<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 15.14.13.13" title_num="15" subtitle_num="14" chapter_num="13" heading="Duties and Restrictions on Registered Veterinary Technicians.">
  <paragraph num="A.">
    <text>A registered veterinary technician may not:</text>
    <paragraph num="(1)">
      <text>Diagnose;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Offer prognosis;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Prescribe:</text>
      <paragraph num="(a)">
        <text>Drugs;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Medication;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Appliances;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Perform surgery; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Initiate treatment without prior instruction by a veterinarian.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A registered veterinary technician may perform the following procedures under the responsible direct supervision of a veterinarian:</text>
    <paragraph num="(1)">
      <text>Inducing anesthesia by intramuscular injection;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Applying casts and splints;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Simple dental extractions of loose teeth that do not involve flaps or tooth sectioning;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Suturing of existing surgical skin or gingival incisions; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Accessing a small working stock of Schedule II drugs under separate lock.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A registered veterinary technician may perform anesthetic induction by inhalation or intravenous injection if the veterinarian is able to maintain direct visual supervision of the technician’s performance.</text>
  </paragraph>
  <paragraph num="D.">
    <text>A registered veterinary technician may administer medication and render other auxiliary or supporting assistance not referenced in §B of this regulation under the responsible direct supervision of a licensed veterinarian.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Emergency Conditions.</text>
    <paragraph num="(1)">
      <text>Under emergency conditions only, the following activities may be performed by a registered veterinary technician before a veterinarian’s initial examination of an animal:</text>
      <paragraph num="(a)">
        <text>Provide supportive care and first aid; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Follow written protocols for specific conditions, as established by the veterinarian.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If a veterinarian is not available to perform an initial examination of an animal that is presented as an emergency, a registered veterinary technician shall notify the animal’s owner of the:</text>
      <paragraph num="(a)">
        <text>Veterinarian’s unavailability;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Estimated time of arrival of the veterinarian; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Estimated distance to another veterinary hospital.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>If employed at a veterinary hospital, a veterinary technician shall display at that facility the registration that the Board issued to the veterinary technician.</text>
  </paragraph>
</regulation>