<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 10.39.06.13" title_num="10" subtitle_num="39" chapter_num="06" heading="Supervision of Delegated Nursing Tasks.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Stability of the condition of the patient;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Training of the individual to whom the nursing task is being delegated;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Nature of the nursing task being delegated;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Orientation of the certified dialysis technician to the specific patient environment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Ability of the certified dialysis technician to perform the delegated nursing task in a safe and competent manner; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Reevaluation of the patient's health status.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The delegating nurse shall:</text>
    <paragraph num="(1)">
      <text>Be readily available when delegating a nursing task to a certified dialysis technician; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide direct supervision of the certified dialysis technician when the certified dialysis technician is administering medications.</text>
    </paragraph>
  </paragraph>
</regulation>