<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.69.02.03" title_num="10" subtitle_num="69" chapter_num="02" heading="Standards for Delegation.">
  <paragraph num="A.">
    <text>A licensed certified midwife who delegates shall:</text>
    <paragraph num="(1)">
      <text>Assess the risk to the client and the outcome of the delegated acts;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Delegate only those technical tasks that are customary to the practice of a licensed certified midwife;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Delegate only those technical tasks for which the assistant has been trained;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Be responsible for the acts of the assistant;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Supervise the assistant in accordance with this chapter; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>If dispensing prescription medication under Health Occupations Article, Title 8, Annotated Code of Maryland, perform a final check of the prescription medication before it is provided to the client.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The responsibility for the delegated act cannot be transferred from the delegating licensed certified midwife to another licensed certified midwife, or to another licensed health care provider that is authorized to delegate clinical and technical tasks, without:</text>
    <paragraph num="(1)">
      <text>The expressed consent of the other licensed certified midwife or licensed health care provider; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Informing the assistant.</text>
    </paragraph>
  </paragraph>
</regulation>