Paperwork in equine practice Flashcards
When do clinical notes need to be recorded?
Can notes be edited?
At the time of the consultation or immediatly after
May be added to or amended in order to correct inaccuracies at a later date.
→ Name of person amending notes and date should be recorded
→ Do not remove the original notes, simply insert the correction
What can a vet certify on?
1) A veterinarian should certify only those matters which:
a) are within his or her own knowledge;
b) can be ascertained by him or her personally;
c) are the subject of supporting evidence from an authorised veterinarian who has personal knowledge of the matters in question; or
d) are the subject of checks carried out by an Officially Authorised Person (OAP)
3) A veterinarian should only sign certificates that are written in a language they understand.
When signing a certificate, a veterinarian should ensure that?
a)the certificate contains no deletions or alterations,
b)no section of the certificate is left incomplete;
c)the certificate includes not only their signature but also, in clear lettering, their name, qualifications and address and their official or practice stamps;
d)the certificate includes the date on which the certificate was signed and issued and the time for which the certificate will remain valid.
What can a vet not certify on?
2) Veterinarians should not issue a certificate that might raise questions of a possible conflict of interest.
4) A veterinarian should not certify that there has been compliance with the law of another country or jurisdiction unless the provisions of that law are set out clearly on the certificate or have been provided to them by the Competent Authority in writing.
Can a vet sign a duplicated certificate
5) A veterinarian should only sign original certificates. Where there is a legal or official requirement for a certified copy or duplicate these can be provided.
