# COMAR Title 10 — Maryland Department of Health

## Subtitle 39 — Board of Nursing — Certificate Holders

### Chapter 03 — Certified Medicine Aides

#### Regulation .04 Scope of Responsibility.

*COMAR 10.39.03.04*

A. The CMA may be delegated medication administration by the RN or LPN under the following conditions:

  (1) The licensed nursing supervision requirements in Regulation .05 of this chapter have been met;

  (2) The CMA is assigned to administer medication;

  (3) There is a written medication order;

  (4) The CMA is physically present on a continuing basis in the unit of care to accomplish the following as instructed and directed by the RN or LPN:

    (a) Monitor the therapeutic effects of the medication;

    (b) Observe and report untoward effects of the medication;

    (c) Report observed changes in client behavior and clinical status; and

    (d) Withhold administration of the medication if necessary.

B. The CMA may perform the following RN or LPN delegated nursing functions:

  (1) Prepare, administer, and chart medications administered:

    (a) Orally;

    (b) By nebulizer, metered dose inhalant, and, in the case of oxygen, by nasal cannula or mask;

    (c) Topically, excluding wound or decubitus site care;

    (d) By suppository; and

    (e) By eye, ear, and nose drops;

  (2) Prepare, administer, and chart:

    (a) Nonlegend PRN medications; and

    (b) Controlled schedule drugs after the RN or LPN:

      (i) Makes a bedside assessment of the patient;

      (ii) Documents the assessment; and

      (iii) Gives permission to the CMA to administer that medication; and

  (3) When the licensed nurse delegating medication administration provides access to the controlled schedule drug cabinet, sign for and administer controlled schedule drugs.