<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.27.25.04" title_num="10" subtitle_num="27" chapter_num="25" heading="Education.">
  <text>To administer medication or to perform cosmetic and dermatologic treatments, a nurse shall:</text>
  <paragraph num="A.">
    <text>Complete a program of study that includes theory appropriate to the medication to be administered and the procedure to be performed that includes, but is not limited to:</text>
    <paragraph num="(1)">
      <text>Anatomy, physiology, and pathophysiology related to the integumentary system as well as systems specific to the procedure being performed;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Appropriate technique for each cosmetic procedure;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Nursing assessment, cosmetic indications, and contraindications for treatment;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Pharmacology intervention specific to the cosmetic procedure including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Assessment and monitoring of the receiving the medication;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Effects and potential side effects of the medication;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Contraindications to the administration of the medication;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The ability to anticipate and recognize potential complications of the medication;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The ability to recognize emergency situations and institute appropriate interventions;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Preparation, storing, and handling of the medication; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Proficiency in administering the medication by the required route;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Selection, maintenance, and utilization of equipment;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Identification of realistic and expected outcomes of the procedure;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Identification of complications or adverse reactions;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Nursing care required and appropriate nursing interventions in the event of complications or untoward outcomes;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Infection control procedures;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Safety precautions appropriate to each procedure;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Documentation appropriate to the type of the procedure being performed; and</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Precepted clinical practice by a clinical preceptor that includes documented initial and annual competency of the nurse in each cosmetic procedure the nurse is to perform;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Document evidence of clinical and psychomotor proficiency competency before independently performing each cosmetic procedure;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Perform the procedures on a frequent routine predictable basis in order to retain practice proficiency;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Be evaluated for continued clinical competency at periodic intervals; and</text>
  </paragraph>
  <paragraph num="E.">
    <text>Obtain additional education when the population changes or new procedures are introduced into the practice.</text>
  </paragraph>
</regulation>