1. A. In this chapter, the following terms have the meanings indicated.

2. B. Terms Defined.

   1. (1) “Acute care nursing assistant training program” means a course of training that meets the acute care nursing assistant training program curriculum approved by the Board.
   2. (2) “Board” means the Maryland Board of Nursing.
   3. (3) “Certified Nursing Assistant (CNA)” has the meaning stated in COMAR 10.39.01.02B.

   4. (4) Certified Nursing Assistant-I (CNA-I).

      1. (a) “Certified nursing assistant-I (CNA-I)” means a CNA who:

         1. (i) Meets the requirements set by the Board and federal law; and
         2. (ii) May practice in any practice setting.

      2. (b) “Certified nursing assistant-I (CNA-I)” includes a:

         1. (i) CNA who was certified as a geriatric nursing assistant on March 31, 2026;
         2. (ii) Certified medicine aide; and
         3. (iii) CNA who is certified under Health Occupations Article, §8-6A-05(c)(5), Annotated Code of Maryland.
   5. (5) “Classroom laboratory training” means instruction and demonstration, on an individual or a mannequin, of patient care skills by an instructor and return demonstration of competence in these skills by the student.
   6. (6) “Clinical facility” means a setting where clients are physically present and that provides facilities for supervised clinical training.
   7. (7) “Direct supervision” means that the registered nurse or licensed practical nurse is physically present while the student demonstrates patient care skills.
   8. (8) “Distance education” means a formal education process in which the delivery of instruction occurs through the use of telecommunication technologies because the students and instructors are in different places.

   9. (9) “Hybrid training program” means a nursing assistant training program that provides:

      1. (a) Didactic instruction through distance education;
      2. (b) On-site classroom laboratory training; and
      3. (c) Supervised clinical training.

   10. (10) “Licensed Practical Nurse (LPN)” means an individual who:

       1. (a) Is licensed by the Board to practice licensed practical nursing; or
       2. (b) Has a multistate licensure privilege to practice licensed practical nursing.
   11. (11) “Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.

   12. (12) “Nursing assistant competency evaluation” means an examination approved by the Board that:

       1. (a) Determines the competency of the individual to practice as a CNA-I; and
       2. (b) Meets the requirements under federal law.
   13. (13) “Nursing assistant training program” means a course of training approved by the Board that meets the requirements under federal and State law.

   14. (14) “Program completion” means that the student:

       1. (a) Completed and demonstrated competency in the program objectives and performance indicators during the didactic, laboratory, and clinical portions of the training program; and
       2. (b) Passed the final written examination.
   15. (15) “Program provider” means an individual, organization, facility, or educational institution that conducts a nursing assistant training program or an acute care nursing assistant training program.

   16. (16) “Registered nurse (RN)” means an individual who:

       1. (a) Is licensed by the Board to practice registered nursing; or
       2. (b) Has a multistate licensure privilege to practice registered nursing.
   17. (17) “Supervised clinical training” means training in person at a clinical facility in which the student demonstrates knowledge and skills while performing tasks on a client under the supervision of an RN or an LPN.
   18. (18) “Traditional program” means a training program that provides on-site didactic instruction, classroom laboratory training, and supervised clinical training.
   19. (19) “Training program” means a nursing assistant training program or an acute care nursing assistant training program.
   20. (20) “Unencumbered” means without limitation or restriction on practice, such as revocation, suspension, or probation.
   21. (21) “Written agreement” means a contract between a program provider and a clinical facility outlining the terms required, by both the program and the facility, for supervised clinical training of students.

Authority: Health Occupations Article, §§8-205, 8-6A-05(a)(6), and 8-6A-14, Annotated Code of Maryland;
Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

Effective date: April 30, 2001 (28:8 Md. R. 761)

Regulation .02B amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .05A amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .07B amended effective November 7, 2005 (32:22 Md. R. 1756)

Chapter revised as an emergency provision effective April 3, 2026 (53:9 Md. R. 411); amended permanently effective June 8, 2026 (53:11 Md. R. 484)