# COMAR Title 10 — Maryland Department of Health

## Subtitle 39 — Board of Nursing — Certificate Holders

### Chapter 03 — Certified Medicine Aides

#### Regulation .06 Unlawful Delegation.

*COMAR 10.39.03.06*

The RN or LPN may not delegate the following duties to the CMA:

A. Transcription of original physician orders to medication and treatment administration records, charts, or Kardexes;

B. Charge level responsibilities, including receiving instructions for or being assigned to such responsibilities;

C. Administration of medication to clients whose clinical status is acutely unstable, complex, or medically fragile in a setting licensed under 42 CFR Part 483 et seq.;

D. Administration of medication by way of the following routes:

  (1) Injection;

  (2) Intravenous route; and

  (3) By way of a tube inserted in a cavity of the body, including nasogastric or gastrostomy tube feeding;

E. Client teaching;

F. Acceptance of verbal or telephone orders; and

G. Responsibility for maintaining possession of the keys or access code to the locked container for controlled schedule drugs.