reglab/statecodes huggingface dataset:
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 10.27.20.06 - Infusion Therapy Acts - RN

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  In addition to all previously identified procedures in Regulations .04 and
				  .05A-C of this chapter, the RN may perform the following procedures:
(1) Administer medication via IV
				  "push";
(2) Initiate subcutaneous
				  infusion of medication; and
(3)
				  Provide care and manage arterial catheters and arterial ports by:
(a) Changing IV administration set;
(b) Flushing or aspirating;
(c) Changing dressing;
(d) Obtaining blood specimens;
(e) Accessing and de-accessing; and
(f) Changing injection cap.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.21 - Registered Nurse - Forensic Nurse Examiner › Section 10.27.21.01 - 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 to perform these duties under the Maryland
				  Health Occupations Article; or
B. A
				  licensed practical or registered nurse from acting as a chaperone during a
				  forensic examination.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.21 - Registered Nurse - Forensic Nurse Examiner › Section 10.27.21.03 - Authorization to Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  individual may be certified as:
(1) A
				  registered nurse forensic nurse examiner-adult (RN-FNE-A);
(2) A registered nurse forensic nurse
				  examiner-pediatric (RN-FNE-P); or
(3) A registered nurse forensic nurse
				  examiner-adult/pediatric (RN-FNE-AP).
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.21 - Registered Nurse - Forensic Nurse Examiner › Section 10.27.21.04 - Scope and Standards of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. An RN-FNE may perform the following tasks
				  and functions with respect to the age group for which the RN-FNE is certified
				  under Regulation .03 of this chapter:
(1)
				  Perform forensic evidentiary examinations on victims and alleged perpetrators
				  in connection with physical, sexual, or domestic assaults, whether chronic or
				  acute;
(2) Before the forensic
				  evidentiary examination, obtain consent from the individual being examined,
				  from the parent or guardian of a minor individual, or from the proper authority
				  for photographing and evidence collection;
(3) Prepare and document the assault history
				  interview;
(4) Perform the forensic
				  evidentiary physical assessment, which may include use of an ALS;
(5) Complete the physical evidence kit
				  provided by law enforcement;
(6)
				  Gather, preserve, handle, document, and label forensic evidence, including but
				  not limited to:
(a) Labeling evidence
				  collection containers with the patient's identifying data per local
				  jurisdiction requirements;
(b)
				  Placing evidence in the evidence collection container and sealing the
				  container;
(c) Signing the evidence
				  collection container as the collector of the evidence;
(d) Taking photographs; and
(e) Obtaining swabs, smears, and hair and
				  body fluid samples;
(7)
				  Maintain the chain of custody;
(8)
				  Provide immediate health interventions using clinical practice
				  guidelines;
(9) Obtain
				  consultations and make referrals to health care personnel and community
				  agencies;
(10) Provide immediate
				  crisis intervention at the time of the examination;
(11) Provide discharge
				  instructions;
(12) Participate in
				  forensic proceedings including courtroom testimony;
(13) Interface with law enforcement
				  officials, crime labs, and State attorney's offices; and
(14) Assist the licensed physician in
				  performing a forensic evidentiary examination.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.21 - Registered Nurse - Forensic Nurse Examiner › Section 10.27.21.05 - Standards for Training Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall approve two RN-FNE
				  standardized curricula as follows:
(1) An
				  RN-FNE-Adult curriculum for the examination of adults and individuals 13 years
				  old or older; and
(2) An
				  RN-FNE-Pediatric curriculum for the examination of children who are younger
				  than 13 years old.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.21 - Registered Nurse - Forensic Nurse Examiner › Section 10.27.21.06 - Certification by Endorsement

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Endorsement Applicant.
(1) In addition to the
				  requirement listed in Regulation .03 of this chapter and COMAR
				  10.27.01.09B, an
				  applicant from another state applying for certification to practice as a
				  RN-FNE, RN-FNE-P, or RN-FNE-AP shall:
(a) Meet
				  all applicable requirements in §§B-C of this regulation;
(b) Provide evidence of an active practice as
				  a sexual assault nurse examiner which meets the requirements for renewal of
				  certification as stated in Regulation .07 of this chapter;
(c) Demonstrate competency of a three orifice
				  evidentiary examination by simulation as verified by a Board approved RN-FNE
				  educator;
(d) Complete the
				  endorsement process within 6 months from the date of initial
				  application;
(e) Complete in full
				  the application for certification in the area of specialization; and
(f) Pay all fees established by the Board in
				  COMAR 10.27.01.02B.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.21 - Registered Nurse - Forensic Nurse Examiner › Section 10.27.21.07 - Renewal of Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Certification to practice as a FNE expires at the same time as the RN
				  license.
B. Beginning January 1,
				  2016, renewal requirements will change to reflect the 2-year biennial license
				  renewal that was implemented during 2015.
C. An FNE who has an even-numbered birth year
				  shall be required:
(1) Beginning January 1,
				  2016, to complete the renewal requirements under §E of this regulation;
				  and
(2) Beginning January 1, 2018,
				  to complete the renewal requirements under §F of this
				  regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.21 - Registered Nurse - Forensic Nurse Examiner › Section 10.27.21.08 - Reinstatement of Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  If the applicant does not meet the requirements in Regulation .07 of this
				  chapter, the applicant may apply for re-instatement if the applicant:
(1) Either:
(a) Has a current, active RN license;
				  or
(b) Has a multistate licensure
				  privilege to practice registered nursing;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.21 - Registered Nurse - Forensic Nurse Examiner › Section 10.27.21.09 - 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
				  "forensic nurse examiner" or the acronyms "RN-FNE", "RN-FNE-A", "RN-FNE-P", or
				  "RN-FNE-AP", or any other words, letters, or symbols with the intent to
				  represent the individual as any category of RN-FNE.
B. An individual may not use any form of the
				  designation RN-FNE unless authorized by the Board.
C. An individual may not offer to perform or
				  perform the activities of a RN-FNE enumerated in Regulation .04A of this
				  chapter unless certified under this chapter or otherwise permitted by law to
				  engage in these activities.
D. A
				  registered or licensed practical nurse may not perform any task or function
				  listed under Regulation .04A of this chapter unless certified under this
				  chapter.
E. An individual
				  authorized under this chapter to practice as an RN-FNE is subject to the
				  disciplinary prohibitions and sanctions set forth in Health Occupations
				  Article, Title 8, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.22 - Multistate Licensure Compact Regulations › Section 10.27.22.01 - 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) "Board" means the regulatory body
				  responsible for issuing nurse licenses.
(2) "Information System" means the
				  coordinated licensure information system.
(3) "Primary state of
				  residence" means the state of an individual's declared, fixed, permanent, and
				  principal home for legal purposes: domicile.
(4) "Public" means any
				  individual or entity other than designated staff or representatives of party
				  state boards or the National Council of State Boards of Nursing, Inc.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.22 - Multistate Licensure Compact Regulations › Section 10.27.22.02 - Issuance of a License by a Compact Party State

Current through Register Vol. 51, No. 14, July 12, 2024
A. As of July 1, 2005, no applicant for
				  initial licensure will be issued a compact license granting a multistate
				  privilege to practice unless the applicant first obtains a passing score on the
				  applicable NCLKX examination or any predecessor examination used for
				  licensure.
B. Home Party State
				  License.
(1) A nurse applying for a license in
				  a home party state shall produce evidence of the nurse's primary state of
				  residence.
(2) The evidence
				  required in §B(1) of this regulation shall include a declaration signed by
				  the licensee.
(3) Further evidence
				  that may be requested may include but is not limited to a:
(a) Driver's license
				  with a home address;
(b) Voter registration card displaying a home address;
(c) Federal income tax return declaring the primary
				  state of residence;
(d) Military
				  Form No. 2058, State of Legal Residence Certificate; or
(e) W2 form from the United States government
				  or any bureau, division, or agency thereof indicating the declared state of
				  residence.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.22 - Multistate Licensure Compact Regulations › Section 10.27.22.03 - Limitations on Multistate Licensure Privilege - Discipline

Current through Register Vol. 51, No. 14, July 12, 2024
A. Home state
				  boards shall include, in all disciplinary orders or agreements that limit
				  practice or require monitoring, the requirement that the licensee subject to
				  the order or agreement shall limit the licensee's practice to the home state
				  during the pendency of the disciplinary order or agreement.
B. The requirement referred to in §A of
				  this regulation may, in the alternative, allow the nurse to practice in other
				  party states with prior written authorization from both the home state and
				  other party state boards.
C. An
				  individual who had a license which was surrendered, revoked, or suspended, or
				  an application denied for cause in a prior state of primary residence, may be
				  issued a single state license in a new primary state of residence until such
				  time as the individual would be eligible for an unrestricted license by the
				  prior state or states where there was an adverse action.
D. Once eligible for licensure in the prior
				  state or states, a multistate license may be issued.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.22 - Multistate Licensure Compact Regulations › Section 10.27.22.04 - Information System

Current through Register Vol. 51, No. 14, July 12, 2024
A. Levels of
				  Access.
(1) Public access to nurse licensure
				  information shall be limited to:
(a) The
				  licensee's name;
(b) Jurisdictions
				  of licensure;
(c) Licensure
				  expiration date;
(d) Licensure
				  classification and status;
(e)
				  Public emergency, summary, and final disciplinary actions, as defined by
				  contributing state authority; and
(f) The status of multistate licensure
				  privileges.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.23 - Code of Conduct for Board Members and Investigators › Section 10.27.23.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter establishes a code of conduct for:
A. Members of Board of Nursing; and
B. Investigators employed by the Board of
				  Nursing.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.23 - Code of Conduct for Board Members and Investigators › Section 10.27.23.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicted.
B. Terms Defined.
(1) "Board" means the Board of
				  Nursing.
(2) "Board member" means
				  an individual appointed by the Governor to serve on the Board.
(3) "Charging document" means the notice from
				  the Board pursuant to State Government Article, §
											10-208, Annotated
				  Code of Maryland, which informs a licensee of an alleged violation or
				  violations of a Board's statute by the licensee.
(4) "Complaint" means a communication to a
				  Board of a possible violation of the disciplinary provisions outlined in Health
				  Occupations Code, Title 8, Annotated Code of Maryland.
(5) "Conflict of interest" means a situation
				  in which a personal interest of a Board member or a Board investigator presents
				  a potential conflict with the public interest in connection with an anticipated
				  public action or decision.
(6) "Ex
				  parte communication" means a direct or indirect communication between a Board
				  member and another party regarding the merits of an issue in a pending
				  contested disciplinary case, if the communication is made outside the presence
				  of the opposing party.
(7)
				  "Investigator" means an individual who investigates complaints received by the
				  Board.
(8) "Recusal" means
				  nonparticipation of a Board member in a specific matter before the
				  Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.23 - Code of Conduct for Board Members and Investigators › Section 10.27.23.03 - Recusal of Board Members

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Standard for Recusal.
(1) A Board member
				  shall recuse himself or herself from Board proceedings which involve situations
				  in which the Board member:
(a) Has a conflict
				  of interest; or
(b) Cannot
				  participate fairly and impartially.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.23 - Code of Conduct for Board Members and Investigators › Section 10.27.23.04 - Investigator

Current through Register Vol. 51, No. 14, July 12, 2024
A. An investigator
				  may not conduct or participate in an investigation of a complaint in which the
				  investigator has a conflict of interest.
B. In the investigation of a complaint
				  against a member of a Board, the Board may consider using an investigator other
				  than the investigator who is regularly assigned to conduct investigations for
				  the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.23 - Code of Conduct for Board Members and Investigators › Section 10.27.23.05 - Confidentiality

Current through Register Vol. 51, No. 14, July 12, 2024
A. A Board member
				  or investigator may not discuss disciplinary or other confidential matters with
				  a person other than:
(1) A Board
				  member;
(2) Board staff;
(3) The Attorney General's Office;
(4) A witness; or
(5) Another person authorized by law to be
				  involved in the case.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.24 - Compelling Purpose Disclosure › Section 10.27.24.01 - Disclosure for Compelling Public Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
A custodian of Board records may find that a compelling
					 public purpose warrants disclosure of information in a certification,
					 licensing, or investigative file, whether or not there has been a request for
					 the information under the following circumstances:
A. There is possible criminal activity and
				  the disclosure is to a federal, state, or local law enforcement or
				  prosecutorial official or authority;
B. There is possible violation of law and the
				  disclosure is to a federal, state, or local authority that has jurisdiction
				  over the individual whose conduct may be a violation or over a facility in
				  which the individual has practiced and the information disclosed is limited to
				  that information relevant to the possible violation by that individual;
				  or
C. There is conduct by an
				  individual that the Board reasonably believes may pose a risk to the public
				  health, safety, or welfare and the disclosure is to a law enforcement
				  authority, administrative official, or agency that regulates the individual or
				  regulates a facility in which the individual has practiced, or to a hospital or
				  other health care facility where the individual has privileges.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.24 - Compelling Purpose Disclosure › Section 10.27.24.02 - Other Disclosures

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter does not prevent or limit the ability of the
					 Board to disclose general licensing information as provided in State Government
					 Article, §
										10-617(h),
					 Annotated Code of Maryland, or any information which the Board may otherwise
					 disclose by law.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.01 - Exclusion from Regulations

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  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 practice acts.
B. This
				  chapter does not restrict or limit a Maryland Certified Registered Nurse
				  Practitioner from possessing, prescribing, evaluating, or performing the
				  procedures under this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.03 - Procedural Categories

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Procedures designated as Category A shall include body treatments with:
(1) Cellulite lymphatic drainage;
				  and
(2) Cellulite vacuum
				  massage.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.04 - Education

Current through Register Vol. 51, No. 14, July 12, 2024
To administer medication or to perform cosmetic and
					 dermatologic treatments, a nurse shall:
A. Complete a program of study that includes
				  theory appropriate to the medication to be administered and the procedure to be
				  performed that includes, but is not limited to:
(1) Anatomy, physiology, and pathophysiology
				  related to the integumentary system as well as systems specific to the
				  procedure being performed;
(2)
				  Appropriate technique for each cosmetic procedure;
(3) Nursing assessment, cosmetic indications,
				  and contraindications for treatment;
(4) Pharmacology intervention specific to the
				  cosmetic procedure including, but not limited to:
(a) Assessment and monitoring of the
				  receiving the medication;
(b)
				  Effects and potential side effects of the medication;
(c) Contraindications to the administration
				  of the medication;
(d) The ability
				  to anticipate and recognize potential complications of the
				  medication;
(e) The ability to
				  recognize emergency situations and institute appropriate
				  interventions;
(f) Preparation,
				  storing, and handling of the medication; and
(g) Proficiency in administering the
				  medication by the required route;
(5) Selection, maintenance, and utilization
				  of equipment;
(6) Identification of
				  realistic and expected outcomes of the procedure;
(7) Identification of complications or
				  adverse reactions;
(8) Nursing care
				  required and appropriate nursing interventions in the event of complications or
				  untoward outcomes;
(9) Infection
				  control procedures;
(10) Safety
				  precautions appropriate to each procedure;
(11) Documentation appropriate to the type of
				  the procedure being performed; and
(12) Precepted clinical practice by a
				  clinical preceptor that includes documented initial and annual competency of
				  the nurse in each cosmetic procedure the nurse is to perform;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.05 - Cosmetic Procedures in General

Current through Register Vol. 51, No. 14, July 12, 2024
A. The nurse shall comply with the employment
				  setting's written cosmetic policies and procedures that comply with this
				  chapter.
B. The nurse shall be
				  guided by and comply with the written policies and procedures in keeping with
				  recognized standards of care that include, but are not limited to:
(1) Care and maintenance of appropriate
				  equipment and safe operation;
(2)
				  Description of how the procedure is to be performed;
(3) Education;
(4) Assessment;
(5) Emergency procedures;
(6) Monitoring guidelines;
(7) Operator and safety when utilizing
				  equipment;
(8) A continuous quality
				  improvement process which includes, but is not limited to:
(a) Unexpected outcomes;
(b) Side effects; and
(c) Complications;
(9) Obtaining or ensuring that the client's
				  informed consent has been obtained that documents the patient's awareness that
				  it is the licensed nurse who will perform the cosmetic procedure; and
(10) Documenting the performance of the
				  cosmetic procedure including, but not limited to:
(a) Patient response;
(b) Patient education; and
(c) Safety precautions taken on behalf of the
				  patient.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.06 - Cosmetic Procedures - Licensed Practical Nurse

Current through Register Vol. 51, No. 14, July 12, 2024
Except for Category C, the LPN may perform the cosmetic
					 procedures identified in Regulation .03 of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.07 - Cosmetic Procedures - RN

Current through Register Vol. 51, No. 14, July 12, 2024
The RN may perform all of the procedures identified in
					 Regulation .03 of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.08 - Exceptions

Current through Register Vol. 51, No. 14, July 12, 2024
Except for cryotherapy, the nurse may perform the cosmetic
					 procedures identified in Regulation .03 Category F independent of the
					 requirements stated in Regulation .05D of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.25 - Cosmetic Procedures › Section 10.27.25.09 - Prohibited Acts

Current through Register Vol. 51, No. 14, July 12, 2024
A. The licensed
				  nurse may not:
(1) Perform cosmetic procedures
				  on a standing order or protocol;
(2) Perform the pre-procedure medical
				  assessment or evaluation;
(3)
				  Perform medical diagnosis or prescribe cosmetic procedures;
(4) Develop the client treatment
				  plan;
(5) Prescribe medications for
				  cosmetic or dermatological procedures;
(6) Perform the post-procedure medical
				  evaluation of the client; and
(7)
				  Administer injections for the purpose of:
(a)
				  Mesotherapy; and
(b)
				  Lipodissolve.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.26 - Sanctioning Guidelines › Section 10.27.26.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  shall be used by the Board as a guide for sanctioning licensees and certificate
				  holders in formal and informal disciplinary proceedings.
B. The Board shall take into consideration a
				  range of activity within certain types of conduct rather than assigning
				  particular sanctions to each specific violation.
C. There may be conduct by a licensee or
				  certificate holder that does not fall squarely within a particular category of
				  misconduct contained in Regulation .07 of this chapter. In that event, the
				  Board will use its discretion to determine the appropriate category and
				  sanction.
D. The Board shall make
				  determinations that maximize the protection of the public's health while
				  maintaining the rights of licensees and certificate holders.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.26 - Sanctioning Guidelines › Section 10.27.26.02 - 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 Maryland State Board of
				  Nursing.
(2) "Certificate holder"
				  means an individual who has been issued a certificate by the Board to practice
				  as a certified nursing assistant, or a certified medication
				  technician.
(3) "Conditions" means
				  any requirements in a public or nonpublic order that a licensee or certificate
				  holder is required to satisfy, which include, but are not limited to:
(a) Treatment and counseling for a
				  psychological or physical illness, including, but not limited to substance
				  abuse;
(b) Submission to drug and
				  alcohol testing;
(c) Abstinence
				  from specified drugs;
(d)
				  Abstinence from alcohol;
(e)
				  Remedial training;
(f) Inspection
				  of a private practice site;
(g)
				  Monitoring;
(h)
				  Evaluation;
(i)
				  Supervision;
(j) Compliance with a
				  rehabilitation agreement;
(k)
				  Testing of clinical skills;
(l)
				  Submission of written reports;
(m)
				  A demonstration of knowledge or competency;
(n) Submit to a physical or mental health
				  examination;
(o) Limitation of
				  practice; and
(p) Limitation on the
				  administration of prescription or specified drugs to clients.
(4) "Conduct" means behavior or
				  action or a failure to behave or act, which results in a violation of the
				  Maryland Nurse Practice Act or regulations adopted by the Board.
(5) "Licensee" means an individual who:
(a) Has been issued a license by the Board to
				  practice as:
(i) A registered nurse;
(ii) A licensed practical nurse;
(iii) An advanced practice
				  registered nurse;
(iv) An
				  electrologist; or
(v) A licensed
				  direct-entry midwife; or
(b) Has a multistate licensure privilege to
				  practice licensed practical nursing or registered nursing under the Nurse
				  Licensure Compact.
(6)
				  "Multistate licensure privilege" has the meaning set forth in COMAR
				  10.27.01.01B.
(7) "Recklessly" means
				  characterized by the creation of a substantial and unjustifiable risk of harm
				  to others and by a conscious, sometimes deliberate, disregard for or
				  indifference to that risk.
(8)
				  "Sanction" means a disciplinary action against a licensee or certificate
				  holder, including a reprimand, probation, suspension, revocation, or a monetary
				  penalty.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.26 - Sanctioning Guidelines › Section 10.27.26.03 - Application

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter is
				  not applicable to cases in which the Board, after investigating a matter,
				  decides to issue a public advisory letter in lieu of discipline in accordance
				  with Health Occupations Article, §
										8-317(h)
				  or 8-6 B-19(h), Annotated Code of Maryland.
B. This chapter is not applicable to:
(1) An individual seeking an initial license
				  or certificate; or
(2) The summary
				  suspension of a licensee or certificate holder under State Government Article,
				  §
											10-226, Annotated
				  Code of Maryland, or Health Occupations Article, §
											8-317(g),
				  Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.26 - Sanctioning Guidelines › Section 10.27.26.04 - Aggravating and Mitigating Factors

Current through Register Vol. 51, No. 14, July 12, 2024
A. Depending on the facts and circumstances
				  of each case, and to the extent that the facts and circumstances apply, the
				  Board may consider aggravating and mitigating factors in determining whether
				  the sanction in a particular case should fall outside the range of sanctions
				  established by the sanctioning guidelines set forth in Regulation .07 of this
				  chapter.
B. Aggravating factors
				  include, but are not limited to:
(1) A prior
				  criminal or administrative discipline history;
(2) Whether the violation was committed:
(a) Deliberately
(b) With gross negligence; or
(c) Recklessly;
(3) Whether the violation has the potential
				  for, or caused, serious harm;
(4)
				  Whether the violation was a part of a pattern of unacceptable
				  conduct;
(5) Whether the licensee
				  or certificate holder pursued their own financial gain over another
				  individual's welfare;
(6) Whether
				  the individual affected by the violation was vulnerable;
(7) Whether the licensee or certificate
				  holder attempted to hide the error or misconduct from clients or
				  others;
(8) Whether the licensee or
				  certificate holder:
(a) Concealed, falsified,
				  or destroyed evidence; or
(b)
				  Presented false testimony or evidence;
(9) Whether the licensee or certificate
				  holder failed to cooperate with a lawful investigation conducted by the Board;
				  and
(10) Whether previous attempts
				  to rehabilitate the licensee or certificate holder were unsuccessful.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.26 - Sanctioning Guidelines › Section 10.27.26.05 - Imposition of a Monetary Penalty

Current through Register Vol. 51, No. 14, July 12, 2024
A. Instead of or in addition to a reprimand,
				  probation, suspension, or revocation, the Board may impose a monetary penalty
				  in accordance with Health Occupations Article, §
										8-316(b),
				  8-6 A-10(b), or 8-6B-20, Annotated Code of Maryland.
B. Subject to consideration of the
				  aggravating and mitigating factors set forth in Regulation .04 of this chapter,
				  if the Board elects to impose a monetary penalty, the Board shall use the
				  sanctioning guidelines set forth in Regulation .07 of this chapter to determine
				  an appropriate monetary penalty.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.26 - Sanctioning Guidelines › Section 10.27.26.06 - Payment of a Monetary Penalty

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The licensee or certificate holder shall pay any monetary penalty imposed by
				  the Board under the provisions of this chapter:
(1) By cashier's check or money order made
				  payable to the Board;
(2) Within 60
				  days of the date of the order; and
(3) In person or by certified mail to the
				  Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.27 - Practice of Clinical Nurse Specialist › Section 10.27.27.01 - 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) "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 10.27.27 - Practice of Clinical Nurse Specialist › Section 10.27.27.02 - Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant for
				  certification as a clinical nurse specialist shall:
(1) Hold a current Maryland license in good
				  standing to practice registered nursing or a multistate licensure privilege to
				  practice registered;
(2) Have
				  graduated from a Board-approved graduate level education program for a clinical
				  nurse specialist at the master's level or higher that is accredited by;
(a) The National League for Nursing
				  Accreditation Commission (NLNAC);
(b) The Commission on Nursing Education
				  (CCNE); or
(c) Any other
				  accrediting body recognized by the Board;
(3) Successfully complete a national
				  certifying exam recognized by the Board for national certification as a
				  clinical nurse specialist in the applicant's area of practice;
(4) Hold a current national certification as
				  a clinical nurse specialist from a national certifying body recognized by the
				  Board;
(5) Submit to the Board a
				  completed application for certification as a clinical nurse specialist on a
				  form required by the Board;
(6)
				  Comply with all requirements set forth in COMAR
				  10.27.01.04;
(7) Demonstrate oral and written 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 10.27.27 - Practice of Clinical Nurse Specialist › Section 10.27.27.03 - Renewal of Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Certification as a clinical nurse specialist expires at the same time as the
				  clinical nurse specialist's registered nursing license.
B. Before a clinical nurse specialist's
				  certification expires, the clinical nurse specialist may renew the
				  certification biennially if 'the clinical nurse specialist:
(1) Is otherwise entitled to be certified;
(2)
				  Submits to the Board:
(a) A completed renewal
				  application for clinical nurse specialists on a form that the Board requires;
				  and
(b) Documentation of current
				  national certification as a clinical nurse specialist from a national
				  certifying body recognized by the Board; and
(3) Pays all fees.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.27 - Practice of Clinical Nurse Specialist › Section 10.27.27.04 - Scope and Standards of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. The unique
				  role of the clinical nurse specialist is to:
(1) Integrate care across the continuum and
				  through three spheres of impact:
(a) The
				  patient;
(b) The nurse;
				  and
(c) The system;
				  and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.27 - Practice of Clinical Nurse Specialist › Section 10.27.27.05 - Practice Before Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  A registered nurse who has completed the education requirements for the
				  advanced practice of a clinical nurse specialist and has registered for a
				  national certifying exam recognized by the Board may practice in this State as
				  a clinical nurse specialist graduate if the registered nurse has:
(1) A current license to practice registered
				  nursing in this State or holds a multistate licensure privilege to practice
				  registered nursing;
(2) Submitted a
				  completed application for certification as a clinical nurse specialist
				  graduate; and
(3) Submitted
				  satisfactory evidence that the applicant has applied to take a national
				  certifying exam recognized by the Board and has been accepted as a candidate
				  for the exam.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.27 - Practice of Clinical Nurse Specialist › Section 10.27.27.06 - Practice Before Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Unless authorized to practice under this chapter, an individual may not use the
				  following words or abbreviations:
(1)
				  Certified clinical nurse specialist;
(2) Clinical nurse specialist
				  (CNS);
(3) Clinical Registered
				  Nurse Specialist (CRNS);
(4)
				  Clinical nurse specialist graduate; or
(5) Nurse specialist graduate.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.01 - Telehealth › Section 10.28.01.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the practice of optometry using telehealth as an adjunct to, or
				  replacement for, in-person patient visits.
B. Nothing in this chapter restricts or
				  limits reimbursement requirements pursuant to Health-General Article and
				  Insurance Article, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.01 - Telehealth › Section 10.28.01.02 - 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) "Asynchronous" means not occurring in
				  real time.
(2) "In-person" means
				  within the physical presence of the patient.
(3) "Interpretive services" means reading and
				  analyzing images, tracings, or specimens through telehealth or giving
				  interpretations based on visual, auditory, thermal, or ultrasonic patterns or
				  other patterns as may evolve with technology.
(4) "Synchronous" means occurring in real
				  time.
(5) "Telehealth" has the
				  meaning stated in Health Occupations Article, §
											1-1001, Annotated
				  Code of Maryland.
(6) "Telehealth
				  practitioner" means a Maryland licensed optometrist performing telehealth
				  services within the scope of practice.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.01 - Telehealth › Section 10.28.01.03 - Licensure

Current through Register Vol. 51, No. 14, July 12, 2024
Subject to the provisions of Health Occupations Article,
					 §
										11-301, Annotated
					 Code of Maryland, a telehealth practitioner shall be licensed in Maryland when
					 providing telehealth services to a patient located in the
					 State.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.01 - Telehealth › Section 10.28.01.04 - Standards of Practice for Telehealth

Current through Register Vol. 51, No. 14, July 12, 2024
A. Before
				  performing telehealth services, a telehealth practitioner shall develop and
				  follow a procedure to:
(1) Verify the
				  identification of the patient receiving telehealth services through the use of:
(a) A government-issued photograph
				  identification;
(b) An insurance,
				  Medicaid, or Medicare card; or
(c)
				  Documentation of the patient's:
(i) Date of
				  birth; and
(ii) Home
				  address;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.01 - Telehealth › Section 10.28.01.05 - Patient Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
A. Subject to
				  the provisions of Health Occupations Article, §
										11-208, Annotated
				  Code of Maryland, a telehealth practitioner shall:
(1) Perform a synchronous or asynchronous
				  clinical patient evaluation that is appropriate for the patient and the
				  condition with which the patient presents before providing treatment or issuing
				  a prescription through telehealth; and
(2) If clinically appropriate for the
				  patient, provide or refer a patient to:
(a)
				  In-person health care services; or
(b) Another type of telehealth
				  service.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.01 - Telehealth › Section 10.28.01.06 - Telehealth Practitioner Discipline

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board
				  shall use the same standards of evaluating and investigating a complaint about
				  and in disciplining a licensee who practices telehealth as it would use for a
				  licensee who does not use telehealth technology in the licensee's
				  practice.
B. The failure of a
				  telehealth practitioner to comply with Regulations .04 and .05 of this chapter
				  shall constitute unprofessional conduct and may be subject to disciplinary
				  action by the Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.02 - Continuing Education Requirements › Section 10.28.02.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This regulation governs all optometrists licensed to
					 practice in the State of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.02 - Continuing Education Requirements › Section 10.28.02.02 - 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) "Accredited" means continuing education
				  activities produced and delivered by:
(a) COPE
				  administrators in compliance with COPE accreditation criteria, standards for
				  commercial support, and policies and procedures; or
(b) Non-COPE administrators in compliance
				  with a program accepted as substantially equivalent to the Accreditation
				  Council for Continuing Medical Education (ACCME) accreditation system.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.02 - Continuing Education Requirements › Section 10.28.02.03 - Registration Renewal

Current through Register Vol. 51, No. 14, July 12, 2024
A. A licensee
				  shall submit a signed form attesting to the licensee's completion of the
				  required credit hours at the time of license renewal.
B. A licensee shall retain supporting
				  documents for inspection by the Board for 4 years after the date of
				  renewal.
C. If a licensee submits
				  the renewal form after the deadline, the Board shall:
(1) Assess a late fee; and
(2) Audit the licensee.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.02 - Continuing Education Requirements › Section 10.28.02.04 - Continuing Education Audit Procedure

Current through Register Vol. 51, No. 14, July 12, 2024
A. At the time of renewal, the Board shall
				  audit a minimum of 20 percent of the renewal applications.
B. The Board shall send notification of audit
				  to licensees to be audited.
C. The
				  licensee being audited shall submit to the Board, within 60 days, a report of
				  the continuing education hours required for renewal on a form approved by the
				  Board, along with the appropriate documentation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.02 - Continuing Education Requirements › Section 10.28.02.05 - Required Credit and Other Course Credit

Current through Register Vol. 51, No. 14, July 12, 2024
A. Credit for continuing professional
				  education shall be :
(1) Accredited;
				  or
(2) Approved by the Board solely
				  on whether or not it constitutes improvement, advancement, and extension of
				  one's professional skill and knowledge relating to the practice of
				  optometry.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.02 - Continuing Education Requirements › Section 10.28.02.06 - Proof of Education

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each
				  optometrist is responsible for obtaining proof of hour credits and maintaining
				  this documentation for inspection by the Board for 4 years after the date of
				  renewal.
B. To obtain credit, one's
				  participation shall be attested to in writing by someone in charge of the
				  program.
C. Failure to do so shall
				  be grounds for nonrenewal of the license.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.02 - Continuing Education Requirements › Section 10.28.02.07 - Change of Annual Requirements of Number of Hours

Current through Register Vol. 51, No. 14, July 12, 2024
The Board, by majority vote, may change the number of
					 required hours of continuing education, subject to the requirements in Health
					 Occupations Article, §
										11-309, Annotated
					 Code of Maryland. An optometrist shall be notified of any change at the time of
					 the renewal of the optometrist's license. The change is effective for the year
					 following that renewal.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 28 - BOARD OF EXAMINERS IN OPTOMETRY › Chapter 10.28.02 - Continuing Education Requirements › Section 10.28.02.08 - Severability

Current through Register Vol. 51, No. 14, July 12, 2024
If any provision of these regulations or the application
					 thereof to any person or circumstances is held invalid, this invalidity may not
					 affect other provisions or applications of these regulations which can be given
					 effect without the invalid provision or application, and to this end, the
					 provisions of these regulations are declared severable.