Maryland

(a) Definitions. — (1) In this section the following words have the meanings indicated.

(2) “Automated external defibrillator (AED)” means a medical heart monitor and defibrillator device that:

(i) Is cleared for market by the federal Food and Drug Administration;

(ii) Recognizes the presence or absence of ventricular fibrillation or rapid ventricular tachycardia;

(iii) Determines, without intervention by an operator, whether defibrillation should be performed;

(iv) On determining that defibrillation should be performed, automatically charges; and

(v) 1. Requires operator intervention to deliver the electrical impulse; or

1. Automatically continues with delivery of electrical impulse.

(3) “Certificate” means a certificate issued by the EMS Board to a registered facility.

(4) “Facility” means an agency, association, corporation, firm, partnership, or other entity.

(5) “Jurisdictional emergency medical services operational program” means the institution, agency, corporation, or other entity that has been approved by the EMS Board to provide oversight of emergency medical services for each of the local government and State and federal emergency medical services programs.

(6) “Program” means the Public Access Automated External Defibrillator Program.

(7) “Regional administrator” means the individual employed by the Institute as regional administrator in each EMS region.

(8) “Regional council” means an EMS advisory body as created by the Code of Maryland Regulations 30.05.

(9) “Regional council AED committee” means a committee appointed by the regional council consisting of:

(i) The regional medical director;

(ii) The regional administrator; and

(iii) Three or more individuals with knowledge of and expertise in AEDs.

(10) “Registered facility” means an organization, business association, agency, or other entity that meets the requirements of the EMS Board for registering with the Program.

(b) Established; purpose. — (1) There is a Public Access Automated External Defibrillator Program.

(2) The purpose of the Program is to coordinate an effective statewide public access defibrillation program.

(3) The Program shall be administered by the EMS Board.

(c) Powers of EMS Board. — The EMS Board may:

(1) Adopt regulations for the administration of the Program;

(2) Issue and renew certificates to facilities that meet the requirements of this section;

(3) Deny, suspend, revoke, or refuse to renew the certificate of a registered facility for failure to meet the requirements of this section;

(4) Approve educational and training programs required under this section that:

(i) Are conducted by any private or public entity;

(ii) Include training in cardiopulmonary resuscitation and automated external defibrillation; and

(iii) May include courses from nationally recognized entities such as the American Heart Association, the American Red Cross, and the National Safety Council;

(5) Approve the protocol for the use of an AED; and

(6) Delegate to the Institute any portion of its authority under this section.

(d) Facility certification required. — (1) Each facility that desires to make automated external defibrillation available shall possess a valid certificate from the EMS Board.

(2) This subsection does not apply to:

(i) A jurisdictional emergency medical services operational program;

(ii) A licensed commercial ambulance service;

(iii) A health care facility as defined in § 19-114 of the Health — General Article; or

(iv) A place of business for health care practitioners who are licensed as dentists under Title 4 of the Health Occupations Article or as physicians under Title 14 of the Health Occupations Article and are authorized to use an AED in accordance with that license.

(e) Facility certification — Requirements. — To qualify for a certificate a facility shall:

(1) Comply with the written protocol approved by the EMS Board for the use of an AED which includes notification of the emergency medical services system through the use of the 911 universal emergency access number as soon as possible on the use of an AED;

(2) Have established automated external defibrillator maintenance, placement, operation, reporting, and quality improvement procedures as required by the EMS Board;

(3) Maintain each AED and all related equipment and supplies in accordance with the standards established by the device manufacturer and the federal Food and Drug Administration; and

(4) Ensure that each individual who is expected to operate an AED for the registered facility has successfully completed an educational training course and refresher training as required by the EMS Board.

(f) Report of use of AED. — A registered facility shall report the use of an AED to the Institute for review by the regional council AED committee.

(g) Report of use of AED — Procedures. — A facility that desires to establish or renew a certificate shall:

(1) Submit an application on the form that the EMS Board requires; and

(2) Meet the requirements under this section.

(h) Certificate — Contents. — (1) The EMS Board shall issue a new or a renewed certificate to a facility that meets the requirements of this section.

(2) Each certificate shall include:

(i) The type of certificate;

(ii) The full name and address of the facility;

(iii) A unique identification number; and

(iv) The dates of issuance and expiration of the certificate.

(3) A certificate is valid for 3 years.

(i) Cease and desist orders. — The EMS Board may issue a cease and desist order or obtain injunctive relief if a facility makes automated external defibrillation available in violation of this section.

(j) Immunities. — (1) In addition to any other immunities available under statutory or common law, a registered facility is not civilly liable for any act or omission in the provision of automated external defibrillation if the registered facility:

(i) Has satisfied the requirements for making automated external defibrillation available under this section; and

(ii) Possesses a valid certificate at the time of the act or omission.

(2) In addition to any other immunities available under statutory or common law, a member of the regional council AED committee is not civilly liable for any act or omission in the provision of automated external defibrillation.

(3) In addition to any other immunities available under statutory or common law, an individual is not civilly liable for any act or omission if:

(i) The individual is acting in good faith while rendering automated external defibrillation to a person who is a victim or reasonably believed by the individual to be a victim of a sudden cardiac arrest;

(ii) The assistance or aid is provided in a reasonably prudent manner; and

(iii) The automated external defibrillation is provided without fee or other compensation.

(4) The immunities in this subsection are not available if the conduct of the registered facility or an individual amounts to gross negligence, willful or wanton misconduct, or intentionally tortious conduct.

(5) This subsection does not affect, and may not be construed as affecting, any immunities from civil or criminal liability or defenses established by any other provision of the Code or by common law to which a registered facility, a member of the regional council AED committee, or an individual may be entitled.

(k) Opportunity for hearing. — (1) A registered facility aggrieved by a decision of the Institute acting under the delegated authority of the EMS Board under this section shall be afforded an opportunity for a hearing before the EMS Board.

(2) A registered facility aggrieved by a decision of the EMS Board under this section shall be afforded an opportunity for a hearing in accordance with Title 10, Subtitle 2 of the State Government Article.

(a)(1) Each county board shall develop and implement an automated external defibrillator program that meets the requirements of § 13-517 of this article for each high school and middle school in the county.

(b) Regulations. — The Department, in consultation with the Department of Health and Mental Hygiene, the Maryland State School Health Council, and the Maryland Institute for Emergency Medical Services Systems, shall adopt regulations that:

(1) Establish guidelines for periodic inspections and annual maintenance of the automated external defibrillators; and

(2) Assist county boards in carrying out the provisions of this section.

(c) Each middle school and high school shall develop a venue-specific emergency action plan for the operation and use of automatic external defibrillators that meets the requirements of § 7-450 of this subtitle.

(a) (1) Each middle school and high school shall develop a venue-specific emergency action plan for all athletic facilities.

(2) a venue-specific emergency action plan includes:

(i) the operation and use of automatic external defibrillators in accordance with § 7-425 of this subtitle;

(ii) heat acclimatization in accordance with § 7-434 of this subtitle; and

(iii) coordination of care for other emergent injuries, including cervical spinal injury, concussion and closed head injury, major orthopedic injuries, and severe weather for outdoor facilities.

(b) a venue-specific emergency action plan developed under this section shall be:

(1) posted at each athletic facility at the school;

(2) available on the school's website for viewing by a student athlete's parent or guardian at the beginning of each school year;

(3) distributed to each member of the coaching staff; and

(4) rehearsed in person and interactively by all of the coaching staff of each sport before each of their respective seasons.

(c) the provisions of a venue-specific emergency action plan for the operation and use of automatic external defibrillators shall ensure that:

(1) an automated external defibrillator is provided on-site and is located at or within a brief walk from an athletic practice or event on school property;

(2) an automated external defibrillator is freely accessible during all school functions;

(3) all members of the coaching staff are trained in the operation and use of an automated external defibrillator; and

(4) a trained member of the coaching staff is present at all athletic practices and events on school property.

(a) In general. — A person described in subsection (b) of this section is not civilly liable for any act or omission in giving any assistance or medical care, if:

(1) The act or omission is not one of gross negligence;

(2) The assistance or medical care is provided without fee or other compensation; and

(3) The assistance or medical care is provided:

(i) At the scene of an emergency;

(ii) In transit to a medical facility; or

(iii) Through communications with personnel providing emergency assistance.

(b) Applicability. — Subsection (a) of this section applies to the following:

(1) An individual who is licensed by this State to provide medical care;

(2) A member of any State, county, municipal, or volunteer fire department, ambulance and rescue squad, or law enforcement agency, the National Ski Patrol System, or a corporate fire department responding to a call outside of its corporate premises, if the member:

(i) Has completed an American Red Cross course in advanced first aid and has a current card showing that status;

(ii) Has completed an equivalent of an American Red Cross course in advanced first aid, as determined by the Secretary of Health and Mental Hygiene; or

(iii) Is certified or licensed by this State as an emergency medical services provider;

(3) A volunteer fire department or ambulance and rescue squad whose members have immunity; and

(4) A corporation when its fire department personnel are immune under paragraph (2) of this subsection.

(c) Immunity for individual not covered by this section. — An individual who is not covered otherwise by this section is not civilly liable for any act or omission in providing assistance or medical aid to a victim at the scene of an emergency, if:

(1) The assistance or aid is provided in a reasonably prudent manner;

(2) The assistance or aid is provided without fee or other compensation; and

(3) The individual relinquishes care of the victim when someone who is licensed or certified by this State to provide medical care or services becomes available to take responsibility.

An individual is not civilly liable for any act or omission while providing support to the emergency medical system by giving care, equipment, facilities, or consultation, if:

(1) The individual is a member or employee of any federal, State, county, or city government, hospital, emergency medical service council, or agency that operates as a nonprofit group;

(2) The act or omission is not one of gross negligence; and

(3) The service is provided without fee to the emergency victim.

(a) In this section, "swimming pool" means a pool that is owned and operated by the governing body of a county or municipality.

(b) Development and implementation of programs. — (1) Each county or municipality that owns or operates a swimming pool shall develop and implement an automated external defibrillator program that meets the requirements of § 13-517 of the Education Article for each swimming pool owned or operated by the county or municipality.

(2) The program required under paragraph (1) of this subsection shall include provisions that:

(i) ensure an automated external defibrillator is provided on-site; and

(ii) an individual trained in the operation and use of an automated external defibrillator is present at each swimming pool.

(c) Regulations. — The Department of Health and Mental Hygiene and the Maryland Institute for Emergency Medical Services Systems jointly shall adopt regulations that:

(1) establish guidelines for periodic inspections and annual maintenance of the automated external defibrillators; and

(2) assist each county or municipality in carrying out the provisions of this section.

Maryland Code (1978, 2014 Repl. Vol.), § 13-517(a)(2) of the Education Article contains the following definition:

(2) "Automated external defibrillator (AED)" means a medical heart monitor and defibrillator device that:

(i) Is cleared for market by the federal Food and Drug Administration;

(ii) Recognizes the presence or absence of ventricular fibrillation or rapid ventricular tachycardia;

(iii) Determines, without intervention by the operator, whether defibrillation should be performed;

(iv) On determining that defibrillation should be performed, automatically charges; and

Either:

(v) 1. Requires operator intervention to deliver the electrical impulse, or

2. Automatically continues with delivery of electrical impulse.

(2) "Event (code) summary" means the electronic report of an AED operation produced by an AED.

(3) “Expected operator” means any individual identified by a registered facility to operate an AED at a registered facility

(4) "Facility" means an agency, association, corporation, firm, partnership, or other entity.

(5) "Operate" means to use or attempt to use an AED to defibrillate an individual whether or not any electrical impulse is delivered.

(6) "Public safety answering point (PSAP)" has the meaning stated in Public Safety Article, §1-301(q), Annotated Code of Maryland.

(7) Registered Facility.

(a) "Registered facility" means an organization, business, association, or agency that meets the requirements of the EMS Board for providing automated external defibrillation.

(b) "Registered facility" may include multiple sites.

(8) "Response" means the removal of the AED from its storage location for the purposes of rendering care whether or not the care is actually rendered.

(9) "Site" means a building, plant, unit, branch, vehicle, or other ancillary location that is part of or affiliated with a facility.

To be eligible for registration, or renewal of registration, to operate an AED under this subtitle, a registered facility shall:

A. Designate an AED coordinator who shall:

(1) Have successfully completed CPR and AED Training, and subsequent refresher training, in accordance with their training course requirements that at a minimum includes content consistent with the recommendations for layperson CPR and AED training in the most current publication of the American Heart Association Guidelines for CPR and ECC;

(2) Be responsible for implementing and administering the AED program at the registered facility; and

(3) Ensure that monthly safety inspections of all supplemental and AED equipment, including assurance of adequate battery charge, per the manufacturer's guidelines are conducted and maintain written logs of the inspections.

B. Provide information regarding the operation, maintenance, and location of the registered facility's AEDs to all individuals employed by or volunteering for the registered facility;

C. Place all AEDs in locations which are visible and readily accessible to any person willing to operate the AED in the event of a cardiac arrest;

D. Have a telephone or other communication service available at all times at each site at which an AED is operated, for the notification of the public safety answering point;

E. Submit data or other information concerning the AED program which may be periodically requested by MIEMSS; and

F. Ensure that expected operators have completed CPR and AED Training, and subsequent refresher training, in accordance with their training course requirements that at a minimum includes content consistent with the recommendations for layperson CPR and AED training in the most current publication of the American Heart Association Guidelines for CPR and ECC.

All personnel who are expected to operate an AED at a registered facility shall utilize the AED in accordance with their training. When an individual's training conflicts with the auditory and visual prompts of the device, the individual shall follow the auditory and visual prompts.

Each registered facility shall:

A. Comply the federal Safe Medical Devices Act of 1990 and the Medical Device Amendments of 1992;

B. Maintain:

(1) The certificate issued by MIEMSS in a place where it is readily available;

(2) Each AED and all related equipment and supplies in accordance with the standards established by the device manufacturer and the federal Food and Drug Administration;

(3) Supplemental equipment with the AED at all times as follows:

(a) Two sets of defibrillator chest pads;

(b) Disposable gloves; and

(c) Maryland Facility AED Report Forms for Cardiac Arrest;

C. Submit:

(1) A report for each incident of suspected cardiac arrest at the facility on the Maryland Facility AED Report Form for Cardiac Arrests, including, when available, any event (code) summary, recording, or tape created by the AED to MIEMSS, and be available for follow up as necessary; and

(2) If the AED fails when operated, in addition to submitting the required report to the federal Food and Drug Administration, a copy of the report to MIEMSS; and

D. Ensure the confidentiality of any medical records maintained by the registered facility as required by law.

A. A facility seeking registration or renewal of registration shall submit an application and all required documentation to MIEMSS on the form required by MIEMSS.

B. MIEMSS may make the inspection and require the verification necessary to ensure that an applicant meets the requirements of this chapter, including an inspection of the facility, any sites, equipment, and records.

C. MIEMSS shall issue a certificate of registration or renewal to a facility that meets the requirements of Regulation .01 of this chapter.

D. The certificate of registration or renewal is valid for a period of 3 years.

A. MIEMSS may deny an application if it finds that the applicant fails to meet the requirements of this chapter.

B. Notice of Denial.

(1) MIEMSS shall issue a written notice of denial to an applicant that includes the reasons for denial.

(2) The notice shall conform to the requirements of State Government Article, §10-207, Annotated Code of Maryland.

C. An applicant denied approval may file an appeal with the EMS Board under Regulation .05 of this chapter.

D. If an applicant does not file a timely appeal under Regulation .05 of this chapter, the decision is final.

E. If an application is denied, the applicant may reapply under this chapter.

A. MIEMSS may initiate a compliance review of a registered facility upon information that the registered facility has failed to comply with this subtitle.

B. MIEMSS shall give written notice of the compliance review to the registered facility.

C. In the course of its compliance review, MIEMSS may:

(1) Inspect all:

(a) Sites where the registered facility maintains an AED;

(b) Records relating to the AED maintained by the facility; and

(c) Equipment related to the AED; and

(2) Interview employees of the registered facility regarding the AED program.

D. If MIEMSS finds that a registered facility has failed to comply with this subtitle, MIEMSS may:

(1) Suspend the facility's registration;

(2) Revoke the facility's registration;

(3) Refuse to renew a facility's registration; or

(4) Take other action as appropriate.

E. Within 30 days after the conclusion of the compliance review, MIEMSS shall provide its findings, decision and any proposed action in writing to the:

(1) Registered facility; and

(2) EMS Board.

F. The report shall:

(1) Conform to the requirements of State Government Article, §10-207, Annotated Code of Maryland; and

(2) Contain the reasons for the decision and the proposed action.

G. Upon receipt of the report and proposed action, a registered facility may file an appeal with the EMS Board under Regulation .05 of this chapter.

H. If an applicant does not file a timely appeal under Regulation .05 of this chapter, MIEMSS' proposed decision is final.

A. An applicant or registered facility may appeal a disputed decision by filing a notice of appeal to the EMS Board with the Executive Director of MIEMSS not later than 20 days after receipt of the decision.

B. The appeal shall state with specificity the reasons why the disputed decision should be modified.

C. An applicant or registered facility that files an appeal shall be granted a hearing before the:

(1) EMS Board; or

(2) Office of Administrative Hearings, if the Board so elects and notifies the applicant or registered facility.

D. An appeal hearing shall be governed by COMAR 28.02.01.

E. If the hearing is conducted by the Office of Administrative Hearings, COMAR 30.02.06.22 and .23 also apply.

F. An applicant or registered facility which has participated in a hearing under this regulation may seek judicial review of the EMS Board's final action under State Government Article, §10-222, Annotated Code of Maryland. The EMS Board shall be party to the proceeding.

MIEMSS shall maintain the confidentiality of records referred to in this subtitle in accordance with:

A. Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland;

B. Health Occupations Article, Title 1, Subtitle 4, Annotated Code of Maryland; and

C. State Government Article, Title 10, Subtitle 6, Part III, Annotated Code of Maryland.

This chapter establishes guidelines for periodic inspections and annual maintenance of the automated external defibrillators at swimming pools.

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "AED" means automated external defibrillator as defined in COMAR 30.06.01.01.

(2) "AED coordinator" means an individual designated by the county or municipality to meet the requirement of COMAR 30.06.02.

(3) "Swimming pool" means a pool that is owned and operated by the governing body of a county or municipality.

Each county or municipality that owns and operates a swimming pool shall develop and implement an automated external defibrillator program that meets the requirements in the Education Article, §13-517, Annotated Code of Maryland, and COMAR 30.06.02.

An AED shall be located within the pool barrier, as defined in COMAR 10.17.01.05.

Each swimming pool owned and operated by a county or municipality shall be registered as specified in COMAR 30.06.02.04.

The AED coordinator shall ensure that at least one individual who has a current AED certification from a national organization is onsite while the swimming pool is open.

A county or municipality that owns and operates a swimming pool shall:

A. Maintain the certificate, equipment and supplies as required by COMAR 30.06.02; and

B. Submit the reports as required by COMAR 30.06.02 to the Maryland Institute for Emergency Medical Services Systems (MIEMSS).

A. The Department shall:

(1) Monitor a swimming pool for compliance with this chapter; and

(2) Inspect the swimming pool as necessary for the enforcement of this chapter.

B. Right to Inspect.

(1) The Department may enter, at reasonable times, the property of a swimming pool for the purposes of inspecting, monitoring, and verifying information relative to the enforcement of this chapter.

(2) A person may not deny or interfere with the Department's entry into a swimming pool under this chapter.

(3) An operator shall permit a representative of the Department to examine and copy records of the swimming pool to verify information relative to the enforcement of this chapter.

C. Report of Inspection. During a swimming pool inspection, the Department shall:

(1) Record the inspection results on an inspection form prescribed by the Department;

(2) Identify on the inspection form the conditions found that violate the provisions of this chapter;

(3) Notify the swimming pool operator on the inspection form to correct violations by a specific date; and

(4) Provide one copy of the inspection report to the swimming pool operator.

D. The completed inspection report is a public document that is available for public disclosure in accordance with State Government Article, §§10-611—10-628, Annotated Code of Maryland.

This chapter establishes the requirements of the Automated External Defibrillator Program mandated by Education Article, §7-425, Annotated Code of Maryland, for implementation by each county board for each high school in the county.

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Authorized site" means a public high school that meets the requirements of the Emergency Medical Services (EMS) Board, under Education Article, §13-517, Annotated Code of Maryland, and COMAR 30.06.01—30.06.05, for providing automated external defibrillation.

(2) "Automated external defibrillator (AED)" means a medical heart monitor and defibrillator device that:

(a) Is approved for market by the federal Food and Drug Administration;

(b) Recognizes the presence or absence of ventricular fibrillation or rapidventricular tachycardia;

(c) Determines, without intervention by the operator, whether defibrillation should be performed; and

(d) On determining that defibrillation should be performed, automatically charges and either:

(i) Automatically continues with delivery of the electrical impulse; or

(ii) Requires operator intervention to deliver the electrical impulse.

(3) "Certificate" means a certificate of approval issued by the EMS Board to an authorized site.

(4) "Event (code) summary" means the electronic report of an AED operation produced by an AED.

(5) "Individual trained in the operation and use of an AED" means a person who has successfully completed an educational training course and subsequent refresher trainings as required by the EMS Board pursuant to Education Article, §13-517, Annotated Code of Maryland.

(6) "On-site" means on the grounds of a public high school.

(7) "Public safety answering point (PSAP)" has the meaning stated in Public Safety Article, §1-301(q), Annotated Code of Maryland.

(8) "School-sponsored athletic event" means an interscholastic or intramural sporting event that takes place on-site at a public high school, including practices and scrimmages.

(9) "Sponsoring physician" means a physician who:

(a) Is licensed to practice medicine under Health Occupations Article, Title 14, Annotated Code of Maryland;

(b) Provides medical oversight to an authorized site; and

(c) Meets qualifications established by the EMS Board.

A. Each county board shall develop and implement a High School AED Program which shall require, at minimum:

(1) One AED on-site in each public high school, which shall be available for use at each school-sponsored athletic event;

(2) One individual trained in the operation and use of an AED present at each school-sponsored athletic event; and

(3) One individual trained in the operation and use of an AED on-site at each high school during the regular school day.

B. The High School AED Program shall:

(1) Possess a valid certificate from the EMS Board to conduct an AED program;

(2) Comply with the rules, regulations, and policies that the EMS Board determines are applicable;

(3) Maintain up-to-date records of the initial and refresher training received by each individual trained in the operation and use of an AED;

(4) Adhere to the AED manufacturer's guidelines for maintenance, inspection, and repair of AEDs, including weekly inspection of the AED;

(5) Establish AED maintenance, operation, reporting, and quality improvement procedures to be documented as required by the EMS Board;

(6) Submit a report for each incident in which an AED is operated or there was an AED response, including any event (code) summary, recording, or tape created by the AED, on the Maryland Facility AED Report Form for Cardiac Arrests to the following:

(a) The office of the State EMS Medical Director;

(b) The local jurisdictional EMS operational program, if the PSAP is accessed; and

(c) The federal Food and Drug Administration, with a copy of the report to the State EMS Medical Director, if the AED fails when operated;

(7) Designate an AED coordinator who:

(a) Meets the requirements of COMAR 30.06.02.01B, which includes training in cardiopulmonary resuscitation (CPR) and AED operation; and

(b) Is responsible for implementation and administration of the AED program; and

(8) Contact and collaborate with the closest jurisdictional emergency medical services operational program once the High School AED Program is approved by the EMS Board.

C. Each county board shall inform all persons who are authorized to participate in the High School AED Program of the immunities available under Education Article, §13-517, Annotated Code of Maryland.

10.17.02.01. Scope This chapter establishes guidelines for periodic inspections and annual maintenance of the automated external defibrillators at swimming pools

10.17.02.02. Definitions A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) "AED" means automated external defibrillator as defined in COMAR 30.06.01.01. (2) "AED coordinator" means an individual designated by the county or municipality to meet the requirement of COMAR 30.06.02. (3) "Swimming pool" means a pool that is owned and operated by the governing body of a county or municipality

10.17.02.03. AED Program Requirements Each county or municipality that owns and operates a swimming pool shall develop and implement an automated external defibrillator program that meets the requirements in the Education Article, §13-517, Annotated Code of Maryland, and COMAR 30.06.02.

10.17.02.04. Installation An AED shall be located within the pool barrier, as defined in COMAR 10.17.01.05.

10.17.02.05. Registration Each swimming pool owned and operated by a county or municipality shall be registered as specified in COMAR 30.06.02.04.

10.17.02.06. Training The AED coordinator shall ensure that at least one individual who has a current AED certification from a national organization is onsite while the swimming pool is open.

10.17.02.07. Quality Assurance and Maintenance A county or municipality that owns and operates a swimming pool shall: A. Maintain the certificate, equipment and supplies as required by COMAR 30.06.02; and B. Submit the reports as required by COMAR 30.06.02 to the Maryland Institute for Emergency Medical Services Systems (MIEMSS).

10.17.02.08. Inspections A. The Department shall: (1) Monitor a swimming pool for compliance with this chapter; and (2) Inspect the swimming pool as necessary for the enforcement of this chapter. B. Right to Inspect. (1) The Department may enter, at reasonable times, the property of a swimming pool for the purposes of inspecting, monitoring, and verifying information relative to the enforcement of this chapter. (2) A person may not deny or interfere with the Department's entry into a swimming pool under this chapter. (3) An operator shall permit a representative of the Department to examine and copy records of the swimming pool to verify information relative to the enforcement of this chapter. C. Report of Inspection. During a swimming pool inspection, the Department shall: (1) Record the inspection results on an inspection form prescribed by the Department; (2) Identify on the inspection form the conditions found that violate the provisions of this chapter; (3) Notify the swimming pool operator on the inspection form to correct violations by a specific date; and (4) Provide one copy of the inspection report to the swimming pool operator. D. The completed inspection report is a public document that is available for public disclosure in accordance with State Government Article, §§10-611 - 10-628, Annotated Code of Maryland.

01 Scope.

A. This chapter covers the use of anesthesia and sedation by dentists in Maryland for the practice of dentistry.

B. The use of local anesthesia by a dentist is not governed by this chapter.

C. The administration of anesthesia and sedation by dentists in hospitals licensed in Maryland is not governed by this chapter.

.02 Purpose.

Dentists are increasingly administering anesthesia and sedation on an outpatient basis. It is in the best interests of the public and the dentists of Maryland to require dentists who administer anesthesia and sedation to meet certain minimal training and competency standards. Requiring a dentist to obtain a permit before the dentist may administer anesthesia, sedation, or both is the best method to ensure that such administration is performed by competent dentists trained in the use of such techniques.

.11 Facility Evaluation Criteria.

A. Except as otherwise provided in this regulation, to qualify for a permit, the facility and the applicant shall pass an evaluation of facility equipment, medications, and clinical records to include at least the following:

(15) Defibrillator or automated external defibrillator (AED) for adult patients;