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Concerning OSHA what has to be available at all times?
SDS
Who is liable if a client contracts a zoonotic disease & the vet didn’t educate the client?
The vet
At what level should noise protection be provided?
85 dB
What are the causes of accidental exposure to anesthetic gases?
Improper scavenging system, improper ET size or cuff inflation (which is common with cats), improper flushing of system, leaks, & spills
What should be used when handling special chemicals?
Proper PPE
What contributes to most of the fires in a vet practice?
Overloaded electrical outlets
Of the many hazards that exist in the practice, each team member must be familiar with everything that included with what?
Zoonotic disease, physical, & chemical hazards
What type of wound results from a true animal bite?
A wound that penetrates the skin, causing bleeding & swelling
If bitten by an animal, what is the first thing you should do, if possible?
Wash with warm soapy water for 5 minutes
EAP
Emergency action plan; safety procedures for potential emergencies that would cause evacuation, such as floods, tornadoes, hurricanes, earthquakes, fire, & blizzards
What are some things to consider about clients that will be exposed to chemo drugs?
Children & pregnancy or planning to become pregnant (possibly also immunocompromised & elderly)
What was OSHA created for?
To ensure employee safety & oversee all workplace hazards, including the safe use & disposal of chemicals
Where should dosimeters be worn?
At the collar outside of the gown
In regards to zoonosis, what is a reservoir?
Place where an infectious organism survives & replicates, can be an animal or the soil
In regards to zoonosis, what is a vector?
A living organism that transports infectious agents
What are controlled substances?
Drugs that have a high abuse potential
Who regulates the manufacturing, distributing, & dispensing of controlled substances?
DEA - Drug enforcement agency
What do all vets need to prescribe, order, or dispense controlled substances?
DEA license
What is a log book used for?
Must have to keep record of controlled substances
How many schedules of controlled drugs are there?
5
What is found on a bottle to let you know that it is a controlled substance?
C
Which schedules are used in the medical field, including vet med?
2-5
Of all the schedules of controlled drugs used in vet med, which one has the highest abuse potential?
2
What is different about Schedule 1 controlled substances?
Has the highest abuse potential & therefor medical use of these substances is illegal in the US
What form is required to order Schedule 2 drugs?
DEA form 222
How long after the last date of use do controlled substance records & invoices have to be kept for any agency to inspect?
2 years
What does a reverse distributor have to do with the expired controlled drugs they remove?
Incinerate them
What is another way we can dispose of expired controlled drugs?
Neutralization pouches
What is the discrepancy of controlled drugs that have to be reported?
3% or more
What schedule of controlled substances is stored differently than the others & how?
Schedule 2, separated from the others
How much is annually lost to employee theft?
5%
What is the largest expense in a practice?
Payroll
Accounts receivable
Money owed to a vet practice for services rendered or products sold
How do you answer someone that wants us to hold a check to wait for deposit?
I’m sorry, but it’s not our policy to hold checks for clients. Do you want to use a credit card instead?
What info is needed for a check payment & what should be done with that info?
DL # written on the check
Fair Debt Collection Practices Act
States that:
Debtors can’t be subjected to harassment, oppressive tactics, or abusive treatment;
Debtors can’t be called at work if their employer objects;
& debtors can’t be called before 8am or after 9pm
What are some things you should do when you call clients about outstanding debts?
First or most importantly, verify client is the receiver of the call; then identify self, offer friendly advice, keep the conversation focused on accounts receivable, offer payment plan if needed, & follow up with a letter
What are some true statements about pet insurance?
Clients with pet insurance visit the vet office more than those without
Many treatment decisions are based on money
Many euthanize because of money
Insurance allows clients to handle emergencies & provide better medicine
Premium in pet insurance
Amount the owner pays monthly or annually to have insurance coverage for their pet
Pre-existing health condition
Any illness or condition contracted, manifested, or incurred before the insurance policy date begins
Deductible in pet insurance
Amount the owner must spend (out of pocket) before the insurance company will provide compensation
Wellness Plan
Payment plan billed monthly; has the purpose to promote preventative care
Red Flag rules
Policies & procedures designed to protect confidential & financial info in order to decrease fraud & identity theft
MVV
Mission, vision, & values
4 stages of the business life cycle
Introductory, growth, maturity, & decline
4 phases of strategic planning
Formulation, development, implementation, & evaluation
SWOT
Strengths, weaknesses, opportunities, & threats
When should your MVVs be developed during your business life cycle?
Introductory
What is a learning organization characterized by?
The ability to adapt to changes & respond quickly to environmental or consumer changes
What is part of the formulation phase of strategic planning?
MVVs or SWOT
Where is it most appropriate to keep controlled substances in a vet clinic?
Securely locked in a substantially constructed cabinet or safe bolted to the wall or floor
A vet clinic keeps the keys for its controlled substance cabinet on a hook at its busy front desk. Is this a good location?
No, they should be moved to a more secure location & allow only 2 people access to the cabinet
What schedule controlled drugs are heroin & LSD?
1
How many days supply of a schedule 2 drug is the vet permitted to prescribe on one script with no refills?
30
What are the limitations on prescribing schedule 3 drugs?
30 days supply, 5 refills, for 6 months
What is a vet at risk of when their clinic has filed several reports of missing controlled substances?
Losing their DEA license
What should you do if a client calls saying that they’re out of their dog’s pain meds & the dog is crying in, but the prescription was filled only 10 days ago? And why?
Unable to refill the prescription & ask them to bring the dog back for further evaluation; because of concerns the owner is drug seeking