<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 10.27.06.01" title_num="10" subtitle_num="27" chapter_num="06" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“A.A.N.A.” means the American Association of Nurse Anesthetists.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Advanced practice registered nurse (APRN)” means a registered nurse who is certified by the Board as:</text>
      <paragraph num="(a)">
        <text>A certified nurse midwife (CNM);</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A certified registered nurse anesthetist (CRNA);</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A certified nurse practitioner (CRNP); or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A clinical nurse specialist (CNS).</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“Anesthesiologist” means a Maryland-licensed physician who:</text>
      <paragraph num="(a)">
        <text>Has had special training in the field of anesthesiology;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Administers anesthesia on a regular basis; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Devotes a substantial portion of the physician's medical practice to the practice of anesthesiology.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Board” means the Board of Nursing.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Certification” means the permission to practice nurse anesthesia granted by the Board to a registered nurse who has:</text>
      <paragraph num="(a)">
        <text>Met all the specified requirements of a national certifying body recognized by the &lt;MLF&gt;Board; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Complied with the requirements of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>“Certified registered nurse anesthetist (CRNA)” means an advanced practice registered nurse who is certified by the Board to practice as a nurse anesthetist in this State.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Licensed physician or dentist” means a Maryland-licensed physician or dentist who has knowledge and experience in resuscitation, anesthetic drugs, and their reactions.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Perioperative assessment and management” means the assessment and management of the patient preoperatively, intraoperatively, and postoperatively.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Practice of nurse anesthesia” means the performance of acts in collaboration with an anesthesiologist, licensed physician, or dentist, which require substantial specialized knowledge, judgment, and skill related to the administration of anesthesia, including:</text>
      <paragraph num="(a)">
        <text>Perioperative assessment and management of patients requiring anesthesia services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Administering anesthetics;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Management of fluid in intravenous therapy; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Respiratory care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Qualified anesthesia provider” means a physician, dentist, or certified registered nurse anesthetist trained and duly authorized under the respective provisions of the Health Occupations Article to administer local, regional, and general anesthesia.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Registered Nurse” means an individual who is licensed by the Board to practice registered nursing or has a multistate licensure privilege to practice registered nursing in this State under the Nurse Licensure Compact.</text>
    </paragraph>
  </paragraph>
</regulation>