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Building
The building itself should be well maintained, clean, odor-free,
and solidly constructed with adequate space and safeguards for each
patient.
Staff
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.
Pharmacy
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An orderly pharmacy, without outdated drugs should be a major objective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.
Laboratory
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.
Radiology
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?
Surgery
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?
Wards
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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