<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.27.28.03" title_num="10" subtitle_num="27" chapter_num="28" heading="Standards for Delegation.">
  <paragraph num="A.">
    <text>An APRN who delegates shall:</text>
    <paragraph num="(1)">
      <text>Assess the risk to the patient and the outcome of the delegated acts;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Delegate only those nursing and technical tasks that are customary to the practice of an APRN;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Delegate only those nursing and technical tasks for which the assistant has been trained;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Be responsible for the acts of the assistant;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Supervise the assistant in accordance with this chapter; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>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.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>The expressed consent of the other APRN or licensed health care provider; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Informing the assistant.</text>
    </paragraph>
  </paragraph>
</regulation>