Permanent Final Adoptions

TITLE 775. Board of Veterinary Medical Examiners

CHAPTER 25. Recordkeeping and Supervision Requirements

[OAR Docket #09-501]

RULEMAKING ACTION:

PERMANENT final adoption

RULES:

775:25-1-4. Supervision Requirements [AMENDED]

AUTHORITY:

59 O.S. Supp.2007, SEC. 698.1 et seq.; Board of Veterinary Medical Examiners

DATES:

Comment period:

December 1, 2008 through January 5, 2009

Public hearing:

January 9, 2009

Adoption:

January 9, 2009

Submitted to Governor:

January 13, 2009

Submitted to House:

January 13, 2009

Submitted to Senate:

January 13, 2009

Gubernatorial approval:

February 9, 2009

Legislative approval:

Failure of the Legislature to disapprove the rules resulted in approval on March 25, 2009

Final adoption:

March 25, 2009

Effective:

April 30, 2009

SUPERSEDED EMERGENCY ACTIONS:

N/A

INCORPORATIONS BY REFERENCE:

N/A

ANALYSIS:

The proposed revisions to chapter 15 will be a change in the definition of Complaint; deletion of the words person licensed or certified by the Board and inserts any persons.

CONTACT PERSON:

Cathy Kirkpatrick, Executive Director, 201 N.E 38th Terr. Suite 1, Oklahoma City, OK 73105, 405-524-9006

PURSUANT TO THE ACTIONS DESCRIBED HEREIN, THE FOLLOWING RULES ARE CONSIDERED FINALLY ADOPTED AS SET FORTH IN 75 O.S., SECTION 308.1(A), WITH AN EFFECTIVE DATE OF APRIL 30, 2009:

775:25-1-4. Supervision Requirements

(a) Each licensed veterinarian shall provide direct supervision of any registered veterinary technician, employed assistant or Supervised Doctor of Veterinary Medicine ("SDVM") who participates in the are involved with their practice of veterinary medicine. , except that when a licensed veterinarian is not on the premises, said licensed veterinarian shall give written instructions for post operative or follow-up treatment of the animal patient, provided that the animal has been examined by the supervising veterinarian at such time as good veterinary medical practice requires, and the animal is not anesthetized. A licensed veterinarian may delegate only those activities acts within the practice of veterinary medicine that are allowed by law to be delegated to an employee or SDVM and which are consistent with that person's training, experience and professional competence.

(1) When a licensed veterinarian is not on the premises, said licensed veterinarian shall have in place written instructions or a written hospital/clinic policy for follow up treatment of the animal patient, provided that the animal has been examined by the supervising veterinarian at such time as good veterinary medical practice requires.

(2) Reserved

(b) Unless otherwise exempted by statute or specified for SDVM's, a A licensed veterinarian shall not may delegate the procedures referenced by and in accordance with Subchapter 7 of Chapter 10 of these rules any of the following to any registered veterinary technician. or employed assistant:

(1) any act of diagnosis or prognosis;

(2) performance of any surgical procedure; or

(3) the prescribing of any drug, medicine, biologic, apparatus, application, anesthesia or other therapeutic or diagnostic substance or technique.

(c) Unless otherwise exempted by statute or specified for SDVM's, a While the licensed veterinarian is physically on the premises they may delegate the following to any registered veterinary technician or employed assistant under direct supervision as defined in 59 O.S. Section 698.2, while the licensed veterinarian is physically on the premises:

(1) inducing anesthesia by inhalation or intravenous injection;

(2) applying casts or splints;

(3) performing dental extractions; or,

(4) suturing existing skin incisions; or,

(54) administering controlled dangerous substances or veterinary prescription drugs, unless subject to a veterinary-client-patient relationship having has been previously established and if the licensed veterinarian is not on the premises, previously written orders exist when the licensed veterinarian is not on the premises must be in place for the administration of such drugs.

(d) Unless otherwise exempted by statute, a Under direct supervision a licensed veterinarian may delegate any of the following to any SDVM under direct supervision;

(1) any act of diagnosis or prognosis;

(2) performance of any surgical procedure;

(3) inducing anesthesia by inhalation or intravenous injection;

(4) applying casts or splints;

(5) performing dental extraction's.

(6) suturing existing skin incisions;

(7) prescribing, dispensing and administering controlled dangerous substances, veterinary prescription drugs or vaccinations. The prescribing, dispensing, and administering of controlled dangerous substances may only be performed after a federal (DEA) controlled dangerous substance certificate and a state Oklahoma Bureau of Narcotics and Dangerous Drug certificate has been procured by the certificate holder (SDVM).

(e) In emergency life saving situations where a licensed veterinarian is not on the premises, a SDVM, registered veterinary technician or an employed assistant who possesses the appropriate training, experience and professional competence may perform the following emergency treatments in a life saving situation:

(1) apply tourniquets and/or pressure bandages to control hemorrhage;

(2) administer pharmacological agents to prevent or control shock, including parenteral fluids, provided that the SDVM or employee has direct communication with a licensed veterinarian. When direct communication cannot be established with respect to this paragraph (e), a SDVM or competent employed assistant may provide emergency care in accordance with pre-established written instructions provided by their employer veterinarian(s);

(3) initiate resuscitative oxygen procedures;

(4) establish open airways including intubation appliances but excluding surgery;

(5) perform external cardiac resuscitation;

(6) apply temporary splints or bandages to prevent further injury to bones or soft tissues;

(7) apply wound dressings and external supportive treatment for severe burns; and

(8) provide external supportive treatment in thermal injury cases.

[OAR Docket #09-501; filed 3-26-09]