Minimum Standards for Supervision

PURPOSE: This rule defines the minimum standards for supervision. (1) Duties of the Supervising Veterinarian— (A) The supervising veterinarian shall be responsible for determining the competency of the veterinary technician, veterinary medical candidate, temporary licensee, provisional licensees, veterinary medical preceptee, veterinary technician student, or unregistered assistant/certified veterinary assistant to perform delegated animal health care tasks; (B) The supervising veterinarian of a veterinary technician, veterinary medical candidate, temporary licensee, provisional licensees, veterinary medical preceptee, veterinary technician student, or unregistered assistant/certified veterinary assistant shall make all decisions relating to the diagnosis, treatment, management, and future disposition of the animal patient; and (C) The supervising veterinarian shall have examined the animal patient prior to the delegation of any animal health care task to either a veterinary technician, veterinary medical candidate, temporary licensee, provisional licensees, veterinary medical preceptee, veterinary technician student, or an unregistered assistant/certified veterinary assistant. The examination of the animal patient shall be conducted at such time as good veterinary medical practice requires, consistent with the particular delegated animal health care task. (2) The required levels of supervision of individuals with different levels of training performing various delegated animal health care tasks are designated in the accompanying table, included herein. (3) The supervising veterinarian must be in good standing. To be in good standing the veterinarian’s license(s) must be current and unencumbered. INDUCTION* EUTHA· SURGERY MONITORING* NASIA PROVISIONAL B B B B LICENSE VETERINARY A A A A STUDENT B B B D A D A D A A A D (RVT) REGISTERED VET. TECHNICIAN UNREGISTERED ASSISTANT/ CERTIFIED VET. ASSISTANT VETERINARY TECHNICIAN STUDENT CONSUL TING** D D D A LICENSEE FROM ALLIED PROFESSIONS DIAGNOSIS B A D D D A PRESCRIBING CONTROLLED NOT CONTROLLED D B D D D D D D D D D D PATIENT CARE/TR EA TM ENT @ NOT@ FACILITY FACILITY C C C B C C C A B A A A ROUTINE ADMINISTER BIOLOGICS DENTAL RABIES/ OTHER.VXL PRDPHY· BRUCELL· MEDS LAXIS OSIS COHAT C C B D B A D C B D A A D B A D D A * Monitoring of or administration of pre-calculated dose of anesthesia ** Dentist, Chiropractor, Physician, etc. Notwithstanding the above provisions, Animal Chiropractic Practitioners may perform services pursuant to section 340.200(3) and (4), RSMo, and section 340.216 (10), RSMo. A= Immediate Supervision: The licensed veterinarian is in the immediate area and within audible and visual range of animal patient and the person treating the patient; B = Direct Supervision: The licensed veterinarian is on the premises where the animal is being treated and is quickly and easily available and the animal has been examined by a licensed veterinarian at such times as acceptable veterinary medical practice requires consistent with the particular delegated animal health care task; C = Indirect Supervision: The licensed veterinarian need not be on the premises but has given either written or oral instructions for the treatment of the animal patient or treatment protocol has been established and the animal has been examined by a license veterinarian at such times as acceptable veterinary medical practice requires consistent with the particular delegated health care task; provided that the patient is not in a surgical plane of anesthesia and the licensed veterinarian is available for consultation on at least a daily basis; D = Not Legal AND INSURANCE AUTHORITY: sections 340.210 and 340.326, RSMo 2016, and section 340.222, RSMo Supp. 2025.* This rule originally filed as 4 CSR 270-4.060. Original rule filed Nov. 4, 1992, effective July 8, 1993. Amended: Filed April 13, 2001, effective Oct. 30, 2001. Amended: Filed April 1, 2003, effective Sept. 30, 2003. Moved to 20 CSR 22704.060, effective Aug. 28, 2006. Amended: Filed Oct. 30, 2007, effective April 30, 2008. Amended: Filed Sept. 18, 2024, effective April 30, 2025. Amended: Filed June 17, 2025, effective Feb. 28, 2026. *Original authority: 340.210, RSMo 1992, amended 1993, 1995, 1999; 340.222, RSMo 1992, amended 1999, 2006, 2023; and 340.326, RSMo 1992.