<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.39.03.06" title_num="10" subtitle_num="39" chapter_num="03" heading="Unlawful Delegation.">
  <text>The RN or LPN may not delegate the following duties to the CMA:</text>
  <paragraph num="A.">
    <text>Transcription of original physician orders to medication and treatment administration records, charts, or Kardexes;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Charge level responsibilities, including receiving instructions for or being assigned to such responsibilities;</text>
  </paragraph>
  <paragraph num="C.">
    <text>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.;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Administration of medication by way of the following routes:</text>
    <paragraph num="(1)">
      <text>Injection;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Intravenous route; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>By way of a tube inserted in a cavity of the body, including nasogastric or gastrostomy tube feeding;</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Client teaching;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Acceptance of verbal or telephone orders; and</text>
  </paragraph>
  <paragraph num="G.">
    <text>Responsibility for maintaining possession of the keys or access code to the locked container for controlled schedule drugs.</text>
  </paragraph>
</regulation>