<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.27.10.04" title_num="10" subtitle_num="27" chapter_num="10" heading="Prohibited Acts.">
  <text>The LPN may not:</text>
  <paragraph num="A.">
    <text>Perform nursing triage;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Perform the responsibilities of, or serve in the role of, the circulating nurse in the intraoperative phase of surgery including, but not limited to:</text>
    <paragraph num="(1)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>Client;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Anesthesiologist; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Surgical team;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Gathering needed equipment and anticipating resuscitation efforts during the intraoperative phase;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Collaborating with other members of the surgical team for ongoing assessment and planning for the client’s postoperative care; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Documenting completely, timely, and accurately on appropriate records;</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Perform the comprehensive nursing assessment;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Serve as the case manager for client care;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Supervise the nursing practice of RNs and other LPNs; and</text>
  </paragraph>
  <paragraph num="F.">
    <text>Analyze client data in order to determine client outcome identification and formulation of a nursing diagnosis.</text>
  </paragraph>
</regulation>