<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.32.09.08" title_num="10" subtitle_num="32" chapter_num="09" heading="Non-Physician's Responsibility.">
  <paragraph num="A.">
    <text>A physician who delegates or assigns a cosmetic medical procedure or the use of a cosmetic medical device to a non-physician or who supervises a non-physician performing these functions shall assure that the non-physician complies with this regulation.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A non-physician may not use a cosmetic medical device or perform a cosmetic medical procedure unless the individual has received:</text>
    <paragraph num="(1)">
      <text>The training described in Regulation .07 of this chapter; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Any training required by that individual's health occupations board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A non-physician shall:</text>
    <paragraph num="(1)">
      <text>Review and follow the written protocol with respect to a cosmetic medical procedure;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Verify that the physician has assessed the patient and given written treatment instructions for the procedure;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Discuss the procedure with the patient to ensure that the patient:</text>
      <paragraph num="(a)">
        <text>Is aware that the treatment will be provided by a non-physician; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has given consent in writing to treatment by a non-physician;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Notify the delegating physician about any adverse events or complications before the patient leaves the site;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Document all relevant details of the procedure in the patient's chart, including any adverse events and complications; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Satisfy any requirements imposed by the licensing board of the non-physician.</text>
    </paragraph>
  </paragraph>
</regulation>