Maryland Code § HO-14-5A-01

Section HO-14-5A-01
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(a) In this subtitle the following words have the meanings indicated.
(b) "Board" means the State Board of Physicians.
(c) "Committee" means the Respiratory Care Advisory Committee
established under § 14-5A-05 of this subtitle.
(d) "License" means a license issued by the Board to practice respiratory
care.
(e) "Licensed respiratory care practitioner" means a respiratory care
practitioner who is licensed by the Board to practice respiratory care.
(f) "Licensee" means a licensed respiratory care practitioner.
(g) "National certifying board" means the National Board for Respiratory
Care or a certifying organization that has certification requirements equivalent to
the National Board for Respiratory Care and that has been approved by the Board.
(h) (1) "Practice respiratory care" means to evaluate, care for, and treat,
including the diagnostic evaluation of, individuals who have deficiencies and
abnormalities that affect the pulmonary system and associated aspects of the
cardiopulmonary and other systems under the supervision of and in collaboration
with a physician.
(2) "Practice respiratory care" includes:
(i) Providing direct and indirect respiratory care services that
are safe, aseptic, preventive, and restorative;
(ii) Practicing the principles, techniques, and theories derived
from cardiopulmonary medicine;
(iii) Evaluating and treating individuals whose
cardiopulmonary functions have been threatened or impaired by developmental
defects, the aging process, physical injury, disease, or actual or anticipated
dysfunction of the cardiopulmonary system;
(iv) Observing and monitoring physical signs and symptoms,
general behavior, and general physical response to respiratory care procedures and
determining if initiation, modification, or discontinuation of a treatment regimen is
warranted;

(v) Transcribing and implementing written or oral orders
regarding the practice of respiratory care;
(vi) Using evaluation techniques that include cardiopulmonary
function assessments, gas exchange, the need and effectiveness of therapeutic
modalities and procedures, and the assessment and evaluation of the need for
extended care and home care procedures, therapy, and equipment; and
(vii) Applying the use of techniques, equipment, and procedures
involved in the administration of respiratory care, including:
1. Except for general anesthesia, therapeutic and
diagnostic gases;
2. Prescribed medication for inhalation or direct
tracheal installation;
3. The administration of analgesic agents by
subcutaneous injection or inhalation for the performance of respiratory care
procedures;
4. Nonsurgical insertion, maintenance, and removal of
artificial airways;
5. Advanced cardiopulmonary measures;
6. Cardiopulmonary rehabilitation;
7. Mechanical ventilation or physiological life support
systems;
8. Collection of body fluids and blood samples for
evaluation and analysis;
9. Insertion of diagnostic arterial access lines; and
10. Collection and analysis of exhaled respiratory gases.
(i) "Supervision" means the responsibility of a physician to exercise on-site
or immediately available direction for a licensed respiratory care practitioner
performing delegated medical acts.

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