The LPN may not:

1. A. Perform nursing triage;

2. B. Perform the responsibilities of, or serve in the role of, the circulating nurse in the intraoperative phase of surgery including, but not limited to:

   1. (1) Assessing the client in the intraoperative phase of surgery to identify emerging client situations which would require anticipating and responding to the needs of the:

      1. (a) Client;
      2. (b) Anesthesiologist; and
      3. (c) Surgical team;
   2. (2) Administering or transporting to the surgical field medications, infusates, or solutions that may be required by the anesthesia or surgical team during the course of the intraoperative procedure;
   3. (3) Gathering needed equipment and anticipating resuscitation efforts during the intraoperative phase;
   4. (4) Collaborating with other members of the surgical team for ongoing assessment and planning for the client’s postoperative care; and
   5. (5) Documenting completely, timely, and accurately on appropriate records;
3. C. Perform the comprehensive nursing assessment;
4. D. Serve as the case manager for client care;
5. E. Supervise the nursing practice of RNs and other LPNs; and
6. F. Analyze client data in order to determine client outcome identification and formulation of a nursing diagnosis.

Authority: Health-General Article, §4-403; Health Occupations Article, §§8-205(a)(2) and 8-316, Annotated Code of Maryland

Effective date: February 20, 1989 (16:3 Md. R. 343)

Regulation .03 amended effective October 25, 1993 (20:21 Md. R. 1655)

Regulations .01—.03 repealed and new Regulations .01—.04 adopted effective May 2, 2011 (38:9 Md. R. 553)

Regulation .01B amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .02C amended effective October 13, 2025 (52:20 Md. R. 1002)