1. 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. (1) Stability of the condition of the patient;
   2. (2) Training of the individual to whom the nursing task is being delegated;
   3. (3) Nature of the nursing task being delegated;
   4. (4) Orientation of the certified dialysis technician to the specific patient environment;
   5. (5) Ability of the certified dialysis technician to perform the delegated nursing task in a safe and competent manner; and
   6. (6) Reevaluation of the patient's health status.

2. B. The delegating nurse shall:

   1. (1) Be readily available when delegating a nursing task to a certified dialysis technician; and
   2. (2) Provide direct supervision of the certified dialysis technician when the certified dialysis technician is administering medications.

Authority: Health Occupations Article, §§ 8-205, 8-303, 8-6A-01 through 8-6A-10, 8-6A-12, 8-6A-14.1, 8-6A-15, 8-701, 8-703, 8-705, and 8-706,
Annotated Code of Maryland

Effective date: August 4, 2025 (52:15 Md. R. 812)

Regulation .08D, F amended effective April 27, 2026 (53:8 Md. R. 356)

Regulation .08G adopted effective April 27, 2026 (53:8 Md. R. 356)

Regulation .10C, D amended effective April 27, 2026 (53:8 Md. R. 356)