.03 Standards for the Licensed Physician Delegating to an Assistant.
A. 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.
B. The responsibility for the delegated act cannot be transferred from the delegating physician to another licensed physician without:
(1) The expressed consent of the other physician; and
(2) Informing the assistant.
The State Board of Medicine in Maryland, allows (see attached ): 10.32.12.04
(2) With on-site supervision:
(a) Preparing and administering injections limited to intradermal, subcutaneous, and intramuscular (deltoid, gluteal, vastus lateralis) to include small amounts of local anesthetics;
(b) Establishing a peripheral intravenous line; and
(c) Injecting fluorescein-like dyes for retinal angiography; and
(3) With direct supervision, injecting intravenous drugs or contrast materials.
From my understanding, the regulation(s) do not specify or explicitly discuss whether the medication is prefilled, unit dose, or requires calculation.
Since nursing as a profession does not delegate such tasks to unlicensed personnel, you will need to determine who will be responsible (liable) for the medical assistant training and competencies.