Nursing Practice - Declaratory Rulings

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88-1 [PDF]  Independent Administration of Adult Stress Test (Replaced by 2002-5)

90-1 [PDF] Triaging and Caring for Health Complaints of Prisoners in a County's Multiple Local Lock-Ups

90-19 [PDF]  School Health Nurse (Registered Nurse) - Who May Be the Primary Teaching Source for the Nurse

90-21 [PDF]  Registered Nurse s Accepting Responsibility for Supervising, Instructing, Monitoring and Evaluating Unlicensed Persons Performing Nursing Functions Assigned by Other Non-Nursing Individuals/Entities in the School Setting.

91-2 [PDF]  School Health Nurse (Registered Nurse) - Supervision and Monitoring of Unlicensed Personnel in the Performance of Tracheostomy Suctioning and Tracheostomy Tube Change/ Replacement Procedure.

91-4 [PDF]  Role of the Registered Nurse in Bone Marrow Harvests

92-1 [PDF]  Delegation of and Supervision of Nursing Tasks From the Registered Nurse to Unlicensed Nursing Extender in the Acute Care Hospital, General Care Unit. (Replaced by Delegating Nursing Function Regulations COMAR 10.27.11)

92-2 [PDF]  Registered Nurse Administration of Prostaglandin Via Vaginal Route in Selected Clinical Circumstances (Replaced by 99-2)

93-1 [PDF]  Registered Nurse Removal of and Pulling Back to Reposition a Wedged Swan-Ganz Catheter

93-2 [PDF]  Registered Nurse Removal of Femoral Arterial and Venous Sheaths for Clients Experiencing Angioplasty

94-1 [PDF]  The Role of the Registered Nurse in Inter-Hospital Transport

94-3 [PDF]  Role of the Registered Nurse in the Expanded Role Surgical First Assistant

94-4 The Standards of Practice for the Registered Nurse When Managing and Caring for the Critically Ill Patient in Interagency Transport

95-1 [PDF]  Registered Nurse Performance of Additional Specialized Acts (Replaced by 97-4)

95-2 [PDF]  Registered Nurse Administration of Medications Classified As Anesthetic Agents for Purpose of Sedation and/or Analgesia (Replaced by 2004-1)

97-1 [PDF]  Registered Nurse Administration of a Treatment by Selective Laser in a Physician Office Practice Setting

97-3 [PDF]  Administration of Radiopharmaceuticals for Radiologic Studies (Replaces DR 87-2)

97-4 [PDF]  Registered Nurse Performance of Additional Selected Specialized Complex Procedures (Replaces DR 95-1)

97-5 [PDF]  Licensed Nurses Acting On Verbal Orders (oral or Telephpne or On a Modified Written Medication Order) (Replaces DR 87-1)

97-6 [PDF]  The Role of the Registered Nurse (RN) in the Management of Analgesia by Catheter Techniques (Epidural, Intrathecal, Intrapleural, or Peripheral Nerve Catheters) (Replaces DR 94-2)

98-1 [PDF]  Administration of Radiopharmaceuticals and Contrast Media by Licensed Nurses (Replaces DR 87-2 and DR 97-3)

98-2 [PDF]  Licensed Nurses Acting On Verbal Orders (Oral or Telephone) (Replaces DR 87-1 and DR 97-5)

98-3 [PDF]  Licensed Nurses Acting on a Modified Written Medication Order  (Replaces DR 87-1 and 97-5) 

99-1 [PDF]  Registered Nurse Removal of Femoral Arterial and Venous Sheaths for Clients Experiencing Angioplasty (Replaces DR 93-2)

99-2 [PDF]  Registered Nurse Administration of Prostaglandin Agents for Use in Cervical Ripening and Induction (Replaces DR 92-2)

99-3 [PDF]  Registered Nurse Application of Suprapubic and Fundal Pressure in Obstetrical Nursing

2000-1 Registered Nurse Initiation, Admistration, Titration and Monitoring of Oxytocin Infusion Via Infusion Pump to Augment or Induce Labor (Replaces DR 96-2)

2001-2 Registered Nurse Removal of Femoral Arterial and Venous Shealth for Clients Experiencing Angioplasty (Replaces DR 99-1 and 93-2)

2002-1 Registered Nurse Administration of Medications Classified As Anesthetic Agents. (Replaces DR 95-2)

2002-2 Registered Nurse Administration of Procedural Sedation for Operative, Invasive and Diagnostic Procedures and for Episodic Treatments or Therapies for the Adult and Pediatric Patient, (e.g. Intravenous, Intramuscular, Inhalation, Oral, Rectal, and Intranasal) (Replaces DR 96-1 and 93-3)

2002-3 Role of the Registered Nurse in the Insertion of Periphally Inserted Central Catheters (PICC) Midclavicular Catheters and Midline Catheters (Replaces DR 95-3 and 90-20)

2002-5 [PDF]  Registered Nurse  Independently Obtaining the Patient's Consent for Independently Administering the Adult Stress Test (Replaces DR 88-2)

2003-1 [PDF] The Standards of Practice for the Registered Nurse When Managing and Caring for the Critically Ill Client in the Specialty care Transport Arena (Replaces DR 94-1, 94-4 and 97-4)

2003-2 [PDF]  School Health Nurse, Registered Nurse, Supervision and Monitoring of Certified Nursing Assistants (CNA) in the Performance of Tracheotomy Suctioning and Tracheotomy Tube Change/Replacement Procedure (Replaces DR 91-2)

2003-3 [PDF]  Registered Nurse Administration of Procedural Sedation for Operative, Invasive and Diagnostic Procedures and for Episodic Treatments or Therapies for the Adult and Pediatric Patient, (e.g. Intravenous, Intramuscular, Inhalation, Oral, Rectal, and Intranasal) (Replaces DR 96-1, DR-93-3, and DR-2002-2)

2004-1 [PDF]  Registered Nurse Administration of Medications Classified as Anesthetic Agents (Replaces DR 95-2 and 2002-1)

2004-2 [PDF]  The Standards of Practice for the Registered Nurse when Managing and Caring for the Critically Ill Client in the Specialty Care Transport Arena (Replaces DR 94-1,  94-4, 97-4 and  2003-1)

2004-3 [PDF] The Role of the Registered Nurse, Licensed Practical Nurse and Certified Nursing Assistant in School Health while Caring for the Child with Special Health Care Needs

2004-4 [PDF]  Registered Nurse Performance of Sterile Speculum Examination in the Labor and Delivery Acute Care Hospital Setting

2005-1 The Delegation to and Supervision of the Certified Geriatric Nursing Assistant in the Licensed Nursing Home in Performance of the Bladder Scan

2005-2 - The Registered Nurse Administration of a Treatment by Selective Laser in a Physician or Certified Registered Nurse Practitioner Office Practice Setting (Replaces DR 97-1)

2006-1 [PDF] Registered Nurse Administration of Procedural Sedation for Operative, Invasive and Diagnostic Procedures and for Episodic Treatments or Therapies for the Adult and Pediatric Patient, (e.g. Intravenous, Intramuscular, Inhalation, Oral, Rectal, and Intranasal) (Replaces DR 96-1, DR-93-3, DR-2002-2 & DR-2003-3)

2006-2 [PDF] Licensed Nurses (Registered Nurse and Licensed Practical Nurse) Obtaining the Patient’s Informed Consent; or Witnessing the Patient Giving Informed Consent for an Operative, or Invasive Procedure, Treatment, or Diagnostic Test; or Obtaining  the Patient's Consent to Participate in a Research Study

2007-1 [PDF] Registered Nurse Administration of Propofol in the Terminally Ill Hospice Patient