<?xml version='1.0' encoding='utf-8'?>
<subtitle article="ghg" title_number="3" subtitle_number="4" title_name="County Boards of Health; Health Officers" subtitle_name="Registered Nurses Personally Preparing and Dispensing Drugs and Devices in Local Health Departments">
  <section article="ghg" article_name="Health - General" number="3-401" title_number="3" title_name="County Boards of Health; Health Officers" subtitle_number="4" subtitle_name="Registered Nurses Personally Preparing and Dispensing Drugs and Devices in Local Health Departments">
    <level label="a">
      <text>In this subtitle the following words have the meanings indicated.</text>
    </level>
    <level label="b">
      <text>“Authorized prescriber” means a licensed registered nurse, licensed dentist, licensed physician, licensed physician’s assistant, licensed podiatrist, or other individual authorized by law to prescribe prescription or nonprescription drugs or devices.</text>
    </level>
    <level label="c">
      <text>“Committee” means the Committee on Registered Nurses Personally Preparing and Dispensing Drugs and Devices in Local Health Departments.</text>
    </level>
    <level label="d">
      <level label="1">
        <text>“Device” means an item used in the diagnosis, treatment, or prevention of disease.</text>
      </level>
      <level label="2">
        <text>“Device” does not include:</text>
        <level label="i">
          <text>Surgical or dental instruments;</text>
        </level>
        <level label="ii">
          <text>Physical therapy equipment;</text>
        </level>
        <level label="iii">
          <text>X–ray apparatuses; or</text>
        </level>
        <level label="iv">
          <text>Component parts of or accessories for any of the items described in items (i) through (iii) of this paragraph.</text>
        </level>
      </level>
    </level>
    <level label="e">
      <level label="1">
        <text>“Dispense” means a procedure that results in the receipt of a drug or device by a patient or a patient’s agent.</text>
      </level>
      <level label="2">
        <text>“Dispense” includes:</text>
        <level label="i">
          <text>Interpreting an authorized prescriber’s prescription for a drug or device;</text>
        </level>
        <level label="ii">
          <text>Selecting and labeling the drug or device prescribed;</text>
        </level>
        <level label="iii">
          <text>Measuring and packaging the drug or device in accordance with State and federal law; and</text>
        </level>
        <level label="iv">
          <text>Documenting the transaction in the patient’s medical record.</text>
        </level>
      </level>
    </level>
    <level label="f">
      <text>“Drug” means, unless the context requires otherwise, a prescription or nonprescription drug.</text>
    </level>
    <level label="g">
      <text>“Formulary” means a list of drugs and devices.</text>
    </level>
    <level label="h">
      <text>“Nonprescription drug” means a drug that:</text>
      <level label="1">
        <text>May be sold without a prescription; and</text>
      </level>
      <level label="2">
        <text>Is labeled for use by a consumer in accordance with State and federal law.</text>
      </level>
    </level>
    <level label="i">
      <text>“Personally prepare and dispense” means to:</text>
      <level label="1">
        <text>Physically prepare a prescription;</text>
      </level>
      <level label="2">
        <text>Perform a final check of the prescription before dispensing it to a patient; and</text>
      </level>
      <level label="3">
        <text>Not delegate any step of the dispensing process.</text>
      </level>
    </level>
    <level label="j">
      <text>“Prescription drug” means a drug that, under § 21–220 of this article, may be dispensed only on the prescription of an authorized prescriber.</text>
    </level>
    <level label="k">
      <text>“Registered nurse” means an individual who:</text>
      <level label="1">
        <text>Is licensed by the State Board of Nursing to practice registered nursing under Title 8 of the Health Occupations Article; and</text>
      </level>
      <level label="2">
        <text>Personally prepares and dispenses drugs and devices in a local health department:</text>
        <level label="i">
          <text>In accordance with the Overdose Response Program under Title 13, Subtitle 31 of this article or the Expedited Partner Therapy Pilot Program under § 18–214.1 of this article; or</text>
        </level>
        <level label="ii">
          <text>To patients in need of communicable disease, alcohol and drug abuse, family planning, or reproductive health services.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="3-402" title_number="3" title_name="County Boards of Health; Health Officers" subtitle_number="4" subtitle_name="Registered Nurses Personally Preparing and Dispensing Drugs and Devices in Local Health Departments">
    <text>A registered nurse shall comply with:</text>
    <level label="1">
      <text>The formulary developed and approved under § 3–403(b) of this subtitle; and</text>
    </level>
    <level label="2">
      <text>The requirements of § 8–512 of the Health Occupations Article.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="3-403" title_number="3" title_name="County Boards of Health; Health Officers" subtitle_number="4" subtitle_name="Registered Nurses Personally Preparing and Dispensing Drugs and Devices in Local Health Departments">
    <level label="a">
      <level label="1">
        <text>There is a Committee on Registered Nurses Personally Preparing and Dispensing Drugs and Devices in Local Health Departments.</text>
      </level>
      <level label="2">
        <text>The Committee consists of the following members:</text>
        <level label="i">
          <text>A representative of the Department, appointed by the Department;</text>
        </level>
        <level label="ii">
          <text>A representative of the State Board of Nursing, appointed by the State Board of Nursing;</text>
        </level>
        <level label="iii">
          <text>A representative of the State Board of Pharmacy, appointed by the State Board of Pharmacy;</text>
        </level>
        <level label="iv">
          <text>A representative of the State Board of Physicians, appointed by the State Board of Physicians;</text>
        </level>
        <level label="v">
          <text>A pharmacist who practices in the State, appointed by the State Board of Pharmacy;</text>
        </level>
        <level label="vi">
          <text>A registered nurse who practices in the State, appointed by the State Board of Nursing;</text>
        </level>
        <level label="vii">
          <text>A representative of the Office of Controlled Substances Administration, appointed by the Office; and</text>
        </level>
        <level label="viii">
          <text>A representative of a local health department, appointed by the Department.</text>
        </level>
      </level>
      <level label="3">
        <level label="i">
          <text>The term of a member is 4 years.</text>
        </level>
        <level label="ii">
          <text>At the end of a term, a member continues to serve until a successor is appointed.</text>
        </level>
      </level>
      <level label="4">
        <text>A member of the Committee:</text>
        <level label="i">
          <text>May not receive compensation as a member of the Committee; but</text>
        </level>
        <level label="ii">
          <text>Is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text>
        </level>
      </level>
      <level label="5">
        <text>The Secretary shall designate the chair of the Committee.</text>
      </level>
      <level label="6">
        <text>The Department shall provide staff for the Committee.</text>
      </level>
    </level>
    <level label="b">
      <text>The Committee shall:</text>
      <level label="1">
        <text>Develop and approve a formulary for use by registered nurses that includes all nonprescription contraceptive drugs and devices approved by the U.S. Food and Drug Administration for over–the–counter use; and</text>
      </level>
      <level label="2">
        <text>Annually review the formulary to ensure compliance with current prescribing standards.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="3-404" title_number="3" title_name="County Boards of Health; Health Officers" subtitle_number="4" subtitle_name="Registered Nurses Personally Preparing and Dispensing Drugs and Devices in Local Health Departments">
    <text>A local health department that employs a registered nurse shall be subject to inspection by the Department.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="3-405" title_number="3" title_name="County Boards of Health; Health Officers" subtitle_number="4" subtitle_name="Registered Nurses Personally Preparing and Dispensing Drugs and Devices in Local Health Departments">
    <level label="a">
      <text>The Department shall establish and administer a training program for registered nurses.</text>
    </level>
    <level label="b">
      <text>The training program shall be jointly developed and annually reviewed to ensure compliance with current prescribing standards by:</text>
      <level label="1">
        <text>The Department;</text>
      </level>
      <level label="2">
        <text>The State Board of Nursing; and</text>
      </level>
      <level label="3">
        <text>The State Board of Pharmacy.</text>
      </level>
    </level>
  </section>
</subtitle>