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Routine Guidance Amended Final

Guidance on Task Supervision Levels for Veterinary Technicians and Assistants

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Summary

The Maryland Veterinary Medical Board issued guidance clarifying supervision levels for veterinary technicians and assistants regarding specific tasks. The document clarifies that veterinary technicians may perform emergency euthanasia and initiate CPR before practitioner evaluation, while trained veterinary assistants may aid in CPR, administer vaccines following recent examination, fill non-controlled prescriptions, and perform intubation/catheter procedures under immediate supervision. Controlled substance access remains prohibited for assistants.

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What changed

The Board issued guidance clarifying supervision requirements for eight task categories. Veterinary technicians may perform euthanasia in emergency situations at the practitioner's discretion and may initiate CPR before practitioner evaluation. Trained assistants may assist with CPR, administer non-rabies vaccines following a recent physical exam, fill non-controlled prescriptions (with practitioner verification), and perform intubation/catheter procedures under immediate supervision while the practitioner is actively engaged.

Affected veterinary hospitals and staff should review current practices against these clarifications. Assistants should not have access to controlled dangerous substances. Routine tasks like microchip insertion, husbandry, and nail trims do not require veterinary supervision unless sedation is needed.

Archived snapshot

Apr 18, 2026

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Access Small Simple Dental Veterinary Veterinary Veterinary Veterinary Working Stock of Basic Suturing Extractions of Euthanasia at an Gastric and Technicians - Veterinary Technicians - Assistants - Veterinary Assistants - Medication and Schedule II Drugs (Existing Surgical Loose Teeth(No Anesthesia Emergency Tracheal Administering Veterinary Immediate Technicians - Direct Indirect Immediate Assistants - Direct Indirect Prescribe Diagnose or Euthanasia at an Fine Needle Opthal-mological Fluid Therapy under separate or Gingival Flaps or Induction (IM, IV, Apply Casts and SplintsPractitionersSupervisionSupervisionSupervisionSupervisionSupervisionSupervsionSurgeryMedicationPrognosisRabies VaccinesAnimal ShelterHospitalAspiratesTestingCalculationsCystocentesisCytologyLockIncisions)Sectioning)Inhalation)Intubation

Phlebotomoy, Sample Blood Typing, Administering Low-Stress Setup for Surgery Collection Obtain & Monitor Urinary and IV and Monitoring Suture and Vaccines (Other Filling Basic Life Microchip Anesthesia Anesthesia Set Handling and and Other Aseptic (Blood, Urine, Administering Education on Dental Vitals (Non Catheter CareTransfusionsStaple RemovalThan Rabies)PrescriptionsSupport (CPR)MonitoringUpRadiographsRestraintProceduresTechniquesFecal)MedicationBasic TopicsProphylaxisInsertionHusbandryNail TrimsAnesthetized) 3,4

Supplemental Information Items Highlighted in Green were clearly delineated in existing regulation and are not changes or

clarifications to existing practices that should have been followed. Items Highlighted in Red have the following clarifications listed below:

  1. Administering Rabies Vaccines - CH0588(2023 HB0325) Established that animal shelter

workers under the Indirect Supervision of a Veterinarian may administer Rabies Vaccines to shelter animals under the care and control of the shelter.

  1. Euthanasia at an Emergency Hospital - Veterinary Technicians may perform euthanasia's in
    Emergency situations at the Veterinarian's discretion. An exam must have been completed by the Veterinarian and the owner should be informed that the procedure will be done by a Veterinary Technician. The Board highly recommends Veterinary Technicians be certified through a Euthanasia by Injection training course.

  2. Basic Life Support (CPR) - Veterinary Technicians may initialize CPR before being seen by a

Veterinary Practitioner in emergency situations. A Veterinarian should immediately be made aware of the situation and make every effort to address the emergency as soon as actionable.

  1. Basic Life Support (CPR) - The Board understands that a Veterinary Practitioner may utilize
    all of the resources available at the time of an emergency presentation to provide life saving support to a patient. This would include utilizing a Veterinary Assistant who has been appropriately trained to aid in CPR.

  2. Gastric and Tracheal Intubation, Urinary and IV Catheter Care, and Phlebotomy, Blood
    Typing, and Monitoring Transfusions, Suture and Staple Removal - These tasks may be performed by a trained Veterinary Assistant under the immediate supervision of a Veterinary Practitioner while the Veterinary Practitioner is actively engaged in the care/treatment of the patient for which auxiliary support is being provided.

  3. Administering Vaccines (Other Than Rabies) - A Veterinary Assistant may administer a

Vaccine(other than rabies) following a Veterinary Practitioners recent physical examination that has determined that the patient is healthy enough to be vaccinated. This would

include follow-up vaccine appointments that occur for vaccines in a series (such as

distemper) in which the patient did not have an adverse reaction to the initial vaccine. The Veterinary Assistant should be trained to identify any visible condition that may be reason to believe a Veterinary Practitioner should perform an exam before administering series vaccines and if a Veterinary Practitioner is not available due to other appointments the appointment should be rescheduled with the Veterinary Practitioner.

  1. Filling Prescriptions - A Veterinary Assistant may fill a prescription for a non-controlled

substance under direct or immediate supervision. The supervising Veterinary Practitioner

or Veterinary Technician should verify the accuracy of the prescription before it is provided to the client. Veterinary Assistants should never have access to Controlled Dangerous Substances.

  1. Microchip Insertion, Husbandry, Nail Trims - While these are common practices that occur

at a Veterinary Hospital, these items are not limited to Veterinary staff and do not require Veterinary supervision to be performed unless these require an animal to be sedated for safe handling.

Named provisions

Administering Rabies Vaccines Emergency Euthanasia Basic Life Support (CPR) Gastric and Tracheal Intubation Administering Vaccines Filling Prescriptions Microchip Insertion

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Last updated

Classification

Agency
MD Veterinary Medical Board
Published
September 9th, 2024
Instrument
Guidance
Legal weight
Non-binding
Stage
Final
Change scope
Minor

Who this affects

Applies to
Healthcare providers
Industry sector
6211 Healthcare Providers
Activity scope
Veterinary supervision Task delegation Healthcare staffing
Geographic scope
US-MD US-MD

Taxonomy

Primary area
Healthcare
Operational domain
Compliance
Topics
Employment & Labor Consumer Protection

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