Cornerstones of good clinical practice 1

Question 1

Definition of cornerstone

Answer 1

An important feature on which something depends or is based on.

Question 2

standards of care vs practice

Answer 2

care: court system, what was your duty in a given scenario, money settlements. Obligations and duties
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practice: CVO, what must and should be done

Question 3

Can’t stay on top of everything. What might be key?

Answer 3

• Veterinarian-Client-Patient Relationship
• Informed Client Consent
• Prescribing and Dispensing
• Delegation
• Medical Records
• After Hours Care

Question 4

Veterinarian-Client-Patient Relationship
- what is it, what is its scope?

Answer 4

• Foundational to clinical practice
• Establish scope of services to be provided (broad or narrow)
• Not delegable
• Can be discontinued

Question 5

Informed Client Consent
- what is it?

Answer 5

• A process, not a piece of paper
• A discussion of the material risks and side effects of an option of care
• Seeking consent is different than prepping for the procedure

Question 6

Prescribing
- is it a right?
- where does it occur?
- separate from what other drug related activities
- responsible for what

Answer 6

• It is a privilege
• Must occur from an accredited facility
• Separate from administering and dispensing
• Responsible for adverse reactions in all situations
  > vets are the only profession that can prescribe and dispense!

Question 7

Dispensing
- where does it occur
- responsible for what

Answer 7

• Must occur from an accredited facility
• Veterinary facilities are not pharmacies
• Responsible for adverse reactions
• Labels, storage, disposal
• Know what you cannot dispense

Question 8

how to delegate? what can we not? important factors?

Answer 8

• The importance of team-based care
• Judgment
• Cannot delegate the acts of diagnosis, prescribing or major surgery
• Determine level of supervision
• Be transparent

Question 9

medical records minimum…

Answer 9

• Must exist
• Concise
• Clear
• Cogent
• Continuity of care

Question 10

After Hours Care - what do vets need to do

Answer 10

• Responsible for animals regularly cared for or recently treated
• Have a plan that is reasonable and verifiable
• Make sure clients know the plan
• Collaborate with others

Question 11

Cornerstones for Maintaining Safe and Quality Practice

Answer 11

• Be in Relationship –stay connected
• Listen to your gut
• Manage risks
• Stay informed
• Be well