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Compliance Inspection Outline

The OVMLB compliance program is based on those requirements found in the Ohio Administrative Code, 4741-1-03, which are the minimum standards to be used in the care and treatment of animals. In addition, any other areas observed by the inspector not meeting statutory or regulatory requirements will be covered during the inspection.

The inspection will encompass the entire physical facility with attention to the following areas:
Building | Staff | Reception | Business Office | Record-keeping | Examination Rooms | Pharmacy | Laboratory | Radiology | Surgery | Kennels/Wards | Exercise Runs | Waste Disposal

The building itself should be well maintained, clean, odor-free, and solidly constructed with adequate space and safeguards for each patient.

All certified/registered staff will be reviewed to ensure they are currently licensed/registered and working within the boundaries of the license/registration.The doctors and their employees and their individual position will be recorded on the report.

Reception Area
Most client's first overall impression is received when they walk into a reception area. The inspector will be looking at whether the reception area is clean, orderly, well-ventilated, and free of odors.

Business Area
There are a number of ways to maintain patient records and store them, however; it is imperative that an adequate record-keeping and retrieval system be maintained. A legible individual record must be maintained on every patient including documentary evidence of the patient's illness, care and treatment.
A professional, up-to-date library, including basic textbooks, periodicals, journals and other materials appropriate to the profession should be available for staff use.

Examination Room
Examination rooms should be sanitary, clean and orderly with sufficient lighting. All necessary equipment for an adequate, routine examination should be available. No drugs should be allowed to set out where a client could remove them while the room is unattended. The exam table should be adequate with an impervious surface and covered sanitary waste receptacles should be kept in every room.

Appropriate record-keeping is necessary in the administration or dispensing of any dangerous drug. Initial and biennial inventories are mandatory on any controlled substance obtained and used by the veterinarian. A written record of the administration of any controlled drug used in- house should be noted on the patient record or surgery log. A substantially constructed, locked cabinet or safe should be used to store controlled substances.
An orderly pharmacy, without outdated drugs should be a major objective in this area.

Equipment for routine lab tests should be present, or there should be evidence of the use of an outside lab.Equipment should be adequate to perform the following if done in-house:
1. Blood examination
2. Blood chemistry
3. Routine urinalysis
4. Routine bacterial and mycotic cultures
5. Routine parasitological examinations
Some type of data control should be maintained on specimens and test results. Other clinical data not kept on the patient record should be cross indexed and easily retrievable.

The main areas of concern will be:
1. Are all radiation devices registered with the Ohio Department of Health?
2. Are radiographs taken or is an outside facility used?
3. Is safety equipment used to protect personnel?
4. Are film badges used to monitor exposure?
5. Are all films properly identified?
6. Can films be easily retrieved during the lifetime of the patient?

If surgery is performed, appropriate facilities and equipment shall be provided and the operating area shall be clean, orderly and run in accordance with accepted surgical practice. A suitably equipped area should include the following equipment and supplies:
1. An autoclave or other equipment for effective sterilization;
2. A scrub sink or suitable container for surgical preparation;
3. Operating light of sufficient power to assure clear illumination of the operating field;
4. Instruments and drapes appropriate for the surgical procedure used;
5. Instruments and equipment for anesthesia and artificial respiration. If no anesthetic
machine is used, is there an Ambu bag?
6. Emergency lighting;
7. Are emergency drugs with syringes and needles kept in the surgery area?
8. If gas anesthesia is used, how often is the machine taken apart and cleaned?
9. Are IV fluids used routinely for prolonged surgeries or those poor risk cases that
would benefit?

Caging or housing should be designed with the animal's physical comfort as a primary consideration. Physical comfort includes assuring that the animal is dry and clean with sufficient space to assure freedom of movement and allow normal postural adjustments and convenient access to food and water. Cages, runs and pens should be kept in good repair to prevent injury to the animal. Sharp corners and edges, broken wire and other hazards should not be present. All cages and exercise runs should be constructed that excrement from one animal does not run into another cage or runway. Cleaning, sanitizing and/or flushing and mopping should be done between uses.

Waste Disposal
An adequate and safe system of disposal for carcasses and waste materials has to be in place and in accordance with local zoning and health regulations.

The above areas are examples of some, but necessarily all, of the area


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