Md. Code Regs. 10.27.10.01

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.27.10.01 - 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, implements, coordinates, monitors, and evaluates options and services to meet the client's health needs through enhanced communication and use of available resources to promote quality client outcomes and cost effective care.

(5) "Client" means an individual who is under the licensee's direct or indirect care.

(6) Comprehensive Nursing Assessment.

(a) "Comprehensive nursing assessment" means an assessment performed by a registered nurse which is the foundation for the analysis of the assessment data to determine:

(i) The nursing diagnosis;

(ii) Expected client outcomes; and

(iii) The client's plan of care.

(b) "Comprehensive nursing assessment" includes, but is not limited to:

(i) Extensive initial and ongoing data collection for individuals, families, groups, and communities;

(ii) A focused nursing assessment;

(iii) Past history, current health status, and potential changes in the client's condition;

(iv) Identification of alterations to the client's previous condition; and

(v) Synthesis of the biological, psychological, spiritual, and social aspects of the client's condition.

(7) "Contributes" means to participate as a team member in the nursing team relationship.

(8) "Delegating" means the act of authorizing an unlicensed individual, a certified nursing assistant, or a certified medication technician to perform selected acts of registered nursing or licensed practical nursing.

(9) "Evaluation" means the review and analysis of the extent to which the assessment, planning, and implementation were effective in resolving the client's health problem.

(10) Focused nursing assessment.

(a) "Focused nursing assessment" means an appraisal of a client's current health status and situation at hand;

(b) "Focused nursing assessment" includes the reporting of information to other members of the health care team.

(11) "Goal" means a measurable result to be achieved by a client which is either long- or short-term.

(12) "Implementation" means the carrying out of the nursing plan of care.

(13) "Licensed nurse" means a licensed practical nurse or registered nurse.

(14) "Licensed practical nurse (LPN)" means an individual who is licensed by the Board to practice licensed practical nursing or holds a multistate licensure privilege to practice licensed practical nursing.

(15) "Multistate licensure privilege" has the meaning set forth in COMAR 10.27.01.01B.

(16) "Nursing plan of care" means an established set of goals, priorities, and methods designed to solve, prevent, and manage a client's identified problems.

(17) "Nursing team relationship" means that each licensed or certified individual who participates in providing care for a client is a part of the nursing team.

(18) " Nursing triage" means the systematic collection of client data at the client's point of entry or re-entry into the health care system for the purpose of sorting clients by acuity levels to determine the allocation of available health care resources to direct each client to the right health care provider at the right time.

(19) "Record" means a written retrievable document containing the client's health information.

(20) "Registered nurse (RN)" means an individual who:

(a) Is licensed by the Board to practice registered nursing; or

(b) Who holds a multistate licensure privilege to practice registered nursing.

(21) Standards of Licensed Practical Nurse Practice"

(a) "Standards of licensed practical nurse practice" means the minimum criteria to which the licensed nurse shall adhere in the practice of licensed practical nursing.

(b) "Standards of licensed practical nurse practice" includes standards of professional performance as described in Regulation .03 of this chapter.

(22) "Supervision" means the process of critically watching an individual's performance with the intention of evaluating and directing the individual's performance in the delivery of nursing care.

(23) "Support" means to promote, assist, or help.

Md. Code Regs. 10.27.10.01

Regulations .01 adopted effective May 2, 2011 (38:9 Md. R. 553); amended effective 45:13 Md. R. 667, eff. 7/2/2018