Md. Code Regs. 10.39.03.04

Current through Register Vol. 51, No. 24, December 2, 2024

Section 10.39.03.04 - Scope of Responsibility

A. The CMA may be delegated medication administration by the RN or LPN under the following conditions:

(1) The licensed nursing supervision requirements in Regulation .05 of this chapter have been met;

(2) The CMA is assigned to administer medication;

(3) There is a written medication order;

(4) The CMA is physically present on a continuing basis in the unit of care to accomplish the following as instructed and directed by the RN or LPN:

(a) Monitor the therapeutic effects of the medication;

(b) Observe and report untoward effects of the medication;

(c) Report observed changes in client behavior and clinical status; and

(d) Withhold administration of the medication if necessary.

B. The CMA may perform the following RN or LPN delegated nursing functions:

(1) Prepare, administer, and chart medications administered:

(a) Orally;

(b) By nebulizer, metered dose inhalant, and, in the case of oxygen, by nasal cannula or mask;

(c) Topically, excluding wound or decubitus site care;

(d) By suppository; and

(e) By eye, ear, and nose drops;

(2) Prepare, administer, and chart:

(a) Nonlegend PRN medications; and

(b) Controlled schedule drugs after the RN or LPN:

(i) Makes a bedside assessment of the patient;

(ii) Documents the assessment; and

(iii) Gives permission to the CMA to administer that medication; and

(3) When the licensed nurse delegating medication administration provides access to the controlled schedule drug cabinet, sign for and administer controlled schedule drugs.

Md. Code Regs. 10.39.03.04

Regulations .04 adopted as an emergency provision effective January 19, 2005 (32:3 Md. R. 287); adopted permanently effective March 14, 2005 (32:5 Md. R. 580)