Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 27 - BOARD OF NURSING
Chapter 10.27.10 - Standards of Practice for Licensed Practical Nurses
Section 10.27.10.01 - Definitions
Universal Citation: MD Code Reg 10.27.10.01
Current through Register Vol. 51, No. 19, September 20, 2024
A. The following terms have the meanings indicated.
B. Terms Defined.
(1) "Assessment" means the act of gathering
and identifying data about the client.
(2) "Assign" means the transfer of
responsibility from one nurse to another, each having legal authority to
perform the function as permitted by the licensee's scope of
practice.
(3) "Board" means the
Board of Nursing.
(4) "Case
management" means a collaborative process that assesses, plans, implements,
coordinates, monitors, and evaluates options and services to meet the client's
health needs through enhanced communication and use of available resources to
promote quality client outcomes and cost effective care.
(5) "Client" means an individual who is under
the licensee's direct or indirect care.
(6) Comprehensive Nursing Assessment.
(a) "Comprehensive nursing assessment" means
an assessment performed by a registered nurse which is the foundation for the
analysis of the assessment data to determine:
(i) The nursing diagnosis;
(ii) Expected client outcomes; and
(iii) The client's plan of care.
(b) "Comprehensive nursing
assessment" includes, but is not limited to:
(i) Extensive initial and ongoing data
collection for individuals, families, groups, and communities;
(ii) A focused nursing assessment;
(iii) Past history, current health status,
and potential changes in the client's condition;
(iv) Identification of alterations to the
client's previous condition; and
(v) Synthesis of the biological,
psychological, spiritual, and social aspects of the client's
condition.
(7) "Contributes" means to participate as a
team member in the nursing team relationship.
(8) "Delegating" means the act of authorizing
an unlicensed individual, a certified nursing assistant, or a certified
medication technician to perform selected acts of registered nursing or
licensed practical nursing.
(9)
"Evaluation" means the review and analysis of the extent to which the
assessment, planning, and implementation were effective in resolving the
client's health problem.
(10)
Focused nursing assessment.
(a) "Focused
nursing assessment" means an appraisal of a client's current health status and
situation at hand;
(b) "Focused
nursing assessment" includes the reporting of information to other members of
the health care team.
(11) "Goal" means a measurable result to be
achieved by a client which is either long- or short-term.
(12) "Implementation" means the carrying out
of the nursing plan of care.
(13)
"Licensed nurse" means a licensed practical nurse or registered
nurse.
(14) "Licensed practical
nurse (LPN)" means an individual who is licensed by the Board to practice
licensed practical nursing or holds a multistate licensure privilege to
practice licensed practical nursing.
(15) "Multistate licensure privilege" has the
meaning set forth in COMAR
10.27.01.01B.
(16) "Nursing plan of care" means
an established set of goals, priorities, and methods designed to solve,
prevent, and manage a client's identified problems.
(17) "Nursing team relationship" means that
each licensed or certified individual who participates in providing care for a
client is a part of the nursing team.
(18) " Nursing triage" means the systematic
collection of client data at the client's point of entry or re-entry into the
health care system for the purpose of sorting clients by acuity levels to
determine the allocation of available health care resources to direct each
client to the right health care provider at the right time.
(19) "Record" means a written retrievable
document containing the client's health information.
(20) "Registered
nurse (RN)" means an individual who:
(a) Is
licensed by the Board to practice registered nursing; or
(b) Who holds a multistate licensure
privilege to practice registered nursing.
(21) Standards of Licensed Practical Nurse
Practice"
(a) "Standards of licensed practical
nurse practice" means the minimum criteria to which the licensed nurse shall
adhere in the practice of licensed practical nursing.
(b) "Standards of licensed practical nurse
practice" includes standards of professional performance as described in
Regulation .03 of this chapter.
(22) "Supervision" means the process of
critically watching an individual's performance with the intention of
evaluating and directing the individual's performance in the delivery of
nursing care.
(23) "Support" means
to promote, assist, or help.
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