<?xml version='1.0' encoding='utf-8'?>
<section article="gho" article_name="Health Occupations" number="14-5A-01" title_number="14" title_name="Physicians" subtitle_number="5A" subtitle_name="Respiratory Care Practitioners">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Board” means the State Board of Physicians.</text>
  </level>
  <level label="c">
    <text>“Committee” means the Respiratory Care Advisory Committee established under § 14–5A–05 of this subtitle.</text>
  </level>
  <level label="d">
    <text>“License” means a license issued by the Board to practice respiratory care.</text>
  </level>
  <level label="e">
    <text>“Licensed respiratory care practitioner” means a respiratory care practitioner who is licensed by the Board to practice respiratory care.</text>
  </level>
  <level label="f">
    <text>“Licensee” means a licensed respiratory care practitioner.</text>
  </level>
  <level label="g">
    <text>“National certifying board” means the National Board for Respiratory Care or a certifying organization that has certification requirements equivalent to the National Board for Respiratory Care and that has been approved by the Board.</text>
  </level>
  <level label="h">
    <level label="1">
      <text>“Practice respiratory care” means to evaluate, care for, and treat, including the diagnostic evaluation of, individuals who have deficiencies and abnormalities that affect the pulmonary system and associated aspects of the cardiopulmonary and other systems under the supervision of and in collaboration with a physician.</text>
    </level>
    <level label="2">
      <text>“Practice respiratory care” includes:</text>
      <level label="i">
        <text>Providing direct and indirect respiratory care services that are safe, aseptic, preventive, and restorative;</text>
      </level>
      <level label="ii">
        <text>Practicing the principles, techniques, and theories derived from cardiopulmonary medicine;</text>
      </level>
      <level label="iii">
        <text>Evaluating and treating individuals whose cardiopulmonary functions have been threatened or impaired by developmental defects, the aging process, physical injury, disease, or actual or anticipated dysfunction of the cardiopulmonary system;</text>
      </level>
      <level label="iv">
        <text>Observing and monitoring physical signs and symptoms, general behavior, and general physical response to respiratory care procedures and determining if initiation, modification, or discontinuation of a treatment regimen is warranted;</text>
      </level>
      <level label="v">
        <text>Transcribing and implementing written or oral orders regarding the practice of respiratory care;</text>
      </level>
      <level label="vi">
        <text>Using evaluation techniques that include cardiopulmonary function assessments, gas exchange, the need and effectiveness of therapeutic modalities and procedures, and the assessment and evaluation of the need for extended care and home care procedures, therapy, and equipment; and</text>
      </level>
      <level label="vii">
        <text>Applying the use of techniques, equipment, and procedures involved in the administration of respiratory care, including:</text>
        <level label="1">
          <text>Except for general anesthesia, therapeutic and diagnostic gases;</text>
        </level>
        <level label="2">
          <text>Prescribed medication for inhalation or direct tracheal installation;</text>
        </level>
        <level label="3">
          <text>The administration of analgesic agents by subcutaneous injection or inhalation for the performance of respiratory care procedures;</text>
        </level>
        <level label="4">
          <text>Nonsurgical insertion, maintenance, and removal of artificial airways;</text>
        </level>
        <level label="5">
          <text>Advanced cardiopulmonary measures;</text>
        </level>
        <level label="6">
          <text>Cardiopulmonary rehabilitation;</text>
        </level>
        <level label="7">
          <text>Mechanical ventilation or physiological life support systems;</text>
        </level>
        <level label="8">
          <text>Collection of body fluids and blood samples for evaluation and analysis;</text>
        </level>
        <level label="9">
          <text>Insertion of diagnostic arterial access lines; and</text>
        </level>
        <level label="10">
          <text>Collection and analysis of exhaled respiratory gases.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="i">
    <text>“Supervision” means the responsibility of a physician to exercise on–site or immediately available direction for a licensed respiratory care practitioner performing delegated medical acts.</text>
  </level>
</section>
