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Clin Manage Test #1
| Question | Answer |
|---|---|
| Crash kit requirements | -portable -organized -emergency equipment -kept close to anesthesia induction -drug bottles well labeled and kept in a consistent location -check kit for quantity and expiry dates often |
| 3 emergency drugs kept in the crash kit | -atropine -epinephrine -lidocaine |
| How often CVO does an accreditation | every 5 years |
| Name a few areas that are reviewed during a CVO Accreditation | -exam rooms -pharmacy -safety -radiology -treatment area |
| A few things to check when unpacking an inventory order | -check for correct product and strength -record drugs in narcotic log book -put drugs immediately into locked storage container |
| reasons for discrepancies between recorded controlled drug amount and actual amount measured | - math error -fluid lost in hub -inaccurate measurement/spillage/leakage -incorrect record keeping |
| How much fluid does the CVO allow to be lost in the hub | 0.1-0.2 mls |
| Reason for using tamper tape | so people know no one has used it since the last audit |
| 80/20 rule | 80% of your sales is generated from 20% of your inventory |
| Name some inventory challenges | -fear of running out -trying to please all clients -new products/promotions -not watching expiry dates -storing inventory in too many locations |
| Challenges if inventory is too low | -lost sales -interruption of routine to place order -possible increased cost |
| Challenges if inventory is too high | -waste of money -money could be invested elsewhere -greater interest costs if operating on borrowed money |
| 6 Real costs on inventory | -shipping -time -borrowed funds -expiration -theft -storage |
| Inventory turnover | PRACTICE CALCULATING |
| how often should we be monitoring inventory | monthly |
| 2 ways to monitor inventory | manual, computer program |
| Define re-order point | the level to allow a product supply to deplete before reordering |
| 2 ways to determine reorder point | -determine rate at which the item is used in the clinic -determine the time required to obtain more product |
| what is the rule of thumb for the reorder point | maintain one months supply |
| two main options for placing orders in the vet profession | -specific suppliers -buying groups |
| what are the two major purchasing groups in southern ontario | -Vet purchasing company (VP) -Canada wide distributor to vet practices (CDMV) |
| how to organize a clinic pharmacy | -alphabetically -therapeutic use -dosage form -level of use |
| Define: Lead Time | the time between placing and receiving an order |
| Define: Purchase order | a printed list of what was ordered at one particular time |
| Define: Shipping bill | the document supplied by the company which transports the order and that is signed upon receipt of the goods |
| Define: Packing slip | the document packed by the supplier with the order which indicates the type and quantity of goods sent |
| Define: Back order item | an item that was not available when the order was filled, the order is held until it becomes available and then its shipped |
| Define: minimum order | the minimum dollar value of an order required to receive the goods free of shipping charges |
| 3 inventory strategy | -have the right assortment of items -keep your stock low -always try to increase turnover |
| the second largest expense of operating a veterinary clinic is inventory! what is the first? | payroll |
| Define good management | successful clinic -incorporate human relationships as well as the functions of completing business goal |
| 4 stages of management process | 1. Planning 2. Organizing 3. Directing 4. Evaluating |
| 1st stage of management process: Planning | determines the goals of the business |
| 2nd stage of management process: Organizing | communicating the plan to those who will carry it out |
| 3rd stage of management process: Directing | using personnel management skills to motivate people to various steps of the plan |
| 4th stage of management process: Evaluating | measuring and analyzing the success of the management process |
| 3 management roles | 1. Office Manager (lowest level of authority) 2. Practice Manager (mid level) 3. Hospital Administrator (highest level) |
| 4 major areas of responsibility for a practice manager | 1. Business - Finance and Economics 2. Personnel and Human Resources 3. Operations and Building Maintenance 4. Marketing and Client Relations |
| 5 things Management is responsible for in business and finances | 1. income production 2. purchasing 3. book-keeping, accounting, banking 4. legal matters 5. record maintenance |
| 6 types of records that a vet practice must keep | 1. medical records 2. logbooks 3. release/consent forms 4. purchasing records 5. invoices 6. employee records |
| Guidelines/rules for medical records | -written in permanent pain -no blank lines -errors must be crossed out with a line and initialed -have numbered pages -every medical form kept for 5 years |
| CVO guidelines for medical records | -patient ID -client ID -Emergency Contact -date of each animal visit -pets history -pets current weight -lab work -advice and conversations -treatments |
| 6 critical components of the medical records as outlined by the CVO | 1. the problem list 2. allergies 3. history 4. diagnosis 5. treatment plans 6. appropriate treatment |
| Medical record ownership? | medical records and the information in them are the property of the veternarian |
| what is PIPEDA | "the personal information protected electronic document act" -came into place on January 1st 2001 |
| Oath of medical confidentially | -under no circumstances should any information in the pets medical record, x-rays, test results or financial information be discussed with anyone -this is considered a breach of trust and leaves the owner veterinarian at risk for a law suit |
| what is the exception of the medical oath | -health officials MUST be informed of any reportable disease or animal bite |
| What is SOAP | - Subjective, objective, assessment, plan |
| 3 logbooks required in vet clinic | 1. radiography 2. surgery/anesthesia 3. narcotic/control log |
| 5 types of consent forms | 1. surgery 2. extra label use of drugs, early release forms 3. euthanasia 4. treatment, diagnostic, boarding 5. patient information release |
| 5 legal requirements of an informed consent form | 1. must be in writing 2. must state that owner had been advised of neg consequences 3. must not state guaranteed success 4. must become part of the animals record 5. must be signed |
| ac | bowel movement |
| ad lib | as much as desired |
| FLUTD | feline lower urinary tract disease |
| R/O | rule out |
| eod | every other day |
| prn | as needed |
| every | q |
| Bx | biopsy |
| Fx | fracture |
| Dx | diagnosis |
| DHLPP | Distemper, hepatitis, leptospirosis, parainfluenza, parvo |
| DA2PP | Distemper, Adenovirus, Parainfluenza, parvo |
| CIV | canine influenza virus |
| FIV | feline immunodeficiency virus |
| RV | rabies vaccine |
| MLV | modified live vaccine |
| pg | pregnant |
| FVRCP | Feline viral rhinotracheitis, calci, panleukopenia |
| FIP | Feline Infectious Peritonitis |
| NFW | not feeling well |
| JRT | jack russel terrier |
| FeLV | feline leukemia |
| CHF | congestive heart failure |
| FAS | Fear, anxiety, stress |
| ESA | employment standards act |
| WHMIS | Workplace hazardous material information system |
| OHSA | occupational health and safety act |
| 3 benefits to having a written policy and procedures manual | 1. time saver 2. legal challenges 3. communication |
| 5 section titles of employee handbook | 1. work hours 2. pay period 3. dress code 4. health benefits 5. employee status |
| what is a mission statement | A basic description of the company, its purpose and its goals. |
| why would you create a mission statement | -respond to clients needs -treat clients with respect and dignity -share passion with the community |
| what is a SOP | standard operating procedures, ensuring things are done the same way each time and speeds up the training process for staff |
| why have a health and safety program | -it is the law if more than 5 employees work there -achieve a safe environment, workplace injuries, and illnesses |
| responsibilities involved with a Health and Safety program | -identify and control hazards -train team members -conduct regular health and safety inspections |
| What is a JHS and when does it need to be established | "Joint Health and Safety Committee -you must have a JHS if your team is 20 or more workers or is the clinic uses ethylene oxide |
| what 3 things is JHS responsible for | 1. hazard identification 2. workplace inspections 3. accident investigations |
| 3 parts that WHMIS consists of | 1. labels (primary and secondary) 2. Safety Data Sheets (SDS) 3. Worker Education and Training |
| WHMIS 2015 new classifying hazardous products, name the 2 groups | 1. Physical Hazards 2. Health Hazards |
| _______ % of veterinarians reported some form of injury during the previous _____ years | 93%, 5 |
| _________% of respondents indicated injuries that resulted in 1 or more days off work | 17% |
| _____% of food animal practitioners and _____% of companion animal who took x-rays reported accidental exposure | 20%, 37% |
| Accidental exposure to gas anesthetic was reported by ________% of those in private practice | 69% |
| Exposure to chemicals occurred in ______ work environments | all |
| ______% technicians reported at least one needle-stick injury over the course of their career | 93% |
| _______% has experienced a needle-stick injury during the preceeding year | 74% |
| ________% of technicians had required medical care for a needle-stick injury and _______ lost time at work | 3.5%, 0.8% |
| what is workplace violence defined as | exercise of physical force by a person against a worker, in a workplace that causes or could cause physical injury to workers |
| what is workplace harassment defined as | engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be down to be unwelcome. Includes workplace sexual harassment |
| Health and Safety program requirements | - Documents to be posted - Workplace inspections - Hazard control - Personal protective equipment (PPE) - Monitoring – monthly analysis of accidents - Work orders - First Aid Certificates (at least one) |
| What does right to know, right to participate and right to refuse mean? | workers have a right to know about workplace health and safety hazards, they have a right to make recommendations about health and safety, and they have a right to refuse work if they believe it endangers their health and safety |
| Veterinary work associated hazards | 1. Zoonosis -wear a lab coat, wash hands, do not eat/drink while handling 2. Animal Bites and Kicks -become aware of behaviour of animals, how to properly restrain 3. Back injuries - one of the most common, proper lift techniques and equipment - |
Created by:
jscott41
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