Section R. 338.10401 - DefinitionsRule 401. As used in this part:
(a) "Clinical nurse specialist" means an individual who is licensed under part 172 of the code, MCL 333.17201 to 333.17242, as a registered nurse, who is certified by the board to use the title clinical nurse specialist, and who focuses on continuous improvement of patient outcomes and nursing care with broad focus across the areas of direct patient care, patient education, nursing education, nursing practice, and organizational systems. A clinical nurse specialist is responsible and accountable for diagnosis and treatment of health/illness states, including the prescription and use of pharmacological and nonpharmacological interventions that are within the clinical nurse specialists specialty role and scope of practice; disease management, health promotion; and prevention of illness and risk behaviors among individuals, families, groups, and communities. Nursing care provided by a clinical nurse specialist also includes the evaluation of patient outcomes; the translation of evidence into practice; and the development, planning, coordination and direction of programs of care for acute and chronically ill patients and their families.(b) "Nurse anesthetist" means an individual who is licensed under part 172 of the code, MCL 333.17201 to 333.17242, as a registered nurse, who is certified by the board to use the title nurse anesthetist, and who is prepared to provide the full spectrum of anesthesia care and anesthesia-related care that is within the nurse anesthetists specialty role and scope of practice for individuals across the lifespan, whose health status may range from healthy through all recognized levels of acuity, including persons with immediate, severe, or life-threatening illnesses or injury.(c) "Nurse midwife" means an individual who is licensed under part 172 of the code, MCL 333.17201 to 333.17242, as a registered nurse, who is certified by the board to use the title nurse midwife, and who focuses on primary care services for women throughout their lifespan, including comprehensive maternity care that includes prenatal care, childbirth in diverse settings, postpartum care, and newborn care; gynecological, reproductive, and contraceptive care; physical exams; diagnosis and treatment of common health problems with consultation or referral as indicated; prescribing pharmacological and nonpharmacological interventions and treatments that are within the nurse midwifes specialty role and scope of practice; and treatment of male partners for sexually transmitted infection and reproductive health.(d) "Nurse practitioner" means an individual who is licensed under part 172 of the code, MCL 333.17201 to 333.17242, as a registered nurse, who is certified by the board to use the title nurse practitioner, and who focuses on the performance of comprehensive assessments; providing physical examinations and other health assessments and screening activities; and diagnosing, treating, and managing patients with acute and chronic illnesses and diseases. Nursing care provided by a nurse practitioner includes ordering, performing, supervising, and interpreting laboratory and imaging studies; prescribing pharmacological and nonpharmacological interventions and treatments that are within the nurse practitioners specialty role and scope of practice; health promotion; disease prevention; health education; and counseling of patients and families with potential, acute, and chronic health disorders.Mich. Admin. Code R. 338.10401
1986 AACS; 2018 MR 5, Eff. 3/15/2018