Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 27 - BOARD OF NURSING
Chapter 10.27.11 - Delegation of Nursing Functions
Section 10.27.11.02 - Definitions
Universal Citation: MD Code Reg 10.27.11.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Accountability" means being answerable
for actions of self or others.
(2)
"Board" means the Board of Nursing.
(3) "Certified medicine aide (CMA)" means an
individual who meets the requirements as stated in COMAR 10.39.01 and
10.39.03.
(4) "Certified nursing
assistant (CNA)" means an individual certified by the Board as a nursing
assistant.
(5) "Client" means the
recipient of nursing care.
(6)
"Delegation" means the act of authorizing an unlicensed individual, a certified
nursing assistant, or a medication technician to perform acts of registered
nursing or licensed practical nursing.
(7) "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 client's identified problems.
(8) "Family" means related family members,
foster parents, domestic partners, and legal guardians.
(9) "Geriatric nursing assistant (GNA)" means
a CNA who has successfully completed the requirements for a GNA set forth in
42 CFR §§ 483.151-
483.156 and COMAR
10.39.01.
(10) "Home health aide
(HHA)" means a CNA who has successfully completed the requirements for
certification as a HHA set forth in 42 CFR § 484.36 and COMAR
10.39.01.
(11) "Licensed practical
nurse" 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.
(12) "Medication
technician" means an individual who completes a 20-hour course in medication
administration approved by the Board and is certified by the Board.
(13) Model of Nursing Practice.
(a) "Model of nursing practice" means the
policies, procedures, and practice guidelines:
(i) Established by the facility, which are
consistent with this chapter regarding delegation of nursing functions and
regulations governing the facility; and
(ii) That provide direction to nursing staff
on the delivery of care to the client population which the facility
serves.
(b) "Model of
nursing practice" may not supersede a delegating nurse's prudent judgment
regarding:
(i) Delegation of a nursing
function to a certified nursing assistant, an unlicensed individual, or a
medication technician; or
(ii) A
particular delegated nursing function to that individual or
individuals.
(14) "Multistate licensure privilege" has the
meaning set forth in COMAR
10.27.01.01B.
(15) "Nurse" means a registered nurse or licensed
practical nurse.
(16) "Pressure
ulcer" means a decubitus ulcer stage I through IV, the care for which includes
cleaning, applying topical medication, and dressing without packing.
(17) "Readily available" means, in:
(a) A structured setting:
(i) The delegating nurse is physically
present on the unit; and
(ii) The
nurse may transfer responsibility for the nursing supervision and delegation to
another nurse who then becomes the nurse delegating the nursing functions;
and
(b) Other settings,
the delegating nurse is on the premises or else is available by
telephone.
(18) "Registered
nurse (RN)" means an individual who:
(a) Is
licensed by the Board to practice registered nursing; or
(b) Has a multistate licensure privilege to
practice registered nursing.
(19) "Responsibility" means the charge to do
something.
(20) "Routine care"
means those activities necessary on a daily basis for the client to gain or
maintain a level of functioning.
(21) "Structured setting" means a hospital,
nursing home, long-term care facility, ambulatory care setting, surgicenter, or
any other acute or chronic care facility.
(22) "Supervised group living settings" means
assisted living facilities, group homes for juveniles, group homes for
emotionally disturbed children, alternative living units for the
developmentally disabled, or any other facility or setting providing supervised
living arrangements for groups of unrelated individuals.
(23) "Supervision" means the process of
critical watching, directing, and evaluating another's performance.
(24) "Unlicensed individual" means an
individual who is not licensed or certified to provide nursing care under
Health Occupations Article, Title 8, Annotated Code of Maryland.
(25) Wound.
(a) "Wound" means venous stasis ulcer or
ulcers, a dehissed wound, or any other break in the integrity of the full
thickness of skin that involves the subcutaneous tissue or fascia.
(b) "Wound" may include tunneling or a sinus
tract.
(c) "Wound" does not include
an uncomplicated healing surgical wound.
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