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<regulation prefix="Regulation" num=".02" citation="COMAR 10.30.01.02" title_num="10" subtitle_num="30" chapter_num="01" heading="Definitions.">
  <paragraph num="A.">
    <text>In this subtitle, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Abusive and dangerous patient” means a patient who is physically or verbally threatening to the patient's person, facility staff, or other patients.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Acute dialysis” means dialysis employed in the treatment of temporary kidney failure, with the expectation that dialysis may be necessary for 4 weeks or less because recovery of kidney function is anticipated.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Administrator” means an individual appointed by the governing body who is responsible for the facility's daily operations and the duties set forth in COMAR 10.30.02.03F.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Certified nursing assistant—dialysis technician” means an individual licensed by the Maryland Board of Nursing to perform nursing tasks delegated by a licensed nurse in the dialysis facility.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Certified patient” means a patient who is certified by the Commission on Kidney Disease and is eligible for benefits from the Kidney Disease Program.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Chief executive officer” means an individual who meets the requirements set forth in 42 CFR §494.180, which is incorporated by reference;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Chronic dialysis” means dialysis employed to compensate for the severe and irreversible loss of kidney function and is a permanent treatment modality unless replaced by kidney transplantation.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Chronic peritoneal dialysis” means dialysis performed repetitively by exchanging large volumes of solution within the peritoneal cavity.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Commission” means the Commission on Kidney Disease.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Dialysis.</text>
      <paragraph num="(a)">
        <text>“Dialysis” means the process of filtering waste products and excess fluid from the blood of a patient with severely compromised kidney function.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Dialysis” includes the terms hemodialysis and peritoneal dialysis.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Governing body” means an identifiable individual or individuals who are designated in writing with full legal authority and responsibility for the governance and operation of the facility.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Home dialysis” means chronic hemodialysis or chronic peritoneal dialysis performed regularly in the home by the patient and an assistant, if necessary.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Home training dialysis” means:</text>
      <paragraph num="(a)">
        <text>Chronic peritoneal dialysis, including continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Instructional chronic hemodialysis.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(15)">
      <text>“In-center hemodialysis” means a hemodialysis treatment that:</text>
      <paragraph num="(a)">
        <text>Lasts 3 to 5 hours;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is performed on a routine basis, usually three times a week, to treat a chronic condition; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is provided in a kidney dialysis facility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(16)">
      <text>“In-center nocturnal hemodialysis” means a hemodialysis treatment that:</text>
      <paragraph num="(a)">
        <text>Lasts 6 to 9 hours;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is performed on a routine basis, usually three times a week, to treat a chronic condition; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is provided in a kidney dialysis facility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“Monitoring individual” means an individual who is a direct patient care provider.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Nurse manager” means an individual who is responsible for nursing services and provides oversight and direction to all direct care staff that provide dialysis and nursing care in a kidney dialysis facility.</text>
    </paragraph>
  </paragraph>
</regulation>