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<regulation prefix="Regulation" num=".02" citation="COMAR 10.27.21.02" title_num="10" subtitle_num="27" chapter_num="21" 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>“Alternate light source (ALS)” means equipment that produces visible and invisible light at various wave lengths to enhance the visualization of evidence.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Board” means the Board of Nursing.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Chain of custody” means a written list identifying, without interruption or lapse, every individual having control or possession of specified items or evidence.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Chaperone” means an individual who does not perform any part of the forensic examination but is present during the course of that examination.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Clinical preceptor” means an RN-FNE educator or physician who has credentials and experience in forensic examinations.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Education” means:</text>
      <paragraph num="(a)">
        <text>Giving presentations, including mentored clinical presentations;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Attending conferences or seminars;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Completing accredited professional computerized or periodical learning modules; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Participating in the facility evaluation or audit process.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“FNE program” means a facility authorized by the Maryland Department of Health to provide forensic nursing services.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Forensic evidentiary examination” means an examination for the purpose of gathering, labeling, preserving, and handling evidence that includes, but is not limited to:</text>
      <paragraph num="(a)">
        <text>Photographic and written descriptive documentation of the findings;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A general health and assault history interview; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A physical assessment which may include, but is not limited to:</text>
        <paragraph num="(i)">
          <text>Skin surface examination;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Oral examination;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Genital examination;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Anal examination; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Speculum vaginal examination.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Gynecological Urological teaching associate (GUTA)” means an adult who is trained to teach techniques for performing gender-specific physical examination to health care trainees, using self as a demonstration and practice model with emphasis on teaching from the patient perspective.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Peer review” means a process by which an RN-FNE’s clinical examination and documentation is reviewed by one or more peers who are authorized to perform the duties of an RN-FNE.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Physician” means an individual licensed to practice medicine in this State.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Practice guideline” means a written documentation that details the standards of care and practice protocols the facility has established to guide the practice of the RN-FNE.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Program coordinator” means an RN-FNE designated by the facility to manage and oversee the FNE program.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Proper authority” means a representative of law enforcement, adult or child protective services, or the jurisdictional authority for a minor or mentally incapacitated individual.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Refresher course” means a curriculum that:</text>
      <paragraph num="(a)">
        <text>Includes didactic and clinical education; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Meets the practice requirements for reinstatement of certification as an RN-FNE.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“Registered nurse” 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="(18)">
      <text>“RN-FNE” means a registered nurse forensic nurse examiner certified by the Board.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“RN-FNE Educator” means an individual who:</text>
      <paragraph num="(a)">
        <text>Has a current:</text>
        <paragraph num="(i)">
          <text>License to practice as a registered nurse in Maryland;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Multistate licensure privilege to practice registered nursing under the Nurse Licensure Compact; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Certification to practice as an advanced practice registered nurse in Maryland; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Is certified under this chapter as a:</text>
        <paragraph num="(i)">
          <text>Registered Nurse Forensic Examiner — Adult (RN-FNE-A);</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Registered Nurse Forensic Examiner — Pediatric (RN-FNE-P); or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Registered Nurse Forensic Examiner — Adult and Pediatric (RN-FNE-AP); and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Is qualified to teach the theoretical and clinical portions of the RN-FNE training program.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(20)">
      <text>“RN-FNE-A” means a registered nurse certified by the Board to practice as a forensic nurse examiner with respect to forensic examinations performed on adults and individuals 13 years old or older.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“RN-FNE-P” means a forensic nurse examiner-pediatric who is certified by the Board to practice as a forensic nurse examiner with respect to examinations of children who are younger than 13 years old.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“RN-FNE-AP” means a registered nurse certified by the Board to practice as a forensic nurse examiner with respect to examinations of individuals of all ages.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“SAFE” means a registered nurse who was certified by the Board before December 13, 1999, as a sexual assault forensic examiner under this chapter.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“SANE” means a registered nurse who has successfully completed a program which meets the Sexual Assault Nurse Examiner Standards of Practice established by the International Association of Forensic Nurses.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“SANE-A” means a forensic nurse examiner certified by the International Association of Forensic Nurses (IAFN) to perform a forensic evidentiary examination on adults and individuals 13 years old or older.</text>
    </paragraph>
    <paragraph num="(26)">
      <text>“SANE-P” means a forensic nurse examiner certified by the IAFN to perform a forensic evidentiary examination on children who are younger than 13 years of age.</text>
    </paragraph>
    <paragraph num="(27)">
      <text>"Simulation” means the utilization of an adult anatomically correct manikin or a GUTA in the performance of a forensic evidentiary examination.</text>
    </paragraph>
    <paragraph num="(28)">
      <text>“Training program” means the instructional process utilizing the standardized curriculum approved by the Board.</text>
    </paragraph>
  </paragraph>
</regulation>