# Health Occupations (GHO)

## Title 8. Nurses

### Subtitle 5

#### Section 8-514

(a)

  (1) In this section the following words have the meanings indicated.

  (2) "Clinical nurse specialist" means an individual who:

    (i)

      (1) Is licensed by the Board to practice registered nursing; or

      (2) Has a multistate licensure privilege to practice registered nursing under the Nurse Licensure Compact; and

    (ii) Is certified by the Board to practice as a clinical nurse specialist.

  (3)

    (i) "Practice as a clinical nurse specialist" means to:

      (1) Provide direct care to patients with complex needs;

      (2) Act as a consultant to another health care provider as needed;

      (3) Conduct health-related research; and

      (4) Provide education and guidance for staff nurses.

    (ii) "Practice as a clinical nurse specialist" includes:

      (1) Ordering, performing, and interpreting laboratory tests;

      (2) Ordering diagnostic tests and using the findings or results in the care of patients;

      (3) Prescribing drugs and durable medical equipment under regulations adopted by the Board;

      (4) Ordering home health and hospice care; and

      (5) Initiating, monitoring, and altering appropriate therapies or treatments.

(b) Practice as a clinical nurse specialist is governed by rules and regulations that are adopted under Sec. 8-205 of this title and that concern additional acts in the practice of registered nursing.

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Md. Code Ann., Health Occ. (as displayed at mgaleg.maryland.gov, October 16, 2026)