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<regulation prefix="Regulation" num=".01" citation="COMAR 10.27.10.01" title_num="10" subtitle_num="27" chapter_num="10" heading="Definitions.">
  <paragraph num="A.">
    <text>The following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Assessment” means the act of gathering and identifying data about the client.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Assign” means the transfer of responsibility from one nurse to another, each having legal authority to perform the function as permitted by the licensee’s scope of practice.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Board” means the Board of Nursing.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Case management” means a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet the client’s health needs through enhanced communication and use of available resources to promote quality client outcomes and cost effective care.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Client” means an individual who is under the licensee’s direct or indirect care.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Comprehensive Nursing Assessment.</text>
      <paragraph num="(a)">
        <text>“Comprehensive nursing assessment” means an assessment performed by a registered nurse which is the foundation for the analysis of the assessment data to determine:</text>
        <paragraph num="(i)">
          <text>The nursing diagnosis;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Expected client outcomes; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The client’s plan of care.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Comprehensive nursing assessment” includes, but is not limited to:</text>
        <paragraph num="(i)">
          <text>Extensive initial and ongoing data collection for individuals, families, groups, and communities;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A focused nursing assessment;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Past history, current health status, and potential changes in the client’s condition;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Identification of alterations to the client’s previous condition; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Synthesis of the biological, psychological, spiritual, and social aspects of the client’s condition.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Contributes” means to participate as a team member in the nursing team relationship.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Delegating” means the act of authorizing an unlicensed individual, a certified nursing assistant, or a certified medication technician to perform selected acts of registered nursing or licensed practical nursing.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Evaluation” means the review and analysis of the extent to which the assessment, planning, and implementation were effective in resolving the client’s health problem.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Focused nursing assessment.</text>
      <paragraph num="(a)">
        <text>“Focused nursing assessment” means an appraisal of a client’s current health status and situation at hand;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Focused nursing assessment” includes the reporting of information to other members of the health care team.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Goal” means a measurable result to be achieved by a client which is either long- or short-term.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Implementation” means the carrying out of the nursing plan of care.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Licensed nurse” means a licensed practical nurse or registered nurse.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Licensed practical nurse (LPN)” means an individual who is licensed by the Board to practice licensed practical nursing or holds a multistate licensure privilege to practice licensed practical nursing.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Nursing plan of care” means an established set of goals, priorities, and methods designed to solve, prevent, and manage a client’s identified problems.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Nursing team relationship” means that each licensed or certified individual who participates in providing care for a client is a part of the nursing team.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“ Nursing triage” means the systematic collection of client data at the client’s point of entry or re-entry into the health care system for the purpose of sorting clients by acuity levels to determine the allocation of available health care resources to direct each client to the right health care provider at the right time.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Record” means a written retrievable document containing the client’s health information.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Registered nurse (RN)” means an individual who:</text>
      <paragraph num="(a)">
        <text>Is licensed by the Board to practice registered nursing; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Who holds a multistate licensure privilege to practice registered nursing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(21)">
      <text>Standards of Licensed Practical Nurse Practice.</text>
      <paragraph num="(a)">
        <text>“Standards of licensed practical nurse practice” means the minimum criteria to which the licensed nurse shall adhere in the practice of licensed practical nursing.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Standards of licensed practical nurse practice” includes standards of professional performance as described in Regulation .03 of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(22)">
      <text>“Supervision” means the process of critically watching an individual’s performance with the intention of evaluating and directing the individual’s performance in the delivery of nursing care.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Support” means to promote, assist, or help.</text>
    </paragraph>
  </paragraph>
</regulation>