Sacraments should only be administered in the hospital by the ordained clergy or by laity with the Bishop's permission. Commissioned lay chaplains are given Episcopal permission to distribute Holy Communion from the reserved Sacrament. This is renewed, after review, every three years.
Certain functions of chaplaincy (e.g. celebration of the Eucharist, Anointing
the Sick, etc.) are the responsibility of the ordained chaplain only.