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 10.27.11.02 - 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) "Accountability" means being answerable
				  for actions of self or others.
(2)
				  "Board" means the Board of Nursing.
(3) "Certified medicine aide (CMA)" means an
				  individual who meets the requirements as stated in COMAR 10.39.01 and
				  10.39.03.
(4) "Certified nursing
				  assistant (CNA)" means an individual certified by the Board as a nursing
				  assistant.
(5) "Client" means the
				  recipient of nursing care.
(6)
				  "Delegation" means the act of authorizing an unlicensed individual, a certified
				  nursing assistant, or a medication technician to perform acts of registered
				  nursing or licensed practical nursing.
(7) "Evaluation" means the review and
				  analysis of the extent to which the assessment, nursing diagnosis, planning,
				  and implementation phases of the nursing process were effective in resolving
				  the client's identified problems.
(8) "Family" means related family members,
				  foster parents, domestic partners, and legal guardians.
(9) "Geriatric nursing assistant (GNA)" means
				  a CNA who has successfully completed the requirements for a GNA set forth in
				  42 CFR §§
												483.151-
				  483.156 and COMAR
				  10.39.01.
(10) "Home health aide
				  (HHA)" means a CNA who has successfully completed the requirements for
				  certification as a HHA set forth in 42 CFR § 484.36 and COMAR
				  10.39.01.
(11) "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.
(12) "Medication
				  technician" means an individual who completes a 20-hour course in medication
				  administration approved by the Board and is certified by the Board.
(13) Model of Nursing Practice.
(a) "Model of nursing practice" means the
				  policies, procedures, and practice guidelines:
(i) Established by the facility, which are
				  consistent with this chapter regarding delegation of nursing functions and
				  regulations governing the facility; and
(ii) That provide direction to nursing staff
				  on the delivery of care to the client population which the facility
				  serves.
(b) "Model of
				  nursing practice" may not supersede a delegating nurse's prudent judgment
				  regarding:
(i) Delegation of a nursing
				  function to a certified nursing assistant, an unlicensed individual, or a
				  medication technician; or
(ii) A
				  particular delegated nursing function to that individual or
				  individuals.
(14) "Multistate licensure privilege" has the
				  meaning set forth in COMAR
				  10.27.01.01B.
(15) "Nurse" means a registered nurse or licensed
				  practical nurse.
(16) "Pressure
				  ulcer" means a decubitus ulcer stage I through IV, the care for which includes
				  cleaning, applying topical medication, and dressing without packing.
(17) "Readily available" means, in:
(a) A structured setting:
(i) The delegating nurse is physically
				  present on the unit; and
(ii) The
				  nurse may transfer responsibility for the nursing supervision and delegation to
				  another nurse who then becomes the nurse delegating the nursing functions;
				  and
(b) Other settings,
				  the delegating nurse is on the premises or else is available by
				  telephone.
(18) "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.
(19) "Responsibility" means the charge to do
				  something.
(20) "Routine care"
				  means those activities necessary on a daily basis for the client to gain or
				  maintain a level of functioning.
(21) "Structured setting" means a hospital,
				  nursing home, long-term care facility, ambulatory care setting, surgicenter, or
				  any other acute or chronic care facility.
(22) "Supervised group living settings" means
				  assisted living facilities, group homes for juveniles, group homes for
				  emotionally disturbed children, alternative living units for the
				  developmentally disabled, or any other facility or setting providing supervised
				  living arrangements for groups of unrelated individuals.
(23) "Supervision" means the process of
				  critical watching, directing, and evaluating another's performance.
(24) "Unlicensed individual" means an
				  individual who is not licensed or certified to provide nursing care under
				  Health Occupations Article, Title 8, Annotated Code of Maryland.
(25) Wound.
(a) "Wound" means venous stasis ulcer or
				  ulcers, a dehissed wound, or any other break in the integrity of the full
				  thickness of skin that involves the subcutaneous tissue or fascia.
(b) "Wound" may include tunneling or a sinus
				  tract.
(c) "Wound" does not include
				  an uncomplicated healing surgical wound.