This chapter does not apply to an individual who is: Practicing a health occupation, other than as medication technician, that the individual is authorized to perform under Health Occupations Article, Annotated Code of Maryland; A student enrolled in an approved nursing education program while practicing registered nursing or licensed practical nursing in that program; Providing gratuitous care of friends or family members; Performing medication technician tasks while a student practicing under the direct supervision of qualified faculty in a Board-approved medication technician training program; or Working as a school principal or school secretary, does not administer medication as a routine part of the position, and, after completing training by the school's delegating nurse, administers medication due to the absence of the nurse or medication technician. In this chapter, the following terms have the meanings indicated. Terms Defined. “Board” means the Maryland Board of Nursing. “Certificate” means a certificate issued by the Board to practice as a certified medication technician in this State. Certified Nursing Assistant (CNA). “Certified nursing assistant (CNA)” means an individual, regardless of title, who: Routinely performs delegated nursing tasks which were delegated by a registered nurse (RN) or licensed practice nurse (LPN) for compensation; and Is certified under COMAR 10.39.01. “Certified nursing assistant (CNA)” does not include: A medication technician; or An individual who merely provides assistance with activities of daily living unless the client's needs are such that adverse health consequences are predictable. “Clinical refresher course” means a course of study approved by the Board to maintain the medication technician's knowledge and skill to administer medication. “Licensed practical nurse (LPN)” 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. “Medication technician (MT)” means an individual who: Has successfully completed a Board-approved MT training program; Meets any other qualifications set by the Board; and Is certified by the Board as a MT. “Medication technician training program” means a course of training approved by the Board that meets the basic MT core curriculum and content training specific to the setting in which the MT will work. “Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B. “Registered nurse (RN)” means an individual who: Is licensed by the Board to practice registered nursing; or Has a multistate licensure privilege to practice registered nursing. Fees are as follows: Initial certification fee . . . $20; Renewal fee . . . $30; Returned check fee . . . $25; and Duplicate certification fee . . . $10. Fees are not refundable. An applicant for MT certification shall: Be 18 years old or older; and Submit to the Board: An application to the Board on the form required by the Board and signed by the RN that taught the applicant's medication technician training program; and The required fee; and Be of good moral character. An applicant for MT certification may not have: Committed any act or omission that would be grounds for discipline or denial of certification under this subtitle; or A record of abuse, negligence, misappropriation of a resident's property, or any disciplinary action taken or pending in any state or territory of the United States against any certificate or license issued to the applicant. An applicant for MT certification from any other state, territory, or country shall meet all requirements of this chapter. An applicant who reports a positive criminal history on any application shall provide: Any documentation requested from the applicant by the Board including, but not limited to, official certified or true test court documents and a signed, dated explanation written by the applicant, regarding the facts and circumstances, outcome, and current status of any criminal history record information received by the Board: In an answer to a question on the Board’s application form; or From any other source; and Any additional documentation requested by the Board if the documentation received from the applicant under §D(1) of this section is incomplete or insufficient. If an application is not complete when initially submitted to the Board by the applicant, the applicant shall have no longer than 12 months from the date the application is received by the Board to complete the application and provide all information and documents required under §D of this regulation. If an applicant fails to provide to the Board a complete application and any additional documentation requested by the Board under §D of this regulation within 12 months from the date the application is received by the Board, then the application shall be considered abandoned and may be destroyed. Once an application is deemed abandoned under §F of this regulation, an individual seeking MT certification must submit a new application and meet all of the requirements for MT certification and pay the required fees that are in effect at the time of re-application. The Board shall renew the certificate of each certificate holder who meets the requirements of this chapter. The certificate holder shall renew the certificate every 2 years by birth month. At least 3 months before a certificate expires, the Board shall send the certificate holder a renewal notice by: First-class mail to the last known address of the certificate holder; or Electronic means to the last known electronic address of the certificate holder. An individual applying for renewal of certification shall provide evidence of: Satisfactory completion of a Board-approved clinical refresher course; and Completion of 100 hours of practice as a certified medicine technician within the 2-year period preceding the date of renewal. A Board-approved MT training program shall meet the requirements stated in this regulation and in Regulation .09 of this chapter. The MT training program: Shall utilize the Board-approved uniform curriculum, including the math and English proficiency examinations, to teach the MT training program; Shall contain 20 hours of curriculum content, including 4 hours of content addressing common disease processes and high-risk medications specific to the client population of the practice setting in which the enrolled student will practice upon certification; May not have classes exceeding 6 classroom clock hours at one time; Shall have at least one instructor per 15 students; and Shall submit verification of the applicant's successful completion of the MT course on a form required by the Board within 5 business days. Each faculty member for an MT training program shall be an RN who: Is licensed by the Board to practice registered nursing or has a multistate licensure privilege to practice registered nursing; and Has completed a course of instruction approved by the Board designed to instruct the RN on how to teach the MT training program for the specific practice setting in which the enrolled students are to work. Each certificate holder shall notify the Board in writing of any change in name or address within 30 days of the change. The Board may impose a fine of $25 for failure to notify the Board of a change in name or address. The certificate expires every 2 years on the 28th day of the certificate holder's birth month. The Board may impose a civil fine, not to exceed $50, on a medication technician who: Fails to renew a certificate within 30 days after the expiration date; and Practices as an MT during the period of expiration. Administration of medication is a licensed nursing function. As such, the nurse retains full responsibility when delegating this nursing function. In community-based practice settings, the MT: May perform delegated medication administration functions as set forth in COMAR 10.27.11.05G(3) and 10.07.14; and Shall be supervised by the RN as specified in COMAR 10.27.09, 10.27.11, and 10.07.14. The MT may perform the delegated nursing function of medication administration as permitted under COMAR 10.27.11.05H(3), which includes the administration of: Medication by metered dose inhalant or nebulizer, and oxygen by nasal cannula or mask; Medication by gastrostomy tube or rectal tube if the nurse has calculated the dosage; Oral medication, including: Measuring as prescribed an amount of liquid medication where the nurse has calculated the dose; and Administering a fraction of a tablet if the nurse has cut the tablet; Medication by subcutaneous injection after the nurse has calculated the dose; Medication administered by topical route as specified in COMAR 10.27.11.05H(3)(e) and (h); Medication administered by suppository route; and Medication drops administered by routes involving eye, ear, or nose. The MT may not: Calculate any medication dose; Administer medications by: Injection, except as specified in Regulation .09C(4) of this chapter; Way of a tube inserted in a cavity of the body, except as specified in Regulation .09C(2) of this chapter; or Intravenous route; Transcribe verbal orders; Fill medication assistive devices such as mediplanners or time-dose medication containers with medication; Package or repackage medications that are prescribed, ordered, over-the-counter, or herbal; Perform certified nursing assistant duties unless certified as a nursing assistant by the Board or otherwise authorized by Health Occupations Article, Title 8, Annotated Code of Maryland; Provide medication administration teaching; or Delegate medication administration. An individual who is not certified as an MT under this chapter may not: Represent by title of “certified medication technician” or “MT”, by description of services, methods, or procedures or otherwise, that the individual is authorized to practice as a certified medication technician; Use the words or terms “medication technician”, “MT”, “CMT”, or any other abbreviation, title, symbol, sign, card, device, or other representation, with the intent to represent that the person practices as a certified medication technician; or Practice, attempt to practice, or offer to practice as a certified medication technician. Health Occupations Article, §§8-205(a) and 8-6A-01—8-6A-16, Annotated Code of Maryland Effective date: April 24, 2006 (33:8 Md. R. 734) Regulation .02B amended effective July 2, 2018 (45:13 Md. R. 667) Regulation .04 amended effective February 13, 2017 (44:3 Md. R. 189) Regulation .04A amended effective July 2, 2018 (45:13 Md. R. 667) Regulation .05 amended effective July 2, 2018 (45:13 Md. R. 667) Regulation .05D amended effective August 25, 2008 (35:17 Md. R. 1489) Regulation .06C amended effective July 2, 2018 (45:13 Md. R. 667) Regulation .09C amended effective March 12, 2007 (34:5 Md. R. 561)