<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 15.14.14.04" title_num="15" subtitle_num="14" chapter_num="14" heading="Minimum Standards.">
  <paragraph num="A.">
    <text>A person who owns or operates a limited use veterinary hospital is responsible for:</text>
    <paragraph num="(1)">
      <text>Keeping the hospital area clean where veterinary service is performed;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Having a separate room, in the building where limited use veterinary hospital services are performed, which:</text>
      <paragraph num="(a)">
        <text>Is of adequate size;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Shall have adequate lighting and an examination table where the service is performed;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>May only be used for limited use veterinary hospital services; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>May not be used for any other purpose such as storage, grooming, or boarding animals;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Proper refrigeration and proper care of medicine used at the limited use veterinary hospital as required by applicable medicine label instructions;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Handling waste materials that are generated from an animal that does not have a disease transmissible to humans as follows:</text>
      <paragraph num="(a)">
        <text>Sharps, including but not limited to syringes, needles, and surgical instruments, shall be placed in a rigid, tightly lidded container that is impervious to puncture and the container shall be placed in a leak-proof plastic sack or plastic-lined paper bag before disposal;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Animal tissues, including blood if it is in liquid form, shall be placed in one of the following:</text>
        <paragraph num="(i)">
          <text>Sanitary sewer if allowed under any local ordinance or regulation and the Environment Article, Annotated Code of Maryland,</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Leak-proof disposable container, such as a plastic sack or a plastic-lined paper bag, which, before disposal in a legally acceptable manner, shall be placed in a rigid, opaque container;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Keeping a positive pressure oxygen delivery system for small animal patients where medically indicated;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Keeping records at the hospital for 3 years showing the veterinarian's name, date of service, animal owner's name, and service given and upon request by the board or a client making all records available for inspection; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Posting the hospital's limited use veterinary hospital license in the immediate area where limited veterinary services are provided.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A surgical procedure may not be performed at a limited use veterinary hospital.</text>
  </paragraph>
</regulation>