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10.27.01.00.htm 10.27.01.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 01 Examination and Licensure Authority: Health Occupations Article, §1-213, 8-201, 8-205, 8-206, 8-301―8-315, 8-703, and 8-6A-05(a) Tax-General Article, §10-738 and 10-739(b)1) Annotated Code of Maryland; Ch. 486, Acts of 2012; Chs. 281 and 282, Acts of 2013, Chs. 385 and 386, Acts of 2016, and Chs. 234 and 234, Acts of 2017
10.27.01.01.htm 10.27.01.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Active nursing practice" as used in Health Occupations Article, §8-312, Annotated Code of Maryland, means:a) The practice of registered nursing or licensed practical nursing as defined in Health Occupations Article, §8-101, Annotated Code of Maryland;b) Related nursing activities approved by the Board, including but not limited to a generic nursing education program, degree
10.27.01.02.htm 10.27.01.02. 02 Fees.. A. The fees listed in this regulation are not refundable.. B. Licensure by examination fees are as follows:. 1) Registered nurse licensure ― $100;. 2) Licensed practical nurse licensure ― $100; and. 3) An examination fee for registered nurse and licensed practical nurse licensure shall be paid by the candidate directly to the testing service.C. Licensure by endorsement fees are as follows:. 1) Registered nurse licensure ― $100; and.
10.27.01.03.htm 10.27.01.03. 03 Licensure Exceptions.. A. Registered nurses or licensed practical nurses who hold a current active license in any other state or jurisdiction may render nursing care:1) For not more than 30 days, to an individual who is visiting the State for medical, educational, or personal reasons;2) For the purpose of the interstate transport and care of patients traveling to and from Maryland; and3) During an emergency situation.. B. A registered nurse or licensed practical nurse
10.27.01.04.htm 10.27.01.04. 04 General Provisions for Applications.. A. An applicant shall submit:. 1) A completed application to the Board on the form that the Board requires;. 2) To a criminal history records check (CHRC) in accordance with Health Occupations Article, §8–303, Annotated Code of Maryland;3) Written evidence satisfactory to the Board that the applicant has submitted to a CHRC as required by §A(2) of this regulation by submitting:
10.27.01.05.htm 10.27.01.05. 05 Qualifications of Applicants for Examination.. A. An applicant for the registered nurse licensure examination shall:. 1) Complete satisfactorily and meet all requirements for a diploma or degree from a registered nursing education program approved by the Board; or2) Have a diploma or degree from a registered nursing education program in another state, territory, or country determined by the Board to be substantially equivalent to the registered nursing educati
10.27.01.06.htm 10.27.01.06. 06 Application for Licensure by Examination.. A. An applicant shall:. 1) Comply with all of the requirements in Regulation .04A of this chapter;. 2) File and submit a completed application to the National Council of State Boards of Nursing on the form required; and3) Pay any required fees.. B. Each application shall be signed by the nurse administrator of the school or program or an officer of the school to whom this responsibility has been designated.C. Applications may be si
10.27.01.07.htm 10.27.01.07. 07 Examination Procedures.. A. Examinations shall be held at least once per year.. B. The Board will participate with the National Council of State Boards of Nursing, Inc. in preparing and administering the National Council Licensure Examination for registered nurse and practical nurse licensure.C. The results of the NCLEX shall be reported as pass or fail.. D. An authorization to test card shall be sent to each candidate that the Board determines to be eligible for the examination.
10.27.01.08.htm 10.27.01.08. 08 Applicants Requiring Special Accommodation.. A. An applicant with a disability may request modifications in examination materials or procedures. The applicant shall:1) Make the request for modifications in writing;. 2) Include in the request the following:. a) The candidate's name;. b) The date of the examination to be modified;. c) A letter from the appropriate medical professional which:. i) Confirms the disability; and.
10.27.01.09.htm 10.27.01.09. 09 Speech-Impaired Applicants.. A. An applicant who claims a speech impairment shall fulfill all requirements for application, and shall submit to the Board documentation of the applicant's impairment, from:1) An otolaryngologist who has current certification from the American Board of Otolaryngology; and. 2) A speech-language pathologist who has current certification from the American Speech-Language-Hearing Association.B. The Board shall require a speech-impaired appli
10.27.01.10.htm 10.27.01.10. 10 Licensure by Endorsement.. A. An applicant licensed to practice registered nursing or practical nursing in another state, territory, or country is eligible for licensure without examination if the applicant:1) Complies with all of the requirements under Regulation .04A of this chapter;. 2) Pays the required fee;. 3) Submits the following verifications directly to the Board from the appropriate authority:. a) That at the time that applicant graduated from the nursing education pro
10.27.01.11.htm 10.27.01.11. 11 Issuance of Licenses.. A. An initial license shall be issued to each applicant passing the licensure examination or qualifying for licensure by endorsement provided that:1) The applicant meets all the requirements of this chapter; and. 2) The Board has:. a) Received and reviewed the criminal history record information; and. b) Approved the application.. B. An initial license may not be issued for less than 90 days.. C. An incorrect license issued as a result of a Bo
10.27.01.12.htm 10.27.01.12. 12 Temporary Licensure.. A. The Board may issue a temporary license to an applicant who passed the licensure examination and is waiting for the criminal history records check to be completed or who is licensed as a registered nurse or licensed practical nurse in any other state provided that the applicant:1) Completes the required application;. 2) If licensed in another state, presents a copy of a current, active license in another state;.
10.27.01.13.htm 10.27.01.13. 13 Renewal of License.. A. The Board shall renew the license of a licensee who meets all the requirements of Health Occupations Article, §8-312, Annotated Code of Maryland and of this chapter.B. The Board shall renew licenses biennially according to the following schedule:. 1) A registered nurse or licensed practical nurse with an odd-numbered birth year shall always renew in an odd-numbered year not later than the 28th day of the licensee’s birth month; and2) A registered nurse or
10.27.01.14.htm 10.27.01.14. 14 Inactive Status.. A. The Board shall place the license of any registered nurse or licensed practical nurse on inactive status if the licensee:1) Has not satisfactorily completed 1,000 hours of active nursing practice or graduated from an approved nursing program within the 5-year period immediately preceding the date of anticipated renewal or chooses inactive status;2) Completes the biennial application for inactive status; and. 3) Pays all fees.. B. A licensee on inactive
10.27.01.15.htm 10.27.01.15. 15 Expiration of License.. A. A license expires on the 28th day of the licensee's birth month.. B. A licensee has a 30-day grace period beyond the expiration date of a license to renew a license..
10.27.01.16.htm 10.27.01.16. 16 Refresher Course and Preceptorship Requirements.. A. Refresher courses and preceptor programs, as defined in Regulation .01B of this chapter, shall be approved by the Board before their implementation and at least every 5 years after that.B. The registered nurse curriculum shall:. 1) Have a minimum of 80 theory hours, 60 clinical hours, and 8 hours of a classroom laboratory training before the on-site clinical experience;2) Include the following content areas:.
10.27.01.17.htm 10.27.01.17. 17 Reinstatement.. A. The Board shall reinstate the license of a former licensee who has failed to renew the license for any reason if the former licensee meets the renewal requirements.B. After January 1, 2010, an applicant for reinstatement who has failed to renew the applicant's license for a period of 1 year or more shall submit to a criminal history records check before the license is reinstated.
10.27.01.18.htm 10.27.01.18. 18 Violation of Regulations.. A. If a program is thought to be in violation of this chapter, the following steps shall be taken:. 1) The Board shall notify the program of the regulations it is violating;. 2) The program shall submit a plan with a proposed time frame for correcting the violations;. 3) The plan shall be due within 30 days of receipt of notification of the violations;. 4) The Board's professional staff may, at the request of the Board, visit the program;.
10.27.01.9999.htm 10.27.01.9999. Administrative History Effective date:. Regulation .01B, C amended effective May 5, 1978 (5:9 Md. R. 684). Regulation .02A amended effective January 7, 1976 (3:1 Md. R. 40). Regulation .02B, F amended effective October 13, 1976 (13:21 Md. R. 1206). Regulation .02G amended effective May 14, 1975 (2:10 Md. R. 752). Regulation .05 amended effective January 7, 1976 (3:1 Md. R. 40). Regulation .08 repealed effective March 23, 1979 (6:6 Md. R. 512) ―.
10.27.02.00.htm 10.27.02.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 02 Hearing Procedures Authority: Health Occupations Article, §8-205(a)1) Annotated Code of Maryland
10.27.02.01.htm 10.27.02.01. 01 Scope.. These regulations apply only to formal hearings before the Board based on charges or notices of proposed action issued pursuant to Health Occupations Article, §8-316, 8-404, 8-6A-10, or 8-6B-18, Annotated Code of Maryland.
10.27.02.01-1.htm 10.27.02.01-1. 01-1 Notice of Hearing.. A. The Board shall send written notice of the hearing to all interested parties at least 30 days before the hearing.B. The Board shall notify the parties of:. 1) The date, time, and place of the hearing;. 2) A clear and concise statement of the facts asserted; and. 3) The charges alleged.. C. If the facts cannot be stated in detail when the notice is given, the Board shall state the issues involved.
10.27.02.01-2.htm 10.27.02.01-2. 01-2 Prehearing Conferences.. The Board may set prehearing conferences as it considers appropriate..
10.27.02.01-3.htm 10.27.02.01-3. 01-3 Discovery.. A. Discovery on Request. By written request served on other parties and filed with this Board, a party may require another party to produce, within 15 calendar days:1) A list of witnesses to be called; and. 2) Copies of documents intended to be produced at the hearing.. B. Mandatory Discovery.. 1) Each party shall provide to the other party the name and curriculum vitae of any expert witness who will testify at the hearing not later than 15 d
10.27.02.02.htm 10.27.02.02. 02 Representation.. A. A party appearing at a formal hearing has the right to appear in proper person or by or with counsel. A party has the right to be accompanied, represented, and advised by counsel.B. Unless authorized to practice law in this State, a counsel may not represent a party before the Board.
10.27.02.03.htm 10.27.02.03. 03 Representation.. A. A party appearing at a formal hearing has the right to appear in proper person or by or with counsel. A party has the right to be accompanied, represented, and advised by counsel.B. Unless authorized to practice law in this State, a counsel may not represent a party before the Board.
10.27.02.04.htm 10.27.02.04. 04 Presiding Officer Duties.. A quorum of the Board shall be present for each formal hearing. The president, or the president's designee, is the presiding officer, and has complete charge of the hearing, permitting the examination of witnesses, admitting evidence, ruling on the admissibility of evidence, and adjourning or recessing the hearing from time to time.
10.27.02.05.htm 10.27.02.05. 05 Order of Procedure.. The order in which the parties shall present their case shall be determined by the presiding officer.
10.27.02.06.htm 10.27.02.06. 06 Examination of Witnesses and Introduction of Evidence.. A. The rules of evidence in all hearings under these bylaws are as set forth in State Government Article, §10-213 and 10-214, Annotated Code of Maryland.B. Any party may submit evidence, examine and cross-examine witnesses, and file objections, exceptions, and motions. However, when a party is represented by counsel, all submission of evidence, examination and cross-examination of witnesses, and filing of objections, excepti
10.27.02.07.htm 10.27.02.07. 07 Briefs.. Any party may submit briefs of the issues of fact and law involved in the hearing. The briefs shall be filed in the form, with the number of copies, and at the time that the presiding officer designates.
10.27.02.08.htm 10.27.02.08. 08 Request for Office of the Attorney General Counsel.. The Board may request the Office of the Attorney General to participate in any hearing as counsel for the Board. Upon that request, the counsel is entitled to submit evidence and question witnesses on behalf of the Board as permitted by State Government Article, §10-213, Annotated Code of Maryland.
10.27.02.09.htm 10.27.02.09. 09 Decision and Order.. The Board shall render every decision and order in writing, which shall be accompanied by findings of fact and conclusions of law. A copy of the decision and order and accompanying findings and conclusions shall be delivered or mailed promptly to each party or the party's attorney of record.
10.27.02.9999.htm 10.27.02.9999. Administrative History Effective date: September 30, 1973. Regulation .01-1 adopted effective November 23, 1981 (8:23 Md. R. 1857). Regulations .01 and .01-1 recodified to .01-1 and .01-2, respectively, and Preface recodified to Regulation .01 Scope, July 1991Regulation .01 amended effective July 3, 1995 (22:13 Md. R. 967) March 14, 2005 (32:5 Md. R. 580). Regulation .01-1 repealed and new Regulation .01-1 adopted effective July 3, 1995 (22:13 Md. R. 967).
10.27.03.00.htm 10.27.03.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 03 Nursing Education Programs Authority: Health Occupations Article, §8-205, 8-401, and 8-404, Annotated Code of Maryland
10.27.03.01.htm 10.27.03.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Approved" means a nursing education program that:. a) Is in compliance with the regulations of the Board; and. b) Holds a certificate of approval from the Board of Nursing.. 2) "Board" means the Board of Nursing.. 3) "Board-recognized nursing accreditation agency (BRNAA) means a national nursing education accreditation agency recognized by the:
10.27.03.02.htm 10.27.03.02. 02 Approval of Programs Accredited by a Board-Recognized Nursing Accreditation Agency.. A. The Board shall place on its list of approved programs any nursing education program in Maryland granted accreditation by a BRNAA, provided the program meets all requirements of this chapter.B. A program approved by the Board and accredited by a BRNAA agency shall submit to the Board within 30 days of receipt:1) Evidence of current accreditation;. 2) Accreditation reports; and.
10.27.03.03.htm 10.27.03.03. 03 Board Approval of Nonaccredited Programs.. A. A Board-approved nursing education program that is not accredited by a BRNAA shall meet the requirements stated in Regulations .04―16 of this chapter.B. In institutions having both a licensed practical nursing education program and a registered nursing education program and when only one of the programs is accredited by a BRNAA:1) The Board and the BRNAA shall conduct concurrent visits; and. 2) The program shall subm
10.27.03.04.htm 10.27.03.04. 04 Philosophy and Objectives, Outcomes, or Competencies.. A. The philosophy and program objectives, outcomes, or competencies shall be:. 1) Developed by the nursing faculty and represent a consensus of that faculty;. 2) Consistent with the characteristics of the specific type of nursing education program;. 3) Communicated to those responsible for and participating in the program; and. 4) Periodically evaluated.. B. The philosophy of the program shall:.
10.27.03.05.htm 10.27.03.05. 05 Administration and Organization.. A. The controlling institution shall:. 1) Be accredited by the appropriate regional accrediting agency; and. 2) Have a statement of equal educational opportunity.. B. The organizational chart shall:. 1) Demonstrate the relationship of the nursing program to the controlling institution;. 2) Indicate lines of responsibility and authority; and. 3) Indicate channels of communication..
10.27.03.06.htm 10.27.03.06. 06 Records and Reports.. A. Accurate and appropriate records shall be maintained that include, but are not limited to:. 1) Current records of students;. 2) Transcripts of graduates;. 3) Faculty records;. 4) Administrative records, which include:. a) Minutes of faculty meetings;. b) Annual reports of the program; and. c) School bulletins;. 5) The current curriculum, including:. a) Philosophy;. b) Objectives or outcomes; and. c) Course outlines;.
10.27.03.07.htm 10.27.03.07. 07 Nursing Program Administrator.. A. Qualifications.. 1) Qualifications of the nursing program administrator include:. a) Current licensure as a registered nurse in Maryland or possession of a multistate licensure privilege to practice registered nursing;b) A graduate degree in nursing; and. c) Academic preparation or experience in administration.. 2) A doctorate in nursing or a related field is recommended for the nursing program administrator.. B. Responsibilities. The
10.27.03.08.htm 10.27.03.08. 08 Faculty and Clinical Instructors.. A. Qualifications of Nurse Faculty.. 1) Nurse faculty shall:. a) Be currently licensed as a registered nurse in Maryland or have a multistate licensure privilege to practice registered nursing;b) Be academically and professionally qualified;. c) Maintain expertise appropriate to their teaching responsibilities; and. d) Have a minimum of 2 years of clinical experience as a registered nurse.. 2) Except as provided under §B of this regulation,
10.27.03.09.htm 10.27.03.09. 09 Faculty Policies.. A. There shall be written personnel policies for nursing faculty and clinical instructors that are in keeping with accepted educational standards.B. Policies concerning the teaching load for faculty and the nursing program administrator shall be in writing. Sufficient time shall be provided for faculty to accomplish those activities related to the teaching-learning process. If the program administrator is required to teach, the program admini
10.27.03.10.htm 10.27.03.10. 10 Faculty Organization.. A. The faculty shall be organized with written policies and procedures to guide its activities.. B. The faculty shall meet regularly and function in such a manner that all members participate in planning, implementing, and evaluating the nursing program.C. Committees necessary to carry out the functions of the program shall be established with the duties and membership of each committee clearly defined.
10.27.03.11.htm 10.27.03.11. 11 Faculty Development and Evaluation.. A. There shall be a formal plan for orientation of new faculty and clinical instructors.. B. A program of faculty development shall be offered to encourage and assist faculty members and clinical instructors in their professional growth and development.C. A variety of means shall be used to evaluate faculty and clinical instructors' effectiveness of teaching within the classroom and clinical setting.
10.27.03.12.htm 10.27.03.12. 12 Resources, Facilities, and Services.. A. Physical Facilities. The physical facilities shall be adequate to meet the needs of the nursing program and include the following:1) Office for the administrator, faculty members, and staff;. 2) Adequate space for privacy of faculty-student conferences;. 3) Classroom, laboratories, simulation laboratories, and conference rooms;. 4) Space for equipment and instructional materials; and.
10.27.03.13.htm 10.27.03.13. 13 Curriculum.. A. The curriculum shall be:. 1) Planned, implemented, and evaluated by the faculty;. 2) Based on the philosophy and program objectives, outcomes, or competencies;. 3) Organized logically and sequenced appropriately; and. 4) Based on sound educational principles.. B. The curriculum plan shall:. 1) Serve as the foundation for curriculum development;. 2) Define and organize philosophical beliefs, values, and concepts;.
10.27.03.14.htm 10.27.03.14. 14 Students.. A. The following shall be available to students:. 1) A written statement of students' rights and responsibilities;. 2) The opportunity to participate in program development and evaluation;. 3) A written grievance mechanism; and. 4) Guidance and advisement services.. B. It is recommended that students have:. 1) Membership on selected faculty committees; and. 2) The opportunity to participate in an organization of self-governance..
10.27.03.15.htm 10.27.03.15. 15 Evaluation.. A. The faculty shall develop and implement a Board-approved evaluation plan for evaluating the total nursing education program at least every 3 years.B. The evaluation plan shall include:. 1) All components of the program;. 2) Evaluation time intervals;. 3) Student, graduate, faculty, cooperating agencies, and administration participation;. 4) Instruments or methods used; and. 5) Evidence that prior recommendations have been acted upon.. C. The evaluation process
10.27.03.16.htm 10.27.03.16. 16 Annual Review.. A. Annually, a program shall submit the following to the Board:. 1) A program catalog;. 2) Any annual reports to the BRNAA;. 3) Any correspondence related to the status of the program's accreditation;. 4) A summary of practices followed in safeguarding the health and well-being of students; and. 5) Accurate and complete data including, but not limited to, number of enrollments, admissions, graduates, and faculty.B. Annually the Board shall:.
10.27.03.17.htm 10.27.03.17. 17 Removal from Approved List.. A. Pursuant to Health Occupations Article, §8-404, Annotated Code of Maryland, at least 30 days before issuing a formal notice of violation of regulations to an institution, the Board shall notify the chief administrator of the institution and the chief administrator of the nursing education program that the Board is considering issuing a formal notice of violation.B. During the 30-day period, the Board shall provide the chief administrato
10.27.03.18.htm 10.27.03.18. 18 New Programs.. A. Approval Requirements.. 1) An institution wishing to establish a nursing program shall submit to the Board:. a) A letter of intent;. b) Proof of regional accreditation;. c) A copy of the prospectus and program proposal submitted to MHEC;. d) An addendum that describes in detail the:. i) Type and length of nursing program;. ii) Curriculum plan;. iii) Program objectives, outcomes, or competencies; and. iv) Description of available clinical resources;.
10.27.03.19.htm 10.27.03.19. 19 Closure of Programs.. A. Upon request, the Board shall provide consultation concerning closing of a program.. B. Upon the decision by a program to close, and at least 90 days before closing, the nurse administrator shall notify the Board of its intent, giving the following information:1) Date and reason for closing;. 2) Plans for phasing out the program;. 3) Disposition of the records of students, graduates, and faculty; and. 4) Title of the position of the individual to be r
10.27.03.9999.htm 10.27.03.9999. Administrative History Effective date: April 16, 1975 (2:8 Md. R. 566). Chapter revised effective August 30, 1982 (9:17 Md. R. 1708). Regulation .01 amended effective November 21, 1983 (10:23 Md. R. 2064) August 11, 1986 (13:16 Md. R. 1827)Regulation .03 amended effective August 11, 1986 (13:16 Md. R. 1827). Regulation .04 amended effective August 11, 1986 (13:16 Md. R. 1827). Regulation .05 amended effective August 11, 1986 (13:16 Md. R. 1827).
10.27.04.00.htm 10.27.04.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 04 Methadone Dispensing Authority: Health Occupations Article, §8-205(a)1) and 8-511, Annotated Code of Maryland
10.27.04.01.htm 10.27.04.01. 01 Dispensing Methadone.. A. A registered nurse or licensed practical nurse working in a methadone clinic licensed by the Maryland Department of Health may dispense methadone in accordance with:1) The patient's standing medication order;. 2) The methadone clinic's policies and procedures for dispensing methadone; and. 3) State and federal laws and regulations for labeling.. B. A registered nurse or licensed practical nurse working in a methadone clinic licensed by the Mary
10.27.04.9999.htm 10.27.04.9999. Administrative History Effective date: February 9, 2009 (36:3 Md. R. 209).
10.27.05.00.htm 10.27.05.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 05 Practice of Nurse Midwifery Authority: Health Occupations Article, §8-101, 8-205, and 8-601―8-603, Annotated Code of Maryland
10.27.05.01.htm 10.27.05.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “ACME” means the Accreditation Commission for Midwifery Education.. 2) “ACNM” means the American College of Nurse Midwives.. 3) “Advanced practice registered nurse (APRN) means a registered nurse who is certified by the Board as:a) A certified nurse midwife (CNM). b) A certified registered nurse anesthetist (CRNA). c) A certified nurse practitioner (CRNP) or.
10.27.05.02.htm 10.27.05.02. 02 Certification.. A. An applicant for certification as a nurse midwife shall:. 1) Hold a current Maryland license in good standing to practice registered nursing or a multistate licensure privilege to practice registered nursing;2) Have graduated from a Board-approved graduate level program for nurse midwives at the Masters’ level or higher that is accredited by:a) The National League for Nursing Accreditation Commission (NLNAC). b) The Commission on Nursing Education (CCNE).
10.27.05.03.htm 10.27.05.03. 03 Duties of the Board.. The Board shall:. A. Maintain an up-to-date list of all certified nurse midwives in this State; and. B. Include on the nurse midwife's registered nursing license an indication that the licensee is certified as a nurse midwife.
10.27.05.04.htm 10.27.05.04. 04 Required Documentation.. A. A certified nurse midwife who provides clinical midwifery services across the reproductive lifespan shall:1) Maintain a medical record for each client; and. 2) In the case of a transfer of care to another provider or a facility, transfer the client’s medical records with the client.B. A certified nurse midwife who provides clinical midwifery services shall have available at all times for examination by the Board, written clinical
10.27.05.05.htm 10.27.05.05. 05 Practice Before Certification.. A. A registered nurse who meets the qualifications to sit for the AMCB national certifying examination or any other certifying examination approved by the Board who has taken that examination and is waiting for the results of it may practice as a nurse midwife graduate before certification if the:1) Practice is under the supervision of a certified nurse midwife who shall be physically available to the nurse midwife grad2) Supervising certified
10.27.05.06.htm 10.27.05.06. 06 Scope of Practice.. A. A certified nurse midwife who meets the requirements of Regulation .02 of this chapter may perform the following functions:1) Independent management of clients appropriate to the skill and educational preparation of the certified nurse midwife and the nurse midwife's clinical practice guidelines;2) Consult or collaborate with a physician or other health care provider as needed; and. 3) Refer clients with complications beyond the scope of practice of the cer
10.27.05.07.htm 10.27.05.07. 07 Nurse Midwife Peer Review Advisory Committee.. The Board shall appoint at least four certified nurse midwives from names submitted for consideration to act as its Advisory Committee in accordance with Health Occupations Article, §8-503, Annotated Code of Maryland.
10.27.05.08.htm 10.27.05.08. 08 Renewal of Certification.. A. Certification as a nurse midwife expires at the same time as the nurse midwife's registered nursing license unless the certification is renewed.B. Before a nurse midwife’s certification expires, the nurse midwife may renew the certification biennially if the nurse midwife:1) Is otherwise entitled to be certified;. 2) Submits to the Board:. a) Documentation of a current national certification as a nurse midwife from AMCB or another nationa
10.27.05.09.htm 10.27.05.09. 09 Compliance.. The certified nurse midwife shall develop and comply with clinical practice guidelines as defined in Regulation .01B of this chapter.
10.27.05.10.htm 10.27.05.10. 10 Unlawful Practices.. Pursuant to Health Occupations Article, Title 8, Subtitle 7, Annotated Code of Maryland, an individual may not:A. Practice nurse midwifery unless certified under these regulations or otherwise permitted by law to engage in those activities;B. Use the title nurse midwife, certified nurse midwife, or any other similar designation unless certified by the AMCB, or other certifying body approved by the Board; or
10.27.05.11.htm 10.27.05.11. 11 Prescribing of Substances by a Certified Nurse Midwife.. Pursuant to Health Occupations Article, §8-601, Annotated Code of Maryland, a certified nurse midwife may prescribe:A. Substances commonly used in the practice of nurse midwifery; and. B. Controlled substances on Schedules II-V under Criminal Law Article, §5-403―5-406, Annotated Code of Maryland, commonly used in the practice of nurse midwifery; andC. Dispense substances prescribed in accordance with §A and B of this regul
10.27.05.9999.htm 10.27.05.9999. Administrative History Effective date:. Regulations .01―10 adopted as an emergency provision effective March 14, 1983 (10:11 Md. R. 970) emergency status expired July 13, 1983; adopted permanently effective October 10, 1983 (10:20 Md. R. 1787)Regulation .01 amended effective September 2, 1991 (18:17 Md. R. 1919) April 10, 1995 (22:7 Md. R. 536) June 26, 2000 (27:12 Md. R. 1140)Regulation .01B amended effective March 1, 2004 (31:4 Md. R. 316).
10.27.06.00.htm 10.27.06.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 06 Practice of Nurse Anesthetist Authority: Health Occupations Article, §8-205(a)1) (3) (4) and (5) Annotated Code of Maryland
10.27.06.01.htm 10.27.06.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "A.A.N.A. means the American Association of Nurse Anesthetists.. 2) "Advanced practice registered nurse (APRN) means a registered nurse who is certified by the Board as:a) A certified nurse midwife (CNM). b) A certified registered nurse anesthetist (CRNA). c) A certified nurse practitioner (CRNP) or. d) A clinical nurse specialist (CNS).
10.27.06.02.htm 10.27.06.02. 02 Certification.. A. An applicant for certification as a CRNA shall:. 1) Hold a current Maryland license in good standing or a multistate licensure privilege to practice registered nursing in this State under the Nurse Licensure Compact;2) Have graduated from an education program in nurse anesthesia approved by the Board;. 3) Hold current national certification from the Council on Certification of Nurse Anesthetists or from another national certifying body recognized by the Board;
10.27.06.03.htm 10.27.06.03. 03 Practice Before Certification.. A. A registered nurse who has completed a program for preparation of nurse anesthetists and who has applied to take a national certifying examination acceptable to the Board may practice as a nurse anesthetist graduate before certification in the State, on approval of the Board, if the nurse:1) Has a current license or multistate privilege to practice registered nursing in the State;.
10.27.06.04.htm 10.27.06.04. 04 Renewal of Certification.. A. Certification as a nurse anesthetist expires at the same time as the nurse anesthetist's registered nursing license unless the certification is renewed.B. Before a nurse anesthetist’s certification expires, the nurse anesthetist may renew the certification biennially, if the nurse anesthetist:1) Is otherwise entitled to be certified;. 2) Pays all appropriate renewal fees set by the Board; and. 3) Submits to the Board:.
10.27.06.05.htm 10.27.06.05. 05 Scope of Practice.. A. A nurse anesthetist may perform the following functions:. 1) Perioperative assessment and management of patients requiring anesthesia services;. 2) Administration of anesthetic agents;. 3) Management of fluids in intravenous therapy; and. 4) Respiratory care.. B. A nurse anesthetist has the right and obligation to refuse to perform a delegated act if, in the nurse anesthetist’s judgment, the act is:1) Unsafe;. 2) An invalidly prescribed medical act; or.
10.27.06.06.htm 10.27.06.06. 06 Standards of Practice.. A. A nurse anesthetist shall collaborate with an anesthesiologist, licensed physician, or dentist in the following manner:1) An anesthesiologist, licensed physician, or dentist shall be physically available to the nurse anesthetist for consultation at all times during the administration of, and recovery from, anesthesia;2) An anesthesiologist shall be available for consultation to the nurse anesthetist for other aspects of the practice of nurs
10.27.06.07.htm 10.27.06.07. 07 Unlawful Practices.. A. Under Health Occupations Article, Title 8, Subtitle 7, Annotated Code of Maryland, a person may not:1) Practice nurse anesthesia unless certified under this chapter, or otherwise permitted by law to engage in these activities; or2) Use the title nurse anesthetist, or any other words, letters, or symbols with the intent to represent that the individual is a nurse anesthetist unless certified by the Board.B. A person certified under this chapter is subjec
10.27.06.08.htm 10.27.06.08. 08 CRNA Peer Review/Advisory Committee.. A. The Board shall appoint at least four CRNAs to act as the Board's advisory committee.. B. The Committee shall:. 1) Meet at least four times a year;. 2) Report at least annually on its overall activities; and. 3) Function at the Board's direction and provide the Board with expert advice related to the practice of nurse anesthesia.C. Members of the Committee shall be appointed for a 4-year term and may be reappointed for one addi
10.27.06.9999.htm 10.27.06.9999. Administrative History Effective date: December 1, 1979 (6:21 Md. R. 1709). Regulations .01―09 repealed and new Regulations .01―08 adopted effective April 3, 2000 (27:6 Md. R. 642)Regulation .01B amended effective June 17, 2019 (46:12 Md. R. 544). Regulation .02 amended effective November 23, 2006 (33:23 Md. R. 1796) June 17, 2019 (46:12 Md. R. 544)Regulation .02B amended effective June 18, 2007 (34:12 Md. R. 1067).
10.27.07.00.htm 10.27.07.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 07 Practice of the Nurse Practitioner Authority: Family Law Article, §2-301; Health-General Article, §4-208(a) 4-212, 5-601(c)e) 5-608(c) 10-616, 10-628, 13-701, and 13-704; Health Occupations Article, §8-205(a)1) (2) (4) and (5) and 8-302; Transportation Article, §13-616(a) and (b) and 13-704; Annotated Code of Maryland; Ch. 342, Acts of 2015; Ch. 468, Acts of 2015
10.27.07.01.htm 10.27.07.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “AANPNCB” means the American Academy of Nurse Practitioners National Certification Board.. 2) “Advanced practice registered nurse (APRN) means a registered nurse who is certified by the Board as:a) A certified nurse midwife (CNM). b) A certified registered nurse anesthetist (CRNA). c) A certified nurse practitioner (CRNP) or. d) A clinical nurse specialist (CNS).
10.27.07.02.htm 10.27.07.02. 02 Certification.. A. An applicant for certification as a nurse practitioner shall obtain certification from the Board before commencing practice.B. An applicant for certification as a nurse practitioner shall:. 1) Hold a current Maryland license in good standing to practice registered nursing or a multistate licensure privilege to practice registered nursing;2) Have graduated from a Board-approved accredited graduate level program for nurse practitioners at the Masters’ level or hi
10.27.07.03.htm 10.27.07.03. 03 Nurse Practitioner ― Scope and Standards of Practice.. A. A nurse practitioner may independently perform the following functions:. 1) A comprehensive physical assessment of patients;. 2) In accordance with Family Law Article, §2-301, Annotated Code of Maryland, certify to the clerk of the court that a:a) 16 or 17 year old individual, who wants to get married without parental consent, has been examined and found to be pregnant or has given birth to ab) 15 year old individual
10.27.07.04.htm 10.27.07.04. 04 Renewal of Certification.. A. A certification as a nurse practitioner expires at the same time as the nurse practitioner's registered nursing license.B. Before a nurse practitioner’s certification expires, the nurse practitioner may renew the certification biennially if the nurse practitioner:1) Is otherwise entitled to be certified;. 2) Submits to the Board:. a) Documentation of every current national certification as a nurse practitioner from a national cer
10.27.07.05.htm 10.27.07.05. 05 Practice Before Maryland Certification.. A. A registered nurse who has completed a Board-approved educational program for nurse practitioners and who has applied to take a Board-approved national certifying examination may practice as a nurse practitioner graduate before certification in this State upon approval of the Board if the nurse has:1) Submitted a completed application for certification as a nurse practitioner in this State in accordance with Regulation .0
10.27.07.06.htm 10.27.07.06. 06 Education.. A. An applicant certified by a national certifying body before October 1, 2010, who is certified by the Board and in good standing shall be deemed to meet the education requirements under this regulation.B. An applicant for certification shall be a graduate from a Board-approved nationally accredited education program for nurse practitioners in a school of nursing that:1) Provides advanced practice instruction at the Masters’ level or higher in a clinical nursing prog
10.27.07.07.htm 10.27.07.07. 07 Preparing and Dispensing.. A. A nurse practitioner may personally prepare and dispense any drug that a nurse practitioner is authorized to prescribe in the course of treating a patient at:1) A medical facility or clinic that specializes in the treatment of medical cases reimbursable through workers' compensation insurance;2) A medical facility or clinic that is operated on a nonprofit basis;. 3) A health center that operates on a campus of an institution of higher education;.
10.27.07.08.htm 10.27.07.08. 08 Unlawful Practices.. Unless authorized to practice as a nurse practitioner under Health Occupations Article, Title 8, Annotated Code of Maryland, an individual may not:A. Represent to the public by title or by description of services, methods, procedures, or otherwise, that the individual is authorized to practice as a nurse practitioner in this State;B. Use as a title or describe the services the individual provides by use of the words “nurse practitioner” or “certified nur
10.27.07.9999.htm 10.27.07.9999. Administrative History Effective date: March 6, 1981 (8:5 Md. R. 473). Regulation .01B amended effective August 29, 1994 (21:17 Md. R. 1439). Regulation .02 amended effective June 7, 1993 (20:11 Md. R. 913). Regulation .03A amended effective June 7, 1993 (20:11 Md. R. 913). Regulation .04 amended effective June 7, 1993 (20:11 Md. R. 913). Regulation .05 repealed and new Regulation .05 adopted effective June 7, 1993 (20:11 Md. R. 913).
10.27.08.00.htm 10.27.08.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 08 Petition for Declaratory Ruling Authority: State Government Article, §10-301―10-305, Annotated Code of Maryland
10.27.08.01.htm 10.27.08.01. 01 Definitions.. A. The following terms have the meanings indicated.. B. Terms Defined.. 1) "Board" means the Board of Nursing.. 2) "Person" means an individual, an agency, an association, a corporation, or any other entity..
10.27.08.02.htm 10.27.08.02. 02 Petition.. A. An interested person may file with the Board a petition for a declaratory ruling with respect to the manner in which the Board would apply:1) A statute;. 2) A regulation; or. 3) An order which the Board enforces to a particular case based on the facts presented in the petition.B. The Board may delegate responsibility for consideration of the petition.. C. Petition for Declaratory Ruling.. 1) The petition for a declaratory ruling shall be filed in writing..
10.27.08.03.htm 10.27.08.03. 03 Consideration and Disposition.. A. In rendering its ruling the Board or its designee:. 1) Shall consider all materials submitted with the petition;. 2) May consider any document, data, or other relevant material;. 3) May consult individuals;. 4) May consider comments from the staff; or. 5) May require argument of the question or permit the introduction of evidence.. B. Disposition.. 1) A declaratory ruling issued shall be in writing, stating the:. a) Question;. b) Decision;.
10.27.08.04.htm 10.27.08.04. 04 Effect, Revision, and Appeal.. A. Effect. A declaratory ruling shall be binding upon the Board and the petitioner on the statement of facts covered in the declaratory ruling and set forth in the petition.B. Revision.. 1) The petitioner's application for revision of the declaratory ruling shall:. a) Be filed within 10 days after the issuance of the declaratory ruling; and. b) State the grounds for the revision;. 2) Upon receipt of the application, the Board may:.
10.27.08.9999.htm 10.27.08.9999. Administrative History Effective date: February 22, 1988 (15:4 Md. R. 474). Regulation .02 amended effective April 16, 2001 (28:7 Md. R. 690). Regulation .03 amended effective April 16, 2001 (28:7 Md. R. 690). Regulation .04 amended effective April 16, 2001 (28:7 Md. R. 690).
10.27.09.00.htm 10.27.09.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 09 Standards of Practice for Registered Nurses Authority: Health Occupations Article, §8-205 and 8-316, Annotated Code of Maryland
10.27.09.01.htm 10.27.09.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Accountability" means being answerable for the actions of self and others.. 2) "Aggregate" means the sum total of nursing care the client received.. 3) "Assessment" means a systematic, dynamic process by which the nurse, through interaction with the client, family, significant others, and other health care providers, collects and analyzes data.4) "Assign" means the tra
10.27.09.02.htm 10.27.09.02. 02 Standards of Care.. A. Assessment.. 1) The RN shall collect client health data.. 2) Measurement Criteria.. a) Data collection shall involve the client, family, significant others, other members of the health care team, and the health record, when appropriate.b) Data may include the following dimensions:. i) Physical;. ii) Psychological;. iii) Sociocultural;. iv) Spiritual;. v) Cognitive;. vi) Functional abilities;. vii) Developmental;. viii) Economic;. ix) Technology; and.
10.27.09.03.htm 10.27.09.03. 03 Standards of Professional Performance.. A. Quality of Care.. 1) The RN systematically shall evaluate the quality and effectiveness of nursing practice in the aggregate.2) Measurement Criteria. The RN shall:. a) Participate in activities to evaluate quality of care including, but not limited to, monitoring the structure, process, and outcome of nursing practice, with consideration for access and cost;
10.27.09.04.htm 10.27.09.04. 04 Specialty Practice.. A. A registered nurse functioning in a specialty practice shall have additional education, training, and experience. Specialty practice does not include advanced practice nursing.B. Definitions.. 1) In this regulation, the following terms have the meanings indicated.. 2) Terms Defined.. a) “Critically ill client” means a client who:. i) Has developed or is at high risk for developing life threatening problems;. ii) Requires constant int
10.27.09.9999.htm 10.27.09.9999. Administrative History Effective date: February 20, 1989 (16:3 Md. R. 343). Regulation .03 amended effective October 25, 1993 (20:21 Md. R. 1654) ―. Regulations .01―03 repealed and new Regulations .01―03 adopted effective April 3, 2000 (27:6 Md. R. 642)Regulation .01B amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .04 adopted effective March 17, 2014 (41:5 Md. R. 346).
10.27.10.00.htm 10.27.10.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 10 Standards of Practice for Licensed Practical Nurses Authority: Health Occupations Article, §8-205(a)2) and 8-316, Annotated Code of Maryland
10.27.10.01.htm 10.27.10.01. 01 Definitions.. 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, im
10.27.10.02.htm 10.27.10.02. 02 Nursing Process.. A. In a team relationship the licensed practical nurse contributes to the nursing process. The nursing process shall include, but is not limited to, the following elements listed in §B—C of this regulation.B. Nursing Assessment. The LPN contributes to the nursing assessment by:. 1) Collecting data for the assessment of the client:. a) Through direct observation;. b) From interviews with the client, client’s family, and significant others;.
10.27.10.03.htm 10.27.10.03. 03 Standards of Professional Performance.. A. Quality of Care.. 1) The LPN shall participate in evaluating the quality and effectiveness of nursing practice.. 2) Measurement Criteria. The LPN shall:. a) Assist in collecting quality data; and. b) Participate in activities related to implementing changes designed to improve care.. B. Performance Appraisal.. 1) The LPN shall be accountable for evaluating the LPN’s own nursing practice on a regular basis in relation to:
10.27.10.04.htm 10.27.10.04. 04 Prohibited Acts.. The LPN may not:. A. Perform nursing triage;. B. Perform the responsibilities of, or serve in the role of, the circulating nurse in the intraoperative phase of surgery including, but not limited to:1) Assessing the client in the intraoperative phase of surgery to identify emerging client situations which would require anticipating and responding to the needs of the:a) Client;. b) Anesthesiologist; and. c) Surgical team;. 2) Administering or trans
10.27.10.9999.htm 10.27.10.9999. Administrative History Effective date: February 20, 1989 (16:3 Md. R. 343). Regulation .03 amended effective October 25, 1993 (20:21 Md. R. 1655) ―. Regulations .01―03 repealed and new Regulations .01―04 adopted effective May 2, 2011 (38:9 Md. R. 553)Regulation .01B amended effective July 2, 2018 (45:13 Md. R. 667).
10.27.11.00.htm 10.27.11.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 11 Delegation of Nursing Functions Authority: Health Occupations Article, §8-102, 8-205, 8-6A-01, 8-6A-03, 8-6A-05(a)4) and 8-6A-08(f)5) Annotated Code of Maryland
10.27.11.01.htm 10.27.11.01. 01 Exclusion from Regulations.. This chapter is not applicable to and does not restrict or limit:. A. Other health care practitioners who are authorized delegatory powers under their respective acts;. B. The gratuitous provision of care by self, family, or friends;. C. Provision of care by a child care provider employed in the child's home by the child's parent or by a child care provider licensed by the Child Care Administration under COMAR 07.04.01 (Family Day
10.27.11.02.htm 10.27.11.02. 02 Definitions.. 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.
10.27.11.03.htm 10.27.11.03. 03 Criteria for Delegation.. A. The nurse may delegate the responsibility to perform a nursing task to an unlicensed individual, a certified nursing assistant, or a medication technician. The delegating nurse retains the accountability for the nursing task.B. A nursing task delegated by the nurse shall be:. 1) Within the area of responsibility of the nurse delegating the act;. 2) Such that, in the judgment of the nurse, it can be properly and safely performed by the unlicense
10.27.11.04.htm 10.27.11.04. 04 Supervision.. A. The nurse shall determine the required degree of supervision after an evaluation of appropriate factors including, but not limited to the:1) Stability of the condition of the client;. 2) Training of the individual to whom the nursing task is being delegated;. 3) Nature of the nursing task being delegated;. 4) Orientation of the unlicensed individual, certified nursing assistant, or medication technician to the specific patient en5) Ability of the unlicen
10.27.11.05.htm 10.27.11.05. 05 Nursing Functions.. A. The following nursing functions require nursing knowledge, judgment, and skill and may not be delegated:1) The nursing assessment including, but not limited to, the admission, shift, transfer, or discharge assessment;2) Development of the nursing diagnosis;. 3) The establishment of the nursing care goal;. 4) Development of the nursing care plan;. 5) Evaluation of the client's progress, or lack of progress, toward goal achievement; and.
10.27.11.06.htm 10.27.11.06. 06 Client Health Teaching and Health Counseling.. A. The registered nurse shall be accountable and responsible for the development and initiation of the health teaching plan and for health counseling of the client.B. The nurse shall be accountable and responsible for facilitating and promoting:. 1) Client education; and. 2) Participation of the client and significant others in implementation of health goals.. C. Unlicensed individuals, certified medicine aide
10.27.11.9999.htm 10.27.11.9999. Administrative History Effective date: October 2, 1989 (16:19 Md. R. 2105). Regulations .01―06 amended as an emergency provision effective February 5, 1992 (19:4 Md. R. 468) emergency status expired August 7, 1992Regulations .02―06 amended effective July 4, 1994 (21:13 Md. R. 1158) ―. Regulations .01―06 repealed and new Regulations .01―06 adopted effective May 10, 2004 (31:9 Md. R. 712)Regulation .01H adopted as an emergency provision effective July 8, 2015 (4
10.27.12.00.htm 10.27.12.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 12 Nurse Psychotherapists in Independent Practice ― Clinical Nurse Specialists Authority: Health Occupations Article, §8-205, Annotated Code of Maryland
10.27.12.01.htm 10.27.12.01. 01 Exclusion from Regulations.. Nothing in this chapter shall be applicable to or restrict or limit a registered nurse from performing those functions which constitute the practice of registered nursing as defined by law.
10.27.12.02.htm 10.27.12.02. 02 Definitions.. A. The following terms have the meanings indicated.. B. Terms Defined.. 1) “Advanced practice registered nurse (APRN) means a registered nurse who is certified by the Board as:a) A certified nurse midwife (CNM). b) A certified registered nurse anesthetist (CRNA). c) A certified nurse practitioner (CRNP) or. d) A clinical nurse specialist (CNS). 2) "Board" means the Maryland Board of Nursing.. 3) “Certification” means the permission to practic
10.27.12.03.htm 10.27.12.03. 03 Certification.. An applicant for certification to practice as a PMH/APRN in independent practice shall:. A. Hold a current Maryland license in good standing to practice registered nursing or a multistate licensure privilege to practice registered nursing;B. Have graduated from a Board-approved graduate level education program for clinical nurse specialists in psychiatric mental health nursing at the Masters’ level or higher that is accredited by a national accrediting body re
10.27.12.04.htm 10.27.12.04. 04 Practice Before Maryland Certification.. A. A registered nurse who meets the qualifications to sit for a national certifying examination acceptable to the Board or who has taken that examination and is waiting for the results, may practice in this State as a PMH/APRN graduate if the:1) Practice is under the supervision of a Maryland certified PMH/APRN who shall be readily available to the PMH/APRN graduate;2) Supervising PMH/APRN agrees in a written superv
10.27.12.05.htm 10.27.12.05. 05 Scope of Practice.. The PMH/APRN may perform independently, autonomously, and in a variety of settings, the following functions:A. Establish a mental health diagnosis;. B. Evaluate and manage psychobiological intervention;. C. Provide individual therapy;. D. Provide group therapy;. E. Provide family therapy;. F. Provide any therapy which purpose is to:. 1) Effect change in the client in an attempt to alleviate emotional disturbances,.
10.27.12.06.htm 10.27.12.06. 06 Standards of Practice.. A. Advanced practice skills shall be utilized in the collection of relevant data to comprehensively assess the client's mental health.B. Assessment data shall be analyzed in determining diagnosis.. C. A plan of care shall be developed and implemented that outlines treatment to attain expected outcomes.D. Individual, group, and family psychotherapy, child psychotherapy, behavioral care, case management, and other therapeutic treatments shall be utili
10.27.12.07.htm 10.27.12.07. 07 Renewal of Maryland Certification.. A. Certification as a PMH/APRN expires at the same time as the license to practice registered nursing.B. Before a PMH/APRN’s certification expires, the PMH/APRN may renew the certification biennially if the PMH/APRN:1) Is otherwise entitled to be certified;. 2) Submits to the Board:. a) Documentation of a current national certification as a PMH/APRN from a national certifying body recognized by the Board; and
10.27.12.08.htm 10.27.12.08. 08 Unlawful Practices.. A. Unless authorized to practice under this chapter, an individual may not use the words “advanced practice registered nurse/psychiatric mental health” “nurse psychotherapist” “psychiatric mental health/advanced practice registered nurse” or any other words, letters, or symbols with the intent to represent that the individual is a psychiatric-mental health/advanced practice registered nurse.B. An individual certified under this chapter is s
10.27.12.9999.htm 10.27.12.9999. Administrative History Effective date: June 25, 1990 (17:12 Md. R. 1494). Regulation .07C adopted effective August 1, 1994 (21:15 Md. R. 1306) ―. Chapter revised effective June 26, 2000 (27:12 Md. R. 1140). Regulation .02B amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .03 amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .03B, C amended effective October 17, 2011 (38:21 Md. R. 1279). Regulation .04 amended effective July 2, 2018 (45:13 Md. R. 667).
10.27.13.00.htm 10.27.13.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 13 Safe Practice Committee Authority: Health Occupations Article, §8-205 and 8-208, Annotated Code of Maryland
10.27.13.01.htm 10.27.13.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Applicant” means an individual who has submitted an application to the Board to be licensed as a registered nurse, licensed practical nurse, electrologist, or direct-entry midwife or to be certified as an advanced practice registered nurse, a certified nursing assistant, or medication technician in this State.2) "Board" means the Maryland Board of Nursing..
10.27.13.02.htm 10.27.13.02. 02 Safe Practice Committee.. A. Committee Appointments.. 1) Annually, before the September meeting, the Board shall determine the number of rehabilitation committees required in the State.2) The Board shall make appointments to the committee in October in accordance with Health Occupations Article, §8-208(c)1) Annotated Code of Maryland.3) Appointments are for a 4-year term, except in the first year of any committee when the terms are staggered.
10.27.13.03.htm 10.27.13.03. 03 Criteria for Participation in the Program.. A. Admission to the program is voluntary.. B. Registered nurses, licensed practical nurses, direct-entry midwives, electrologists, medication technicians, advanced practice registered nurses, certified nursing assistants, or applicants for licensure or certification with a substance use disorder or mental illness, may be referred to the program through self-report, formal complaint, or the Board of Nursing.C. A licensee, certificat
10.27.13.04.htm 10.27.13.04. 04 Noncompliance with a Written Plan or Agreement.. A. The committee may expel a participant from the program for failure to comply with any of the conditions of the plan or agreement.B. The committee shall:. 1) Report to the Board the name and license number of any participant who is expelled from the program; and2) Transfer to the Board the records of any participant expelled from the program.. C. A participant who is expelled from the program may be subject to discipline..
10.27.13.05.htm 10.27.13.05. 05 Board and Committee Records.. A. All Board and committee records concerning a participant are confidential and are not subject to discovery or subpoena in any civil or criminal action or disclosure under General Provisions Article, Title 4, Annotated Code of Maryland.B. Records shall be maintained in a confidential file in the Board’s office.. C. After the committee has determined that a participant no longer requires monitoring and may practice safely, all records r
10.27.13.06.htm 10.27.13.06. 06 Participants Leaving the State.. A. A participant who moves from this State to another state where a safe practice or other rehabilitation program is in place shall be transferred to that program.B. A nurse participant who moves to a state where there is no rehabilitation program shall have the nurse’s program records transferred to the Board of Nursing in that state.C. All non-nurse participants leaving the State shall be referred to the agency responsible for regu
10.27.13.07.htm 10.27.13.07. 07 Informational Booklet.. The committee shall publish an informational booklet for the public that describes the program..
10.27.13.9999.htm 10.27.13.9999. Administrative History Effective date: July 20, 1992 (19:14 Md. R. 1283) ―. Chapter revised effective March 5, 2001 (28:4 Md.R. 418) ―. Chapter revised effective July 2, 2018 (45:13 Md. R. 667).
10.27.14.00.htm 10.27.14.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 14 Nursing Staff Agencies ― Repealed Administrative History Effective date: January 2, 1994 (20:26 Md. R. 2028)Chapter repealed effective December 17, 2007 (34:25 Md. R. 2211).
10.27.15.00.htm 10.27.15.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 15 Open Meetings ― Attendance and Recording, Photographing, and Broadcasting of Sessions Authority: Health Occupations Article, §8-205; State Government Article, §10-502h(2) 10-505, and 10-507; Annotated Code of Maryland
10.27.15.01.htm 10.27.15.01. 01 Exclusion.. The Board of Nursing is not subject to the provisions of COMAR 10.01.14, but shall be governed by this chapter.
10.27.15.02.htm 10.27.15.02. 02 Public Attendance.. A. At any open session of the Board of Nursing, the general public may attend and observe.. B. Except in instances when the Board expressly invites public testimony, questions, comments, or other forms of public participation, or when public participation is otherwise authorized by law, a member of the public attending an open session may not participate in the session.
10.27.15.03.htm 10.27.15.03. 03 Disruptive Conduct.. A. Prohibition. A person attending an open session of the Board may not engage in any conduct, including visual demonstrations such as the waving of placards, signs, or banners, that disrupts the session or that interferes with the right of members of the public to attend and observe the session.B. Action to Restore Order.. 1) The presiding officer may order a person who persists in conduct prohibited by §A of this regulation or who violates any o
10.27.15.04.htm 10.27.15.04. 04 Recording, Photographing, and Broadcasting of Open Sessions.. A. A member of the public, including any representative of the news media, may record discussions of the Board at an open session by means of a tape recorder or any other recording device if the device does not create an excessive noise that disturbs members of the Board or other persons attending the session.B. A member of the public, including any representative of the news media, may photograph or videota
10.27.15.05.htm 10.27.15.05. 05 Recordings Not Part of Record.. A recording of an open session made by a member of the public, or any transcript derived from such a recording, may not be considered a part of the record of any proceeding of the Board of Nursing.
10.27.15.9999.htm 10.27.15.9999. Administrative History Effective date: September 13, 1993 (20:18 Md. R. 1431).
10.27.16.00.htm 10.27.16.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 16 Registered Nurse ― Workers' Compensation Medical Case Manager Authority: Health Occupations Article, §8-102 and 8-205, Annotated Code of Maryland
10.27.16.01.htm 10.27.16.01. 01 Exclusion from Regulations.. This chapter is not applicable to, and does not restrict or limit, a:. A. Registered nurse from performing those functions which constitute the practice of registered nursing as defined by law; andB. Medical claims consultant from performing medical claims consultation as defined in this chapter..
10.27.16.02.htm 10.27.16.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Board" means the Board of Nursing.. 2) "Board-approved course" means an educational offering specific to the case management of the injured worker under the Workers' Compensation Commission which meets the criteria established by the Board.3) "Commission" means the Workers' Compensation Commission.. 4) Medical Case Management.. a) "Medical case manageme
10.27.16.03.htm 10.27.16.03. 03 Certification Requirements.. A. For certification as an RN-WCCM, an applicant shall:. 1) Hold a current license to practice registered nursing in this State or a multistate licensure privilege to practice registered nursing;2) Submit documentation of successful completion of a Board-approved course;. 3) Submit to the Board a completed application for certification as an RN-WCCM; and. 4) Pay all fees.. B. The Board shall include on the RN's license the designation WCCM..
10.27.16.04.htm 10.27.16.04. 04 Renewal of Certification.. A. Unless renewed biennially, a certification to practice as an RN-WCCM expires at the same time as the registered nurse license.B. Before certification as an RN-WCCM expires, the RN-WCCM may renew the certification for an additional term, if the RN—WCCM:1) Is otherwise entitled to be certified;. 2) Has practiced a minimum of 2,000 hours in the past 2 years as an RN—WCCM;.
10.27.16.05.htm 10.27.16.05. 05 Notice to Workers' Compensation Commission.. The Board shall:. A. Notify the Commission of:. 1) The status of any RN-WCCM regulated under this chapter; and. 2) Any RN-WCCM who fails to renew their certification; and. B. Provide the Commission quarterly reports of disciplinary actions taken against any licensee governed by this chapter.
10.27.16.06.htm 10.27.16.06. 06 Scope of Practice.. A. The RN-WCCM may perform medical case management of the injured worker as defined in this chapter.. B. The RN-WCCM shall comply with all:. 1) Other statutes or regulations governing registered nurse practice; and. 2) Laws, statutory policies, and procedures of the Commission..
10.27.16.07.htm 10.27.16.07. 07 Course Approval.. A. Each provider shall:. 1) Submit a course proposal for approval before implementation and at least every 3 years thereafter; and2) Obtain from the Board a curriculum checklist detailing the content to be included in the course.. B. All changes, additions, or deletions to the course shall be approved by the Board before implementation.
10.27.16.08.htm 10.27.16.08. 08 Course Requirements.. A. Each course shall have a minimum of 16 hours of theory content.. B. The curriculum shall include the following content areas:. 1) An historical perspective of case management;. 2) Insurance terms and types of coverage ― general;. 3) Federal and State insurance statutes and regulations governing workers' compensation;. 4) Stakeholders ― roles, responsibilities, ethical considerations, and goals;. 5) Maryland Nurse Practice Act; and.
10.27.16.09.htm 10.27.16.09. 09 Faculty.. A. Qualifications. Faculty shall hold a:. 1) Current license in Maryland to practice registered nursing or a multistate licensure privilege to practice registered nursing; and2) Certification as a case manager by a certifying body recognized by the Board.. B. Responsibilities. Faculty shall:. 1) Plan, implement, and evaluate the course at periodic planned intervals; and. 2) Develop and utilize written examinations to measure achievement of course objectives..
10.27.16.10.htm 10.27.16.10. 10 Unlawful Practice.. A. Unless authorized to practice under this chapter, an individual may not use the words "registered nurse ― workers' compensation medical case manager" RN-WCCM, or any other words, letters, or symbols with the intent to represent that the individual is a registered nurse ― workers' compensation medical case manager.B. An individual certified under this chapter is subject to disciplinary sanctions set forth in Health Occupations Article, T
10.27.16.9999.htm 10.27.16.9999. Administrative History Effective date:. Regulations .01―10 adopted as an emergency provision effective August 2, 1999; adopted permanently effective November 15, 1999 (26:23 Md. R. 1777)Regulation .02B amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .03 amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .04 amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .05A amended effective July 2, 2018 (45:13 Md. R. 667).
10.27.17.00.htm 10.27.17.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 17 Teletherapy Authority: Health Occupations Article, §1-901, 1-902, and 8-205(a)2)5) Annotated Code of Maryland
10.27.17.01.htm 10.27.17.01. 01 Scope.. This chapter applies to all certified registered nurse practitioners/psychiatric mental health (CRNP/PMH) and psychiatric mental health/advanced practice registered nurses (PMH/APRN) in Maryland, with a specialty certification in psychiatric mental health, who will be providing behavioral health services using teletherapy.
10.27.17.02.htm 10.27.17.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Certified registered nurse practitioner/psychiatric mental health (CRNP/PMH) means a certified registered nurse practitioner who:a) Is certified by the Board as a certified registered nurse practitioner in the practice of psychiatric mental health; andb) Autonomously and independently engages in activities authorized by this chapter and in accordance with COMAR 10.27.07.
10.27.17.03.htm 10.27.17.03. 03 Licensure.. An individual shall be licensed as a registered nurse in Maryland, or have an active multistate licensure privilege to practice as a registered nurse in Maryland, and be certified by the Board as a CRNP/PMH or PMH/APRN in order to provide teletherapy services in Maryland if either the client or the CRNP/PMH or PMH/APRN is physically located in Maryland.
10.27.17.04.htm 10.27.17.04. 04 Teletherapy.. A. In order to provide teletherapy services to a client, a CRNP/PMH or PMH/APRN shall have:. 1) Established a client-therapist relationship;. 2) Performed a mental status assessment;. 3) Established a diagnosis;. 4) Developed a treatment plan; and. 5) Obtained an informed consent from the client to provide teletherapy.. B. Before providing teletherapy services, the CRNP/PMH or PMH/APRN shall develop a procedure to:.
10.27.17.05.htm 10.27.17.05. 05 Standards of Practice.. A. A CRNP/PMH or PMH/APRN providing teletherapy services shall be held to the same standards of practice and documentation as those applicable in in-person health care settings.B. A CRNP/PMH or PMH/APRN may not treat a patient or prescribe medication based solely on an online questionnaire.
10.27.17.06.htm 10.27.17.06. 06 Discipline.. A. The Board shall use the same standards in evaluating and investigating a complaint and disciplining a CRNP/PMH or PMH/APRN who provides teletherapy as it would use for a CRNP/PMH or PMH/APRN who is not.B. A CRNP/PMH or PMH/APRN who provides teletherapy services and fails to comply with this chapter may be subject to discipline under Health Occupations Article, §8-316, Annotated Code of Maryland.
10.27.17.9999.htm 10.27.17.9999. Administrative History Effective date: July 29, 2019 (46:15 Md. R. 655).
10.27.18.00.htm 10.27.18.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 18 Monetary Penalties Authority: Health Occupations Article, §8-316, Annotated Code of Maryland
10.27.18.01.htm 10.27.18.01. 01 Scope.. This chapter establishes standards for the imposition of monetary penalties not exceeding $5,000 against a registered nurse, licensed practical nurse, or advanced practice registered nurse if the Board finds that there are grounds to take action under Health Occupations Article, §8-316, Annotated Code of Maryland.
10.27.18.02.htm 10.27.18.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Board" means the Board of Nursing.. 2) “Licensee” means, unless the context requires otherwise, a registered nurse, a licensed practical nurse, or an advanced practice registered nurse as defined in Health Occupations Article, §8-101, Annotated Code of Maryland.3) "Penalty" means monetary fine..
10.27.18.03.htm 10.27.18.03. 03 Imposition of Penalty Generally.. A. The Board may impose a penalty against a licensee if the Board finds that there are grounds to take action against the licensee pursuant to Health Occupations Article, §8-316, Annotated Code of Maryland.B. The penalty in §A of this regulation may be imposed instead of or in addition to suspending or revoking the license, reprimanding the licensee, or placing the licensee on probation.
10.27.18.04.htm 10.27.18.04. 04 Imposition of Penalties on Licensees.. A. A penalty of not less than $100 or more than $1,000 may be imposed by the Board on a licensee if found guilty of any of the following:1) Filing a false report or record of an individual under the licensee's care;. 2) Giving any false or misleading information about a material matter in an employment application;. 3) Failing to file or record any health record that is required by law;.
10.27.18.05.htm 10.27.18.05. 05 Payment of Monetary Penalties.. A. The licensee shall pay all fines by cashier's check or money order made payable to the Board and delivered personally or by certified mail to the Board within 60 days of the date of the order.B. The Board shall pay all monies collected by the Board pursuant to these regulations into the general fund of the State.
10.27.18.9999.htm 10.27.18.9999. Administrative History Effective date: April 10, 1995 (22:7 Md. R. 536). Regulation .01 amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .02B amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .03A amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .04A, H amended effective July 2, 2018 (45:13 Md. R. 667).
10.27.19.00.htm 10.27.19.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 19 Code of Ethics Authority: Health Occupations Article, §8-205 and 8-316(a)25) Annotated Code of Maryland
10.27.19.01.htm 10.27.19.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) Abandonment.. a) “Abandonment” means:. i) Termination by a nurse of a client assignment which had been accepted by the nurse, without reasonable notification to the immediate supervisor to allow for the continuation of the client’s care;ii) In the case of a natural disaster or a federal, State, county, or city declaration of an emergency, refusal by a nurse of
10.27.19.02.htm 10.27.19.02. 02 Ethical Responsibilities.. A. A nurse shall:. 1) Provide services with respect for human dignity and the uniqueness of a client unrestricted by consideration of social or economic status, religious affiliation, personal attributes, or the nature of health problems;2) Safeguard a client's right to privacy by maintaining confidentiality of information;. 3) Act to safeguard a client and the public if health care and safety are affected by the incompetent, unethical, or illegal
10.27.19.03.htm 10.27.19.03. 03 Penalties.. Violation of this chapter may result in the Board taking disciplinary action against a nurse pursuant to Health Occupations Article, §8-316, Annotated Code of Maryland.
10.27.19.9999.htm 10.27.19.9999. Administrative History Effective date: July 1, 1996 (23:13 Md. R. 944). Regulations .01―04 repealed and new Regulations .01―03 adopted effective September 16, 2002 (29:18 Md. R. 1443)Regulation .01B amended effective December 11, 2014 (41:24 Md. R. 1428) July 2, 2018 (45:13 Md. R. 667)Regulation .02 amended effective December 11, 2014 (41:24 Md. R. 1428). Regulation .03 amended effective July 2, 2018 (45:13 Md. R. 667).
10.27.20.00.htm 10.27.20.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 20 Management of Infusion Therapy by the Registered Nurse and the Licensed Practical Nurse Authority: Health Occupations Article, §8-205, Annotated Code of Maryland
10.27.20.01.htm 10.27.20.01. 01 Exclusion from Regulations.. This chapter is not applicable to, and does not restrict or limit, other health care practitioners who are authorized to perform these duties under their respective laws.
10.27.20.02.htm 10.27.20.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Administer" means to hang or give subsequent fluids and medications.. 2) "Antineoplastic" means:. a) Chemical or biologic agents that have a toxic effect on the disease-causing agent or modify the host environment; orb) Drugs that are capable of destroying invading organisms or malignant tumor cells..
10.27.20.03.htm 10.27.20.03. 03 Education.. To perform infusion therapy, the licensee shall:. A. Complete an infusion therapy program of study which contains didactic content and a clinical practicum consistent with the standards of practice established by the INS or other bodies approved by the Board that includes but is not limited to:1) Infusion access devices;. 2) Selected infusates, blood, and blood components;.
10.27.20.04.htm 10.27.20.04. 04 Infusion Therapy Acts ― General.. The licensee shall comply with the employer痴 written policies and procedures which are in compliance with this chapter regarding infusion therapy.
10.27.20.05.htm 10.27.20.05. 05 Infusion Therapy Acts ― LPN.. A. The LPN may perform the following infusion therapy acts for peripheral and subcutaneous infusions when there is an RN on site or available by telephone:1) Calculate and adjust flow rate including pumps;. 2) Observe and report on:. a) Insertion site; and. b) Objective and subjective signs of adverse reactions to infusion therapy;. 3) Change the dressing on the insertion site;. 4) Change the administration set;.
10.27.20.06.htm 10.27.20.06. 06 Infusion Therapy Acts ― RN.. A. In addition to all previously identified procedures in Regulations .04 and .05A―C of this chapter, the RN may perform the following procedures:1) Administer medication via IV "push". 2) Initiate subcutaneous infusion of medication; and. 3) Provide care and manage arterial catheters and arterial ports by:. a) Changing IV administration set;. b) Flushing or aspirating;. c) Changing dressing;. d) Obtaining blood specimens;.
10.27.20.9999.htm 10.27.20.9999. Administrative History Effective date: October 7, 1996 (23:20 Md. R. 1423). Regulations .01―04 repealed and new Regulations .01―06 adopted effective November 15, 1999 (26:23 Md. R. 1777)Regulation .02B amended effective October 27, 2003 (30:21 Md. R. 1529) July 2, 2018 (45:13 Md. R. 667)Regulation .03 amended effective July 2, 2018 (45:13 Md. R. 667). Regulation .04 amended effective July 2, 2018 (45:13 Md. R. 667).
10.27.21.00.htm 10.27.21.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 21 Registered Nurse ― Forensic Nurse Examiner Authority: Health Occupations Article, §8-205 and 8-312, Annotated Code of Maryland
10.27.21.01.htm 10.27.21.01. 01 Exclusion from Regulations.. This chapter is not applicable to and does not restrict or limit:. A. Other health care practitioners who are authorized to perform these duties under the Maryland Health Occupations Article; orB. A licensed practical or registered nurse from acting as a chaperone during a forensic examination.
10.27.21.02.htm 10.27.21.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Alternate light source (ALS) means equipment that produces visible and invisible light at various wave lengths to enhance the visualization of evidence.2) "Board" means the Board of Nursing.. 3) "Chain of custody" means a written list identifying, without interruption or lapse, every individual having control or possession of specified item4) "Chaperone" means an i
10.27.21.03.htm 10.27.21.03. 03 Authorization to Practice.. A. An individual may be certified as:. 1) A registered nurse forensic nurse examiner-adult (RN-FNE-A). 2) A registered nurse forensic nurse examiner-pediatric (RN-FNE-P) or. 3) A registered nurse forensic nurse examiner-adult/pediatric (RN-FNE-AP). B. An applicant applying for certification to practice as an RN-FNE-A, RN-FNE-P or RN-FNE-AP shall:. 1) Either:. a) Hold a current license to practice as a registered nurse in Maryland; or.
10.27.21.04.htm 10.27.21.04. 04 Scope and Standards of Practice.. A. An RN-FNE may perform the following tasks and functions with respect to the age group for which the RN-FNE is certified under Regulation .03 of this chapter:1) Perform forensic evidentiary examinations on victims and alleged perpetrators in connection with physical, sexual, or domestic assaults, whether chronic or acute;2) Before the forensic evidentiary examination, obtain consent from the individual being examined, from the parent or guardia
10.27.21.05.htm 10.27.21.05. 05 Standards for Training Programs.. A. The Board shall approve two RN-FNE standardized curricula as follows:. 1) An RN-FNE-Adult curriculum for the examination of adults and individuals 13 years old or older; and2) An RN-FNE-Pediatric curriculum for the examination of children who are younger than 13 years old.. B. New RN-FNE training programs shall:. 1) Be approved by the Board before implementation of the FNE training program;.
10.27.21.06.htm 10.27.21.06. 06 Certification by Endorsement.. A. Endorsement Applicant.. 1) In addition to the requirement listed in Regulation .03 of this chapter and COMAR 10.27.01.09, an applicant from another state applying for certification to practice as a RN-FNE, RN-FNE-P, or RN-FNE-AP shall:a) Meet all applicable requirements in §B―C of this regulation;. b) Provide evidence of an active practice as a sexual assault nurse examiner which meets the requirements for renewal of certification as stated in Re
10.27.21.07.htm 10.27.21.07. 07 Renewal of Certification.. A. Certification to practice as a FNE expires at the same time as the RN license.. B. Beginning January 1, 2016, renewal requirements will change to reflect the 2-year biennial license renewal that was implemented during 2015.C. An FNE who has an even-numbered birth year shall be required:. 1) Beginning January 1, 2016, to complete the renewal requirements under §E of this regulation; and.
10.27.21.08.htm 10.27.21.08. 08 Reinstatement of Certification.. A. If the applicant does not meet the requirements in Regulation .07 of this chapter, the applicant may apply for re-instatement if the applicant:1) Either:. a) Has a current, active RN license; or. b) Has a multistate licensure privilege to practice registered nursing;. 2) Has not practiced as a RN-FNE for more than 36 months;. 3) Has successfully completed a Board-approved refresher course that is 6.5 hours of didactic instru
10.27.21.09.htm 10.27.21.09. 09 Unlawful Practice.. A. Unless authorized to practice under this chapter, an individual may not use the words "forensic nurse examiner" or the acronyms "RN-FNE" "RN-FNE-A" "RN-FNE-P" or "RN-FNE-AP" or any other words, letters, or symbols with the intent to represent the individual as any category of RN-FNE.B. An individual may not use any form of the designation RN-FNE unless authorized by the Board.. C. An individual may not offer to perform or perform the activities of a RN
10.27.21.9999.htm 10.27.21.9999. Administrative History Effective date: December 13, 1999 (26:25 Md. R. 1898). Regulations .01―08 repealed and new Regulations .01―08 adopted effective April 28, 2003 (30:8 Md. R. 542)Regulation .05 amended effective September 25, 2006 (33:19 Md. R. 1561). Regulation .07D adopted effective September 25, 2006 (33:19 Md. R. 1561) ―. Chapter revised effective March 19, 2012 (39:5 Md. R. 383). Regulation .02B amended effective February 27, 2017 (44:4 Md. R. 254) Septe
10.27.22.00.htm 10.27.22.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 22 Multistate Licensure Compact Regulations Authority: Health Occupations Article, §8-205(a)1) and 8-7A-01―8-7A-05, Annotated Code of Maryland
10.27.22.01.htm 10.27.22.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Board" means the regulatory body responsible for issuing nurse licenses.. 2) “Information System” means the coordinated licensure information system.. 3) "Primary state of residence" means the state of an individual's declared, fixed, permanent, and principal home for legal purposes: domicile.4) "Public" means any individual or entity other than designated staff or r
10.27.22.02.htm 10.27.22.02. 02 Issuance of a License by a Compact Party State.. A. As of July 1, 2005, no applicant for initial licensure will be issued a compact license granting a multistate privilege to practice unless the applicant first obtains a passing score on the applicable NCLEX examination or any predecessor examination used for licensure.B. Home Party State License.. 1) A nurse applying for a license in a home party state shall produce evidence of the nurse’s primary state of residence.
10.27.22.03.htm 10.27.22.03. 03 Limitations on Multistate Licensure Privilege ― Discipline.. A. Home state boards shall include, in all disciplinary orders or agreements that limit practice or require monitoring, the requirement that the licensee subject to the order or agreement shall limit the licensee's practice to the home state during the pendency of the disciplinary order or agreement.B. The requirement referred to in §A of this regulation may, in the alternative, allow the nurse to
10.27.22.04.htm 10.27.22.04. 04 Information System.. A. Levels of Access.. 1) Public access to nurse licensure information shall be limited to:. a) The licensee's name;. b) Jurisdictions of licensure;. c) Licensure expiration date;. d) Licensure classification and status;. e) Public emergency, summary, and final disciplinary actions, as defined by contributing state authority; andf) The status of multistate licensure privileges.. 2) Non-party state boards shall have access to all Information System data
10.27.22.9999.htm 10.27.22.9999. Administrative History Effective date:. Regulations .01―04 adopted as an emergency provision effective January 1, 2000 (27:2 Md. R. 140) adopted permanently effective April 17, 2000 (27:7 Md. R. 705)Regulation .01B amended effective August 28, 2017 (44:17 Md. R. 835). Regulation .02 amended effective August 28, 2017 (44:17 Md. R. 835). Regulation .02B, C amended effective January 18, 2016 (43:1 Md. R. 13). Regulation .03 amended effective August 28, 2017 (44:17 Md. R. 835).
10.27.23.00.htm 10.27.23.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 23 Code of Conduct for Board Members and Investigators Authority: Health Occupations Article, §8-205(a)1) Annotated Code of Maryland
10.27.23.01.htm 10.27.23.01. 01 Scope.. This chapter establishes a code of conduct for:. A. Members of Board of Nursing; and. B. Investigators employed by the Board of Nursing..
10.27.23.02.htm 10.27.23.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicted.. B. Terms Defined.. 1) "Board" means the Board of Nursing.. 2) "Board member" means an individual appointed by the Governor to serve on the Board.. 3) "Charging document" means the notice from the Board pursuant to State Government Article, §10-208, Annotated Code of Maryland, which informs a licensee of an alleged violation or violations of a Board's statute by the lice4) "Complaint" means a co
10.27.23.03.htm 10.27.23.03. 03 Recusal of Board Members.. A. Standard for Recusal.. 1) A Board member shall recuse himself or herself from Board proceedings which involve situations in which the Board member:a) Has a conflict of interest; or. b) Cannot participate fairly and impartially.. 2) Personal familiarity with a respondent does not, of itself, require recusal of a Board member.. 3) A Board member may seek advice of the Board's counsel in determining the need for recusal on a spB. Recusal..
10.27.23.04.htm 10.27.23.04. 04 Investigator.. A. An investigator may not conduct or participate in an investigation of a complaint in which the investigator has a conflict of interest.B. In the investigation of a complaint against a member of a Board, the Board may consider using an investigator other than the investigator who is regularly assigned to conduct investigations for the Board.
10.27.23.05.htm 10.27.23.05. 05 Confidentiality.. A. A Board member or investigator may not discuss disciplinary or other confidential matters with a person other than:1) A Board member;. 2) Board staff;. 3) The Attorney General's Office;. 4) A witness; or. 5) Another person authorized by law to be involved in the case.. B. In the case of an ex parte communication, the Board member shall follow the provisions of the State Government Article, §10-219, Annotated Code of Maryland.
10.27.23.9999.htm 10.27.23.9999. Administrative History Effective date: December 25, 2000 (27:25 Md. R. 2282).
10.27.24.00.htm 10.27.24.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 24 Compelling Purpose Disclosure Authority: State Government Article, §10-617(h)3) Annotated Code of Maryland
10.27.24.01.htm 10.27.24.01. 01 Disclosure for Compelling Public Purpose.. A custodian of Board records may find that a compelling public purpose warrants disclosure of information in a certification, licensing, or investigative file, whether or not there has been a request for the information under the following circumstances:A. There is possible criminal activity and the disclosure is to a federal, state, or local law enforcement or prosecutorial official or authority;B. There is possible viol
10.27.24.02.htm 10.27.24.02. 02 Other Disclosures.. This chapter does not prevent or limit the ability of the Board to disclose general licensing information as provided in State Government Article, §10-617(h) Annotated Code of Maryland, or any information which the Board may otherwise disclose by law.
10.27.24.9999.htm 10.27.24.9999. Administrative History Effective date: July 23, 2001 (28:14 Md. R. 1322).
10.27.25.00.htm 10.27.25.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 25 Cosmetic Procedures Authority: Health Occupations Article, §8-205(a)1) and (2) Annotated Code of Maryland
10.27.25.01.htm 10.27.25.01. 01 Exclusion from Regulations.. A. This chapter is not applicable to, and does not restrict or limit, other health care practitioners who are authorized to perform these duties under their respective practice acts.B. This chapter does not restrict or limit a Maryland Certified Registered Nurse Practitioner from possessing, prescribing, evaluating, or performing the procedures under this chapter.
10.27.25.02.htm 10.27.25.02. 02 Definitions.. A. The following terms have the meanings indicated.. B. Terms Defined.. 1) “Body treatment” means cellulite lymphatic drainage and cellulite vacuum massage.. 2) “Cellulite lymphatic drainage”means a therapy in which the practitioner uses a range of specialized and gentle rhythmic pumping techniques to move the skin in the direction of the lymph flow.3) “Cellulite vacuum massage” means:. a) The massage of peripheral blood, lymph, and inter-tissue liquid with the
10.27.25.03.htm 10.27.25.03. 03 Procedural Categories.. A. Procedures designated as Category A shall include body treatments with:. 1) Cellulite lymphatic drainage; and. 2) Cellulite vacuum massage.. B. Procedures designated as Category B shall include light treatments with:. 1) Infrared light;. 2) Magenta light;. 3) Photochemotherapy;. 4) Photodynamic;. 5) Photosensitizing agents;. 6) UVA light; and. 7) UVB light.. C. Procedures designated as Category C shall include laser treatments admin
10.27.25.04.htm 10.27.25.04. 04 Education.. To administer medication or to perform cosmetic and dermatologic treatments, a nurse shall:. A. Complete a program of study that includes theory appropriate to the medication to be administered and the procedure to be performed that includes, but is not limited to:1) Anatomy, physiology, and pathophysiology related to the integumentary system as well as systems specific to the procedure being performed;2) Appropriate technique for each cosmetic procedure;.
10.27.25.05.htm 10.27.25.05. 05 Cosmetic Procedures in General.. A. The nurse shall comply with the employment setting’s written cosmetic policies and procedures that comply with this chapter.B. The nurse shall be guided by and comply with the written policies and procedures in keeping with recognized standards of care that include, but are not limited to:1) Care and maintenance of appropriate equipment and safe operation;. 2) Description of how the procedure is to be performed;. 5) Emergency procedures;.
10.27.25.06.htm 10.27.25.06. 06 Cosmetic Procedures ― Licensed Practical Nurse.. Except for Category C, the LPN may perform the cosmetic procedures identified in Regulation .03 of this chapter.
10.27.25.07.htm 10.27.25.07. 07 Cosmetic Procedures ― RN.. The RN may perform all of the procedures identified in Regulation .03 of this chapter..
10.27.25.08.htm 10.27.25.08. 08 Exceptions.. Except for cryotherapy, the nurse may perform the cosmetic procedures identified in Regulation .03 Category F independent of the requirements stated in Regulation .05D of this chapter.
10.27.25.09.htm 10.27.25.09. 09 Prohibited Acts.. A. The licensed nurse may not:. 1) Perform cosmetic procedures on a standing order or protocol;. 2) Perform the pre-procedure medical assessment or evaluation;. 3) Perform medical diagnosis or prescribe cosmetic procedures;. 4) Develop the client treatment plan;. 5) Prescribe medications for cosmetic or dermatological procedures;. 6) Perform the post-procedure medical evaluation of the client; and. 7) Administer injections for the purpose of:.
10.27.25.9999.htm 10.27.25.9999. Administrative History Effective date: May 30, 2011 (38:11 Md. R. 671).
10.27.26.00.htm 10.27.26.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 26 Sanctioning Guidelines Authority: Health Occupations Article, §1-606, 8-205(a)1) 8-316, 8-6A-10, and 8-6B-18, Annotated Code of Maryland
10.27.26.01.htm 10.27.26.01. 01 Scope.. A. This chapter shall be used by the Board as a guide for sanctioning licensees and certificate holders in formal and informal disciplinary proceedings.B. The Board shall take into consideration a range of activity within certain types of conduct rather than assigning particular sanctions to each specific violation.C. There may be conduct by a licensee or certificate holder that does not fall squarely within a particular category of misconduct contained in Regula
10.27.26.02.htm 10.27.26.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Board” means the Maryland State Board of Nursing.. 2) “Certificate holder” means an individual who has been issued a certificate by the Board to practice as a certified nursing assistant, or a certified medication technician.3) “Conditions” means any requirements in a public or nonpublic order that a licensee or certificate holder is required to satisfy, which include, but
10.27.26.03.htm 10.27.26.03. 03 Application.. A. This chapter is not applicable to cases in which the Board, after investigating a matter, decides to issue a public advisory letter in lieu of discipline in accordance with Health Occupations Article, §8-317(h) or 8-6B-19(h) Annotated Code of Maryland.B. This chapter is not applicable to:. 1) An individual seeking an initial license or certificate; or. 2) The summary suspension of a licensee or certificate holder under State Government Article, §10-22
10.27.26.04.htm 10.27.26.04. 04 Aggravating and Mitigating Factors.. A. Depending on the facts and circumstances of each case, and to the extent that the facts and circumstances apply, the Board may consider aggravating and mitigating factors in determining whether the sanction in a particular case should fall outside the range of sanctions established by the sanctioning guidelines set forth in Regulation .07 of this chapter.B. Aggravating factors include, but are not limited to:.
10.27.26.05.htm 10.27.26.05. 05 Imposition of a Monetary Penalty.. A. Instead of or in addition to a reprimand, probation, suspension, or revocation, the Board may impose a monetary penalty in accordance with Health Occupations Article, §8-316(b) 8-6A-10(b) or 8-6B-20, Annotated Code of Maryland.B. Subject to consideration of the aggravating and mitigating factors set forth in Regulation .04 of this chapter, if the Board elects to impose a monetary penalty, the Board shall use the sanctioning
10.27.26.06.htm 10.27.26.06. 06 Payment of a Monetary Penalty.. A. The licensee or certificate holder shall pay any monetary penalty imposed by the Board under the provisions of this chapter:1) By cashier’s check or money order made payable to the Board;. 2) Within 60 days of the date of the order; and. 3) In person or by certified mail to the Board.. B. The Board shall pay all monies collected by the Board under the provisions of this chapter into the General Fund of the State.C. Filing an appeal under
10.27.26.07.htm 10.27.26.07. 07 Sanctioning Guidelines.. Subject to the provisions of this chapter, the Board may impose sanctions for violations of the Maryland Nurse Practice Act and its regulations according to the guidelines set forth in the following categories:A. Abuse ― Physical and Psychological.. Severity. Tier/Conduct. Sanction Range. Monetary Penalty Range. Minimum. Maximum. Least. to. Greatest. 1) Unacceptable behavior directed to an individual, resulting in minimal harm or a risk of harm.
10.27.26.9999.htm 10.27.26.9999. Administrative History Effective date: April 16, 2012 (39:7 Md. R. 492). Regulation .02B amended effective September 10, 2018 (45:18 Md. R. 834). Regulation .07M amended effective September 10, 2018 (45:18 Md. R. 834).
10.27.27.00.htm 10.27.27.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 27 BOARD OF NURSING Chapter 27 Practice of Clinical Nurse Specialist Authority: Health Occupations Article, §8-205(a)1) (2) (4) and (5) and 8-302(b)1)iii) and (2)ii) Annotated Code of Maryland
10.27.27.01.htm 10.27.27.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Advanced practice registered nurse (APRN) means a registered nurse who is certified by the Board as:a) A certified nurse midwife (CNM). b) A certified registered nurse anesthetist (CRNA). c) A certified nurse practitioner (CRNP) or. d) A clinical nurse specialist (CNS). 2) “Board” means the Board of Nursing.. 3) “Certification” means the permission to practic
10.27.27.02.htm 10.27.27.02. 02 Certification.. A. An applicant for certification as a clinical nurse specialist shall:. 1) Hold a current Maryland license in good standing to practice registered nursing or a multistate licensure privilege to practice registered;2) Have graduated from a Board-approved graduate level education program for a clinical nurse specialist at the master’s level or higher that is accredited by;a) The National League for Nursing Accreditation Commission (NLNAC).
10.27.27.03.htm 10.27.27.03. 03 Renewal of Certification.. A. Certification as a clinical nurse specialist expires at the same time as the clinical nurse specialist’s registered nursing license.B. Before a clinical nurse specialist’s certification expires, the clinical nurse specialist may renew the certification biennially if the clinical nurse specialist:1) Is otherwise entitled to be certified;. 2) Submits to the Board:. a) A completed renewal application for clinical nurse specialists on a form
10.27.27.04.htm 10.27.27.04. 04 Scope of Practice.. A. The practice of the clinical nurse specialist:. 1) Encompasses the continuous improvement of patient outcomes and nursing care;. 2) Shall be in accordance with the core competencies and behaviors specified by the National Association of Clinical Nurse Specialists or other national certifying body recognized by the Board;3) Includes creating therapeutic environments through mentoring and system changes; and.
10.27.27.05.htm 10.27.27.05. 05 Practice Before Certification.. A. A registered nurse who has completed the education requirements for the advanced practice of a clinical nurse specialist and has registered for a national certifying exam recognized by the Board may practice in this State as a clinical nurse specialist graduate if the registered nurse has:1) A current license to practice registered nursing in this State or holds a multistate licensure privilege to practice registered nursing;
10.27.27.06.htm 10.27.27.06. 06 Unlawful Practices.. A. Unless authorized to practice under this chapter, an individual may not use the following words or abbreviations:1) Certified clinical nurse specialist;. 2) Clinical nurse specialist (CNS). 3) Clinical Registered Nurse Specialist (CRNS). 4) Clinical nurse specialist graduate; or. 5) Nurse specialist graduate.. B. An individual certified under this chapter shall be subject to disciplinary prohibitions and sanctions set forth under Hea
10.27.27.9999.htm 10.27.27.9999. Administrative History Effective date: October 1, 2012 (39:19 Md. R. 1236). Regulation .02D amended as an emergency provision effective September 1, 2014 (41:19 Md. R. 1074) emergency status expired effective February 27, 2015Regulation .02C, D repealed effective April 13, 2015 (42:7 Md. R. 569) ―. Chapter revised effective July 2, 2018 (45:13 Md. R. 667).
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