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BoardTalk - May 2014 Insert 2

Page 1

Licensed Veterinary Hospitals Self-assessment checklist for hospital superintendents

Issue Review Ref number

Nov 2013 Annually H006

Minimum Standards

Things to look for

Good condition inside and out

This includes the exterior of the practice, painting, gardens, clean windows etc. internal paint throughout is in good condition, air vents, ceilings etc. are clean

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Escape proof

Self-closing devices fitted on all doors that lead to the outside of the building

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Reception area

Have enough chairs and space for waiting clients and patients – sit down and take a client’s view

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Are of a surface that can be easily cleaned and disinfected, no cracks etc. for dirt to accumulate, surgery and prep areas of higher importance

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Internal walls and floors

Complies

Consult room Plumbing, instruments, fridge

Have hot and cold running water, soap and hand drying, all necessary instruments to allow a thorough clinical examination, refrigerated vaccines or close by outside, scales for weight

Pharmacy Current date drugs Printed labels Dispensing procedures Animals under care

Check for expired date drug and dispose, dispensing labels (keep out of reach children, prescription animal remedy in red at top, practice details any colour at bottom), legible font size, all dispensing for animals under vet’s care, pharmacy not in direct sunlight

Storage Recording S8’s and steroids Euthanasia solution secure

S8’s stored in locked receptacle or safe, restrict access to senior staff, appropriate NSW Health Drugs of Addiction Register (maroon colour), fill in all columns and regular stocktakes (read inside cover about rules), steroid use recorded and lethabarb secure (S4)

Prep area Clean Equipped Autoclave

Equipped for procedures performed and equipment maintained in accordance with manufacturer’s recommendations, e.g. steriliser, vaporiser, dental etc. Stocked with drugs and pain relief appropriate for procedures performed in accordance with current standards

Anaesthesia and surgery Clean Equipment Monitoring Maintained Sutures

Anaesthetics, monitoring (at least a pulse ox), adequate lighting, suture material, instruments all in accordance with current standards. Clean and as sterile as practically possible, check for dusty surgery lights, arms, vents etc.

Sharps and waste disposal

Appropriate sharps containers and all clinical waste disposed of appropriately

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Diagnostic testing and Laboratory equipment

Equipment appropriate for the diagnostic testing performed at the practice, if not, arrangements in place for external laboratory and prompt reporting

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Imaging Radiology equipment Processing Ultrasound Labelling

Radiology equipment and developing or digital / appropriate labelling and storage. Equipment maintained in accordance with manufacturer

Hospital accommodation Clean Fluid administration

Separate kennel area, cages in good condition, no rust, adequate ventilation, heating and cooling, adequate fluid pumps – food preparation and storage areas clean

Provision for isolation

Separate isolation area for contagious disease cases, adequate heating and cooling, procedures and equipment in place to ensure there is no spread of the disease

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Boardtalk December 2013. Insert 2


Licensed Veterinary Hospitals Self-assessment checklist for hospital superintendents

Issue Review Ref number

Nov 2013 Annually H006

Records Management Minimum Standards

Things to look for

Record keeping Method of record keeping Recording all animal and client details Options given Referral

All consultation details, weights, tests, treatments, diagnosis, options, referrals, important client communications recorded in sufficient detail to allow another vet to take over the treatment of the case. Recording the fact that phone call/s were made to the client, options, consents, estimates discussed and recorded.

Certification

All certification is true and accurate and a ‘known fact’ of the vet providing the certificate e.g. vaccination

Treatment admission forms Procedures listed Estimate given

Evidence of informed consent to treatment.

Records kept for 3 years

Archive records in such a way so they are easily identified and retrieved and to allow appropriate disposal after 3 years

Copy of legislation Website Boardtalk Code of Conduct Itemised receipts given

Complies

Evidence that an estimate for the treatment was provided, a range is acceptable

Bookmark the Board’s website. All the information regarding legislation, policies, guidelines, searchable current database of vets, specialists and hospitals etc. is available from the Board’s website. Download the ‘Veterinary Practitioners Code of Professional Conduct’ from website under Publications, Board guidelines. Ensure all vets are aware of it. At discharge, all clients should receive an itemised receipt of charges incurred as a result of any treatment whilst the animal was in hospital.

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Discharge information Post-surgery After hours care

Clients are provided with documented post treatment care of their animal to take home. Procedures in place to be available after hours for that discharged animal or have arrangements in place with another practice should the patient need veterinary care.

Use of drugs off label

To be used only when well recognised current knowledge permits and client is informed.

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Reference material is appropriate, assessable and current for the work being performed e.g. web based / library

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Reference material current

Your general comments and areas that might be improved

Boardtalk December 2013. Insert 2

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