# COMAR Title 10 — Maryland Department of Health

## Subtitle 39 — Board of Nursing — Certificate Holders

### Chapter 06 — Certified Dialysis Technicians

#### Regulation .13 Supervision of Delegated Nursing Tasks.

*COMAR 10.39.06.13*

A. Except as provided in §B(2) of this regulation, the nurse shall determine the required degree of supervision after an evaluation of appropriate factors including, but not limited to, the:

  (1) Stability of the condition of the patient;

  (2) Training of the individual to whom the nursing task is being delegated;

  (3) Nature of the nursing task being delegated;

  (4) Orientation of the certified dialysis technician to the specific patient environment;

  (5) Ability of the certified dialysis technician to perform the delegated nursing task in a safe and competent manner; and

  (6) Reevaluation of the patient's health status.

B. The delegating nurse shall:

  (1) Be readily available when delegating a nursing task to a certified dialysis technician; and

  (2) Provide direct supervision of the certified dialysis technician when the certified dialysis technician is administering medications.