# COMAR Title 10 — Maryland Department of Health

## Subtitle 27 — Board of Nursing

### Chapter 28 — Delegation of Acts by an Advanced Practice Registered Nurse

#### Regulation .03 Standards for Delegation.

*COMAR 10.27.28.03*

A. An APRN who delegates shall:

  (1) Assess the risk to the patient and the outcome of the delegated acts;

  (2) Delegate only those nursing and technical tasks that are customary to the practice of an APRN;

  (3) Delegate only those nursing and technical tasks for which the assistant has been trained;

  (4) Be responsible for the acts of the assistant;

  (5) Supervise the assistant in accordance with this chapter; and

  (6) If authorized to dispense prescription medication under Health Occupations Article, Title 8, Annotated Code of Maryland, perform a final check of the prescription medication before it is provided to the patient.

B. The responsibility for the delegated act cannot be transferred from the delegating APRN to another APRN, or to another licensed health care provider that is authorized to delegate clinical and technical tasks, without:

  (1) The expressed consent of the other APRN or licensed health care provider; and

  (2) Informing the assistant.