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<regulation prefix="Regulation" num=".02" citation="COMAR 10.39.06.02" title_num="10" subtitle_num="39" chapter_num="06" 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>“Accountability” means being answerable for actions of self or others.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Board” means the Maryland Board of Nursing.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Central Repository” means the Maryland Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Certificate” means a certificate issued by the Board to practice as a certified dialysis technician in this State.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Certified Dialysis Technician (CDT).</text>
      <paragraph num="(a)">
        <text>“Certified dialysis technician” means an individual who is certified by the Board to practice as a dialysis technician.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Certified dialysis technician” does not include a:</text>
        <paragraph num="(i)">
          <text>Medication technician; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Certified nursing assistant.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>“Certified nursing assistant (CNA)” means an individual certified by the Board as a nursing assistant in accordance with COMAR 10.39.01.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Clinical facility” means a setting where patients are present and that provides facilities for supervised clinical training.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Criminal history records check (CHRC)” means the performance of both a State criminal history records check by the Central Repository and a national criminal history records check performed by the Federal Bureau of Investigation.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Criminal history record information” means information provided by the criminal history records check regarding an applicant’s criminal arrests, charges, convictions, and other dispositions of criminal charges.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Delegation” means the act of authorizing a certified dialysis technician to perform acts of registered nursing or licensed practical nursing.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Direct supervision” means the individual is on site, physically present, accessible in the immediate patient care area, and available to intervene if necessary.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Evaluation” means the review and analysis of the extent to which the assessment, nursing diagnosis, planning, and implementation phases of the nursing process were effective in resolving the patient’s identified problems.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Family” means related family members, foster parents, domestic partners, and legal guardians.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Good standing” means without an encumbrance that limits or restricts practice, such as revocation, suspension, or probation.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Licensed practical nurse (LPN)” means an individual who:</text>
      <paragraph num="(a)">
        <text>Is licensed by the Board to practice licensed practical nursing; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has a multistate licensure privilege to practice licensed practical nursing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(16)">
      <text>Licensed Practitioner.</text>
      <paragraph num="(a)">
        <text>“Licensed practitioner” means an individual licensed in the healthcare field.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Licensed practitioner” includes RNs, LPNs, advanced practice registered nurses, physicians, physician’s assistants, physical therapists, and respiratory therapists.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>Model of Nursing Practice.</text>
      <paragraph num="(a)">
        <text>“Model of nursing practice” means the policies, procedures, and practice guidelines:</text>
        <paragraph num="(i)">
          <text>Established by the facility, which are consistent with this chapter regarding delegation of nursing functions and regulations governing the facility; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>That provide direction to nursing staff on the delivery of care to the patient population which the facility serves.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Model of nursing practice” may not supersede a delegating nurse’s prudent judgment regarding:</text>
        <paragraph num="(i)">
          <text>Delegation of a nursing function to a dialysis technician; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A particular delegated nursing function to that individual or individuals.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“National certification” means certification as a:</text>
      <paragraph num="(a)">
        <text>Certified Clinical Hemodialysis Technician  issued by the Nephrology Nursing Certification Commission;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Clinical Nephrology Technician issued by the National Nephrology Certification Organization; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified Hemodialysis Technician issued by the Board of Nephrology Examiners Nursing Technology.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(20)">
      <text>“Nurse” means a registered nurse or licensed practical nurse.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Patient” means the recipient of nursing care.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Practice as a certified dialysis technician” means to provide, under the supervision of a registered nurse or licensed practical nurse, direct care to patients undergoing renal dialysis treatments.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Program completion” means that the student:</text>
      <paragraph num="(a)">
        <text>Completed and demonstrated competency in the program objectives and performance indicators during the didactic, laboratory, and clinical portions of the training program; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Passed the final written examination.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(24)">
      <text>“Qualified faculty” means an instructor or instructors as described in Regulation .10A of this chapter.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“Readily available” means:</text>
      <paragraph num="(a)">
        <text>The delegating nurse is physically present on the unit; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The nurse may transfer responsibility for the nursing supervision and delegation to another nurse who then becomes the nurse delegating the nursing functions.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(26)">
      <text>“Registered nurse (RN)” 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="(27)">
      <text>“Routine care” means those activities necessary on a daily basis for the patient to gain or maintain a level of functioning.</text>
    </paragraph>
    <paragraph num="(28)">
      <text>“Structured setting” means a dialysis facility, hospital, nursing home, long-term care facility, ambulatory care setting, or any other acute care, chronic care, or correctional facility that has a location in which dialysis care is provided.</text>
    </paragraph>
    <paragraph num="(29)">
      <text>“Supervised clinical training” means training in person in a clinical facility during which the student demonstrates knowledge and skills while performing tasks on a patient under the direct supervision of an RN.</text>
    </paragraph>
    <paragraph num="(30)">
      <text>“Supervision” means the process of critical watching, directing, and evaluating another's performance.</text>
    </paragraph>
    <paragraph num="(31)">
      <text>“Unlicensed individual” means an individual who is not licensed or certified to provide nursing care in accordance with Health Occupations Article, Title 8, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(32)">
      <text>“Written agreement” means a contract between a training program and a clinical facility outlining the terms required, by both the program and the facility, for supervised clinical training of students.</text>
    </paragraph>
  </paragraph>
</regulation>