Test Questions Flashcards
1
Q
Vital signs AAHA recognizes
A
- Weight 2. Temp 3. HR 4. RR 5. Pain 6. BCS
2
Q
How long are dosimetry reports supposed to be kept?
A
30 years
3
Q
Valid prescriptions must include:
A
Date, client’s name, pet’s name, species, drug name, concentration, number of units dispensed, address and clinic phone number, abbreviation Rx, and veterinarian’s signature
4
Q
Prescription labels must include:
A
Date, client’s name, pet’s name, practice name, address, and phone number, veterinarian prescribing, drug name, strength, expiration date, and dosage instructions for client. “Keep out of reach of children.”
5
Q
The Association of American Feed Control Officials (AAFCO)
A
Established in response to increasing number of diets available on the market, some of which did not meet nutritional needs. Any foods recommended should meet expectations and testing of AAFCO
6
Q
Fair labor and standards act (FLSA)
A
Created to establish minimum wage and overtime pay standards and regulate the employment of minors.
7
Q
How long are employers required to keep records on wages and hours?
A
3 years
8
Q
Established in 1993 to protect and preserve the integrity of the family.
A
Family and Medical Leave Act (FMLA)
9
Q
How many employees does an organization need to have for FMLA to apply?
A
50
10
Q
Eligible employees whose spouse, son, daughter, or parent is on covered active duty, or call to covered active duty status, may use 12 week leave to address certain qualifying exigencies (military events, arranging alternatives childcare, counseling, etc.)
A
Military family leave entitlements
11
Q
For FMLA to apply, how long must an employee have worked for a company?
A
12 months with 1250 hours
12
Q
Created to protect individuals who are enrolled on any branch of the military service.
A
The Uniformed Services Employment and Reemployment Rights Act (USERRA)
13
Q
Prohibits employer discrimination against any employee or potential employee bc of national origin.
A
Immigration Reform and Control Act
14
Q
How long must I-9s be kept?
A
3 years from date of hire or 1 year past termination, whichever is longer
15
Q
Prohibits employers from using lie detector tests for either pre employment screening or during employment.
A
Employee Polygraph Protection Act
16
Q
Prohibits discrimination against employees on the basis of race, color, sex, religion, or national origin as well as disability
A
Equal Employment Opportunity policy
17
Q
Protects applicants and current employees over the age of 40 years from discrimination on the basis of age in hiring, promotion, discharge, and compensation.
A
The Age Discrimination in Employment Act of 1967
18
Q
Prohibits sex discrimination in payment of wages to men and women performing substantially equal work in the same establishment.
A
Title VII of the Civil Rights Act of 1964
19
Q
What posters are required to be displayed?
A
OSHA, Equal Employment Opportunity, FMLA, Employee Polygraph Protection Act, Immigration Reform and Control Act, USERRA, Fair Labor and Standards Act
20
Q
HMO
A
Health Maintenance Organization
21
Q
PPO
A
Preferred Provider Organization
22
Q
Act that requires organizations with 50 or more employees to provide health insurance.
A
The Patient Protection and Affordable Care Act
23
Q
What does SIMPLE IRA stand for?
A
Savings incentive match plan for employees individual retirement account
24
Q
What is the difference for employers between a SIMPLE IRA and 401k?
A
SIMPLE IRA employers are required to contribute. 401k does not require employers to contribute.
25
T or F: Employers match to retirement funds are tax deductible
True
26
How the government regulates retirement funds bc of past negligence and abuse in the management of pension plans.
Employee Retirement Income Security Act (ERISA)
27
Employee discounts higher than ______ are reported as fringe benefits and must be reported as pay.
20%
28
What is intangible property or incorporeal property?
Something that a person or corporation can have ownership of and can transfer ownership to another person or corporation but has no physical substance (ie community reputation)
29
Hard skills
Competencies that are required of the position or can be learned through training.
30
Soft skills
Competencies that cannot be taught and are generally developed in individuals as they mature (i.e. leadership abilities, work ethic).
31
Veterinarians bring in 50% of this income
Active income
32
Staff members bring in 50% of income to the practice. What is it called?
Passive income
33
The form issued to independent contractors at the end of the year for tax purposes.
Form-1099 MISC
34
Another term for Pro-Sal
Production reconciliation hybrid
35
Prosal calculation
Salary /#of pay periods = amount per check
Production x production %
Production - guaranteed salary =
36
Avg production amounts in small animal GP
18-25%
37
Avg production in large animal GP
25-30%
38
What taxes are withheld from payroll checks?
Income tax, social security, and Medicare
39
What taxes fall under the Federal Insurance Contribution Act (FICA)?
Social security and Medicare
40
How much of gross pay is withheld for social security?
6.2%
41
How much of gross pay is withheld for Medicare?
1.45%
42
What form do employers report FICA contributions?
Form 941
43
What form are FUTA contributions reported?
Form 940
44
Taxes paid solely by employer. Only tax the first $7000 at 0.06%.
Federal Unemployment Tax Act (FUTA)
45
How long do you keep employee personal files?
3 years - basic employee info - I-9, hiring records, results from tests, employment actions
4 years- tax records, payroll records
5 years - job relates injuries or illness
30 years- medical exam findings, toxic exposure records, blood borne pathogen exposure records
3- 7 years is the average.
46
How much does it cost to lose an employee?
1.5 times the salary of the position
47
What are the 4 branches of veterinary ethics?
Descriptive, official, administrative, and normative
48
The study of ethical views of veterinarians and veterinary professionals regarding their behavior and attitudes
Descriptive ethics
49
The creation of official ethical standards adopted by an organization of professionals and imposed by their members.
Official ethics
50
Actions by administrative government bodies that regulate veterinary practice and activities in which veterinarians engage.
Administrative ethics
51
The search for correct principles of good and bad, right and wrong, justice or injustice.
Normative ethics
52
What are the two categories of civil law?
Tort and contract
53
A civil offense to an opposing party in which harm has occurred and permits people to sue for relief of an injury that occurred as a result of damages inflicted on their bodies, to their families, or their property.
A tort
54
What division of law does a noncompete fall under?
Civil law
55
An intentional action that has taken place in which harm has occurred to another member of society.
Intentional tort
56
Example of unintentional tort
Failure to practice standard of care
57
What type of lawsuits are most common against vets and techs?
Neglect/Negligence
58
What 4 elements must be proven to the court in a negligence case?
1. A valid client-patient relationship.
2. Breach of duty
3. Proximate cause must be established
4. Damages or harm incurred by the patient as a result of negligence must be displayed.
59
Failure of the vet or tech to act in accordance with the standard of care.
Breach of duty
60
The connection between the negligent act and the harm to the patient caused by the act.
Proximate cause
61
Federal law that amended the Federal Food, Drug, and Cosmetic Act (FD&C Act) to allow vets to prescribe approved human and animal drugs for extra-label uses in animals under specific conditions
Animal Medicinal Drug Use Clarification Act (AMDUCA)
62
Legislation to mandate written prescriptions that Congress introduced in 2017
Fairness to Pet Owners Act
63
What are the 4 phases of strategic management?
1. Formulation
2. Development
3. Implementation
4. Evaluation
64
What are the 4 stages of the business life cycle?
1. Introduction
2. Growth
3. Maturity
4. Decline
65
SMART goals
Specific
Measurable
Attainable
Resources/Realistic
Time
66
4 steps of organizational development
1. Define the problem
2. Design a solution
3. Implement solution
4. Follow through evaluation
67
3 adult learning styles
Visual, auditory, kinesthetic
68
Forms of learning
Push learning (lecture style)
Pull learning (research)
69
Which adult learning style increases retention rates?
Pull
70
Future employment number math
1. Current team number x business growth percentage
2. Add attrition rate to above
3. Multiply above number by total years in strategic plan
71
What are the federal retention laws for applicant documents such as resumes and employment applications?
1 year from filling the position, unless you suspect the applicant is over 40 years of age, then is recommended to keep records for 2 years.
72
List the four elements necessary to hold working interviews
1. Must be on payroll.
2. Must be eligible to work in the US.
3. Must be paid at least minimum wage.
4. Must be covered under workers compensation.
73
As it relates to interviewing candidates, what are the benefits of the use of a rating scale?
A writing scale can be helpful when hiring because it is challenging to compare candidates equally and consistently, especially if there are multiple members of the management team interviewing candidates for the same position.
74
What are phase training lists and what are four benefits of using them?
Outlines the progressive steps in the training for a specific position within the practice.
1. Helps ensure team members are trained properly.
2. Aids in titrating information/instruction to the employee to avoid overloading them early in the process.
3. Provide a resource for training preparation for the trainer
4. Provides reference and review material for the new employee and phase training can accommodate a new employee that already has some experience
75
What is a reasonable budget to spend on training annually?
One to 2% of an annual revenue of the practice
76
New employees must have immediate knowledge of what five safety details?
1. Location of the first aid kits, eyewash stations and exits.
2. Location of all personal protective equipment and instructions on proper use prior to first use.
3. Location of all mandatory posters.
4. Location of the hospital safety manual.
5. Copies of all applicable OSHA standards.
77
List three common reasons a staff member leaves the practice
1. Lack of positive feedback.
2. Lack of training opportunities.
3. Failure of management to include them in the larger strategic vision of the practice.
78
Name four elements of enhancing employee productivity
1. Shared purpose.
2. Tools to do the job.
3. Standard operating procedures
4. Performance standards.
5. Engage and empower.
6. Recognize and reward.
7. Physical fitness.
8. Personal focus.
9. Team focus
79
The ________ and _________ of the practice help define the core competencies that should be expected of employees
Mission and values
80
Why are core competencies important in staff development?
Because they can be tiered to beginner intermediate and expert, and because they can be considered in terms of reward based compensation
81
Name at least four of the 10 elements that should be considered in virtual team training
1. Put your training on a diet.
2. Gain attention from the start.
3. Establish relevance.
4. Present information with a twist.
5. Ask compelling questions.
6. Conduct realistic demonstrations.
7. Provoke discussion.
8. Employ interactive activities.
9. End with a bang.
10. Prepare prepare, prepare.
82
In the 70/20/10 learning and development model define the elements involved
1. 70% of learning within the organization should come from on the job training.
2. 20% from coaching and mentoring.
3. 10% from actual courses lectures and formal training.
83
An effective appointment system should have what two goals?
1. To eliminate client wait time.
2. To maximize the efficiency of the doctors, the support staff and the facility by minimizing downtime between clients or patient procedures.
84
Five key factors involved in considering when to hire
1. Veterinary staff ratio.
2. Veterinary production.
3. Team member production.
4. Staff payroll percentages.
5. Hospital workflow.
85
The degree to which the test actually measures what it claims to measure
Validity
86
When is a pre-adverse action letter used?
When considering not hiring a candidate due to details, revealed in a preemployment background check
87
When it comes to individual development plans, what are the three main details that should be addressed?
Development, training, career management
88
On board with EASE stands for?
Encouragement
Align
Solve
End
89
What are the three most common types of employee performance reviews?
1. 360 peer review.
2. Self review.
3. Job satisfaction survey.
90
How much of a practice’s Gross revenue should be allotted for marketing?
2-3%
91
What are the four/five Ps of marketing?
Product, price, promotion, place, position
92
Examples of indirect marketing
Facility, cleanliness, professionalism, client communications
93
Examples of internal marketing
Reminders, client education, staff identification, recalls, telephone etiquette
94
Examples of external marketing
Website, social media, sign for business, business cards, open houses, community events
95
How much of a practices profit should be reinvested back into the practice?
10%
96
What is a final adverse action or second notice?
Final letter stating to a candidate that they did not get a position based on a background check
97
True or false a company’s mission statement is internally facing
True
98
True or false a company’s vision statement is externally facing
True
99
What is Porter’s five force analysis?
It is more detailed than a SWOT analysis
1. Threat of new entrants to the industry.
2. Threat of substitutes.
3. Buyer (client) power
4. Intensity of rivalry among established practices.
5. Supplier power.
100
Is accrual based accounting or cash base accounting more accurate?
Accrual
101
What are the four Cs of onboarding?
Compliance, clarification, culture, connection
102
What is the five step process to listen and address a client’s issue?
1. Acknowledge
2. Clarify
3. Answer
4. Verify
5. Close
103
What is the six step approach to effective exam room coaching?
1. Preparation.
2. Approach. - the four Rs are in this step
3. Diagnosis.
4. Recommendation.
5. Addressing concerns.
6. Commitment and follow up.
104
What are the 4 Rs in regards to your approach in effective exam room coaching?
Rapport, reason, response, recruit
105
How much of gross revenue are credit card fees?
1.5%
106
Break-even analysis equation
Price of equipment/(client cost - cost to produce service)
107
Red Flags Rule
Developed by the federal trade commission (FTC) in 2010. Established to protect against identity theft. Requires businesses to establish identity theft prevention program to detect warning signs in daily operations.
108
AR should not exceed what percent of revenue?
1.5%
109
Fair Debt Collection Practices Act of 1996
Regulates collection procedures of past due accounts. Keeps creditors from harassing debtors. Stickers cannot be placed on an envelope indicating it is an attempt to collect a debt.
110
What percent of owners would purchase pet insurance if it were recommended by their vet?
41%
111
“No agency shall disclose any record, which is contained in a system of records by any means of communication to any person, or to another agency, except pursuant to a written request by, or with the prior written consent of, the individual to who the record pertains.”
The Privacy Act of 1974
112
Pareto principle
80% of income is produced from 20% of inventoried products
113
Which class of controlled drug has the highest abuse potential?
Class I
114
Form veterinarians submit to the DEA for a controlled substance license.
Form 224
115
Form submitted to DEA for license renewal
Form 224a
116
Form issued to veterinarian that must be posted within the facility for controlled substances
Form 223
117
How long must CS invoices and records be kept?
Minimum of 2 years after date of use
118
If a CS count has a discrepancy of more than _____% for the year, it must be reported.
3%
119
Form to submit to DEA for loss
Form 106
120
What is the Halo effect?
Unconscious bias when hiring - applicant has one desirable characteristic so you assume they have more.
121
Define reliability of a test
How dependably or consistently a test measures a characteristic.
122
Fair Credit Reporting Act
Governs access to consumer credit report records and promotes accuracy, fairness, and privacy in credit reporting. It also requires agencies to remove most negative credit information after 7 years and bankruptcies after 7-10 years.
123
Bonding rate calculation
Number of clients that requested a specific doctor divided by Number of doctor appt slots for the day.
124
3 basic approaches to employee performance evaluations
1. Formal performance review
2. Coaching conversations
3. Corrective action discussions
125
Corrective action discussion (ABCDEF) formula
A - Awareness
B- Behavioral expectations
C- consequences
D- decision confirmed
E- employee involvement
F- follow up
126
4 step method for successful intervention
1. Confront the behavior
2. Talk it out
3. Hold team members accountable for solutions
4. Follow up and feedback
127
Just Cause Employment Relationship
Employee was terminated for a sufficient reason
128
Similar to HMOs except patients are not required to see their primary care physician prior to visiting a specialist.
Point of Service Plans (POS)
129
Tax savings plan for both employee and employer (flex/HSA)
Section 125 plans
130
Providing employee health coverage or employer can be penalized for companies with 50 or more employees
Patient Protection and Affordable Care Act of 2010
131
How much of practice gross revenue should be allotted for CE?
5%
132
Which plans are a blend of fee for service and HMO medical plans? They do not require a visit to a primary care provider prior to visiting a specialist, although they do have a network of preferred providers and it is more costly to go outside of network.
Preferred provider organization plan (PPO)
133
What are the 5 potential employee files?
1. True personnel file for job-related documents
2. A file for any documents relating garnishments, background check results, credit checks, that have no legal role in hiring, firing, promotion, demotion, etc.
3. Employee medical file
4. Payroll files
5. I-9 folder
134
Title VII of the Civil Rights Act, Americans with Disabilities Act, Age Discrimination Act require personnel files to be retained for how long?
1 year
135
FMLA requires personnel records to be kept for how long?
Min. 3 years
136
Why are employee medical documents store separately from their main personnel file?
Direct supervisor rarely needs to see medical documents
ADA and FMLA require medical records be stored separately.
137
Which entities require employers to keep detailed payroll and benefits data?
The Internal Revenue Code
Fair Labor Standards Act
138
Who defines the schedule of a drug based on the potential for abuse?
The Controlled Substance Act
139
Requires that anyone who manufactures, distributes, or dispenses a controlled substance must register with the DEA.
The Controlled Substance Act
140
Which copies of DEA 222 must be submitted to the supplier? Which is retained by the registrant?
1 and 2 to supplier
3 to registrant
141
Which copy of DEA 222 does supplier send to DEA?
Copy 2
142
When transferring CS to another registrant, what schedule requires an exact count?
Schedule II
143
DEA form required to notify DEA of loss
Form 106
144
Is Title II of the Comprehensive Drug Abuse Prevention and Control Act of 1970.
Controlled Substances Act (CSA) 1970
145
Who has the broad power to reschedule a drug or change controls on a drug?
The Drug Enforcement Agency and the Attorney General
146
Written plans for preventing fire, handling hazardous chemicals, preventing injury with PPE, and informing workers of dangers in their workplace are required for workplaces with how many employees?
10 or more
147
Form used as a record for every work related death or injury/illness (running log for multiple employees)
Form 300
148
Form used as an incident report for an individual’s work related death or injury/illness.
Form 301
149
Summary page posted from Feb. 1 - April 30th of the year following the year covered on form.
Form 300A
150
How long must all OSHA forms be kept?
5 years
151
When lending a controlled drug to another practitioner, what step is unnecessary for schedule III, IV, and V drugs, that is necessary for schedule II drugs?
Using the DEA222 form. Copy 3 of the form stays with the veterinarian who receive the drug copy 1 stays with the registered practitioner supplying the drug copy 2 sent to the DEA.
152
For veterinarians that work at more than 1 location; what can they do regarding dispensing/administering/prescribing CS?
They can prescribe but can only dispense or administer if they are classified as an employee of a registrant or register at each facility.
153
Under what circumstances can a DVM dispense an adulterated drug?
Under no circumstances
154
In regards to a DEA inspection, what can the inspector copy without the consent of the practice owner or representative?
All records and reports involving controlled drugs
155
4 types of moral problems in veterinary medicine, and they involve ethics in relation to:
1. Peers
2. Clients
3. Animals
4. Society
156
The 4 As to rise above moral distress
1. Ask - self reflection
2. Affirm
3. Assess - 4 Rs should be considered here.
4. Act
157
What are the 4 Rs in regards to moral distress?
Relevance
Risk
Rewards
Roadblocks
158
The AVMA Principles of Veterinary Medical ethics is an example of what branch of ethics?
Official
159
What are the 3 elements of a contract?
1. Offer
2. Acceptance
3. Consideration
Bonus 4th:
Intent to contract
160
What is promissory Estoppel?
No formal agreement. Justice requires the enforcement of one’s promise when another party has justifiably relied on that promise, changed its position, and incurred substantial detriment.
161
Requires the production of a written memorandum before the courts will enforce certain types of contracts (as opposed to an oral contract).
Statute of frauds
162
When 2 parties have made and signed a written contract and included in the agreement a clause stating that the writing represents the entirety of the contract, oral testimony aimed at altering or contradicting the terms of the writing will not be permitted.
Parol evidence
163
What 5 elements must be in a Hazardous Chemical Plan?
1. Must be in writing.
2. A complete list of all hazardous chemicals must be maintained.
3. SDS library
4. All containers must be properly labeled.
5. Staff training
164
The law of _______ ________ was created to avoid benefit of one party at the expense of another (owner receives emergency veterinary care at the veterinarian’s expense).
Unjust enrichment
165
How many employees is required for a company to make accommodations under the ADA?
15 or more
166
When is a part time employee eligible for FMLA?
When they work 20 or more calendar weeks in the current or previous year.
167
Who pays FUTA tax?
Employers
168
Who enforces ERISA?
Department of labor
169
The basic accounting equation:
Assets=liability + owner equity
170
On a P&L- Expenses should be expressed as dollar amounts and also a percentage of gross or net?
Gross
171
What act regulates collection procedures of past due accounts?
Fair Debt Collection Practices Act
172
What is the formula for AR turnover?
Credit sales/ average AR = AR Turnover
173
How do you calculate the average age of AR entries?
Beginning AR + ending AR/2 = Average Accounts Receivable
174
What is an Employer Identification Number (EIN)?
A business identification number assigned by the IRS to identify tax accounts of employers
175
4 phases of the business cycle (economic cycle)
1. Expansion
2. prosperity
3. contraction
4. recession
176
What percent of gross revenue is said to be lost to embezzlement in small business annually?
>5%
177
5 realistic strategies that JD Stowe updated the 4 P’s of marketing to be
Emotion
Value
Virtual
Excel
Experience
178
What is the percent of revenue budget for retail marketing?
1-3%
179
4 basic strategies of retail pricing advantage
Value based
Value added
Unique
Volume
180
Six Cs of client relationship management
1. Consistency
2. Compassion
3. Customer Service
4. Convenience
5. Competence
6. Cost
181
Small animal practices lose ______ of their clients every year.
10-15%
182
Goal retention percentage of clients over a 3 year period
70-75%
183
What is a reasonable beginning goal for number of transactions per year per doctor?
5000
184
What Net to New Clients ratio indicates healthy growth of the practice?
6:1
185
How many times does an average person need to hear about a product before they purchase it?
5
186
What law established employment verification (I-9s)?
Immigration Reform and Control Act
187
Who enforces the Fair Labor Standards Act
Wage and Hour Division of the US Department of Labor
188
Which acts were included in the Civil Rights Act of 1964?
1. Sexual Harassment
2. Pregnancy Discrimination Act
3. Americans with Disabilities Act
4. Age Discrimination Act
189
What was created to enforce the anti discrimination law (Civil Rights Act of 1964)?
Equal Employment Opportunity Commission
190
Who does the Age Discrimination of 1967 protect?
Employees 40 or older
191
Who does COBRA apply to in regards to employers?
Employers that have 20 or more employees
192
How long are employees allowed to extend coverage with COBRA?
18-36 months after termination of employment
193
Provides for fairness and consistency between medical and surgical benefits and mental health benefits.
Mental Health Parity Act of 1996
194
Net income (profit) average according to AVMA
10-12%
195
Calculation to measure simple profit of the practice. Higher value indicates more revenue that falls to the bottom line instead of being consumed by expenses.
Net profit margin = practice profit/practice revenue
196
Equation for measuring how much profit is in a product or service.
Gross profit margin = gross profit/revenue
197
Accounts receivable turn over
Credit sales/average accounts receivable
198
6 steps of budgeting
1. Determining the desired financial results
2. analysis of the financial statements
3. Normalizing the revenue and expenses
4. Budgeting revenue
5. Budgeting expenses
6. Combining budgeted revenue and expense and making adjustments
199
According to The Resistance Principle, how much resistance (as a percentage) should you price products and services to?
15-20%
200
Reorder point calculation
(Average daily use) x (lead time) = reorder point
201
Reorder quantity calculation
(Average daily use) x (turnover goal in days) = reorder quantity
