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LAWS OF MARYLAND

Ch.8

this pattern is one of a series of license scope
restrictions in present Art. 43, § 85 that reads
"... the license issued under this subtitle shall
not confer upon any person any right ... to
undertake charge of the administration of care
for abnormal cases of pregnancy...". While this
prohibition conceivably could be read as an
affirmative grant of authority to a nurse midwife
to undertake charge of a normal case of
pregnancy, that reading is inconsistent with the
rest of the midwife provisions. Therefore, the
Commission to Revise the Annotated Code drafted a
definition of "practice midwifery" that was
closer to the general pattern found in present
Art. 43, §§82 through 93.

(H) PRACTICE REGISTERED NURSING.

(1)  "PRACTICE REGISTERED NURSING" MEANS TO
PERFORM AN ACT THAT REQUIRES SUBSTANTIAL SPECIALIZED
KNOWLEDGE, JUDGMENT, AND SKILL BASED ON PRINCIPLES OF
BIOLOGICAL, PHYSIOLOGICAL, BEHAVIORAL, OR SOCIOLOGICAL
SCIENCE TO:

(I)  MAINTAIN HEALTH;

(II)  PREVENT ILLNESS; OR

(III)  CARE FOR OR REHABILITATE THE ILL,
INJURED, OR INFIRM.

(2)  "PRACTICE REGISTERED NURSING" INCLUDES:

(I)  AS TO THE HEALTH NEEDS AND HEALTH CARE
ACTION CAPABILITIES OF INDIVIDUALS, FAMILIES, AND
COMMUNITIES:

1.  ASSESSMENT;

2.  PROBLEM IDENTIFICATION;

3.  PLANNING;

4.  IMPLEMENTATION; AND

5.  EVALUATION;

(II)  THE ADMINISTRATION, THE SUPERVISION,
THE DELEGATION, AND THE EVALUATION OF NURSING PRACTICE;

(III)  TEACHING NURSING;

(IV)  PERFORMING AUTONOMOUSLY OR IN
COLLABORATION WITH OTHER HEALTH TEAM MEMBERS:

1. INDEPENDENT NURSING FUNCTIONS; OR