis;
(3) The establishment of the nursing care
				  goal;
(4) Development of the
				  nursing care plan;
(5) Evaluation
				  of the client's progress, or lack of progress, toward goal achievement;
				  and
(6) Any nursing task which
				  requires nursing knowledge, judgment, and skill.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.11 - Delegation of Nursing Functions › Section 10.27.11.06 - Client Health Teaching and Health Counseling

Current through Register Vol. 51, No. 14, July 12, 2024
A. The registered nurse shall be accountable
				  and responsible for the development and initiation of the health teaching plan
				  and for health counseling of the client.
B. The nurse shall be accountable and
				  responsible for facilitating and promoting:
(1) Client education; and
(2) Participation of the client and
				  significant others in implementation of health goals.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.12 - Nurse Psychotherapists in Independent Practice - Clinical Nurse Specialists › Section 10.27.12.01 - Exclusion from Regulations

Current through Register Vol. 51, No. 14, July 12, 2024
Nothing in this chapter shall be applicable to or restrict
					 or limit a registered nurse from performing those functions which constitute
					 the practice of registered nursing as defined by law.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.12 - Nurse Psychotherapists in Independent Practice - Clinical Nurse Specialists › Section 10.27.12.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  terms have the meanings indicated.
B. Terms Defined.
(1) "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).
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.12 - Nurse Psychotherapists in Independent Practice - Clinical Nurse Specialists › Section 10.27.12.03 - Certification

Current through Register Vol. 51, No. 14, July 12, 2024
An applicant for certification to practice as a PMH/APRN in
					 independent practice shall:
A. Hold a
				  current Maryland license in good standing to practice registered nursing or a
				  multistate licensure privilege to practice registered nursing;
B. Have graduated from a
				  Board-approved graduate level education program for clinical nurse specialists
				  in psychiatric mental health nursing at the Masters' level or higher that is
				  accredited by a national accrediting body recognized by the Board;
C. Hold current national certification as a
				  clinical nurse specialist in psychiatric or mental health nursing issued by the
				  American Nurses Credentialing Center (ANCC) or any other national certifying
				  body recognized by the Board;
D.
				  Submit to the Board a completed application for certification as a clinical
				  nurse specialist, PMH/APRN;
E.
				  Comply with all the requirements set forth in COMAR
				  10.27.01.04;
F. Demonstrate written and oral competency in
				  the English language; and
G. Pay all
				  fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.12 - Nurse Psychotherapists in Independent Practice - Clinical Nurse Specialists › Section 10.27.12.04 - Practice Before Maryland Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. A registered nurse who meets the
				  qualifications to sit for a national certifying examination acceptable to the
				  Board or who has taken that examination and is waiting for the results, may
				  practice in this State as a PMH/APRN graduate if the:
(1) Practice is under the supervision of a
				  Maryland certified PMH/APRN who shall be readily available to the PMH/APRN
				  graduate;
(2) Supervising PMH/APRN
				  agrees in a written supervision agreement on a form to be prescribed by the
				  Board to provide the supervision; and
(3) PMH/APRN graduate:
(a) Completes the application for Maryland
				  certification as a as a clinical nurse specialist in psychiatric mental health;
				  and
(b) Pays the certification
				  application fee established by the Board in COMAR 10.27.01.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.12 - Nurse Psychotherapists in Independent Practice - Clinical Nurse Specialists › Section 10.27.12.05 - Scope of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
The PMH/APRN may perform independently, autonomously, and
					 in a variety of settings, the following functions:
A. Establish a mental health
				  diagnosis;
B. Evaluate and manage
				  psychobiological intervention;
C.
				  Provide individual therapy;
D.
				  Provide group therapy;
E. Provide
				  family therapy;
F. Provide any
				  therapy which purpose is to:
(1) Effect change
				  in the client in an attempt to alleviate emotional disturbances,
(2) Reverse or change maladaptive behavior,
				  and
(3) Facilitate personality
				  growth and development;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.12 - Nurse Psychotherapists in Independent Practice - Clinical Nurse Specialists › Section 10.27.12.06 - Standards of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Advanced practice skills shall be utilized in the collection of relevant data
				  to comprehensively assess the client's mental health.
B. Assessment data shall be analyzed in
				  determining diagnosis.
C. A plan of
				  care shall be developed and implemented that outlines treatment to attain
				  expected outcomes.
D. Individual,
				  group, and family psychotherapy, child psychotherapy, behavioral care, case
				  management, and other therapeutic treatments shall be utilized to assist
				  clients in fostering mental health, preventing mental illness and disability,
				  and improving or regaining previous health status and functional
				  abilities.
E. Advanced knowledge of
				  psychobiological interventions shall be utilized and clinical skills applied to
				  maximize the client's health and prevent further disability.
F. The use of psycholobiological
				  interventions in this chapter does not authorize the prescription of
				  medications.
G. The client's
				  progress in attaining the expected outcome shall be evaluated.
H. Strategies and interventions shall be
				  utilized to promote and maintain health and prevent mental illness.
I. Decisions and actions on behalf of clients
				  shall be determined in an ethical manner.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.12 - Nurse Psychotherapists in Independent Practice - Clinical Nurse Specialists › Section 10.27.12.07 - Renewal of Maryland Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. Certification as a PMH/APRN expires at the
				  same time as the license to practice registered nursing.
B. Before
				  a PMH/APRN's certification expires, the PMH/APRN may renew the certification
				  biennially if the PMH/APRN:
(1) Is otherwise
				  entitled to be certified;
(2)
				  Submits to the Board:
(a) Documentation of a
				  current national certification as a PMH/APRN from a national certifying body
				  recognized by the Board; and
(b) A
				  completed renewal application on a 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 10.27.12 - Nurse Psychotherapists in Independent Practice - Clinical Nurse Specialists › Section 10.27.12.08 - Unlawful Practices

Current through Register Vol. 51, No. 14, July 12, 2024
A. Unless
				  authorized to practice under this chapter, an individual may not use the words
				  "advanced practice registered nurse/psychiatric mental health", "nurse
				  psychotherapist", "psychiatric mental health/advanced practice registered
				  nurse", or any other words, letters, or symbols with the intent to represent
				  that the individual is a psychiatric-mental health/advanced practice registered
				  nurse.
B. An individual certified
				  under this chapter is subject to the disciplinary sanctions set forth in Health
				  Occupations Article, Title 8, Annotated Code of Maryland.
C. An individual may not practice as a
				  PMH/APRN or nurse psychotherapist in this State unless the individual is
				  certified under this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.13 - Safe Practice Committee › Section 10.27.13.01 - 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) "Applicant" means an individual who has
				  submitted an application to the Board to be licensed as a registered nurse,
				  licensed practical nurse, electrologist, or direct-entry midwife or to be
				  certified as an advanced practice registered nurse, a certified nursing
				  assistant, or medication technician in this State.
(2) "Board" means the Maryland Board of
				  Nursing.
(3) "Committee" means the Safe Practice Committee.
(4) "Certificate holder" means a certified
				  nursing assistant or medication technician.
(5) "Certified nursing
				  assistant" means an individual certified as a nursing assistant by the
				  Board.
(6) "Licensee" means a
				  direct-entry midwife, electrologist, licensed practical nurse, registered
				  nurse, or advanced practice registered nurse.
(7) "Licensed practical nurse" means an
				  individual who is licensed by the Board to practice licensed practical nursing
				  or has a multistate licensure privilege to practice licensed practical
				  nursing.
(8) "Medication
				  technician" means an individual certified as a medication technician by the
				  Board.
(9) "Multistate licensure
				  privilege" has the meaning set forth in COMAR
				  10.27.01.01B.
(10) "Nurse" means registered nurse, advanced practice
				  registered nurse, or licensed practical nurse.
(11) "Participant" means a registered nurse,
				  an advanced practice registered nurse, a licensed practical nurse, a certified
				  nursing assistant, a medication technician, an electrologist, a licensed
				  direct-entry midwife, or an applicant enrolled in the Safe Practice
				  Program.
(12) "Program" means the Safe Practice Program.
(13)
				  "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.
(14) "Substance use disorder"
				  means a disorder that occurs when an individual exhibits a pattern of behaviors
				  ranging from the misuse of, dependence on, or addiction to drugs, alcohol, or
				  other chemicals.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.13 - Safe Practice Committee › Section 10.27.13.02 - Safe Practice Committee

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Committee Appointments.
(1) Annually, before
				  the September meeting, the Board shall determine the number of rehabilitation
				  committees required in the State.
(2) The Board shall make appointments to the
				  committee in October in accordance with Health Occupations Article, §
											8-208(c)(1),
				  Annotated Code of Maryland.
(3)
				  Appointments are for a 4-year term, except in the first year of any committee
				  when the terms are staggered.
(4)
				  Committee members may be reappointed for one additional 4-year term.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.13 - Safe Practice Committee › Section 10.27.13.03 - Criteria for Participation in the Program

Current through Register Vol. 51, No. 14, July 12, 2024
A. Admission to the program is
				  voluntary.
B. Registered nurses,
				  licensed practical nurses, direct-entry midwives, electrologists, medication
				  technicians, advanced practice registered nurses, certified nursing assistants,
				  or applicants for licensure or certification with a substance use disorder or
				  mental illness, may be referred to the program through self-report, formal
				  complaint, or the Board of Nursing.
C. A licensee, certificate holder, or
				  applicant requesting to participate in the program may not have:
(1) Caused injury to an individual while the
				  licensee or certificate holder was practicing as a licensee or certificate
				  holder; or
(2) Been arrested,
				  convicted, or both, for diversion of controlled substances for sale or
				  distribution.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.13 - Safe Practice Committee › Section 10.27.13.04 - Noncompliance with a Written Plan or Agreement

Current through Register Vol. 51, No. 14, July 12, 2024
A. The committee may expel a participant from
				  the program for failure to comply with any of the conditions of the plan or
				  agreement.
B. The committee shall:
(1) Report to the Board the name and license
				  number of any participant who is expelled from the program; and
(2) Transfer to the Board the records of any
				  participant expelled from the program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.13 - Safe Practice Committee › Section 10.27.13.05 - Board and Committee Records

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  All Board and committee records concerning a participant are confidential and
				  are not subject to discovery or subpoena in any civil or criminal action or
				  disclosure under General Provisions Article, Title 4, Annotated Code of
				  Maryland.
B. Records shall be
				  maintained in a confidential file in the Board's office.
C. After the committee has determined that a
				  participant no longer requires monitoring and may practice safely, all records
				  relating to the participant's participation in the program shall be purged and
				  destroyed 2 years after the participant is discharged from the
				  program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.13 - Safe Practice Committee › Section 10.27.13.06 - Participants Leaving the State

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  A participant who moves from this State to another state where a safe practice
				  or other rehabilitation program is in place shall be transferred to that
				  program.
B. A nurse participant who
				  moves to a state where there is no rehabilitation program shall have the
				  nurse's program records transferred to the Board of Nursing in that
				  state.
C. All non-nurse
				  participants leaving the State shall be referred to the agency responsible for
				  regulating their license or certificate in that state and shall have the
				  participant's records transferred to the responsible agency in that
				  state.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.13 - Safe Practice Committee › Section 10.27.13.07 - Informational Booklet

Current through Register Vol. 51, No. 14, July 12, 2024
The committee shall publish an informational booklet for
					 the public that describes the program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.15 - Open Meetings-Attendance and Recording, Photographing, and Broadcasting of Sessions › Section 10.27.15.01 - Exclusion

Current through Register Vol. 51, No. 14, July 12, 2024
The Board of Nursing is not subject to the provisions of
					 COMAR 10.01.14, but shall be governed by this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.15 - Open Meetings-Attendance and Recording, Photographing, and Broadcasting of Sessions › Section 10.27.15.02 - Public Attendance

Current through Register Vol. 51, No. 14, July 12, 2024
A. At any
				  open session of the Board of Nursing, the general public may attend and
				  observe.
B. Except in instances
				  when the Board expressly invites public testimony, questions, comments, or
				  other forms of public participation, or when public participation is otherwise
				  authorized by law, a member of the public attending an open session may not
				  participate in the session.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.15 - Open Meetings-Attendance and Recording, Photographing, and Broadcasting of Sessions › Section 10.27.15.03 - Disruptive Conduct

Current through Register Vol. 51, No. 14, July 12, 2024
A. Prohibition.
				  A person attending an open session of the Board may not engage in any conduct,
				  including visual demonstrations such as the waving of placards, signs, or
				  banners, that disrupts the session or that interferes with the right of members
				  of the public to attend and observe the session.
B. Action to Restore Order.
(1) The presiding officer may order a person
				  who persists in conduct prohibited by §A of this regulation or who
				  violates any other regulation concerning the conduct of the open session to be
				  removed from the session and may request police assistance to restore
				  order.
(2) The presiding officer
				  may recess the session while order is restored.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.15 - Open Meetings-Attendance and Recording, Photographing, and Broadcasting of Sessions › Section 10.27.15.04 - Recording, Photographing, and Broadcasting of Open Sessions

Current through Register Vol. 51, No. 14, July 12, 2024
A. A member of the
				  public, including any representative of the news media, may record discussions
				  of the Board at an open session by means of a tape recorder or any other
				  recording device if the device does not create an excessive noise that disturbs
				  members of the Board or other persons attending the session.
B. A member of the public, including any
				  representative of the news media, may photograph or videotape the proceedings
				  of the Board at an open session by means of any type of camera if the camera:
(1) Is operated without excessively bright
				  artificial light that disturbs members of the Board or other persons attending
				  the session; and
(2) Does not
				  create an excessive noise that disturbs members of the Board or other persons
				  attending the session.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.15 - Open Meetings-Attendance and Recording, Photographing, and Broadcasting of Sessions › Section 10.27.15.05 - Recordings Not Part of Record

Current through Register Vol. 51, No. 14, July 12, 2024
A recording of an open session made by a member of the
					 public, or any transcript derived from such a recording, may not be considered
					 a part of the record of any proceeding of the Board of
					 Nursing.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.01 - Exclusion from Regulations

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter is not applicable to, and does not restrict or
					 limit, a:
A. Registered nurse from
				  performing those functions which constitute the practice of registered nursing
				  as defined by law; and
B. Medical
				  claims consultant from performing medical claims consultation as defined in
				  this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.02 - 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) "Board" means the Board of
				  Nursing.
(2) "Board-approved
				  course" means an educational offering specific to the case management of the
				  injured worker under the Workers' Compensation Commission which meets the
				  criteria established by the Board.
(3) "Commission" means the Workers'
				  Compensation Commission.
(4)
				  Medical Case Management.
(a) "Medical case
				  management" means any type of contact, including electronic, written, and
				  personal, with the injured worker, for the purpose of the planning and
				  coordination of health services appropriate to achievement of medical
				  rehabilitation of the injured worker.
(b) "Medical case management" includes but is
				  not limited to:
(i) Case assessment;
(ii) Implementation and coordination of
				  services with the injured worker, family, and health care providers;
(iii) Evaluation of treatment
				  results;
(iv) Coordinating
				  community re-entry;
(v) Return to
				  work with the employer of injury; and
(vi) Referral for further vocational
				  rehabilitation services.
(5) "Medical claims consultant" means a
				  registered nurse who consults on medical aspects of an injured worker's
				  rehabilitation without any contact with the injured worker.
(6) "Multistate licensure privilege" has the
				  meaning set forth in COMAR
				  10.27.01.01B.
(7) "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.
(8) "RN-WCCM" means a registered
				  nurse-workers' compensation medical case manager.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.03 - Certification Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A. For
				  certification as an RN-WCCM, an applicant shall:
(1) Hold a current
				  license to practice registered nursing in this State or a multistate licensure
				  privilege to practice registered nursing;
(2) Submit
				  documentation of successful completion of a Board-approved course;
(3) Submit to the Board a completed
				  application for certification as an RN-WCCM; and
(4) Pay all fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.04 - Renewal of Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Unless renewed biennially, a certification to practice as an RN-WCCM expires at
				  the same time as the registered nurse license.
B. Before certification as an RN-WCCM
				  expires, the RN-WCCM may renew the certification for an additional term, if the
				  RN-WCCM:
(1) Is otherwise entitled to be
				  certified;
(2) Has practiced a
				  minimum of 2,000 hours in the past 2 years as an RN-WCCM;
(3)
				  Submits a completed application for renewal on the form the Board requires;
				  and
(4) Pays all fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.05 - Notice to Workers' Compensation Commission

Current through Register Vol. 51, No. 14, July 12, 2024
The Board shall:
A. Notify the Commission of:
(1) The status of any RN-WCCM regulated under
				  this chapter; and
(2) Any RN-WCCM
				  who fails to renew their certification; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.06 - Scope of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  RN-WCCM may perform medical case management of the injured worker as defined in
				  this chapter.
B. The RN-WCCM shall
				  comply with all:
(1) Other statutes or
				  regulations governing registered nurse practice; and
(2) Laws, statutory policies, and procedures
				  of the Commission.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.07 - Course Approval

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each
				  provider shall:
(1) Submit a course proposal
				  for approval before implementation and at least every 3 years thereafter;
				  and
(2) Obtain from the Board a
				  curriculum checklist detailing the content to be included in the
				  course.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.08 - Course Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each
				  course shall have a minimum of 16 hours of theory content.
B. The curriculum shall include the following
				  content areas:
(1) An historical perspective
				  of case management;
(2) Insurance
				  terms and types of coverage-----general;
(3) Federal and State insurance statutes and
				  regulations governing workers' compensation;
(4) Stakeholders-----roles, responsibilities,
				  ethical considerations, and goals;
(5) Maryland Nurse Practice Act;
				  and
(6) Case management, including:
(a) Assessment,
(b) Planning,
(c) Implementation,
(d) Evaluation,
(e) Written reporting, and
(f) Communication.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.09 - Faculty

Current through Register Vol. 51, No. 14, July 12, 2024
A. Qualifications.
				  Faculty shall hold a:
(1) Current license in
				  Maryland to practice registered nursing or a multistate licensure privilege to
				  practice registered nursing; and
(2) Certification as a case manager by a
				  certifying body recognized by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.16 - Registered Nurse - Workers' Compensation Medical Case Manager › Section 10.27.16.10 - Unlawful Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. Unless
				  authorized to practice under this chapter, an individual may not use the words
				  "registered nurse-workers' compensation medical case manager", RN-WCCM, or any
				  other words, letters, or symbols with the intent to represent that the
				  individual is a registered nurse-workers' compensation medical case
				  manager.
B. An individual certified
				  under this chapter is subject to disciplinary sanctions set forth in Health
				  Occupations Article, Title 8, Annotated Code of Maryland.
C. An individual may not practice medical
				  case management for the Commission unless authorized under this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.17 - Teletherapy › Section 10.27.17.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to all certified registered nurse
					 practitioners/psychiatric mental health (CRNP/PMH) and psychiatric mental
					 health/advanced practice registered nurses (PMH/APRN) in Maryland, with a
					 specialty certification in psychiatric mental health, who will be providing
					 behavioral health services using teletherapy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.17 - Teletherapy › Section 10.27.17.02 - 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) "Certified registered nurse
				  practitioner/psychiatric mental health (CRNP/PMH)" means a certified registered
				  nurse practitioner who:
(a) Is certified by
				  the Board as a certified registered nurse practitioner in the practice of
				  psychiatric mental health; and
(b)
				  Autonomously and independently engages in activities authorized by this chapter
				  and in accordance with COMAR 10.27.07.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.17 - Teletherapy › Section 10.27.17.03 - Licensure

Current through Register Vol. 51, No. 14, July 12, 2024
An individual shall be licensed as a registered nurse in
					 Maryland, or have an active multistate licensure privilege to practice as a
					 registered nurse in Maryland, and be certified by the Board as a CRNP/PMH or
					 PMH/APRN in order to provide teletherapy services in Maryland if either the
					 client or the CRNP/PMH or PMH/APRN is physically located in
					 Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.17 - Teletherapy › Section 10.27.17.04 - Teletherapy

Current through Register Vol. 51, No. 14, July 12, 2024
A. In order to
				  provide teletherapy services to a client, a CRNP/PMH or PMH/APRN shall have:
(1) Established a client-therapist
				  relationship;
(2) Performed a
				  mental status assessment;
(3)
				  Established a diagnosis;
(4)
				  Developed a treatment plan; and
(5)
				  Obtained an informed consent from the client to provide teletherapy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.17 - Teletherapy › Section 10.27.17.05 - Standards of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  CRNP/PMH or PMH/APRN providing teletherapy services shall be held to the same
				  standards of practice and documentation as those applicable in in-person health
				  care settings.
B. A CRNP/PMH or
				  PMH/APRN may not treat a patient or prescribe medication based solely on an
				  online questionnaire.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.17 - Teletherapy › Section 10.27.17.06 - Discipline

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall
				  use the same standards in evaluating and investigating a complaint and
				  disciplining a CRNP/PMH or PMH/APRN who provides teletherapy as it would use
				  for a CRNP/PMH or PMH/APRN who is not.
B. A CRNP/PMH or PMH/APRN who provides
				  teletherapy services and fails to comply with this chapter may be subject to
				  discipline under Health Occupations Article, §
										8-316, Annotated
				  Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.18 - Monetary Penalties › Section 10.27.18.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter establishes standards for the imposition of
					 monetary penalties not exceeding $5,000 against a registered nurse, licensed
					 practical nurse, or advanced practice registered nurse if the Board finds that
					 there are grounds to take action under Health Occupations Article, §
										8-316, Annotated
					 Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.18 - Monetary Penalties › Section 10.27.18.02 - 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) "Board" means the Board of
				  Nursing.
(2) "Licensee" means,
				  unless the context requires otherwise, a registered nurse, a licensed practical
				  nurse, or an advanced practice registered nurse as defined in Health
				  Occupations Article, §
											8-101, Annotated
				  Code of Maryland.
(3) "Penalty"
				  means monetary fine.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.18 - Monetary Penalties › Section 10.27.18.03 - Imposition of Penalty Generally

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The Board may impose a penalty against a licensee if the Board finds that there
				  are grounds to take action against the licensee pursuant to Health Occupations
				  Article, §
										8-316, Annotated
				  Code of Maryland.
B. The penalty in
				  §A of this regulation may be imposed instead of or in addition to
				  suspending or revoking the license, reprimanding the licensee, or placing the
				  licensee on probation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.18 - Monetary Penalties › Section 10.27.18.04 - Imposition of Penalties on Licensees

Current through Register Vol. 51, No. 14, July 12, 2024
A. A penalty of not less than $100 or more
				  than $1,000 may be imposed by the Board on a licensee if found guilty of any of
				  the following:
(1) Filing a false report or
				  record of an individual under the licensee's care;
(2) Giving any false or misleading
				  information about a material matter in an employment application;
(3) Failing to file or record any health
				  record that is required by law;
(4)
				  Obstructing the filing or recording of any health record as required by
				  law;
(5) Inducing another
				  individual to fail to file or record any health record as required by
				  law;
(6) Violating any provision of
				  Health Occupations Article, §
											8-316, Annotated
				  Code of Maryland;
(7) Submitting a
				  false statement to collect a fee;
(8) Being professionally, physically, or
				  mentally incompetent;
(9) Providing
				  professional services while:
(a) Under the
				  influence of alcohol, or
(b) Using
				  any narcotic or controlled dangerous substance, as defined in Criminal Law
				  Article, Annotated Code of Maryland, or other drug that is in excess of
				  therapeutic amounts or without valid medical indication;
(10) Knowingly failing to report suspected
				  child abuse in violation of Family Law Article, §
											5-704, Annotated Code of
				  Maryland;
(11) Refusing,
				  withholding, denying, or discriminating against an individual with regard to
				  the provision of professional services for which the licensee is licensed and
				  qualified to render care because the individual is HIV positive;
(12) Except in an emergency life-threatening
				  situation where it is not feasible or practicable, failing to comply with the
				  guidelines on universal precautions which are incorporated by reference in
				  COMAR 10.06.01.02B(13);
(13) Being in independent practice and
				  failing to display the notice required under Health Occupations Article, §
											8-506, Annotated
				  Code of Maryland;
(14) Failing to
				  begin to fulfill a public service requirement within 1 year of when the
				  assignment is to begin that was a condition of the applicant or licensee
				  receiving State or federal loans or scholarships for the applicant's or
				  licensee's nursing education; or
(15) Being expelled from the Safe Practice
				  Program established pursuant to Health Occupations Article, §
											8-208, Annotated
				  Code of Maryland, for failure to comply with the conditions of the
				  program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.18 - Monetary Penalties › Section 10.27.18.05 - Payment of Monetary Penalties

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The licensee shall pay all fines by cashier's check or money order made payable
				  to the Board and delivered personally or by certified mail to the Board within
				  60 days of the date of the order.
B. The Board shall pay all monies collected
				  by the Board pursuant to these regulations into the general fund of the
				  State.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.19 - Code of Ethics › Section 10.27.19.01 - 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) Abandonment.
(a) "Abandonment" means:
(i) Termination by a nurse of a client
				  assignment which had been accepted by the nurse, without reasonable
				  notification to the immediate supervisor to allow for the continuation of the
				  client's care;
(ii) In the case of
				  a natural disaster or a federal, State, county, or city declaration of an
				  emergency, refusal by a nurse of an assignment, mandatory overtime, or both;
				  or
(iii) In the case of a private
				  duty assignment or hospice, if the nurse is the sole provider of care, failure
				  to report for assigned duty or leaving the client unattended at the end of the
				  assigned shift without prior notification to the nursing supervisor, the
				  cognitive capable adult client, or the client's designated
				  representative.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.19 - Code of Ethics › Section 10.27.19.02 - Ethical Responsibilities

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  A nurse shall:
(1) Provide services with
				  respect for human dignity and the uniqueness of a client unrestricted by
				  consideration of social or economic status, religious affiliation, personal
				  attributes, or the nature of health problems;
(2) Safeguard a client's right to privacy by
				  maintaining confidentiality of information;
(3) Act to safeguard a client and the public
				  if health care and safety are affected by the incompetent, unethical, or
				  illegal practice of any person;
(4)
				  Promptly report a breach of confidentiality or privacy;
(5) Assume responsibility and accountability
				  for individual nursing judgments and actions;
(6) Maintain competence in nursing;
(7) Exercise informed judgment and use
				  individual competence and qualifications as criteria in seeking consultation,
				  accepting responsibilities, and delegating nursing activities to others;
				  and
(8) Inform the Board regarding
				  unethical conduct by another licensed nurse.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.19 - Code of Ethics › Section 10.27.19.03 - Penalties

Current through Register Vol. 51, No. 14, July 12, 2024
Violation of this chapter may result in the Board taking
					 disciplinary action against a nurse pursuant to Health Occupations Article,
					 §
										8-316, Annotated
					 Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.20 - Management of Infusion Therapy by the Registered Nurse and the Licensed Practical Nurse › Section 10.27.20.01 - Exclusion from Regulations

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter is not applicable to, and does not restrict or
					 limit, other health care practitioners who are authorized to perform these
					 duties under their respective laws.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.20 - Management of Infusion Therapy by the Registered Nurse and the Licensed Practical Nurse › Section 10.27.20.03 - Education

Current through Register Vol. 51, No. 14, July 12, 2024
To perform infusion therapy, the licensee shall:
A. Complete an infusion therapy program of
				  study which contains didactic content and a clinical practicum consistent with
				  the standards of practice established by the INS or other bodies approved by
				  the Board that includes but is not limited to:
(1) Infusion access devices;
(2) Selected infusates, blood, and blood
				  components;
(3) Nursing assessment
				  and monitoring skills required for the infusion therapy acts to be
				  performed;
(4) Management of
				  complications related to the infusion therapy and access devices; and
(5) Delivery devices;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.20 - Management of Infusion Therapy by the Registered Nurse and the Licensed Practical Nurse › Section 10.27.20.04 - Infusion Therapy Acts - General

Current through Register Vol. 51, No. 14, July 12, 2024
The licensee shall comply with the employer's written
					 policies and procedures which are in compliance with this chapter regarding
					 infusion therapy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.20 - Management of Infusion Therapy by the Registered Nurse and the Licensed Practical Nurse › Section 10.27.20.05 - Infusion Therapy Acts - LPN

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The LPN may perform the following infusion therapy acts for peripheral and
				  subcutaneous infusions when there is an RN on site or available by telephone:
(1) Calculate and adjust flow rate including
				  pumps;
(2) Observe and report on:
(a) Insertion site, and
(b) Objective and subjective signs of adverse
				  reactions to infusion therapy;
(3) Change the dressing on the insertion
				  site;
(4) Change the administration
				  set;
(5) Insert subcutaneous needle
				  or catheter to:
(a) Rotate sites for an
				  existing infusion, and
(b)
				  Administer a medication which is routine for the patient;
(6) Insert a peripheral IV needle or catheter
				  (excluding midline) to:
(a) Withdraw a blood
				  specimen, or
(b) Initiate IV
				  fluids;
(7) Remove a
				  peripheral and subcutaneous IV needle or catheter;
(8) Flush a peripheral and midline IV
				  device;
(9) Convert an existing
				  continuous infusion to an intermittent infusion;
(10) Convert an intermittent infusion to a
				  continuous infusion;
(11) Change
				  injection cap;
(12) Insert device
				  and initiate hypodermoclysis and add replacement solutions; and
(13) Administer medication via a peripheral
				  IV line (including midline) using:
(a)
				  Pharmacy-prepared medication, and
(b) PPN solutions; and
(14) Add medications to an intravenous
				  solution.