TITLE 16 OCCUPATIONAL AND PROFESSIONAL LICENSING
CHAPTER 25 VETERINARY MEDICINE PRACTITIONERS
PART 9 MINIMUM STANDARDS
16.25.9.1 ISSUING AGENCY: New Mexico Board
of Veterinary Medicine.
[16.25.9.1 NMAC - Rp
16.25.9.1 NMAC, 01/17/2014]
16.25.9.2 SCOPE: Applies to
all veterinary facilities operating in the state of New Mexico where the
practice of veterinary medicine regularly occurs. NMSA 1978, Section 61-14-2(B).
[16.25.9.2 NMAC - Rp
16.25.9.2 NMAC, 01/17/2014]
16.25.9.3 STATUTORY AUTHORITY: NMSA 1978, Section
61-14-5(F) and (J); Section 61-14-13.
[16.25.9.3 NMAC - Rp
16.25.9.3 NMAC, 01/17/2014]
16.25.9.4 DURATION: Permanent.
[16.25.9.4 NMAC - Rp
16.25.9.4 NMAC, 01/17/2014]
16.25.9.5 EFFECTIVE DATE: 01/17/2014
unless a later date is cited at the end of a section.
[16.25.9.5 NMAC - Rp
16.25.9.5 NMAC, 01/17/2014]
16.25.9.6 OBJECTIVE: To govern
minimum standards for the practice of veterinary medicine.
[16.25.9.6 NMAC - Rp
16.25.9.6 NMAC, 01/17/2014]
16.25.9.7 DEFINITIONS: [RESERVED]
[16.25.9.7 NMAC - Rp
16.25.9.7 NMAC, 01/17/2014]
16.25.9.8 GENERAL STANDARDS:
A. The
delivery of veterinary care shall be provided in a competent and humane manner.
B. Veterinary
medicine shall be performed in a manner compatible with current veterinary
medical practice.
C. A
valid veterinarian-client-patient relationship (VCPR) must be established when
delivering veterinary care. See VCPR as
defined by the New Mexico Veterinary Practice Act 61-14-2-J (1), (2), (3), and
(4).
(1) A VCPR cannot be established by telephonic, computer,
internet or other electronic communications; however, a New Mexico-licensed
veterinarian may provide or arrange for consulting services for their clients
using the described electronic communication methods.
(2) The veterinarian writing a veterinary food directive (VFD)
order for premises in New Mexico must be a New Mexico-licensed veterinarian and
present on the premises within the six (6) months preceding the issuance of the
order. All elements of the federal rules
to issue a VFD order must be met and the issuing
veterinarian must provide supporting documentation of
the visit to the premises including medical records within fourteen (14) days
of a request from the board to provide such documentation.
D. The
board of veterinary medicine shall require periodic inspections of all
veterinary facilities to monitor compliance with these standards.
(1) Standards depend upon the nature, scope, and limitations
of the practice as defined by the practice manager and approved by the
board. However, in no case shall
standards of cleanliness, hygiene, and sanitation be violated.
(2) Inspections shall be conducted by the facility inspector
designated by the board.
(3) Facilities are subject to inspection at any time during
the facility’s normal hours of business.
[16.25.9.8 NMAC - Rp
16.25.9.8 NMAC, 01/17/2014; A, 05/08/2016]
16.25.9.9 PREMISES - GENERAL
REQUIREMENTS:
A. All
premises where veterinary medicine including its various branches is being
practiced and all instruments, equipment, apparatus, and apparel used in
connection with those practices, shall be kept clean and sanitary and shall
conform to the standards specified for different types of facilities.
B. Every
veterinary facility shall provide information regarding the availability of the
nearest emergency services and make that information easily available to the
public.
C. Every
veterinary facility shall maintain the following:
(1) A sanitary environment to include the proper routine
disposal of waste material, proper sterilization or sanitation of all equipment
used in diagnosis or treatment, and adequate storage to provide a neat and
orderly appearance;
(2) An adequate library of textbooks, journals or other
current veterinary reference materials, readily available on the premises or
available through electronic access;
(3) Proper storage and environmental control for all medicines
and biologics based on the manufacturer’s recommendations;
(4) Properly maintained records; and
(5) Legally accessible methods for the disposal of deceased
animals and infectious waste.
[16.25.9.9 NMAC - Rp
16.25.9.9 NMAC, 01/17/2014; A, 1/14/2025]
16.25.9.10 PREMISES - FIXED VETERINARY
FACILITIES:
A. When
premises are closed, an answering machine or answering service shall be used to
notify the public when the veterinary premises will re-open and where
pre-arranged after hours veterinary care is available.
B. All
fixed premises shall conform to or possess the following:
(1) Exterior:
(a) a legible sign;
(b) facility clean and in good repair;
and
(c) grounds clean and maintained.
(2) Interior:
(a) indoor lighting for halls, wards,
reception areas, examination, treatment, and surgery rooms that is adequate for
the intended purposes;
(b) a reception room and office, or a
combination of the two;
(c) an examination room separate from
other areas of the facility and of sufficient size to accommodate the
appropriate hospital personnel;
(d) table tops, counter tops, and floors
made of materials suitable for regular disinfection and cleaning;
(e) facility license conspicuously
displayed; and
(f) veterinarians’ licenses and
veterinary technicians’ licenses conspicuously displayed.
C. A
veterinary facility where animals are housed or retained for treatment shall
additionally contain the following:
(1) compartments of sufficient size and construction to
maintain animals in a comfortable, safe, and sanitary manner;
(2) exercise runs or a means for providing exercise of
sufficient construction to maintain animals in a safe, clean and sanitary
manner;
(3) effective separation of known or suspected contagious
animals;
(4) maintenance of temperature and ventilation to ensure the
comfort of patients;
(5) an animal identification system;
(6) fire precautions that meet the requirements of local and
state fire prevention codes; and
(7) if there are no personnel on the premises during any time
an animal is left at the veterinary facility, prior written or verbal notice must
be given to the client.
D. Full
service veterinary facilities shall additionally conform to or possess the
following:
(1) a surgery room separate and distinct from all other rooms
and reserved for aseptic surgical procedures requiring aseptic preparation;
(2) the capability to render diagnostic radiological services,
either the premises or through outside sources; and
(3) the capability to provide clinical pathology and
histopathology diagnostic laboratory services, either on the premises or
through outside sources.
[16.25.9.10 NMAC - Rp,
16.25.9.10 NMAC, 01/17/2014]
16.25.9.11 PREMISES - MOBILE VETERINARY
FACILITIES:
A. Small
animals. A small animal mobile
veterinary facility shall conform to or possess the following:
(1) hot and cold water;
(2) a 110-volt power source for diagnostic equipment;
(3) a collection receptacle for proper disposal of waste
material;
(4) lighting adequate for the procedures to be performed;
(5) table tops and counter tops which can be cleaned and
disinfected;
(6) floor coverings which can be cleaned and disinfected;
(7) compartments to transport or hold animals;
(8) indoor lighting for halls, wards, reception areas,
examination and surgery rooms that is adequate for the intended purposes;
(9) An examination room separate from other areas of the
facility which shall be of sufficient size to accommodate appropriate hospital personnel
unless only one client is in the mobile unit at one time;
(10) fire precautions that meet the requirements of local and
state fire prevention codes;
(11) temperature and ventilation controls
adequate to ensure the comfort of patients;
(12) if surgical services are offered, a room separate and
distinct from other rooms reserved for aseptic surgical procedures;
(13) the capability to render diagnostic radiological services
either in the mobile veterinary unit or through other outside services;
(14) the capability to provide clinical pathology and
histopathology diagnostic laboratory services, either in the mobile veterinary
unit or through other outside services;
(15) ability and equipment to provide immediate emergency care at
a level commensurate with the specific veterinary medical services provided;
(16) provide after-hours emergency service, either by staff
veterinarians or by pre-arranged referral to another veterinarian within a
reasonable distance. Referral must be
acknowledged and agreed upon by both the referring and referred veterinarians;
(17) in all types of mobile veterinary practice adherence to
minimum standards of practice and the existence of a
veterinarian-client-patient relationship; and
(18) proper instrumentation and sterilization maintained in the
vehicle to accommodate those services which the veterinarian maintains he is capable of providing.
B. Large
animals. A large animal mobile
veterinary facility shall conform to or provide the following:
(1) maintenance of facility in a clean and sanitary fashion;
and
(2) items of equipment necessary for the veterinarian to
perform physical examinations, surgical procedures and medical treatments
consistent with the standards of the profession and the type of veterinary
services being rendered. Standard items
equipping the unit should include but not be limited to the following:
(a) if aseptic surgery is to be
performed: sterile surgical instruments, suturing materials, syringes, and
needles;
(b) protective clothing, rubber or
disposable boots and a means to clean them between each visit to each premises;
(c) current and properly stored
pharmaceuticals and biologics as per manufacturer’s label; and
(d) a means of cold sterilization.
(3) The capability to render diagnostic radiological services,
either through the mobile veterinary unit or through other outside services.
(4) The capability to provide clinical pathology and
histopathology diagnostic laboratory services, either through the mobile
veterinary unit or through other outside services.
C. In
all types of mobile veterinary practice, minimum standards of practice must be
adhered to and a veterinarian-client-patient
relationship must exist.
[16.25.9.11 NMAC - Rp
16.25.9.11 NMAC, 01/17/2014]
16.25.9.12 PREMISES - EMERGENCY
CLINICS:
A. Emergency
clinics are facilities which advertise or otherwise purport to provide
veterinary medical services when these services are not normally available
through other facilities. Nothing
contained in this rule is intended to prohibit any licensed facility from
providing services of an emergency nature.
B. The
minimum staffing requirements for an emergency facility shall include a licensed veterinarian on the premises at all times
during the posted hours of operation.
C. Advertisements
shall clearly state:
(1) a licensed veterinarian is on the premises during the
posted emergency hours;
(2) the hours the facility will provide emergency services;
and
(3) the address and telephone number of the facility.
D. In
addition to the equipment for veterinary hospitals and clinics, all emergency
facilities shall have the equipment necessary to perform standard emergency
medical procedures including but not limited to:
(1) the capability to render timely diagnostic radiological
services on premises;
(2) the capacity to render timely laboratory services on
premises; and
(3) the ability to provide diagnostic cardiac monitoring.
E. Emergency
clinics shall meet the same standards as fixed veterinary premises.
[16.25.9.12 NMAC - Rp
16.25.9.12 NMAC, 01/17/2014]
16.25.9.13 PREMISES - NON-FULL SERVICE
FACILITIES:
A. Referral,
specialty and other facilities in which the services provided are limited in
scope shall:
(1) identify the name of the primary veterinarian on each
patient’s medical record; and
(2) possess all necessary instruments, equipment and apparatus
essential to the services rendered.
B.
Non-full service facilities shall meet the same standards as fixed veterinary
premises.
[16.25.9.13 NMAC - Rp,
16.25.9.13 NMAC, 01/17/2014]
16.25.9.14 PREMISES - FOOD ANIMAL
FACILITIES:
Veterinary premises where food animal medicine is practiced shall have a
reception room and office or a combination of the two. The premises shall contain the following:
A. facilities
for cleaning and sterilizing instruments and equipment;
B. telephone
and answering services;
C. record
keeping system;
D. facilities
for proper storage of pharmaceuticals and biologics;
E. holding
pens;
F. capability
for providing restraint; and
G. a sanitizable area for clean surgery.
[16.25.9.14 NMAC - Rp
16.25.9.14 NMAC, 01/17/2014]
16.25.9.15 RADIOLOGICAL SERVICES:
A. Full
service veterinary practices must have the capacity to render adequate
diagnostic radiological services either in the facility or through an agreement
to provide these services through another facility.
B. All
exposed radiographs shall be the property of the veterinary facility that
originally ordered them to be prepared and shall be stored where easily
maintained and accessible by that facility for a period of three years.
C. All
radiographs shall have a permanent, legible identification and shall include
the following information:
(1) the hospital, clinic or veterinarian name;
(2) the location, city and state of the facility;
(3) client identification;
(4) patient identification;
(5) the date the radiograph was taken; and
(6) anatomical orientation, left or right, as indicated.
D. Radiographs
shall be temporarily released in a timely manner to another veterinarian who
has the authorization of the owner or agent or directly to the owner or agent. Return of said radiographs to the originating
veterinarian shall also be accomplished in a timely manner. Transfer of radiographs shall be documented
in the medical record.
E. If
radiographs are transferred permanently, the transfer shall be documented in
the medical record.
F. Radiographs
originating at an emergency hospital shall become the property of the next
attending veterinary facility upon receipt of the radiographs. Transfer of radiographs shall be documented
in the medical record.
G. Pursuant
to the state of New Mexico Environmental Protection Act, 20.3.6 NMAC, each facility
shall maintain an x-ray log containing the examinations and the dates the
examinations were performed. The log shall indicate when techniques for
procedures vary from those specified in Subparagraph (c), Paragraph (1),
Subsection A of 20.3.6.602 NMAC.
[16.25.9.15 NMAC - Rp
16.25.9.15 NMAC, 01/17/2014]
16.25.9.16 LABORATORY SERVICES AND
EQUIPMENT:
A. Clinical
pathology and histopathology diagnostic laboratory services must be readily
available within the veterinary facility or through outside services.
B. Laboratory
data is the property of the veterinary facility that originally ordered it to
be prepared.
C. A
copy of laboratory data shall be released in a timely manner to another
veterinarian who has the authorization of the owner or agent or directly to the
owner or agent.
D. A
laboratory must be equipped with a microscope and a centrifuge.
[16.25.9.16 NMAC - Rp
16.25.9.16 NMAC, 01/17/2014]
16.25.9.17 PHARMACEUTICAL SERVICES:
A. No
legend or controlled drug shall be prescribed, dispensed or administered
without the establishment of a veterinarian-client-patient relationship.
B. All
legend drugs shall be stored in a secure manner limiting public accessibility.
C. No
expired drug or biologic shall be administered or dispensed.
D. All
expired drugs or biologics shall be stored away from the working pharmacy while
awaiting disposal.
E. All
drugs and biologics shall be maintained, administered, dispensed and prescribed
in compliance with state and federal laws.
F. Unless
otherwise requested by the owner, and noted in the medical record, all
repackaged legend and dangerous drugs shall be dispensed in safety closure
containers.
G. All
drugs shall be labeled with:
(1) name, address, and phone number of the facility;
(2) client’s name;
(3) patient’s name;
(4) date dispensed;
(5) name and strength of drug;
(6) directions for use;
(7) quantity dispensed;
(8) expiration date of drug;
(9) name of prescribing veterinarian; and
(10) the words "for veterinary use only" and "keep
out of reach of children."
H. Veterinarians
shall honor client requests to dispense a drug(s) or provide a written
prescription for a drug(s) that has been determined by the veterinarian to be
appropriate for the patient.
[16.25.9.17 NMAC - Rp
16.25.9.17 NMAC, 01/17/2014]
16.25.9.18 SURGICAL SERVICES:
A. Aseptic
surgery means a procedure that is performed under sterile conditions.
(1) Sterile surgery shall be defined as procedures in which
aseptic technique is practiced in patient preparation, instrumentation and
surgical attire.
(2) Clean surgery means the performance of a surgical
operation for the treatment of a condition and under circumstances which,
consistent with the standards of good veterinary medicine, do not warrant the
use of aseptic surgical procedures.
B. The
surgeon is responsible for the surgical case until it is completed and there is
adequate recovery of the patient from anesthesia.
C. Surgery
room.
(1) A room shall be designated for aseptic procedures only, in
which no other uses are permitted;
(2) The room shall be well lighted
and have available an operational viewing device for reviewing radiographs;
(3) The floors, tabletops, and countertops of the surgery room
shall be of a material suitable for disinfection and cleaning and shall be
cleaned and disinfected regularly;
(4) Storage in the surgery room is limited to surgically
related items only; and
(5) Nothing in this section shall preclude the performance of
emergency aseptic surgical procedures in another room when the room designated
for that purpose is occupied.
D. Instruments
and equipment.
(1) Instruments and equipment shall be:
(a) adequate for the type of surgical
service provided; and
(b) sterilized by a method acceptable for
the type of surgery for which they shall be used.
(2) In any sterile surgical procedure, a separate sterile pack
and gloves shall be used for each animal;
(3) All instruments, packs and equipment that have been
sterilized shall have an indicator that reacts to and verifies sterilization
within one year; and
(4) Suture
material shall not be used beyond the manufacturer’s expiration date.
E. Surgical
attire.
(1) Each member of the surgical team shall wear an appropriate
sanitary cap and sanitary mask which covers his hair, mouth, nose and any
facial hair, except for eyebrows and eyelashes;
(2) All members of the surgical team who will be handling
sterile instruments or touching the surgical site shall wear sterilized
surgical gowns with long sleeves and sterilized gloves;
(3) Ancillary personnel in the surgery room shall wear clean
clothing;
(4) Ancillary personnel in immediate proximity to the sterile
field shall wear sanitary cap and mask; and
(5) When performing "clean surgery", the instruments
used to perform such surgery shall have been properly sterilized or disinfected
and the surgeon and ancillary personnel shall wear clean clothing as
appropriate.
F. Anesthesia.
(1) General anesthesia is a condition caused by the
administration of a drug or combination of drugs sufficient to produce a state
of unconsciousness or dissociation and blocked response to a given pain or
alarming stimulus.
(2) Administration of appropriate and humane methods of
anesthesia, analgesia and sedation to minimize pain and distress during any
procedures and shall comply with the following standards:
(a) with the exception
of feral or dangerous animals, every animal shall be given a physical
examination within two weeks prior to the administration of an anesthetic;
(b) the animal under general anesthesia
shall be under continuous observation until, at minimum, the swallowing reflex
has returned and shall not be released to the client until the animal
demonstrates a righting reflex. This
shall not preclude direct transfer of an animal under anesthesia to a suitable
facility for referred observation;
(c) provide a method of respiratory
monitoring that may include observation of the animal’s chest movement or
observing the rebreathing bag or respirometer;
(d) provide a method of cardiac
monitoring that may include the use of stethoscope or electrocardiographic
monitor;
(e) clean endotracheal tubes of assorted
sizes shall be readily available;
(f) oxygen equipment shall be available at all times;
(g) anesthetic equipment will be
maintained in proper working condition; and
(h) effective means shall be provided for
exhausting waste gasses from hospital areas in which inhalation anesthesia is
used.
[16.25.9.18 NMAC - Rp 16.25.9.18
NMAC, 01/17/2014; A, 05/08/2016]
16.25.9.19 DENTAL SERVICES:
A. Dental operation or
procedure is the application or use of any instrument or device to any portion
of an animal’s tooth, gum or related tissue for the prevention, cure or relief
of any wound, fracture, injury, disease or other condition of an animal’s
tooth, gum or related tissue. Dental
operations or procedures shall be performed only by licensed veterinarians
except for those preventive veterinary dental procedures as specified below.
B. Preventive
veterinary dental procedures including but not limited to the removal of calculus,
soft deposits, plaque and stains; the smoothing, filing, polishing of tooth
surfaces, or floating or dressing of equine teeth, shall be performed only by
licensed veterinarians or under the direct supervision of a licensed
veterinarian.
C. Preventive
veterinary dental procedures including but not limited to the removal of
calculus by either manual or ultrasonic rescaling shall be done in a location
specifically designated for such procedures or in a treatment area.
D. This
rule does not prohibit any person from utilizing cotton swabs, gauze, dental floss,
dentifrice, toothbrushes or similar items to clean an animal’s teeth.
[16.25.9.19 NMAC - Rp
16.25.9.19 NMAC, 01/17/2014]
16.25.9.20 DIRECT SUPERVISION OF
NON-VETERINARIANS: Non-licensed individuals are prohibited from
practicing veterinary medicine which includes but is not limited to
chiropractic, physical therapy, acupuncture, acupressure, homeopathy,
therapeutic massage, dentistry, embryo transfer or any other related services
on animals as defined in NMSA 1978, Section 61-14-2(B)(1), except under the
direct supervision of a New Mexico-licensed veterinarian. Direct supervision includes the following:
A. the
licensed veterinarian must have established a valid veterinarian-client-patient
relationship;
B. the
treatment must be performed on the order of a licensed veterinarian;
C. the
licensed veterinarian must be on the premises and readily available;
D. the
licensed veterinarian must assume liability for the quality of any treatment
performed; and
E. the
fee for services rendered shall be paid to the licensed veterinarian or
licensed facility.
[16.25.9.20 NMAC - Rp
16.25.9.20 NMAC, 01/17/2014]
16.25.9.21 RECORD KEEPING:
A. Every
veterinarian involved in a veterinarian-client-patient relationship performing
any service requiring a license to work on any animal or group of animals in
his custody or in the custody of a veterinary facility, shall prepare a legible
individual or group animal and client record concerning the animal(s) which
shall contain the following information:
(1) name, address, and phone number of the animal’s owner or
agent; and
(2) name or identity of animal(s), including species, breed,
age, sex, weight, and color where appropriate
(3) The medical record shall contain:
(a) a history of pertinent information as
it pertains to the animal’s medical status;
(b) notation of the physical examination
findings;
(c) treatment or intended treatment plans
or both, including medications, medication strengths and amounts administered,
dispensed or prescribed and frequency of use as well as method of
administration including those medications used for sedation, induction and
maintenance of anesthesia;
(d) data and interpretation(s) of
diagnostic procedures including but not limited to radiographs, laboratory,
ultrasound and ECG;
(e) a diagnosis or tentative diagnosis;
(f) when pertinent, a prognosis;
(g) progress notes and disposition of the
case;
(h) beginning and ending dates of custody
of the animal with daily notations;
(i) in
the case of vaccination clinics, a certificate including the information
required by Subsections (1) and (2) above may serve as the medical record;
(j) name or initials of the veterinarian
responsible for entries; and
(k) name or initials of all ancillary and
authorized individuals responsible for entries.
(4) Group records are acceptable for herds, flocks or litters
of animals that lack individual identification by name or that include a number of individuals to which the same medical record
applies. Records for surgical procedures that include a description of the
procedure, surgical findings when pertinent and response to or recovery from
anesthesia shall contain the requirements listed in Subsection (3) above.
B. Record
storage.
(1) All records shall be the property of the veterinary
facility or practice that created such records and shall be kept where easily
accessible for a minimum of four years after the animal’s last visit.
(2) Upon closure of a facility or practice, notice must be
published twice in the local newspaper announcing where records can be obtained
for 90 days.
(3) Copies of records and radiographs or a summary of records
will be made available within 10 working days upon the client’s written
request.
C. Controlled
substances.
(1) A separate log shall be maintained on each controlled
substance and shall contain the following information:
(a) date and time of administering
or date of dispensing;
(b) name of owner or agent;
(c) name or identification of animal;
(d) amount dispensed or administered;
(e) balance remaining; and
(f) authorizing veterinarian and
identification of authorized individual dispensing or administering the
controlled substance.
(2) For each controlled substance, there shall be an annual
inventory that includes:
(a) the date of inventory, May 1 annually,
unless prior written notice is submitted to the appropriate agency by the licensee
manager;
(b) a physical count identifying the
quantity of each controlled substance on hand on the date of inventory;
(c) the "balance remaining"
from the individual controlled substance log;
(d) the discrepancy between (b) and (c);
and
(e) the percent the annual use (d)
represents.
(3) All New Mexico board of pharmacy, New Mexico Controlled Substances
Act, federal drug enforcement administration (DEA) and federal food and drug administration
requirements shall be complied with, including but not limited to the
following:
(a) controlled substances must be kept
securely locked in a closet, safe or fixed cabinet;
(b) access to the controlled substance
storage area should be restricted to the absolute minimum number of employees;
(c) the recommendation that controlled
substances stock is kept to a minimum.
Should it be necessary to have a substantial quantity of controlled
substances stored in the office or facility, the DEA encourages having security
which exceeds the minimum requirements such as a safe and alarm system;
(d) the reporting of lost or stolen
controlled substances to the appropriate agency;
(e) the disposal of controlled substances
through a DEA licensed disposer; and
(f) the DEA and NMCS licenses shall be
kept where easily accessible in the pharmacy area but not in public view.
D. Computer
records.
(1) There shall be reasonable security of a facility’s
computer(s) with access limited to authorized individuals only.
(2) A daily and cumulative monthly back-up on a separate disk,
magnetic tape or other acceptable device or method shall be made.
[16.25.9.21 NMAC - Rp
16.25.9.21 NMAC, 01/17/2014]
16.25.9.22 MANAGEMENT OF WASTE:
A. A
licensed veterinarian shall oversee the handling, treatment and disposition of
infectious waste including but not limited to carcasses, anatomical body parts,
excretions, blood soiled articles or bedding that are generated from an animal
that the licensed veterinarian knows or has reason to suspect has a disease
that is capable of being transmitted to humans as provided under this section:
(1) all infectious waste will be sterilized or disinfected by
heat, steam, chemical disinfection, radiation or desiccation; and
(2) infectious waste held for disposal shall be collected in
sanitary leak resistant bags clearly labeled for biohazard disposal. The bag shall contain the gloves worn while
collecting the waste and those used in treatment and post-mortem examinations
of suspect animals.
B. All
sharps shall be disposed of in appropriately labeled sharps containers. Such containers shall be rigid sided, solidly
sealed containers that are highly resistant to puncture. These containers shall be incinerated or
disposed of in an environmentally safe manner by a duly licensed disposer, an
approved medical sharps incineration facility or shall be disposed of in such a
way as to render the sharps harmless.
This disposal shall not apply to infectious waste sharps contained in a
puncture resistant container which should be disposed of as described in
infectious waste disposal. Due to the
small volume of sharps generated in a veterinary clinic, transportation of the
filled, sealed containers shall not be mandated by nor limited to commercial
haulers.
C. Drug
disposal.
(1) When feasible, unused or outdated drugs shall be returned
to the manufacturer for disposal in accordance with the policies and procedures
of the manufacturer.
(2) All scheduled controlled substances which cannot be
returned to the manufacturer shall be disposed of at one of the approved
controlled drug disposers as approved by the board of pharmacy. A list of these disposers will be provided by
the board of pharmacy.
(3) Drugs which do not pose a problem for environmental hazard
or are not controlled drugs may be disposed of in a sanitary, non-offensive
manner by means of regular solid waste disposal methods.
D. A
licensed veterinarian shall oversee the handling of waste materials that are
generated from an animal that does not have a disease transmissible to humans
or suspected of being contaminated with an agent capable of infecting humans as
provided under this section:
(1) Animal carcasses.
(a) An animal carcass shall be disposed
of promptly by release to owner, burial, cremation, incineration, commercial
rendering or if permitted by local ordinance, placed in a public landfill.
(b) If prompt disposal of an animal
carcass is not possible, it shall be contained in a freezer or stored in a
sanitary, non-offensive manner until such time as it can be disposed of as
provided in (1)(a) above.
(c) All remains stored at a veterinary
clinic shall be duly identified with the case number or the owner's name and
the name of the animal to prevent improper final disposal.
(2) Tissues, specimens, bedding, animal waste and extraneous
materials, not suspected of harboring pathogens infectious to humans shall be
disposed of by approved city or county disposal methods.
E. In
the event of the occurrence of a suspected foreign animal disease or disease of
potential concern to state or national security, the licensed veterinarian will
immediately contact the state department of agriculture, the U. S. department
of agriculture and other departments that have jurisdiction over such an
occurrence. The licensed veterinarian
shall oversee the handling of all tissues, laboratory samples and biomedical
waste associated with such cases in accordance with the recommendations made by
the department of agriculture and other departments and agencies which are
deemed necessary and appropriate in such cases.
[16.25.9.22 NMAC – Rp,
16.25.9.22 NMAC, 01/17/2014]
HISTORY OF 16.25.9 NMAC:
Pre-NMAC History:
BVE 88-7, Rules Governing
Minimum Standards for the Practice of Veterinary Medicine, 10-14-88.
BVE 92-8, Rules Governing
Minimum Standards for the Practice of Veterinary Medicine, 5-22-92.
BVE 93-8, Rules Governing
Minimum Standards for the Practice of Veterinary Medicine, 6-3-93.
History of Repealed Material:
16 NMAC 25.9, Minimum
Standards - Repealed, 9-1-00.
16.25.9 NMAC, Minimum
Standards - Repealed, 6-7-02.
16.25.9 NMAC, Minimum
Standards - Repealed effective 01-17-14.