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