# COMAR Title 10 — Maryland Department of Health

## Subtitle 27 — Board of Nursing

### Chapter 27 — Practice of Clinical Nurse Specialist

#### Regulation .05 Practice Before Certification.

*COMAR 10.27.27.05*

A. A registered nurse who has completed the education requirements for the advanced practice of a clinical nurse specialist and has registered for a national certifying exam recognized by the Board may practice in this State as a clinical nurse specialist graduate if the registered nurse has:

  (1) A current license to practice registered nursing in this State or holds a multistate licensure privilege to practice registered nursing;

  (2) Submitted a completed application for certification as a clinical nurse specialist graduate; and

  (3) Submitted satisfactory evidence that the applicant has applied to take a national certifying exam recognized by the Board and has been accepted as a candidate for the exam.

B. A clinical nurse specialist graduate shall practice under the direct supervision of a certified clinical nurse specialist.

C. A clinical nurse specialist graduate shall cease practice immediately if the clinical nurse specialist graduate fails the required national certification exam as required in Regulation .02A(3) of this chapter.

D. A clinical nurse specialist graduate who fails the national certification exam may continue to work as a registered nurse until the clinical nurse specialist graduate passes a national certifying exam for clinical nurse specialist.