<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".17" citation="COMAR 15.14.01.17" title_num="15" subtitle_num="14" chapter_num="01" heading="Direct Supervision Guidelines.">
  <paragraph num="A.">
    <text>In this regulation, the following terms have the meanings indicated:</text>
    <paragraph num="(1)">
      <text>“Registered veterinary technician” means an individual currently registered with the Board as a veterinary technician;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Responsible direct supervision” means competent, immediate, and active supervision;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Technician” means a nurse, attendant, technician, intern, or other employee of a licensed and registered veterinarian who is not a registered veterinary technician.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A veterinarian giving responsible direct supervision to the work of a technician or registered veterinary technician shall be:</text>
    <paragraph num="(1)">
      <text>In the immediate vicinity of where the work is being performed; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Actively engaged in supervising this work throughout the entire period it is being performed, including:</text>
      <paragraph num="(a)">
        <text>Providing clear and specific directions on what work is to be done,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Being cognizant of how the assigned work is being performed, and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Being immediately available to provide advice when the assigned work is being performed.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A veterinarian may not permit a technician to perform the following procedures on an animal while the animal is under that veterinarian's care:</text>
    <paragraph num="(1)">
      <text>Anesthesia induction by inhalation or intravenous injection;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Anesthesia induction by intramuscular injection;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Application of casts and splints;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Dental extractions; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Suturing of existing surgical skin incisions.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A veterinarian may permit a registered veterinary technician to perform the procedures referenced in §C of this regulation if, when these procedures are being performed:</text>
    <paragraph num="(1)">
      <text>The individual is under the responsible direct supervision of the veterinarian; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For the procedure referenced in §C(1) of this regulation only, the veterinarian also is able to maintain direct visual contact of the technician's performance of this procedure.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A veterinarian may permit a technician to render auxiliary or supporting assistance or administer medication if, when rendering the assistance or administering medication, the employee is under the responsible direct supervision of the veterinarian.</text>
  </paragraph>
  <paragraph num="F.">
    <text>In the case of an anesthetized animal, a veterinarian may permit a technician to monitor the animal's condition and provide other supporting assistance, including the animal's maintenance, once the animal is stabilized.</text>
  </paragraph>
</regulation>