Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 27 - BOARD OF NURSING › Chapter 10.27.10 - Standards of Practice for Licensed Practical Nurses › Section 10.27.10.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  terms have the meanings indicated.
B. Terms Defined.
(1) "Assessment" means the act of gathering
				  and identifying data about the client.
(2) "Assign" means the transfer of
				  responsibility from one nurse to another, each having legal authority to
				  perform the function as permitted by the licensee's scope of
				  practice.
(3) "Board" means the
				  Board of Nursing.
(4) "Case
				  management" means a collaborative process that assesses, plans, implements,
				  coordinates, monitors, and evaluates options and services to meet the client's
				  health needs through enhanced communication and use of available resources to
				  promote quality client outcomes and cost effective care.
(5) "Client" means an individual who is under
				  the licensee's direct or indirect care.
(6) Comprehensive Nursing Assessment.
(a) "Comprehensive nursing assessment" means
				  an assessment performed by a registered nurse which is the foundation for the
				  analysis of the assessment data to determine:
(i) The nursing diagnosis;
(ii) Expected client outcomes; and
(iii) The client's plan of care.
(b) "Comprehensive nursing
				  assessment" includes, but is not limited to:
(i) Extensive initial and ongoing data
				  collection for individuals, families, groups, and communities;
(ii) A focused nursing assessment;
(iii) Past history, current health status,
				  and potential changes in the client's condition;
(iv) Identification of alterations to the
				  client's previous condition; and
(v) Synthesis of the biological,
				  psychological, spiritual, and social aspects of the client's
				  condition.
(7) "Contributes" means to participate as a
				  team member in the nursing team relationship.
(8) "Delegating" means the act of authorizing
				  an unlicensed individual, a certified nursing assistant, or a certified
				  medication technician to perform selected acts of registered nursing or
				  licensed practical nursing.
(9)
				  "Evaluation" means the review and analysis of the extent to which the
				  assessment, planning, and implementation were effective in resolving the
				  client's health problem.
(10)
				  Focused nursing assessment.
(a) "Focused
				  nursing assessment" means an appraisal of a client's current health status and
				  situation at hand;
(b) "Focused
				  nursing assessment" includes the reporting of information to other members of
				  the health care team.
(11) "Goal" means a measurable result to be
				  achieved by a client which is either long- or short-term.
(12) "Implementation" means the carrying out
				  of the nursing plan of care.
(13)
				  "Licensed nurse" means a licensed practical nurse or registered
				  nurse.
(14) "Licensed practical
				  nurse (LPN)" means an individual who is licensed by the Board to practice
				  licensed practical nursing or holds a multistate licensure privilege to
				  practice licensed practical nursing.
(15) "Multistate licensure privilege" has the
				  meaning set forth in COMAR
				  10.27.01.01B.
(16) "Nursing plan of care" means
				  an established set of goals, priorities, and methods designed to solve,
				  prevent, and manage a client's identified problems.
(17) "Nursing team relationship" means that
				  each licensed or certified individual who participates in providing care for a
				  client is a part of the nursing team.
(18) " Nursing triage" means the systematic
				  collection of client data at the client's point of entry or re-entry into the
				  health care system for the purpose of sorting clients by acuity levels to
				  determine the allocation of available health care resources to direct each
				  client to the right health care provider at the right time.
(19) "Record" means a written retrievable
				  document containing the client's health information.
(20) "Registered
				  nurse (RN)" means an individual who:
(a) Is
				  licensed by the Board to practice registered nursing; or
(b) Who holds a multistate licensure
				  privilege to practice registered nursing.
(21) Standards of Licensed Practical Nurse
				  Practice"
(a) "Standards of licensed practical
				  nurse practice" means the minimum criteria to which the licensed nurse shall
				  adhere in the practice of licensed practical nursing.
(b) "Standards of licensed practical nurse
				  practice" includes standards of professional performance as described in
				  Regulation .03 of this chapter.
(22) "Supervision" means the process of
				  critically watching an individual's performance with the intention of
				  evaluating and directing the individual's performance in the delivery of
				  nursing care.
(23) "Support" means
				  to promote, assist, or help.