OSHA & Regulatory Flashcards
List 5 Required Licenses for a Veterinary Business
- General Business License
- Premise Permit
- EIN
- DEA
- Radiology and Laser Machine Registration
OSHA:
- who
- why
- where published
Occupational Safety and Hazard Administration
- enact safety rules for workplace
- rules are known as standards
- published in title 29 of the Code of Federal Regulations
Safety Plan - how to create?
Start with a hazardous job, and establish safety procedures that must be followed when the activity is performed
New Employees Must have immediate knowledge of what 5 safety details?
Eyewash station/first aid/exits
PPE
OSHA Standards
Hospital Safety Manual
Mandatory Posters
General Business License (what is it and authorized by who?)
County Clerk office where business is located
If business closes, county clerk has to be notified
Premise Permit (what is it and given by whom?)
State Department of Business & Professional Regulation or State Board
Meets a minimum standard of cleanliness, record keeping, and client access
EIN
Employer’s Identification Number
Federal Department of Labor
Proper reporting & payment of withholding and unemployment taxes
Radiology & Laser Machine Licenses
State Department of Health
5 Steps to OSHA Implementation
1 .Hazard Assessment
2. implementation Plan
3. Safety Plan
4. Create Safety Manual for hospital
5. Train
AAHA requires a Radiology Log for what 3 reasons:
- Good medical practice
- Replicate exposure
- Prove it was taken
What is an adulterated drug? (3 examples)
A drug that contains -
1. Unsanitary components
2. Mixed with another substance
3. Differs in strength from official compendium
What is a misbranded drug? (2 examples)
A drug that’s labeling is false or misleading
Labeling does not include adequate directions for use (a lay person must be able to use the drug safely and for the purpose intended).
5 Label Requirements for Prescription Drugs:
- “Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian.”
- Recommended dose and route of administration
- Quantity or proportion of each active ingredient.
- Names of all inactive ingredients if drug is for non oral use
- Identifying lot of control number to determine manufacturing history.
Compounding Medications - allowed under 4 conditions:
- DVM believes there is a need to alter the approved drug to adequately medication a NON FOOD animal with a diagnosed medical condition
- There is a VCPR
- The individual patient has a medical condition for which a prescribed medication is needed
- The DVM determines the compounded drug is needed
Hazard Communication - The Right to Know. What are the 8 things required of a practice?
- Designated Safety Officer
- Annual Hazard analysis inspection
- Safety plans in place for all identified hazards
- Chemical list and safety plans for Immediately dangerous to life and health chemicals
- SDS on all chemicals
- Secondary labeling as needed and training on labeling system
- Protocol in place for emergency evacuation
- FOR 11 OR MORE EMPLOYEES - training program on PPE, monitoring devices, and hazards of practice
Hazardous Chemical Standard (one of the OSHA standard) has 5 requirements:
- Must be in writing
- A complete list of all hazardous chemicals must be maintained
- SDS library
- Containers properly labeled
- Staff Training
OSHA Posters, Signs, & Notices (5 Items)
- It’s The Law Poster
- Notice of pending inspection until it is over
- Notice of citations posted for 3 days or until corrected, whichever is longer
- Appropriatate warning signs (exits, radiation, etc.)
- Written Plans for preventing fire, handling hazardous chemicals, preventing injury with PPE and informing workers of dangers in the workplace. Required for 10 or MORE employees.
OSHA Forms - What are the three, how long do you keep them?
Form 300 - Log of Work Related Injuries
Form 301 - Illness and Injury Report
Form 300A - Summary of work related illness and Injury (posted Feb 1 - April 30)
ALL Kept for 5 years.
3 Types of Ethics
Social Ethics
Personal Ethics
Professional Ethics
4 Branches of Veterinary Ethics
Descriptive - study of ethical views of DVMS.
Official - creation of official ethical standards adopted by professional organizations and imposter on members.
Administrative - involve actions by administrative government body that regulate veterinary practice. License revocation can result if civil/crimnal violation.
Normative - refer to search for correct principles of good/bad
4 types of moral problems in veterinary medicine, and they involve ethics in relation to :
- Peers
- Clients
- Animals
- Society
Veterinary Practice Acts - what are they, enforced by who,and changed by who?
They are state laws that are regulated and enforced by the state veterinary medical board.
The Practice Act laws must be changed by submitting to the House and Senate and signed into law by the Governor.
Informed Consent must contain the following elements (6):
- Consent must be given freely
- Treatment and diagnosis must be given in understandable terms.
- The risks and benefits and prognosis must be stated
- The prognosis if no treatment is selected
- Practice must provide alternative treatments with risk/benefit/cost
- The client must be given the opportunity to ask questions and have them answered.
Informed Consent must contain the following elements (6):
- Consent must be given freely
- Treatment and diagnosis must be given in understandable terms.
- The risks and benefits and prognosis must be stated
- The prognosis if no treatment is selected
- Practice must provide alternative treatments with risk/benefit/cost
- The client must be given the opportunity to ask questions and have them answered.
In regards to gas anesthesia, what are the three types of gas scavenger systems, and which provides the best protection for employees?
Active scavnger system - the best
Passive
Absorption
Name two steps that should be taken anytime a pregnant woman is working around anesthestic gases
Wear an anesthetic monitoring badge
PPE
What is the Risk Assessment Equation?
Hazards + Vulnerabilities = Risk
What are the four priorities of general emergency management?
Mitigation
Preparation
Response
Recovery
4 Sections to OSHA Compliance and Safety Program
- Administrative tasks
- Evaluation of facility
- PPE
- Staff Training
4 Stages of Emergency Management
- Mitigation
- Preparation
- Response
- Recovery
Five types of waste in a veterinary hospital
- Animal
- General
- Biologically Hazardous
- Sharps
- Hazardous Chemical Waste
Fire - A written plan for how many employees?
10 or more
OSHA Fire and Emergency Plans should include (6 things).
- Escape procedures and route assignments
- Procedures to be followed by staff members to shut down critical operations before evacuating
- How to account for all employees after evacuation
- Rescue and medical disorders for those able to perform
- How to report the fire
- Name of person to contact for more information
Fire Extinguishers: 2 location specifics
- No person is ever more than 75 feet from a fire extinguisher
- They are between 32 and 48 inches from floor and easily visible
Fire Extinguisher PASS
Pull the pin
Aim
Squeeze the handle
Sweep from side to side at base of the fire
When does a product fit the definition of hazardous?
Has more than 1% of a chemical
Or 0.1% carcinogen
Product/Chemical Labels must have 6 things:
- A product identifier
- A signal word (danger or warning)
- Hazard statement
- Precautionary statement (prevention, response, storage and/or disposal)
- Pictograms
- Name, address, telephone number of chemical manufacturer
SDS Labels should include (7):
- Identity of chemical
- Physical and chemical characteristics
- Health hazards
- Permissible exposure limits (PEL)
- Whether it is carcinogen
- Emergency first-aid procedures
- Specifically hazards
MSDS/SDS: how long kept if printed and how long maintained after discontinued?
It must be kept current within 3 years of date printed
Must be maintained for 30 years after discontinuation
WAG
Waste anesthetic gas levels
OSHA requires hearing conservation program when staff members are exposed to what noise levels?
85 decibels on a 8 hour time weight average. Goal is to lessen by 20 decibels
Does OSHA have a standard on zoonotic diseases?
No
Does OSHA require a radiology exposure log?
No
Radiation -
what sign
Restrictions/shielding
Logs
Dosimeter & recording keeping
PPE
Sign containing the three blade caution symbol
Does not require shielding but does require business to restrict access to the radiation areas.
Does not require log.
Does require personal monitoring devices to each person exposed and they should be monitored in writing exposure is above 25 rems in reporting period.
Thyroid collar not required. Gloves and apron are.
Dosimeter reports kept on hand for 30 years.
OSHA Inspections - who, what, when
Someone should be appointed to be present when inspector arrives. OSHA can be denied to inspect premises but if they have a warrant, they have to be allowed to inspect within 72 hours. Safety Officer should walk through with officer.
Written RX for controlled substances- 4 things
- Only issued by DVM licensed by the state and DEA Register
- Rx must be signed and dated on the date the rx was issued
- Schedule 2 has to be typed or written in ink, manually signed and not refilled
- Schedule 3-5 can be refilled up to 5 times in 6 months from date of issue
AMDUCA 1994
Allow DVMs to prescribe approved human drugs for extra label uses in animals.
- Valid VCPR
- Animals health is threatened
- One of the conditions is met: no animal drug approved, an animal drug is approved for use but doesn’t have active ingredient, is approved but not in required dosage form, is approved but not in concentration.
Five rights of medication administration
Right patient
Right drug
Right dose
Right route
Right time
Five areas to focus on with medications: (think controlled)
Registration
Security
Record keeping
reporting of losses
Substance disposal
What is the most common medical record format?
Problem Orientated (POMR)
Format includes:
-Defined Database
-Problem List
-Plan
-Progress
Progress section is the standard SOAP
SOMR - what is it:
Source Orientated Medical Records
Data is entered and grouped by information sources and then organized chronologically by date of patient encounter.
These can be effective if well organized.
Four benefits of Ration Based Inventory:
- Diminishing amount of obsolete items
- Products are easier to find
- Duplication of drugs minimized
- Price changes can be accommodated more easily
