# COMAR Title 10 — Maryland Department of Health

## Subtitle 27 — Board of Nursing

### Chapter 10 — Standards of Practice for Licensed Practical Nurses

#### Regulation .04 Prohibited Acts.

*COMAR 10.27.10.04*

The LPN may not:

A. Perform nursing triage;

B. Perform the responsibilities of, or serve in the role of, the circulating nurse in the intraoperative phase of surgery including, but not limited to:

  (1) Assessing the client in the intraoperative phase of surgery to identify emerging client situations which would require anticipating and responding to the needs of the:

    (a) Client;

    (b) Anesthesiologist; and

    (c) Surgical team;

  (2) Administering or transporting to the surgical field medications, infusates, or solutions that may be required by the anesthesia or surgical team during the course of the intraoperative procedure;

  (3) Gathering needed equipment and anticipating resuscitation efforts during the intraoperative phase;

  (4) Collaborating with other members of the surgical team for ongoing assessment and planning for the client’s postoperative care; and

  (5) Documenting completely, timely, and accurately on appropriate records;

C. Perform the comprehensive nursing assessment;

D. Serve as the case manager for client care;

E. Supervise the nursing practice of RNs and other LPNs; and

F. Analyze client data in order to determine client outcome identification and formulation of a nursing diagnosis.