Can a medical assistant give injections in Maryland?
Oversight · part of The Practice Perimeter
Short answer
Yes — with the physician on-site, a delegated assistant may prepare and give intradermal, subcutaneous, and intramuscular (deltoid, gluteal, vastus lateralis) injections, including small amounts of local anesthetic, and start a peripheral IV line.
With on-site supervision a licensed physician may delegate to an assistant the preparing and administering of injections limited to intradermal, subcutaneous, and intramuscular (deltoid, gluteal, vastus lateralis), to include small amounts of local anesthetics, and the establishing of a peripheral intravenous line. Microdermabrasion may be delegated without on-site supervision.
Md. Code Regs. 10.32.12.04(D)(1)(j), (D)(2)(a)–(b) · verified Sep 8, 2026 · regulatory monitoring, not legal advice
Related Maryland rules
A licensed physician may not delegate to an assistant technical acts which are exclusively limited to any individual required to be licensed, certified, registered, or otherwise recognized pursuant to any provision of the Health Occupations Article and the Education Article.
Md. Code Regs. 10.32.12.04(A) · verified Sep 3, 2026
A licensed physician who delegates shall: (1) Evaluate the risk to the patient and the outcome of the delegated acts; (2) Delegate only those technical acts that are customary to the practice of the licensed physician; (3) Delegate only those technical acts for which the assistant has been trained; (4) Be responsible for the acts of the assistant; and (5) Supervise the assistant.
Md. Code Regs. 10.32.12.03(A) (Standards for the Licensed Physician Delegating to an Assistant) · verified Sep 3, 2026
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