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<regulation prefix="Regulation" num=".02" citation="COMAR 10.27.11.02" title_num="10" subtitle_num="27" chapter_num="11" 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>“Accountability” means being answerable for actions of self or others.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Board” means the Board of Nursing.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Certified medicine aide (CMA)” means an individual who meets the requirements as stated in COMAR 10.39.01 and 10.39.03.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Certified nursing assistant (CNA)” means an individual certified by the Board as a nursing assistant.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Client” means the recipient of nursing care.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Delegation” means the act of authorizing an unlicensed individual, a certified nursing assistant, or a medication technician to perform acts of registered nursing or licensed practical nursing.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Evaluation” means the review and analysis of the extent to which the assessment, nursing diagnosis, planning, and implementation phases of the nursing process were effective in resolving the client's identified problems.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Family” means related family members, foster parents, domestic partners, and legal guardians.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Geriatric nursing assistant (GNA)” means a CNA who has successfully completed the requirements for a GNA set forth in 42 CFR §§483.151 — 483.156 and COMAR 10.39.01.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Home health aide (HHA)” means a CNA who has successfully completed the requirements for certification as a HHA set forth in 42 CFR §484.36 and COMAR 10.39.01.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Licensed practical nurse” means an individual who is licensed by the Board to practice licensed practical nursing or has a multistate licensure privilege to practice licensed practical nursing.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Medication technician” means an individual who completes a 20-hour course in medication administration approved by the Board and is certified by the Board.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Model of Nursing Practice.</text>
      <paragraph num="(a)">
        <text>“Model of nursing practice” means the policies, procedures, and practice guidelines:</text>
        <paragraph num="(i)">
          <text>Established by the facility, which are consistent with this chapter regarding delegation of nursing functions and regulations governing the facility; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>That provide direction to nursing staff on the delivery of care to the client population which the facility serves.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>"Model of nursing practice” may not supersede a delegating nurse's prudent judgment regarding:</text>
        <paragraph num="(i)">
          <text>Delegation of a nursing function to a certified nursing assistant, an unlicensed individual, or a medication technician; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A particular delegated nursing function to that individual or individuals.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(14)">
      <text>“Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Nurse” means a registered nurse or licensed practical nurse.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Pressure ulcer” means a decubitus ulcer stage I through IV, the care for which includes cleaning, applying topical medication, and dressing without packing.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Readily available” means, in:</text>
      <paragraph num="(a)">
        <text>A structured setting:</text>
        <paragraph num="(i)">
          <text>The delegating nurse is physically present on the unit; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The nurse may transfer responsibility for the nursing supervision and delegation to another nurse who then becomes the nurse delegating the nursing functions; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Other settings, the delegating nurse is on the premises or else is available by telephone.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <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>Has a multistate licensure privilege to practice registered nursing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(19)">
      <text>“Responsibility” means the charge to do something.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Routine care” means those activities necessary on a daily basis for the client to gain or maintain a level of functioning.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Structured setting” means a hospital, nursing home, long-term care facility, ambulatory care setting, surgicenter, or any other acute or chronic care facility.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Supervised group living settings” means assisted living facilities, group homes for juveniles, group homes for emotionally disturbed children, alternative living units for the developmentally disabled, or any other facility or setting providing supervised living arrangements for groups of unrelated individuals.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Supervision” means the process of critical watching, directing, and evaluating another's performance.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Unlicensed individual” means an individual who is not licensed or certified to provide nursing care under Health Occupations Article, Title 8, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>Wound.</text>
      <paragraph num="(a)">
        <text>“Wound” means venous stasis ulcer or ulcers, a dehissed wound, or any other break in the integrity of the full thickness of skin that involves the subcutaneous tissue or fascia.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Wound” may include tunneling or a sinus tract.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>“Wound” does not include an uncomplicated healing surgical wound.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>