Maryland Administrative Code

.10 Unlawful Practices. Pursuant to Health Occupations Article, Title 8, Subtitle 7, Annotated Code of Maryland, an individual may not: A. Practice nurse midwifery unless certified under these regulations or otherwise permitted by law to engage in those activities; B. Use the tit…

.11 Prescribing of Substances by a Certified Nurse Midwife. Pursuant to Health Occupations Article, §8-601, Annotated Code of Maryland, a certified nurse midwife may prescribe: A. Substances commonly used in the practice of nurse midwifery; and B. Controlled substances on Schedul…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “A.A.N.A.” means the American Association of Nurse Anesthetists. (2) “Advanced practice registered nurse (APRN)” means a registered nurse who is certified by the Board as: …

.02 Certification. A. An applicant for certification as a CRNA shall: (1) Hold a current Maryland license in good standing or a multistate licensure privilege to practice registered nursing in this State under the Nurse Licensure Compact; (2) Have graduated from an education prog…

.03 Practice Before Certification. A. A registered nurse who has completed a program for preparation of nurse anesthetists and who has applied to take a national certifying examination acceptable to the Board may practice as a nurse anesthetist graduate before certification in th…

.04 Renewal of Certification. A. Certification as a nurse anesthetist expires at the same time as the nurse anesthetist's registered nursing license unless the certification is renewed. B. Before a nurse anesthetist’s certification expires, the nurse anesthetist may renew the cer…

.05 Scope of Practice. A. A nurse anesthetist may perform the following functions: (1) Perioperative assessment and management of patients requiring anesthesia services; (2) Administration of anesthetic agents; (3) Management of fluids in intravenous therapy; (4) Respiratory care…

.06 Standards of Practice. A. A nurse anesthetist shall collaborate with an anesthesiologist, licensed physician, or dentist in the following manner: (1) An anesthesiologist, licensed physician, or dentist shall be physically available to the nurse anesthetist for consultation at…

.07 Unlawful Practices. A. Under Health Occupations Article, Title 8, Subtitle 7, Annotated Code of Maryland, a person may not: (1) Practice nurse anesthesia unless certified under this chapter, or otherwise permitted by law to engage in these activities; or (2) Use the title nur…

.08 CRNA Peer Review/Advisory Committee. A. The Board shall appoint at least four CRNAs to act as the Board's advisory committee. B. The Committee shall: (1) Meet at least four times a year; (2) Report at least annually on its overall activities; and (3) Function at the Board's d…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “AANPNCB” means the American Academy of Nurse Practitioners National Certification Board. (2) “Advanced practice registered nurse (APRN)” means a registered nurse who is ce…

.02 Certification. A. An applicant for certification as a nurse practitioner shall obtain certification from the Board before commencing practice. B. An applicant for certification as a nurse practitioner shall: (1) Hold a current Maryland license in good standing to practice reg…

.03 Nurse Practitioner — Scope and Standards of Practice. A. A nurse practitioner may independently perform the following functions: (1) A comprehensive physical assessment of patients; (2) In accordance with Family Law Article, §2-301, Annotated Code of Maryland, certify to the …

.04 Renewal of Certification. A. A certification as a nurse practitioner expires at the same time as the nurse practitioner's registered nursing license. B. Before a nurse practitioner’s certification expires, the nurse practitioner may renew the certification biennially if the n…

.05 Practice Before Maryland Certification. A. A registered nurse who has completed a Board-approved educational program for nurse practitioners and who has applied to take a Board-approved national certifying examination may practice as a nurse practitioner graduate before certi…

.06 Education. A. An applicant certified by a national certifying body before October 1, 2010, who is certified by the Board and in good standing shall be deemed to meet the education requirements under this regulation. B. An applicant for certification shall be a graduate from a…

.07 Preparing and Dispensing. A. A nurse practitioner may personally prepare and dispense any drug that a nurse practitioner is authorized to prescribe in the course of treating a patient at: (1) A medical facility or clinic that specializes in the treatment of medical cases reim…

.08 Unlawful Practices. Unless authorized to practice as a nurse practitioner under Health Occupations Article, Title 8, Annotated Code of Maryland, an individual may not: A. Represent to the public by title or by description of services, methods, procedures, or otherwise, that t…

.01 Definitions. A. The following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the Board of Nursing. (2) “Person” means an individual, an agency, an association, a corporation, or any other entity.

.02 Petition. A. An interested person may file with the Board a petition for a declaratory ruling with respect to the manner in which the Board would apply: (1) A statute; (2) A regulation; or (3) An order which the Board enforces to a particular case based on the facts presented…

.03 Consideration and Disposition. A. In rendering its ruling the Board or its designee: (1) Shall consider all materials submitted with the petition; (2) May consider any document, data, or other relevant material; (3) May consult individuals; (4) May consider comments from the …

.04 Effect, Revision, and Appeal. A. Effect. A declaratory ruling shall be binding upon the Board and the petitioner on the statement of facts covered in the declaratory ruling and set forth in the petition. B. Revision. (1) The petitioner's application for revision of the declar…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Accountability” means being answerable for the actions of self and others. (2) “Aggregate” means the sum total of nursing care the client received. (3) “Assessment” means …

.02 Standards of Care. A. Assessment. (1) The RN shall collect client health data. (2) Measurement Criteria. (a) Data collection shall involve the client, family, significant others, other members of the health care team, and the health record, when appropriate. (b) Data may incl…

.03 Standards of Professional Performance. A. Quality of Care. (1) The RN systematically shall evaluate the quality and effectiveness of nursing practice in the aggregate. (2) Measurement Criteria. The RN shall: (a) Participate in activities to evaluate quality of care including,…

.04 Specialty Practice. A. A registered nurse functioning in a specialty practice shall have additional education, training, and experience. Specialty practice does not include advanced practice nursing. B. Definitions. (1) In this regulation, the following terms have the meaning…

.01 Definitions. 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 pe…

.02 Nursing Process. A. In a team relationship the licensed practical nurse contributes to the nursing process. The nursing process shall include, but is not limited to, the following elements listed in §B—C of this regulation. B. Nursing Assessment. The LPN contributes to the nu…

.03 Standards of Professional Performance. A. Quality of Care. (1) The LPN shall participate in evaluating the quality and effectiveness of nursing practice. (2) Measurement Criteria. The LPN shall: (a) Assist in collecting quality data; and (b) Participate in activities related …

.04 Prohibited Acts. The LPN may not: A. Perform nursing triage; B. Perform the responsibilities of, or serve in the role of, the circulating nurse in the intraoperative phase of surgery including, but not limited to: (1) Assessing the client in the intraoperative phase of surger…

.01 Exclusion from Regulations. 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 …

.02 Definitions. 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 m…

.03 Criteria for Delegation. 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 dele…

.04 Supervision. 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;…

.05 Nursing Functions. 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 dia…

.06 Client Health Teaching and Health Counseling. 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 facilitatin…

.01 Exclusion from Regulations. 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.

.02 Definitions. 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 (CRN…

.03 Certification. 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…

.04 Practice Before Maryland Certification. 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 …

.05 Scope of Practice. 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 therap…

.06 Standards of Practice. 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 th…

.07 Renewal of Maryland Certification. 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 entitl…

.08 Unlawful Practices. 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 w…

.09 Prescriptive Authority. A. A clinical nurse specialist may prescribe any drug or durable medical equipment within the clinical nurse specialist’s education, training, certification, and population foci. B. A clinical nurse specialist when exercising prescriptive authority is …

.01 Definitions. 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, licensed certif…

.02 Safe Practice Committee. 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…