Md. Code, Health Occupations § 8-514

(a) (1) In this section the following words have the meanings indicated.

(2) “Clinical nurse specialist” means an individual who:

(i) 1. Is licensed by the Board to practice registered nursing; or

2. Has a multistate licensure privilege to practice registered nursing under the Nurse Licensure Compact; and

(ii) Is certified by the Board to practice as a clinical nurse specialist.

(3) (i) “Practice as a clinical nurse specialist” means to:

1. Provide direct care to patients with complex needs;

2. Act as a consultant to another health care provider as needed;

3. Conduct health–related research; and

4. Provide education and guidance for staff nurses.

(ii) “Practice as a clinical nurse specialist” includes:

1. Ordering, performing, and interpreting laboratory tests;

2. Ordering diagnostic tests and using the findings or results in the care of patients;

3. Prescribing drugs and durable medical equipment under regulations adopted by the Board;

4. Ordering home health and hospice care; and

5. Initiating, monitoring, and altering appropriate therapies or treatments.

(b) Practice as a clinical nurse specialist is governed by rules and regulations that are adopted under § 8–205 of this title and that concern additional acts in the practice of registered nursing.