PROCEDURE MANUAL For House Officers

PROCEDURE
MANUAL
For House Officers
2013-2014
The Ohio State Veterinary Medical Center
Procedure Manual for House Officers
Table of Contents
Mission Statement……………………………………………………………………………………………………….
Hours of Operation………………………………………………………………………………………………………
Floor Plan…………………………………………………………………………………………………………………….
VMC Organizational Structure……………………………………………………………………………………..
Faculty…………………………………………………………………………………………………………….
Staff…………………………………………………………………………………………………………………
Administrative Information………………………………………………………………………………………….
Accounting Procedures…………………………………………………………………………………...
Building Repairs……………………………………………………………………………………….………
Faculty, Staff and Student Pets within the Hospital………………………………………….
Feeding Program……………………………………………………………………………………………..
Hospital Tours………………………………………………………………………………………………….
Media Requests……………………………………………………………………………………………….
Administrative and Financial Policies……………………………………………………………………………
Appointments for Faculty, Staff and Students………………………………………………….
Client Credit…………………………………………………………………………………………………….
CVM ID Badge…………………………………………………………………………………….……………
Discounts…………………………………………………………………………………….…………………..
Dress Code………………………………………………………………………………….…………………..
Emergency Closing…………………………………………………………………….…………………….
Food Storage and Consumption………………………………………………………………………
Gift/Conflict of Interest……………………………………………………………………………………
Good Sam………………………………………………………………………………………………………..
Good Sam Medications……………………………………………………………………………………
Social Networking Website and Photography………………………………………………….
Written Estimate, Charge Capture and Adjustment…………………………………………
Client Services………………………………………………………………………………………………………………
Hospital Phone System…………………………………………………………………………………………………
Long Distance Phone Codes…………………………………………………………………………….
Injuries/Bites/Health……………………………………………………………………………………………………
Incident/Accident Reporting……………………………………………………………………………
Incident Forms………………………………………………………………………………………………..
Student/Volunteer Accident Report………………………………………………………….
Animal Bite Report……………………………………………………………………………………
Incident Involving Animal………………………………………………………………………….
Client Accident Report.………………………………………………………………………..……
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Medical Records…………………………………………………………………………………………………………..
Parking Policies…………………………………………………………………………………………………………….
Patient Visitation………………………………………………………………………………………………………….
Security………………………………………………………………………………………………………………………..
Vet Star (Hospital Information System)………………………………………………………………………..
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Sections and Services
Anesthesia……………………………………………………………………………………………………………………
Biosecurity/Infectious Disease…………………………………………………………………………………….
Blood Bank…………………………………………………………………………………………………………………..
Central Supply………………………………………………………………………………………………………………
Clinical Labs………………………………………………………………………………………………………………….
Test Directory………………………………………………………………………………………………….
Euthanasia……………………………………………………………………………………………………………………
Small Animal Protocol………………………………………………………………………………………
Small Animal Checklist……………………………………………………………………………………..
Euthanasia Request Form…………………………………………………………………………………
Identification and Handling of Deceased Patients…………………………………………….
Honoring the Bond……………………………………………………………………………………………………….
Microbiology…………………………………………………………………………………………………………………
Pathology/Biosciences/Necropsy………………………………………………………………………………….
Pharmacy……………………………………………………………………………………………………………………..
Charge Form……………………………………………………………………………………………………
Rabies Vaccine………………………………………………………………………………………………..
Chemical Handling………………………………………………………………………………………….
Radiology……………………………………………………………………………………………………………………..
Small Animal Emergency and Critical Care……………………………………………………………………
Small Animal Surgery……………………………………………………………………………………………………
Small Animal Veterinary Assistants……………………………………………………………………………….
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Mission Statement: The Ohio State University Veterinary Medical Center
This mission of the Veterinary Medical Center is to serve the citizens of the State of Ohio through the support of
the clinical education of veterinary students, post graduate veterinarians and others, and promote animal wellbeing through the operation of a state-of-the-art veterinary medical center.
Goals:
1. To provide and maintain a comprehensive state-of-the-art examination, diagnostic, and therapeutic
facility.
2. To offer the highest level of professional veterinary medical care to our clients and patients.
3. To serve our referring veterinarians with the highest level of consultation and support.
4. To engender a courteous, compassionate, and professional atmosphere for our patients and clients.
5. To maintain a working environment for our faculty, staff, and students that fosters respect for the
individual, promotes teamwork, and enables all to perform to the full extent of their capabilities.
6. To foster and maintain a fiscally responsible attitude among our faculty and staff toward the delivery of
veterinary services and operation of the hospital.
Veterinary Medical Center Hours of Operation
The Veterinary Medical Center is open 24 hour a day, 7 days a week for emergencies for both large and small
animals.
Office hours by appointment generally fall between 8:00 a.m. and 5:00 p.m. Monday through Friday.
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The Ohio State University Veterinary Medical Center
Associate Dean, Clinical and Outreach Programs
Executive Director, Veterinary Medical Center
Chair, Veterinary Clinical Sciences
Practitioner
Advancement Boards
VCS Staff
VCS Faculty
Interns
Residents
Director
Veterinary Medical Center
VMC Board
Executive Assistant
Assistant Director
Business & Finance
Clinical Research Advisory Committee
Marketing and Development Advisory Committee
Assistant Director
Patient Care
Assistant Director
Client Services
Facilities Manager
Finance & Equipment Advisory Committee
Pharmacy and Supply Advisory Committee
Medical Records Advisory Committee
Finance Teams and Supervisors
Client Services Teams and Team Leads
Business &
Accounting
Emergency
Admissions
Pharmacy
Medical Records
Central Supply
Call Center
Clinical Labs
Small Animal
Admissions
Patient Care
Advisory Committee
Service Teams and Coordinators
Teams
Anesthesia
(Small Animal)
Onco/BB
SAIM
Anesthesia
(Large Animal)
Cardiology
Neurology
SA Surgery
ECC/ICU
Ophthalmology
Community Practice
Dermatology
Equine Surgery
Radiology
Food and Fiber
Equine ICU
Equine Medicine
RVT Training
Canine Rehab
Purchasing
Receiving
Large Animal
Admissions
Human Resources
Manager
Large & Small
Animal Support
Services
Custodians
Honoring the Bond
Program Coordinator
THE DEPARTMENT OF VETERINARY CLINICAL SCIENCES
The Ohio State University Veterinary Medical Center
Anesthesiology and Pain Management
Food and Fiber Animal
Turi Aarnes, DVM, MS
Assistant Professor - Clinical
Jeffrey Lakritz, DVM, PhD, DACVIM
Associate Professor
Richard M. Bednarski, DVM, MS, DACVA
Associate Professor and Section Head
Andrew Niehaus, DVM, MS
Assistant Professor- Clinical and Section Head
John A. E. Hubbell, DVM, MS, DACVA
Professor
D. Michael Rings, DVM, MS, DACVIM
Emeritus Faculty
Phillip Lerche, BVSC, PhD, DACVA
Assistant Professor – Clinical
Katharine Simpson, DVM, DACVIM
Assistant Professor - Clinical
Equine
Small Animal Surgery
Equine Ambulatory (Field Services)
Matthew Brokken, DVM, DACVS
Clinical Assistant Professor
General Surgery
Christopher Adin, DVM, MS, DACVS
Associate Professor
Michael Schmall, DVM
Associate Professor
Kathleen Ham, DVM, DACVS
Assistant Professor - Clinical
Christine Schneider, DVM
Clinical Instructor
Mary A. McLoughlin, DVM, MS, DACVS
Associate Professor
Equine Emergency and Critical Care
Margaret Mudge, DVM, DACVS, DACVECC
Associate Professor – Clinical, Section Head
Lillian Su, DVM, MVSc
Clinical Instructor
Equine Internal Medicine
Teresa Burns, DVM, DACVIM
Assistant Professor – Clinical
Sam Hurcombe, BSc, BVMS, MS, DACVIM
Associate Professor - Clinical
Catherine Kohn, VMD, DACVIM
Emeritus Faculty
Ramiro Toribio, DVM, MS, PhD DACVIM
Associate Professor
Equine Surgery
Jim Belknap, DVM, PhD, DACVS
Professor
Katy Townsend, DVM, MS, DACVS
Clinical Instructor
Orthopedics
Matthew Allen, MA, VetMB, PhD
Associate Professor
Jonathan Dyce, MA, VetMB, MRCVS, DACVS
Associate Professor and Section Head
Bianca Hettlich, Med Vet, DACVS
Assistant Professor
Tatiana Motta, DVM, MS
Assistant Professor - Clinical
Comparative Theriogenology and Reproductive Medicine
Alicia L. Bertone, DVM, PhD, DACVS
Professor and Trueman Chair
Marco Coutinho da Silva, DVM, MS, PhD
Assistant Professor
Rustin Moore, DVM, PhD, DACVS
Professor and Department Chair
Carlos Pinto, DVM, PhD, DACT
Associate Professor and Section Head
Margaret Mudge, DVM, DACVS, DACVECC
Associate Professor – Clinical and Section Head
Liz Santschi, DVM, DACVS
Associate Professor – Clinical
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THE DEPARTMENT OF VETERINARY CLINICAL SCIENCES
The Ohio State University Veterinary Medical Center
Small Animal Medicine
Cardiology and Interventional Medicine
John Bonagura, DVM, DACVIM
Professor and Section Head
Brian Scansen, DVM, MS, DACVIM
Assistant Professor- Clinical
Karsten E. Schober, DVM, DECVIM
Associate Professor
Comparative Ophthalmology
Matthew Annear, BVSc, MS
Assistant Professor
Anne Gemensky-Metzler, DVM, MS, DACVO
Professor – Clinical, Section Head
David A. Wilkie, DVM, MS, DACVO
Professor
Dermatology and Otology
Lynette Cole, DVM, DACVD
Associate Professor and Section Head
Andrew Hillier, BVSc, MACVSc, DACVD
Associate Professor
Wendy Lorch, DVM, MS, DACVD
Assistant Professor
Diagnostic and Clinical Microbiology
Joshua Daniels, DVM, PhD
Assistant Professor- Clinical
Gastroenterology and Internal Medicine
Julie Byron, DVM, MS, DACVIM
Assistant Professor – Clinical
Chen Gilor, DVM, PhD
Assistant Professor
Susan Johnson, DVM, MS, DACVIM
Professor, Section Head
Neurology and Neurosurgery
Laurie Cook, DVM, DACVIM
Assistant Professor – Clinical
Ronaldo da Costa, DMV, PhD, DACVIM
Associate Professor and Section Head
Sarah A. Moore, DVM, DACVIM
Assistant Professor
Nutrition
C.A. Tony Buffington, DVM, PhD, DACVN
Professor
Valerie Parker, DVM, DACVIM
Assistant Professor – Clinical
Oncology/Hematology
C. Guillermo Couto, DVM, DACVIM
Professor
William Kisseberth, DVM, MS, PhD, DACVIM
Associate Professor and Section Head
Cheryl A. London, DVM, PhD, DACVIM
Associate Professor and Shackelford Professorship
Urology and Nephrology
Dennis J. Chew, DVM, DACVIM
Faculty Emeritus
Stephen DiBartola, DVM, DACVIM
Professor/Assoc. Dean of Administration and Curriculum
SA Emergency and Critical Care
Edward Cooper, DVM, VMD, MS, DACVECC
Assistant Professor- Clinical and Section Head
Julien Guillaumin, DV, DAVECC
Assistant Professor- Clinical
Andrea Monnig, DVM, DAVECC
Assistant Professor - Clinical
Valerie Parker, DVM, DACVIM
Assistant Professor – Clinical
Barrak Pressler, DVM, DACVIM
Assistant Professor
Bob Sherding, DVM, DACVIM
Emeritus Faculty
Karen Tefft, DVM, MS, DACVIM
Clinical Assistant Professor
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THE DEPARTMENT OF VETERINARY CLINICAL SCIENCES
The Ohio State University Veterinary Medical Center
Community Practice, Shelter and Outreach Medicine
Susan Barrett, DVM
Clinical Assistant Professor
Molly Cassandra-Cox, DVM
Clinical Assistant Professor
Kevin Cox, DVM
Clinical Assistant Professor
Larry Hill, DVM, DABVP
Associate Professor – Clinical, Section Head
Christine Kellogg, DVM
Clinical Assistant Professor
Laurie Millward, DVM
Clinical Assistant Professor
Behavior
Meghan Herron, DVM, DACVB
Assistant Professor-Clinical
Tracy Shreyer, MA, Applied Animal Behaviorist
Program Specialist
Dentistry
Susan Barrett, DVM
Clinical Assistant Professor
Molly Cassandra-Cox, DVM
Clinical Assistant Professor
Kevin Cox, DVM
Clinical Assistant Professor
Diagnostic Imaging and Radiation Oncology
Wm. Tod Drost, DVM, DACVR
Associate Professor
Eric M. Green, DVM, DACVR
Associate Professor – Clinical and Section Head
Amy Habing, DVM, DACVR
Assistant Professor - Clinical
Lisa Zekas, DVM, DABVP, DACVR
Associate Professor – Clinical
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Veterinary Medical Center Staff/Phone List
Accounting
Kris Burns – 4-3850
Juan Du – 2-6959
Jana Cromer – 2-2594
Ellie Hoskins – 7-8213
Connie Rinehart – 4-8943
Central Supply
Rick Teasley – 2-6975
Mary Jean King – 2-0191
Sheila McElhatton – 2-0191
Tomi Spyker – 4-8671
Mario Ventresca – 2-0191
Administration
Sue Chmura-Asst. Director-Client Services – 7-4785
Stan Highley-Facilities Manager – 2-6148
Annie Jones-Asst. Director Pt. Care – 7-4475
Ken Luke-Asst. Director Finance – 8-8453
Dave Sammons-HR Manager – 7-4474
Jeannette Schmidt-Asst. to Director – 2-7158
Karin Zuckerman – Director – 7-0040
Client Services
Call Center - SA
Stephanie Yochem- Call Center Coordinator – 4-6006
George Edmisten – 4-6326
Judy Harper – 4-6268
Patty Owens – 4-6375
Sandra Weber – 46278
Anesthesiology-LA Technicians – 7-7954
Carl O’Brien- LA-Service Coordinator – 2-9587
Amanda Cardenas
Devin Heilman
Anesthesiology-SA Technicians – 2-7607
Theresa Hand- Service Coordinator – 2-5186
Heather Cruea
Sue Huck
Gladys Karpa
Robyn Victorine
Dan Wallon
Behavior
Traci Shreyer – 7-4633
Biomedical Media*
Marc Hardman – 7-6943
Jerry Harvey – 8-8231
Ken Matthias -2-9531
Tim Vojt – 2-2153
Blood Bank Technicians
Cristina Iazbik – 8-8460
Amanda Simons – 4-9074
Canine Rehab
Tracy Pejsa– Service Coordinator – 7-1830
Marcella Kimmick – Vet Assistant
Cardiology Technicians
Patty Mueller– Service Coordinator – 7-8311
Tammy Muse – 2-2106
Client Liaisons – 4-6409
Bill Hoza – a.m.
Frances Robbins – p.m.
Medical Records
Katrina Fagan- Coordinator - 46228
Kelly Funk – 2-7958
Krystal Phillips – 4-8844
Bobbi Schmidt – 4-8944
Jennifer Stallings – 7-1957
Celia Ruckel (intermittent) –2-7958
Reception – SA – 4-6179
st
Lori Klinge-Coordinator 1 Shift – 2-4301
nd rd
Amy Moore-Coordinator 2 /3 shift – 4-6038
Melanie Bernava
Meredith Cherubini
Kate Churchill
Mark Eades
Matt Julian
Christy McLeod
Anna Shepherd
Margo Wright
Clinical Labs
Jana Fletcher – 2-7951
Mary Boyd-Brown – 2-7951
Kathleen Canter – 2-7952/2-7955
Teresa Corbett – 2-7952/2-7955
Megan Fisher – 2-7952/2-7955
Andrea Morgan – 2-7952/2-7955
Nicole Tebbe – 2-7944
Clinical Labs
Chemistry Lab – 2-7952
Hematology – 2-7955
Microbiology – 2-7956
Parasitology – 2-8328
*College or Clinical Sciences staff
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Clinical Sciences*
Dan Aldworth-Fiscal Associate – 2-7986
Gail Azcarraga-Carter-HR Manager – 2-0656
Heidi Hamblin- Office Asst. – 2-9896
Debra Henrichs-VCS Adm Manager – 7-2135
Lara Lacey-Asst.to Assoc Dean – 2-0378
Amy Shaw-Edu Prgm Coordinator – 2-0687
Clinical Trials/Tissue Bank
Dr. Holly Borghese (TB) – 2-7954
Dr. Luis Feo (Intern) – 8-1147
Tamara Mathie (CT) – 7-8706
Nadia Ruffin (TB) – 8-1105
Ashley Smith (CT) – 2-4559
Nicole Stingle (CT) -688-5713
Columbus State
Lenore Southerland – 2-9136
Community Practice/Dentistry Technicians
Dawn Eblin– Service Coordinator – 4-2511
Michelle Dumond – 2-8730
Amber Hardesy-Unit Clerical Associate – 2-1573
Jen Henne-Dentistry – 8-1102
Dermatology Technicians
Deb Crosier – 4-6395
Educational Design and Systems*
Clare Allen – 7-2536
Trudy Busby – 8-8756
Theresa LeMaster – 2-0942
Lorri Noce – 7-2088
Janeen Sylvester – 20942
Emergency Critical Care Technicians (ECC) – SA – 2-5502
Courtney Beiter- Service Coordinator- 8-1148
Renee Cahill- Service Coordinator - 81149
Kiffy Brickey
Alicia Byrd
Stacey Cooper
Shellie Creager
Jennifer Edwards
Kayla Fields
Jessica Fussnecker
Billie Garbers
Carrie Jacin
Jessica Lynch
Amber Mason
Dawn Miklos
Liza Pawlak
Jim Quang
Michelle Rettig
Thomas Skidmore
Sarah Lumbrezer Johnson (Intermittent)
Joan Sicree (Intermittent)
Equine Center/LA office – 4-3704
Janelle Duncan
Marge Hauer
Lorie Kipp – 4-4441
Margie Price
Equine Surgery Technicians
Mallory Carnes- Service Coordinator – 4-8638
Tom Burgett – 4-0159
Jessica Rosebrook – 2-5908
Equine Medicine Technician
Amanda Hutcheson- Service Coordinator – 4-3845
Equine ICU Technicians – 4-1389 a.m./4-7092 p.m.
Olivia Holt- Service Coordinator – 4-1389
Abbie Bohler
Samantha Briggs
Heather Couch
Julianne Furukawa
Laura Peirson
Adriel Sitzes
Kirsten Swenson
Nicole Miller(Intermittent)
Barb Sohayda(Intermittent)
Food Animal Technicians
Beth Miller – 7-6898
David Fredrick – 7-1577
Honoring the Bond
Joelle Nielsen – 7-8607
Housekeeping – 614-558-3280
Internal Medicine Technicians
Pam Pugh– Service Coordinator – 8-3817
Joy Quang – 4-8675
Robin Richardson – 8-8338
Microbiology – 2-7956
Nancy Martin
Stephen Anderson
Neurology Technicians
Amanda Waln- Service Coordinator – 7-2167
Heather Myers – 8-1111
Oncology Technicians
Stacey Gallant- Service Coordinator – 2-8871
Tasheena Ebert – 2-2628
Kentee Fitch – 2-9252
Ophthalmology Technicians
Kelley Norris- Service Coordinator -2-4574
Chris Basham – 7-8227
*College or Clinical Sciences staff
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Pharmacy – 2-1010
Andrew Whicker-Pharmacy Manager
Mary Widders-Head Pharmacist
Christina Baldwin
Nissa Howard
Amber Phillips
Radiology Technicians -2-1040
Julie Morris-Service Coordinator – 2-6863
Danelle Auld
Denise Bailey
Jenny Bolon
Nicole Pastorek-Rad Onc – 7-9987
Charles Smith
Amanda Warchol-Rad Onc – 8-8376
VIS/Computers* – 2-4146
Cathy Bindewald-CIO – 2-74346
Rory Gaydos-Associate Director – 2-7735
Adam Britt – 2-8750
Brian Kildow – 8-7990
Reno Lemons – 2-7905
Dee Lohmeyer – 2-0029
Fred Marker – 2-2482
Sravani Paladugu – 2-3893
Chris Wells -2-3995
Ward Technicians (evenings and nights)
Chi Crompton/Night Coordinator – 7-1648
Marjorie Turpening/Evening Coordinator – 7-1613
Receiving Dock – 2-7440
John Kindall
Craig Miller
SAOP* - 2-7866
Linda Bednarski
Mary Casey – 2-8057
Erin Waggoner
Security Guard – 2-6677
Surgery (SAS) Technicians
Mary Ross-Service Coordinator – 2-0461
Nikki Brown – 4-2611
Kristie Brush – 2-0694
Michelle Gilliam – 7-7923
Mathew Kerzee – 4-9987
Kim Penrod – 2-1374
Heather Storey-Unit Clerical Associate – 2-8233
Amy Weatherall – 7-1854
Theriogenology
Chelsey Messerschmidt – 2-7397
Vet Assistants - LA
Ryan Lentz-Team Lead – 8-3291/731-0712
Isaac Asare
Jerry Peterman
Tom Reeb
Donald Wolf
Vet Assistants - SA
Jaime Board – 8-1638
Caitlin Fleming – 8-1646
Cathy Leuszler – 7-8427
Deanna Lopez – 8-1634
Todd Tensley – 8-1631
*College or Clinical Sciences staff
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Administrative Information
Accounting Procedures
1. Credit policies are strictly enforced. Any exceptions to current policies will be made by the Accounting staff
only.
2. Keep clear and accurate client communications documented in the chart.
3. All admissions and releases will be handled by the Reception staff. Do not release animals to clients
waiting in the lobby without being paged or asked to do so first by the staff. This typically takes place
after the client has paid their bill for reasons of safety, uninterrupted medical discussions, and process
efficiency.
4. Do not talk money with clients. All money questions, concerns or problems should be directed to the
Accounting offices or night-time staff. The Accounting phone number is 292-1360. The Front desk phone
number is 292-3551, and Equine Reception is 292-6661, or extension 4-3704.
5. Enter charges on client accounts in a timely manner to ensure accurate bills on discharge and provide good
customer service.
Building Repairs
All requests for building and equipment repairs and maintenance are to be channeled through the Facilities
Manager. Call 2-6148 from 7:00 a.m. – 4:00 p.m. After hours, contact the client services department for
assistance.
Faculty, Staff, and Student Pets Within the Hospital
As faculty, staff, and students at this veterinary college, we all like animals. The problem is that there are 600 of
us who like animals. If on any given day we all brought our animals to work, we would have no room for our
patients. In light of this, the rule has been and will continue to be that no animals other than active, current
patients of the hospital are allowed in the building. At no time are animals to be in the business office, or
roaming free about the hospital. This includes weekends, evenings, and holidays.
Any student or staff desiring to have his or her personally owned animal examined and/or treated by the
Veterinary Hospital must follow the following procedures:
Unless otherwise arranged with a specific clinician, an appointment must be scheduled through the reception
desk.
A patient medical record must be prepared for all privately owned animals.
Hospitalization of a patient must be authorized by a responsible clinician and the patient properly identified with
a neck band, cage label, and accompanied by a regular medical record.
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Feeding Program
Various lams and Purina pet food are available for purchase by students, faculty, and staff at discounted rates
thru our front desk. A valid College of Veterinary Medicine ID must be displayed at the time of sale. Sales times
are Monday- Friday, 9:30 a.m. – 3:30 p.m. You will need your receipt in order to pick up your order within those
hours. Dock Hours are Monday- Friday, 8:00 a.m. – 4:00 PM.
Hill’s foods are available online thru the SCAVMA organization and pick-up is at the VMC dock.
Please note that clients come first and we ask that you do not hover near the cashier when a client is paying his
or her bill.
If you have any questions or concerns, please feel free to contact Accounting at 614-688-4030.
Hospital Tours
Requests for tours should be directed to the Student Affairs Office (phone # 247-1512) or the Assistant to the
VMC Director, phone # 292-7158. Hospital Administration should be notified of all group tours of the building.
Media Requests
Any media requests or publicity for the VMC should be directed to the College Communications Director,
Melissa Weber at 292-3752 or the Hospital Administration Office at 292-7158.
Requests for speakers should be directed to the Office of Veterinary Clinical Sciences at 292-0378.
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Appointment Policy for Students, Faculty, and Staff
All faculty, staff and students of the College of Veterinary Medicine are welcome to have their personal pets
treated at the OSU Veterinary Hospital. Anyone employed or registered as a student at the College of Veterinary
Medicine receives a 20% discount on services. When you register your pet for the first time, please show your
College/ Student ID. Your student, faculty, or staff status will be notated in the hospital billing system. You will
then receive the 20% discount from that point on until you are no longer affiliated with the College.
All animals seen, regardless of the reason for the visit, must be registered prior to the visit by the reception
staff. This includes all drop off/overbook, blood donor, employee/student, special/weekend and emergency
visits.
All animals coming to the hospital must be registered and have a chart generated for documentation of the
treatment and services performed. No exceptions. A number of clients, staff and students have been bringing
their animals to the hospital for treatment without getting the animal registered for the visit. This creates a
number of problems:
• It places us in a compromised position legally if anything happens to the animal while in our care.
• Patients’ long term care is compromised, as diagnoses, treatments and test results are not getting
documented into the patient record.
• Also, charges and revenue for the services performed are not being recorded correctly and clinicians are
not receiving credit for seeing these cases.
Please do not put the clinicians in an awkward position by requesting services from them that fall outside the
normal appointment process.
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Client Credit Policy
We are dedicated to helping our clients care for their animals and realize that payment for treatment often is a
concern. Please understand our financial requirements. The Hospital is self-supporting. Please let us know if you
have budgetary limits before we start diagnosis and treatment.
Estimates & Deposits:
You will receive a preliminary estimate in advance of surgical or medical procedures once the initial evaluation is
completed. If your animal is transferred to another service within the Medical Center you should receive
an additional estimate for care under this new receiving service. The estimate may be revised if results of
diagnostic testing alter the plan for treatment or if complications arise related to a serious illness.
Outpatient:
The Ohio State University Veterinary Medical Center operates on a payment-at-time-of-service basis for all
outpatient office visits, spay, neuter, and declaw surgeries, prescription and lab services. This policy applies to
both routine and specialty clinics. Payment for elective surgeries such as spay, neuter, and declaw surgeries are
due in full when the animal is admitted.
Inpatient:
A minimum deposit equal to 50% of the high end of the estimate range provided is required for all inpatient
(hospitalized) cases prior to admission. For example, if your estimate is $1,200-$1,400, you would be asked to
leave a $700 deposit. Please keep in mind that estimates and deposits can change if complications occur. Please
ask how changes in your animal’s condition will affect the cost of treatment. The required deposit may be higher
based on the current estimate, your credit history, the urgent nature of your case, and other extenuating
circumstances. Payment for the balance of charges is due upon release of an inpatient from the Medical Center.
Financial Arrangements may be possible for inpatient (hospitalized) patients with balances over $300 upon
credit verification and approval by the Accounting department. The credit application must be complete,
including proof of owner’s social security number and other contact information. If approved, one-half of the
unpaid balance will be required upon release of your animal and the remaining amount due may be financed in
three monthly installments. Interest of 1.5% per month (18% APR) is assessed on all accounts with balances
over 30 days.
We do our best to provide a complete invoice at the time of discharge, but due to the nature and timing of
certain procedures, all charges may not be posted at the time of release. In such instances, you will be billed
for the remaining charges incurred for patient care during treatment of the animal but posted in the billing
system after release. These additional charges will be billed by mail and payment is expected within 30 days of
billing or 1.5% per month (18% per annum) interest will apply.
The Veterinary Medical Center reserves the right to refuse to provide care if an existing client’s account is not
current or a client is unable to pay for the services.
We accept cash, checks (with valid ID), Discover, MasterCard, VISA, and American Express.
* Prices subject to change. Verify with Accounting.
V02.09
16
CVM Human Resources Policies
ID Badge Policy
Revised: May 2011
Applies to: All
General
The College of Veterinary Medicine (CVM) is committed to providing a secure workplace. As part of
this goal, CVM has established an identification badge system for all faculty, staff, students, visitors,
contractors, and volunteers and other authorized personnel. Failure to follow this policy will be
considered a violation of university policy and may result in disciplinary action.
Policy Guidelines
Definitions
A. BuckID – the official university ID for faculty, staff, and students. The BuckID can serve a
number of purposes. See www.buckid.osu.edu or call (614) 292-0400 for additional
information. Because Athletics recognizes only the BuckID for entry into athletic events, the
CVM ID badge will not be used as a replacement for the BuckID.
B. CVM ID Badge – The official identification for all CVM employees, volunteers, students,
visitors, and contractors and other authorized personnel. The badge is designed for
identification purposes and to gain access to facilities after hours or that are restricted. The
CVM ID badge displays the CVM logo, an image of the individual, and the full name, title,
and department. The badge is encoded with the BuckID ISO number on the magnetic strip
on the back.
Requirements
A. Because the policy and procedures described herein are intended to provide for the safety
and security of the CVM community, all employees, students, visitors, volunteers,
contractors, and other authorized personnel are expected to fully comply with all provisions
of this policy.
B. CVM Human Resources will coordinate the implementation and management of the badge
program in CVM. Departments, the Veterinary Medical Center, and CVM Student Affairs
must identify one individual who will manage ID badge application forms for their respective
areas.
C. As part of new student, faculty and staff orientation, new individuals will sign an
acknowledgement form, which will be housed in the appropriate department.
D. The CVM ID Badge must be prominently displayed at all times while on college grounds and
prominently worn so the photo is clearly visible. Individuals will be provided with either a
lanyard or a badge retractor at the time they obtain their initial badge. Individuals may
elect to wear their own lanyard or badge retractor as long as it is professional in
appearance.
E. Individuals are responsible for safeguarding their own CVM ID Badge and BuckID. Any lost
or damaged CVM ID Badge or BuckID should be reported immediately to the department’s
HR Professional or CVM Student Affairs (VME Students only), who is responsible for
notifying access coordinators and providing the necessary forms for the individual to obtain
a replacement.
CVM Human Resources Policies/ID Badge
Revised: May 2011
Page 17
F. Departments may issue a Visitor badge to an individual who has forgotten to bring his/her
badge in for the day. The Visitor badge must be returned to the department at the end of
the day or shift. No one shall have more than one CVM ID badge.
G. CVM ID Badges and BuckID’s are the property of the university and shall be returned to the
department HR Professional upon separation from the university or being placed on
administrative leave. Students (all) may keep the BuckID as can employees transferring to
other university departments. CVM ID Badges should be collected for student positions.
H. Visitors and volunteers must have a CVM ID Badge while in College areas. Visitors and
volunteers should obtain a badge from the department representative for the area for
which they are visiting or volunteering. Each badge is numbered and can be used for access
to secure areas via the badge identification number. The badge should be returned to the
department at the end of the visit or volunteer assignment. Departments will receive a
limited supply of Visitor badges.
Responsibilities
A. Administration – ensure that this policy is fully implemented and adapted to the needs of
the College and departments.
B. Department Human Resources Professionals – responsible for the management of ID
request forms and the collection of ID badges when an individual is no longer associated
with the University.
C. Supervisor/Managers – employees in supervisory titles are responsible for the
reinforcement of this policy.
D. ALL – all faculty, staff, students, volunteers, visitors, and designated others, are responsible
for identifying individuals on college grounds without an ID prominently displayed and
either request to see an ID or to report the individual to the immediate supervisor,
departmental chair, Associate Dean, Student Affairs (VME students only), Director, CVM HR;
and/or department HR Professional. In addition, individuals should verify people have
appropriate identification prior to allowing individual’s access to secure or locked areas.
Failure to ensure proper safety can place the CVM community at risk.
Replacement
Lost or damaged CVM ID Badges should be reported to the department HR Professional, CVM
Student Affairs, and/or the CVM HR Director within 24 hours. After notification, the individual is
responsible for obtaining a replacement. A CVM ID Badge Application is required and can be
obtained from the department HR Professional, CVM Student Affairs, and/or the CVM Human
Resources Director. Individuals will be responsible for any possible costs associate with replacement
of the CVM ID Badge or the BuckID.
Scenario
Associated Cost
First-Time Badge
No Cost
Damaged, Name Change, or Status Change – must turn in
current badge before receiving a replacement. All Badges
distributed by BuckID
Lost CVM Badge – requires both the BuckID and the CVM
Badge to be replaced due to coding. Staff must produce
one current form of photo identification such as a driver’s
license, passport, etc.
a) If current ID is turned in, no charge to the staff member
b) If current ID is not turned in to BuckID Services,
employee pays $5 for the CVM ID Badge and $20 for the
BuckID when ID is issued.
BuckID - $20 replacement
CVM ID Badge - $5 replacement
Resources

BuckID Services – 3040 Ohio Union, 1739 N. High Street, 614-292-0400
CVM Human Resources Policies/ID Badge
Revised: May 2011
Page 18
VETERINARY MEDICAL CENTER DISCOUNT POLICIES – Revised 09-24-2010
GENERAL REQUIREMENT: ALL DISCOUNTS ARE CONTINGENT ON THE CLIENT PROVIDING
TIMELY PAYMENT AND MAINTAINING AN ACCOUNT IN GOOD STANDING. Please note that only
one discount per individual may be applied. For example, someone eligible for a Golden Buckeye
discount and another discount would only be eligible for one discount on a given visit/patient.

Golden Buckeye – Amount: 5%. Eligibility: Any Ohio resident with a valid golden buckeye card
presented at the time of service.

Faculty/Staff/Student – Amount: 20%. Eligibility: Any Faculty/Staff member who works for the
College of Veterinary Medicine and any CVM student. Valid employee or student ID is required.
The discount applies to personally owned animals only and is for supplies and services
provided to external clients. *Please note: The waived exam fee is ONLY offered for animals
seen during off-peak and non-emergency periods of a service’s schedule. In this case,
employees’ and students’ animals will be seen between other client appointments that day.
Employees can opt to schedule their animals for a specific time slot in the schedule, but will be
charged the exam fee for securing that specific appointment.
o
Emergency-Critical Care cases will be assessed an exam fee. The emergency (ER)
fee will be waived unless the case is determined to be non-emergent by an ECC
Faculty. The above 20% discount is applicable to the exam fee and/or ER fee.
o
There may be exceptions to the Faculty/Staff/Student discount policy for select
services.

Retired Faculty/Staff – Amount: 20%. Eligibility: Any Faculty/Staff member who retires from the
College of Veterinary Medicine may keep the discount for life; the discount that applies defaults
to the policy for active faculty/staff/students at the time of service and applies to personally
owned animals only.

DVM – Amount: 10%. Eligibility: Any veterinarian.

Rescue Organization – Amount: 10% on first visit per animal. Eligibility: Any rescue organization
that provides a letter on their letterhead stating the name of animal, name of director, address of
the office, foster parent information, amount that is allowed for the visit, and their tax ID number.
Subsequent visits for the same animal are not eligible for the discount.

Law Enforcement Animals – Amount: 10%. Eligibility: Animals owned by law enforcement
agencies. The discount applies for all visits on eligible patients. Please note this is only
applicable to governmental agencies.

Franklin County Dog Shelter and Capital Area Humane Society – Amount: 20%. Eligibility:
Discount per agreement and requiring Hospital Director’s approval.

Columbus Zoo/Wilds – Amount: Negotiated %. Eligibility: Special agreement that requires
Hospital Director’s approval.

Guide/Service Animals – The Hospital may offer special one-time discounts, such as reducedpriced exams or other discounted services, with the Hospital Director’s prior approval.
19
The Veterinary Medical Center Dress Code Guidelines
In an effort to promote professionalism, infection control, and safety, the Veterinary Medical Center (VMC) requires faculty, residents, interns, staff and students (personnel) to maintain personal cleanliness, neatness, good hygiene and appropriateness of dress when on service/working in the VMC. A. General Dress and Appearance Guidelines 1. General Expectations of Appearance: Whether we wear scrubs or our own clothes, the way we appear to our patients, clients, visitors and one another says a lot about how we deliver the services we offer in each of our respective positions. Our dress should make everyone we encounter confident that we are a professional committed to excellence in patient and client care. Clothing should be wrinkle free, clean and in good repair and should be selected to wear within the work environment with the intent to present a professional image. The contents of this policy are not exhaustive in the items that may or may not be permitted. It is recommended and expected that personnel will inquire prior to wearing an item of question. It is also recommended and expected that service heads/supervisors/managers will set a vision for the expectations in their respective departments meeting this policy at a minimum. 2. Clothing: In certain areas of the VMC, scrubs and other uniforms are currently provided annually based on percentage of FTE. In other areas, professional attire is expected. Scrub/Uniform Guidelines: a. Personnel provided uniforms are expected to be dressed in a clean uniform at all times. b. Uniforms must be clean, in good condition, wrinkle free and fit appropriately. c. Uniforms are to be worn in their entirety if they come with tops and bottoms – both must be worn. d. Personnel will be responsible for all uniforms issued. This includes returning each uniform in a reasonable condition at termination, taking into consideration normal use. e. Personnel may not wear their uniforms outside of the VMC, unless traveling to and from work. f. Solid color tee shirts, mock turtlenecks or turtlenecks may be worn under scrub tops. No tee shirt writing may be visible. g. Color coordinated solid color scrub jackets, coats, fleece, vests or coveralls may be worn over scrubs/uniforms for warmth. This clothing should be removed when it could interfere with patient care. 20
h. In an effort to help our clients identify our personnel, we will color coordinate scrubs/uniforms as follows: i.
Faculty/residents – Misty green (hospital issued) or Caribbean Blue ii.
Interns – Misty green iii.
Technicians and Technician Students – Navy blue or Navy top/Khaki bottom iv.
Laboratory technicians – Gray and Black v.
Veterinary Assistants -­‐ Green vi.
Client services – Wine vii. Central supply – Black viii.
Veterinary Students – Ceil blue Professional Attire Guidelines: a. Clothing must be clean, in good condition, wrinkle free and fit appropriately. Tight fitting or revealing clothing is not permitted. b. Clothing may not be see-­‐through. c. Undergarments should be properly concealed. d. Jeans are strongly discouraged. Jeans are acceptable clothing for large animal veterinary assistants and the receiving dock. e. Examples of clothing which are NOT appropriate include, but are not limited to: mini-­‐skirts, tank tops, halter tops, and tops exposing midriff; spandex, shorts, sweat and wind suits, muscle shirts, and dresses or tops with plunging necklines, bare back, spaghetti straps or shoulder-­‐less. f. Skirts should be of a professional length (no more than 3” from the top of the knee). g. Coveralls are acceptable in the Hospital for Farm Animals. Student Guidelines: When on services receiving patients, students should follow the professional attire guidelines listed above. Clean, standard white lab coats should be worn over appropriate clothes. Ceil blue scrubs should be worn when rotating in the following areas: Operating rooms, Emergency Department, Intensive Care Unit, Procedural areas (for example, interventional medicine suite, endoscopy) 3. Shoes, Socks, etc.: Footwear must have a closed toe. All shoes worn in the work place must be clean and in good repair. 4. Hygiene: Skin and hair must be clean. Regular bathing, use of deodorants/antiperspirants, neatly groomed facial hair, and regular dental hygiene is encouraged. Makeup, cologne, and perfume must not be distracting. With some patient care populations, fragrances may not be permitted. 21
5. Hair Care & Accessories: Hair must not jeopardize the safety and well-­‐being of the individual in the course of his/her job duties. Hair must be clean and neatly groomed. Extreme hair styles and colors that do not occur naturally are not permitted. Head coverings may be worn where required by weather or safety regulations. Hats are not to be worn inside, unless it is a required part of a uniform. If hair/accessories are a part of religious requirements – please see # 10. 6. Ties and Scarves: Ties and scarves must not jeopardize the safety and well-­‐being of the individual in the course of his/her job duties. Tie clips/tacks or other means of preventing clothing from dangling is encouraged. 7. Artificial and Natural Nails: Fingernails must be clean, well groomed and of appropriate length to be able to perform job duties. Artificial fingernails must be maintained to prevent harboring of bacteria and infection. Nail polish and decorative designs are acceptable if maintained. 8. Jewelry: Jewelry must not jeopardize the safety and well-­‐being of the individual in the course of his/her job duties. Hoop earrings, facial hoop rings or other dangling jewelry is strongly discouraged in patient care areas. If jewelry is part of a religious requirement – please see # 10. 9. Pins and Buttons: Pins and buttons of any type are prohibited, unless approved by the VMC. 10. Religious Requirements: Per Title IV Federal Regulations, reasonable accommodations will be considered that don’t jeopardize the safety and well-­‐being of the individual in the course of his/her work. Requests for reasonable accommodations should be made to the human resources manager. 11. Identification Badges: CVM identification badges must be worn above the waist with the name and picture visible while at work. Lanyards to hold ID badges must be breakaway and must not interfere with patient care. 12. Casual Days: Casual “dress down” days are only permissible when specified and approved by the Director of the VMC. All other standards in this policy are to be followed. 13. Enforcement: Service heads/managers/supervisors are responsible for enforcement of the VMC dress code guidelines. Human Resources is available to assist when addressing non-­‐
compliance with personnel. Failure of any personnel to adhere to the standards may result in corrective action. 22
Veterinary Medical Center
Emergency Closing Procedures/Designations
2.23.12
The College of Veterinary Medicine (CVM), Veterinary Medical Center (VMC) and the Department of
Veterinary Clinical Sciences (VCS) follow the University’s Weather or Short Term Closing (Policy 6.15) and
University State of Emergency Policy (6.17) during situations that necessitate short- or long-term University
closure. As the Veterinary Medical Center is a health care facility that provides 24/7 care to its patients and
many of the employees who staff the hospital are employed by the Department of Veterinary Clinical Sciences
this joint policy has been developed that will apply to employees in both units (VMC and VCS).
According to the University policies, employees must be designated as Essential, Alternate or Standby by their
department or unit. Essential, alternate and standby designations are defined as follows:

Essential Employee – one who has been designated as critical to the operation of the unit, whose presence
is required during a short term closure, and whose absence from duty could endanger the safety and wellbeing of the patients, campus populations, and/or physical facilities.

Alternate Employee – one who has been designated to serve as a back up to an essential employee.
Alternate employees may be changed to essential at any time. VCS faculty, residents and interns are
designated as Alternates; however, if they are on service when the University announces a short-term
closure their status automatically changes to Essential.

Standby Employee – any employee not designated as essential or alternate. Standby employees may be
changed to essential at any time.
VMC and VCS Employees who have patient care responsibilities are subject to being designated as “Essential”
in the event that the University closes.
Weather or Short Term Closing (Policy 6.15)
The University may close part or all of the Columbus campus during extreme conditions due to severe
weather, major utility failure, or other reasons. A short-term closure generally does not last more than 5 days.
Should the University close mid-day, close prior to the start of regular business hours (defined as M-F from
8:00-5:00), or there is weather or another condition on the weekends that would normally close the university,
the VMC must have sufficient personnel available to continue basic patient care. As the VMC depends upon
VCS personnel to deliver patient care, the roles of both VMC and VCS personnel involved in patient care
activity are addressed in this policy.
Employees are responsible for identifying the status of the University. Personnel should listen to WOSU-FM
radio (89.7 FM) or WOSU-AM (820 AM) for the official statement of closing, call the University phone line at
614-247-7777 or go to http://www.wosu.org. Other radio and television broadcasts may not list the distinction
between “classes cancelled” and “university closed”.
To determine the VMC operational status, personnel should call 614-292-3551 and press the # key; or
call 614-292-6661 and press the # key after the greeting. A recording will provide the status.
In addition, an e-mail will be sent to all VCS faculty, residents and interns, VMC staff, and students
indicating the operational status of the VMC in the event of a University closure.
23
Veterinary Medical Center
Emergency Closing Procedures/Designations
2.23.12
Definitions and explanations of the different “closing” categories are as follows:

Classes Cancelled –The VMC will operate “business as usual.” All of the following are required to report
to work as scheduled, regardless of shift:
o
o
o
o
o

Faculty
Residents
Interns
Staff
Senior students on clinical rotation
University Closed Prior to the start of a Business Day – All of the following are required to report to
work as scheduled, regardless of shift:
o For each service, at least one Faculty member and one Resident who is On Service
o Interns
o “Essential” staff (see list below)
o Senior students on clinical rotation
All personnel who are in-house when the University closure is announced must remain in house until their
replacement arrives unless they are directed to leave by the appropriate Department Chair, VMC Director,
or VMC Assistant Director.
Despite some anticipated cancellations, services must be ready to receive any previously scheduled
appointments. If the patient is already in-hospital and there is sufficient staff present to provide appropriate
care, procedures/surgeries should be performed as scheduled.
If there is not sufficient staff to provide medical care to patients/clients who are scheduled, then the Client
Services staff members who are in-house will contact clients to reschedule appointments where possible.
In this circumstance, faculty/residents/interns/students/staff whom are in-house may be redeployed to areas
of need.

University Closed in the Middle of the Business Day – Enough patient care staff must remain to ensure
that all patients are seen, and treatments are completed. Each supervisor/service coordinator will arrange
coverage for proper patient care, and then begin releasing their staff accordingly. All Essential Staff will
remain at the hospital until such time as a replacement staff member arrives. All second and third shift
VMC personnel are considered essential (reception staff and technicians) will report as scheduled. VCS
faculty and residents On Service will remain at the hospital until such time as their patients have been
appropriately cared for. Interns will work as scheduled. Senior students on clinical rotations must report
as scheduled.

University Closed on Evenings, Weekends, & Holidays – All of the following are required to report to
work as scheduled:
o Small animal and equine/large animal Emergency and Critical Care (ECC) faculty, residents
and staff
o Residents who are “On Service”
o Interns
o Staff
o Senior students on clinical rotations
24
Veterinary Medical Center
Emergency Closing Procedures/Designations
2.23.12
All personnel who are in-house when the University closure is announced must remain in house until their
replacement arrives unless they are directed to leave by the appropriate Department Chair, VMC Director, or
VMC Assistant Director.
Below is a list of all VMC/Department staff designated as “Essential”. Essential staff must report as
scheduled. If Essential Staff are unable to report to work, it is their responsibility to contact their Alternate.
However, if Essential Staff are on vacation, at a business meeting, hospitalized or on a long-term sick leave,
then the Alternate automatically becomes Essential. If both the “Essential” and the “Alternate” employee are
unable to report to work, a “Standby” employee should be called. No essential service is to be left unattended.
Student employees are not covered by this policy and are not required to report to work.
Employees should consult the University Weather and Short Closure Policy (6.15) at
http://hr.osu.edu/policy/policy615.pdf for additional information on this policy including University rules
about leave time and pay during short term closures.
Alternate
Name/Phone
As designated by
Director
As designated by Chair
Interns
Essential
Name/Phone
Karin Zuckerman
614/425-3434
Dr. Rustin Moore
614/264-6269
Faculty who are “On
Service” and all large and
small animal ECC
Residents who are “On
Service” and all large and
small animal ECC
All Interns
Asst. Director, Patient
Care
Annie Jones
614/205-3851
Asst. Director
Facilities
Accounting
Craig Miller
740/881-5270
Kris Burns
614/519-4275
Kelley Norris (SA)
614/216-1045
Olivia Holt (LA)
440/670-2433
Ryan Lentz
740-506-4359
Connie Rinehart
727/735-3998
Anesthesia –
Small Animal
Theresa Hand
614/759-1179
Dave Sammons
740-739-2320
Jeannette Schmidt
614-668-4382
Kim Morrison
614/404-8004
Anesthesia –
Large Animal
Amanda English*
614/327-2907
Function
Hospital Director
VCS Chair
VCS Faculty
Residents
Administrative
Support
Faculty not on service
Residents not on service
Notes
At least one Faculty and
Resident must report to
work for each service
At least one Faculty and
Resident must report to
work for each service
HR staff in VCS and/or
VMC may be designated as
essential if closure occurs on
a payroll deadline
Carl O’Brien
Cell: 614/634-6217
Hm: 614/237-7708
25
Veterinary Medical Center
Emergency Closing Procedures/Designations
2.23.12
Function
Essential
Central Supply
Rick Teasley (Supv)
614/557-5938
Client Services
Sue Chmura – Asst.
Director
614/833-9724
Clinical Lab
Equine Field Services
Equine Medicine
Equine Surgery
Technicians
Farm Animal
Lori Klinge
614/561-5231
Katrina Fagan
614/746-8716
Stephanie Yochem
614/256-6871
Amy Moore
614/843-1504
All Small Animal
Cashiers
All Small Animal Phone
Agents
Janelle Duncan (Equine)
614/288-5298
Lorie Kipp (Farm
Animal)
614/266-0806
Jana Fletcher (Supv)
614-226-6987
Dr. Emily Schaefer
Dr. Chrissie Pariseau
614/315-1320
Mandy Hutcheson *
330/283-0709
Mallory Cames*
937/902-5257
Beth Miller
814/289/6779
Dave Fredrick
Cell: 614/268-7874
Hm: 614/218-8468
Alternate
Notes
Mario L. Ventresca
614/579-4156
Mary King
614/444-4028
Kelly Funk
614/212-3468
Jen Stallings
614/330-1220
Margie Price
614/441-6481
Marge Hauer
614/313-5050
Andrea Morgan
614-257-9781
Faculty on Call to back
Intern/Resident
Tom Burgett
614/875-8318
Beth – First shift
Dave – Second shift
26
Veterinary Medical Center
Emergency Closing Procedures/Designations
2.23.12
Function
ICU –Equine/LA
ICU – Small Animal
E/CC
LA Vet Assistants
Microbiology
Pharmacy
Radiology
Radiation Oncology
Small Animal Vet
Assistants
Theriogenology
Cardiology
Comm. Practice
Dermatology
Internal Med
Neurology
Oncology
Essential
Alternate
Notes
ALL FACULTY, RESIDENTS, INTERNS and STAFF are essential and should
report as scheduled Olivia Holt* 440/670-2433
ALL FACULTY, RESIDENTS, INTERNS and STAFF are essential and should
report as scheduled
Renee Cahill* (ICU) 614/205-1413
Courtney Beiter* (ER) 740/503-0227
Ryan Lentz
Isaac Asore
Other vet assistants contact
740/857-1192
614-209-7901
the team lead for
740-506-4359
instructions
Nancy Martin
Josh Daniels
208/964-2913
614/556-1740
Andy Whicker
Mary Widders
614/876-8775
614/890-4624
Julie Morris*
Standby staff:
614/309-5776
Denise Bailey
Jenny Bolon
Kelly Winn
614/266-7120
Nicole Pastorek
Charles Smith
Dr. Eric Green
Nicole Pastorek
614/506-5832
(Standby)
330/205-2915
Cathy Leuszler
Marcella Kimmick
Other vet assistants contact
614/477-4068
614/888-6158
the team lead for
instructions
Dr. Elizabeth Coffman
Chelsey Messerschmidt
865/387-3381
614/572-4721
Patti Mueller* (Standby)
Tammy Muse
614/772-6561
614/312-4796
Dawn Eblin* (Standby)
Michelle Dumond
614/202-2657
Cell: 740/398-1297
Deb Crosier* (Standby)
Annie Jones
614/778-5508
614/205-3851
Joy Quang (Standby)
Robin Richardson
614/353-9433
(Standby)
614/987-5285
Amanda Waln* (Standby) Heather Myers
937/875-7108
419/460-1535
Stacey Gallant*
Ashley DeFelice
614/308-0682
614/205-7719
27
Veterinary Medical Center
Emergency Closing Procedures/Designations
2.23.12
Function
Ophthalmology
Rehabilitation
Small Animal Surgery
ER Laboratory
Essential
Kelley Norris* (Standby)
614/216-1045
Tracy Marsh* (Standby)
614/313-7494
Kim Penrod
614/582-8576
Mary Ross
614/361-7637
Alternate
Notes
Chris Basham
419/295-6149
Standby Staff:
Kristi Brush
Amy Weatherall
Mat Kerzee
Michelle Gilliam
EMERGENCY SUPPORT REPORT AS SCHEDULED
MARY BOYD-BROWN, NICOLE TEBBE
614-447-1608 (H)
937-875-0622
614-678-2252 (Cell)
*Denotes Service Coordinator. All service coordinators are essential unless otherwise designated for Weather
or Short Term closures. Please contact your supervisor or the Hospital Administration office staff if you have
questions or concerns about this list. All service coordinators should contact AD Patient Care in the event of
closure and follow plan outlined in the VMC Technical Staff Short Term Closure Plan.
28
Food Storage and Consumption in the VMC
The storage and consumption of food and beverages in animal handling and treatment areas of the VMC is
prohibited, and signs indicating such are posted throughout the hospital. Food and beverage storage and
consumption also are prohibited in clinical laboratories (e.g. microbiology, hematology, chemistry).
The Environment Health and Safety Committee strongly recommends that persons working in the VMC eat
lunch in the cafeteria. The EHS suggests that, whenever possible, everyone should arrange their schedules to
allow a break for lunch.
When it is not possible to use the cafeteria, food and drink may be consumed ONLY in the following areas:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Conference rooms
The corridor adjacent to the small animal wards
The corridors connecting the small animal side of the hospital with the large animal corridor. This does
NOT include the large animal red-floored corridor or the connector between the original hospital and
the Galbreath Equine Center.
The corridor in front of the pharmacy and central supply on the large animal side of the hospital
Small animal reception
The food animal office
Equine reception
The small animal waiting room
Faculty offices
The Galbreath Center observation deck
The basement storage area and dock
The student lounge/computer lab in the basement of the VMC
Biomedical media
Educational Resources
Operative practices corridor
Radiology corridor
The EHS realizes that shared meals are an important social activity for personnel in the VTH, and the EHS wants
to encourage the tradition of shared meals. Food for such affairs can be stored in the refrigerator in the access
hallway near the locker rooms in the Galbreath Center, in the refrigerator in the closet across from the women’s
restroom in the hallway outside the Food Animal Office, and in the refrigerators in the lounge/computer lab
area. NO FOOD CAN BE STORED IN REFRIGERATORS DEDICATED FOR STORAGE OF MEDICATIONS AND PATIENT
SAMPLES. Refrigerators throughout the hospital will be labeled according to whether or not food for human
consumption is permitted. Those reserved for patient medications and samples will be monitored, and food or
beverages intended for human consumption will be removed and discarded as necessary. Microwave ovens
currently used to prepare food and beverages for human consumption and located in prohibited areas will need
to be removed or relocated to areas where food preparation and consumption is permitted.
Cookouts: Grills should be placed in the vicinity of the picnic tables near the Coffey Road entrance to the
hospital. Grills may not be placed near the south exit of the large animal hospital, the Galbreath Equine Center,
the sand exercise area, or the grassy space south of the treadmill facility.
We appreciate your cooperation in this very important matter of biosafety.
29
Gift /Conflict of Interest Policy
V02-2010
Policy Statement:
The Veterinary Medical Center (VMC) operates with the highest level of professionalism,
medical standards and ethical practices. In order to prevent or mitigate any potential conflicts of
interest and to comply with Ohio Ethics laws, VMC faculty and staff and students as defined
below, may not accept benefits or gifts except in accordance with this policy.
Definitions
1) “Gift” - any bestowal of money, any item of value, service, loan, thing or promise, discount or
rebate for which something of equal or greater value is not exchanged. Payments for travel,
entertainment and food are gifts.
2) “Industry” – includes those businesses, corporations, or entities that supply or wish to supply
equipment, goods, services, or other medical related products to physicians, technicians,
administrators, or the VMC.
3) “Representative” – includes any individual who is employed by or who represents any entity
defined under “Industry” above.
4) “Faculty Member” – includes regular and auxiliary, tenure-track, clinical track or research
faculty members.
5.) “Staff Member” – includes all administrative, technical and support staff.
6.) “Student” – includes all graduate associates, residents, interns, fellows and student
employees.
General Principles:
1) The VMC is committed to transparency in all dealings with industry and the public.
2) Faculty and staff are encouraged to cultivate appropriate development opportunities to
enhance the mission of the VMC.
3) Research must be free of any potential bias, real or perceived.
4) When considering any therapy, the clinicians’ and students’ primary responsibility is to the
animal and the owner.
30 5) The goal of this policy is to be sure all individuals are aware of their responsibilities with
regard to industry relations.
6) The institution and individuals are accountable for their actions.
7) Appropriate interactions between industry and faculty/residents/students/staff do exist, but
the boundaries of that interaction need continuous monitoring and all such relationships must
meet University policies and guidelines.
Policy Details:
Gifts from Clients:
While gifts or tokens of appreciation from clients offered in gratitude for patient care should
always be met with appropriate expressions of gratitude, clients are still considered as persons
doing business with the VMC. Therefore, a gift from a client should also be limited as defined
below.
1) A "Gift" of value shall not be accepted by a faculty, staff or students. The “Gift” should
not be accepted if this influences or is perceived to influence a deviation from the normal
course of care or cost for the client and patient.
2) The solicitation of personal gifts is prohibited.
If a client insists on gift-giving the following alternatives are acceptable:
A. A “gift to the VMC or faculty department/service" in the form of something that is needed in
the VMC or department/service (for example, clinical or diagnostic tools that may enhance the
patient, client, and/or teaching experience) or;
B. A donation to the VMC, faculty department development funds, or some other recognized
charity also made in the faculty or staff member's name (provided that the honoree does not take
the charitable tax deduction) or;
C. A gift of flowers, a fruit basket, or other consumables that is given to or shared with an entire
staffing unit and not just for an individual. The item(s) should be shared among the unit in a
timely and open manner.
If a client sends a gift via mail or courier, without the option for refusal, and/or it is outside the
range of acceptable as stated above, the gift shall be given to the VMC Director’s Office for
department-condoned fund raising or employee recognition activities.
31 Gifts from Industry Representatives:
Vendors are discouraged from offering personal gifts to faculty and staff. Faculty and staff may
not accept any personal gifts which may have the effect of or appearance of influencing
purchasing decisions or other actions of that employee. Faculty and staff may receive an item of
nominal value if the item primarily benefits patient care at the VMC. If a faculty or staff member
has any concern about whether or not a gift should be accepted, they should not accept the gift.
1) Drug, pet food or device samples
All donations of free pharmaceuticals (prescription and non-prescription drugs) to the
VMC shall be approved by the Pharmacy. Similarly, all donations of pet food or medical
devices to the VMC and distributed through the VMC or by student representatives of the
major manufacturers shall be approved by the related VMC administering unit manager
such as pharmacy or central supply. Donated pharmaceuticals and pet food are an
important source of revenue to the College through appropriate and legal sale to clients of
the VMC; therefore, only those products without restrictions for resale shall be accepted,
unless they are donated for a specific approved purpose.
2) Educational Activities:
From time to time, a vendor representative may offer to support educational activities for
the improvement of patient care or professional development. The VMC Director or the
Chair of the sponsoring Department must approve such programs in advance. Any vendor
educational support must be coordinated with the Continuing Education or Veterinary
Clinical Sciences department. No financial support for an educational program may be
contingent on or otherwise linked to any decision regarding the purchase or use of a
product in the VMC.
3) Contributions
A. The University’s development program receives and processes gifts and contributions
from a number of sources including corporations and corporate foundations.
B. Vendors should separate their grant making functions from their sales and marketing
functions. Accordingly, if a vendor or patient service representative or other corporate
representative wishes to discuss a corporate contribution of cash, equipment, supplies, or
services, the faculty or staff member should immediately notify the VMC Director’s
Office and/or the faculty department office. The Development Office should then be
contacted so these Offices become the principal points of contact with the vendor.
32 4) Promotional and Informational Material
A. Vendors are not permitted to post any type of printed or handwritten material,
advertisements, signs or other such promotional materials anywhere on the VMCs
premises without the VMC Director’s prior consent.
B. Vendors’ promotional material may not be displayed in public areas, technician
stations, cafeterias or lounges without the VMC Director’s prior consent. Faculty and
staff attire should not normally include industry logos.
C. If a vendor wishes to supply educational material, it must be reviewed and approved
before any distribution may occur.
5) Compliance
A. Vendors who fail to comply with the VMC requirements are subject to losing their
business privileges at the VMC.
B. Repeated non-adherence to our policy by Vendor Representatives will result in the
restrictions on the representative and, possibly, a request to the company to replace its
representative.
6) Training
The VMC will provide training information annually for faculty, staff and students. As
part of this training the VMC will provide a template with language that may be used to
help vendors, clients and potential donors understand gift limitations, and the appropriate
way to thank faculty, staff and students for their outstanding medical care. The VMC
will consider signage, brochures and other opportunities for client awareness.
Responsibilities:
Position or office:
List of responsibilities:
1. VMC Director’s Office
Administration of training, inquiries, program
updates.
Resources:
1. Ohio Ethics Commission, Information sheet #7;
http://www.ethics.ohio.gov/EducationandPublicInfo_IS7_Gifts.html
2. Financial conflict of interest policy for faculty; Revised by the Board of Trustees 3/2/07,
Resolution No. 2007-100
33 34
35
36
37
38
39
40
41
42
43
44
VMC Policy for Handling “Good Sam” Medications
(Submitted January 26, 2011, approved by VMC Board March 25, 2011)
Use of medications for clients who have financial need or special circumstances
is an issue that should be addressed in a manner that client needs and safety are taken
into account while not bringing in liability to the VMC. The proposal would be as follows:
1. Storage of “Good Sam” medications would remain with the services but will
only be those that were dispensed from our pharmacy and are within the
expiration date. Each service will be expected to monitor and manage their
respective “Good Sam” medications.
2. “Good Sam” medications will be re-labeled for client use at no charge. ONLY
medications dispensed from OSU VMC pharmacy will be re-labeled.
3. No outdated medications can be used as “Good Sam” medication. Those
products must be returned to pharmacy for proper disposal. Please refer to
the following link from the USDA for the official policy on using expired
products in veterinary medicine:
http://www.aphis.usda.gov/animal_welfare/downloads/policy/policy3.pdf
4. Due to liability and safety, no medications from outside sources, i.e. not
dispensed by our pharmacy or have been removed from the premises, will be
re-labeled. Pharmacy will accept medications from outside sources for proper
disposal only according to government regulations. (Re: Drug Laws of Ohio
Code 4729-9-04 Returned Drugs)
45
CVM Human Resources Policies
Social Networking Website & Photography
Revised: January 2012
Applies to: Faculty, Staff, Students, Visitors
Overview
Social networking Web sites or on-line communities, such as My Space, Facebook, and Flickr are being
used increasingly by faculty, staff, and students to communicate with each other, and by universities to
post events and profiles to reach a variety of audiences.
As part of the College of Veterinary Medicine’s commitment to building a community in which all
persons can work together in an atmosphere free of all forms of harassment, exploitation, or
intimidation, when using College electronic resources and on-line social networks, faculty, staff, and
students are expected to act with confidentiality, integrity, and respect for the rights, privileges, privacy,
and property of others. By doing so, individuals will be abiding by applicable laws, including copyright
laws, University and College policies, and the College of Veterinary Medicine’s Code of Conduct.
In addition, as members of the veterinary medical profession, there is an expectation to adhere to a set
of values that reflect their commitment to excellence. The College of Veterinary Medicine considers
faculty, staff, and students to be members of the profession whose actions reflect on the profession and
the College.
It is important to remember that public sites, no matter what the security settings, may be viewable by
clients, future employers, referring veterinarians, potential students, and co-workers. Your postings
may impact the impression these individuals have of you, your veterinary college, and the veterinary
profession.
Social Networking
Posting
College Business Use
Only designated College representatives are authorized to conduct College business online. If
authorized, an employee may post on a social network profile: the College name, a College email
address or College telephone number for contact purposes, or post official department information,
resources, calendars, and events. Unauthorized use of College information or use not in keeping with
College and University policy, will be subject to corrective action.
Personal Use
Consistent with University policies on personal use of electronic resources, access to social networking
sites is to limited and must not interfere with an individual’s performance of his/her assigned job
responsibilities or someone else’s job performance or compromise the functionality and security of the
department or campus network.
Faculty, staff, and students are not permitted to present personal opinions in ways that imply
endorsement by the University. If posted material may reasonably be construed as implying support,
endorsement, or opposition of the University with regard to any personal statements, including opinions
or views on any issue, the material shall be accompanied by a disclaimer: an explicit statement that the
CVM Human Resources Policies/Social Networking Usage
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individual is speaking for himself or herself and not as a representative of the University, College or any
of its departments or units.
Monitoring
The College of Veterinary Medicine does not routinely monitor social networking sites, however, as with
other electronic resources, College systems’ administrators may perform activities necessary to ensure
the integrity, functionality, and security of the College’s electronic resources. However, other
employees, students, organizations and individuals do monitor and share information they find on social
networking Web sites. Posted information is public information.
Risks – Spam, Spyware, and Viruses
Many social networking sites collect profile information for advertising (SPAM) targeted at individuals
with particular affiliations and interests. Use of the sites may increase SPAM to your email account.
In addition, from social networking sites or links on social networking sites, your machine or network
may be exposed to spyware and viruses that may damage your operating system, capture data, or
otherwise compromise your privacy, your computer and the College network, as well as affect others
with whom you communicate.
Investigations
In response to concerns or complaints or information provided by individuals, College administrators
may access profiles on social networking sites. In addition, the College has no control over how other
employers, organizations, or individuals may use information they find on social networking Web sites.
Proper Usage
The use of social networks such as Facebook and My Space have provided an increased opportunity for
faculty, staff, students, and alumni to connect and get to know each other, share information and
experiences and stay in touch. In many cases, the use of such communications can increase our ability
to interact with each other in positive ways. They also allow inappropriate behavior to be perpetuated.
Persons choosing to use social networking sites should understand that such sites claim a license to
ownership of all material posted by participants. This license allows them to keep and disseminate
content even after you have removed such content from your page.
Below is a list of behavior considered inappropriate and should be avoided:
1. Breaches of patient/client confidentiality which include sharing or releasing patient/procedures
pictures, case information and recorded images or audio without the specific written approval
from the client/owner;
2. Posting of any University-owned or teaching animals in any form to any public site.
3. Posting of any material related to protected or copyrighted University-owned property.
4. Posting pictures of University facilities, especially those that are secured or teaching/research
facilities.
5. Faculty and staff should be aware of their behaviors while in the capacity of officially
representing the College at public functions.
6. Lack of control in encounters with patients, faculty, staff, fellow students, and other health
professionals.
7. Criminal activity.
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8. Violence intended to inflict harm, physically or mentally on self or others.
9. Distribution of defamatory comments about faculty, staff, fellow students, clients or
vendors/contractors or other representatives of the College.
10. Invasion of another’s privacy by any means.
11. Misrepresentation of credentials, abilities, or position.
Faculty, staff, and students in the College of Veterinary Medicine should remember the following
guidelines:
1. Steps should be taken to ensure social networking sites have the appropriate privacy settings to
avoid inadvertent public dissemination of material to audiences beyond their intended audience
and beyond their control. Be sure to set your profiles on social networking sites so that only
those individuals whom you have provided access see your personal information.
2. Do not write about patients/clients in a manner that could in any way convey the patient’s
identity, even accidentally. You are cautioned that patients with rare diagnosis, physical
appearances and specific locations within the hospital may be easily identifiable even in the
absence of names and medical record information. Comments on social networking sites should
be considered the same as if they were made in a public place. Simply removing the name does
not make patient/client information anonymous. The best advice is to not post any such
information or pictures of patients or clients.
3. Avoid libelous comments. Comments made regarding care of patients or a colleague portrayed
in an unprofessional manner can be used in court or a disciplinary hearing.
4. Do not post someone else’s work (even from Internet sites) without permissions and attribution.
5. Avoid posting confidential or proprietary information owned by the University or College (e.g.
Podcasts or other on-line teaching materials, research materials, etc or materials intended for
use by OSU CVM students)
6
Computers in clinical areas are not to be used for social networking sites unless they are
sanctioned by the College for the purpose of professional work or education. We also ask
students to use discretion regarding using such sites during lectures as this is discourteous and
may distract others around you.
7. Individuals should be aware of policies on discrimination, harassment, and sexual harassment.
Activities on-line could be subject to these policies.
Photography
The College of Veterinary Medicine prohibits any employee, visitors, students and/or the public from
utilizing any cameras or other recording devices, including cell-phones with cameras, to take pictures of
any client or university owned animal while on university property without consent from the owner and
only then with a university provided camera and for the purpose of official academic
publication/presentation. Principal investigators wishing to photograph their own animals may do so,
but strictly for the purpose of scientific presentation. Photos are not to be displayed on personal social
networking websites.
Any exceptions to this policy must be specifically approved by the specific department chair and/or the
Veterinary Medical Center Director. Students are prohibited from taking photographs of client-owned
CVM Human Resources Policies/Social Networking Usage
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animals in the Veterinary Medical Center. Student organizations must consult with the Associate Dean
of Student Affairs before utilizing photographs for any reason.
Resources

Cloud Computing Guidelines for Teaching, Administrative Support, and Research – Office of the CIO
– http://cio.osu.edu/policies/ccg_V62.pdf

University Policy on Disclosure of Personal Information - http://cio.osu.edu/policies/disclosure.html

Institutional Data Policy - http://cio.osu.edu/policies/institutional_data/

Responsible Use of Computing and Network Resources -http://cio.osu.edu/policies/responsible_use.html

Web Policy and Guidelines - http://www.osu.edu/resources/71.html
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Written Estimate, Charge Capture &
Adjustment Policy
Approved: 05-28-10
Written Estimates:
Written estimates are a required form of client communication at the OSU
Veterinary Medical Center. These communications serve several purposes:
1) making clients aware of the possible range of cost and care at a specific
point in time; 2) providing proper written documentation of our client
communication; and 3) insuring the required deposit is received prior to
admission.
All clients should receive a preliminary estimate in advance of surgical or
medical procedures. If the animal is transferred to another service within the
Veterinary Medical Center, the client should receive an updated total
estimate for care under this new receiving service that incorporates the initial
estimate. The estimate may be revised if results of diagnostic testing alter
the plan for treatment or if medical or surgical complications arise.
The approved estimate form should be submitted to the client services staff
member who will request payment from the client prior to admission. Copies
should be maintained in both the medical record and in the Accounting
department.
Charge Capture (Refers to billing for all services performed):
This policy provides the framework for the Veterinary Medical Center to bill
clients in a consistent, timely, and fair manner. Charge capture allows us to
pay our staff and vendors and to value our expertise appropriately. The
policy also demonstrates to our students one of the fundamental business
principles of successful veterinary practice.
1
50
It is the responsibility of all Veterinary Medical Center faculty and staff to
ensure that all fees/charges should be submitted at the time services are
rendered. If the fee related to a medical procedure or supply is not included
in the present fee book, new fee requests can be processed through the
Accounting department.
All client bills are subject to audit, and missing charges are added and billed
to the client. Timely entry of charges prevents a client from receiving a bill
for added charges in the mail.
Charge Adjustments:
It may be appropriate in special circumstances to adjust (“write-off”) from a
client’s bill. Adjustments are not a means for the client and the clinician to
“price haggle,” as the Veterinary Medical Center has an approved fee
schedule in place.
Policy:
All adjustment requests must be authorized by the Section Head using the
Veterinary Medical Center’s authorized form. The Section Head’s can
approve adjustment amounts totaling to $200 for a given client’s visit. The
service is responsible for maintaining the level of adjustments below 1% of
annual service revenue.
Adjustment requests greater than $200 must be pre-approved by the
Veterinary Medical Center Director on the Veterinary Medical Center
authorized form. Clinicians should NOT promise an adjustment to the client
in advance of proper authorizations.
Accounting may only process adjustment requests if all fields are completed
on the Veterinary Medical Center authorized form. Customer bills cannot be
withheld from the normal billing cycle while awaiting the completed form.
“Capping” of bills (the process of limiting the total amount of the bill) is
NOT an authorized method of bill adjustment. Therefore, Accounting and
the cashiers will not “cap” a bill.
Adjustments granted by individual clinicians without the appropriate
authorization can be charged to that individual clinician’s or service’s
development or earnings funds.
2
51
To reduce customer service issues related to adjustments, the authorized and
completed form must be submitted to Accounting in a timely manner.
Approved Adjustment Types:
● Teaching – A faculty member determines that an additional medical
procedure or test is of significant teaching value or was performed in error
due to student teaching. These adjustments are not used to adjust “medically
indicated/required” procedures/tests or as an incentive for enrollment in a
research or grant project.
● Administrative – These are adjustments related to a communication,
billing, or a procedural issue. The Veterinary Medical Center Director or an
approved and designated person must initiate any administrative adjustment
and this should be approved by the Director or an appropriate designee.
● Research – These adjustments are billed (transferred) to the appropriate
grant/project. The proper billing account number is required on the
authorized form prior to the adjustment.
● Good Samaritan – This adjustment is used exclusively to treat animals in
need of veterinary care and lacking appropriate financial support that have a
reasonable prognosis for good long-term recovery (along with a
temperament that does not prevent future adoption). Funds to allow these
adjustments are very limited and monitored by the Small Animal Emergency
Faculty. Animals owned by individuals or other agencies are not eligible for
Good Sam funds.
3
52
Client Services
I.
General Information
•
Client Services staffs the Reception Desk in the Companion Animal lobby 24 hours a day, 365
days a year.
o Monday through Friday between 7:00 a.m. and 4:30 p.m. the staff register arriving
canines and felines, notify departments when the registration is complete, notify
departments when a client has returned from leaving the building, pick up discharge
medications from the Pharmacy, collect deposits for companion animals that are
being admitted, cashier when all charges have been entered into Vetstar and notify
the appropriate department when the patient is ready for release.
•
Client Services staffs the Farm Animal Reception Desk Monday through Friday between 7:30
a.m. and 5:00 p.m. The staff member answers incoming telephone calls, makes Farm Animal
appointments and registers patients. When all charges have been entered into Vetstar for a
Farm Animal visit, the payments will be taken at the Companion Animal Reception Desk.
•
Client Services staffs the Equine Reception Office Monday through Friday between 8:00 a.m.
and 6:00 p.m. Monday through Friday. The staff members answer incoming telephone calls;
make Equine and Equine Ambulatory Field Service appointments, register patients and
cashier at time of patient discharge.
•
Emergency Hours - Between 4:30 p.m. and 7:00 a.m. Monday through Friday and all day on
Saturdays, Sundays and holidays the VMC is on emergency hours and the Client Services
staff at the Companion Animal Desk handle the following for ALL THREE HOSPITALS
(Companion Animal, Farm Animal and Equine):
o
o
o
o
o
o
o
•
II.
receive and direct all incoming telephone calls
register animals
collect emergency fees
retrieve medical records
collect deposits for animals that are being admitted
pick up discharge medications when the Pharmacy is open
cashier when all charges have been entered into Vetstar
The Companion Animal Call Center makes canine and feline appointments Monday through
Friday between 8:00 a.m. and 5:00 p.m. and is located in the area behind the Companion
Animal Reception Desk.
Messages (Interns & Residents only)
•
•
You will be assigned a mobile phone and messages will be put into your voice mail.
If you cannot be reached on your portable phone or are experiencing technical difficulties
please notify the front desk so other arrangements can be made to contact you.
53
III.
Appointments
•
•
•
•
•
IV.
All appointments (including those for College of Veterinary Medicine and Veterinary Medical
Center faculty staff and students owned animals, over-books, drop-offs) must be scheduled
in Vetsatar.
An animal cannot be registered until there is an appointment for that animal in Vetstar.
Appointments can be entered into Vetstar by Client Services staff members, the Surgery and
Community Practice Clerical Associates (for their respective departments) and Registered
Vet Techs.
If a client presents at any of the three Reception Desks without an appointment in the
Vetstar system the patient will be registered for the appropriate service based on the
information the client provides.
ALL animals must be registered upon arrival. No diagnostic testing, procedures or results
can be entered into Vetstar or VADDS without an open registration.
Patient Discharge Summary and Medical Record
•
A Patient Discharge Summary (PDS) must be turned in with the Medical Record before a
patient is released.
o The PDS must be signed by the clinician.
o Please check to be sure that the accurate medical record number and the patient name
is on the PDS. Please assure that the information is consistent throughout the PDS. Since
students often engage in the cut and paste technique of creating a PDS it is important to
check for consistency of name and gender throughout the document.
o The Medical Record must include the folder (all consent forms, communications, and
paperwork from any previous visits) and the current visit record.
o Please sign out of the patient Vetstar record.
o The Medical Record and PDS should be turned in at the side counter as soon as
completed and signed by the clinician.
o You should tell the Client Services staff member who accepts the medical record and
PDS if there are any discharge medications for the patient.
o When the client is checked out by the cashier the service will be paged that the client is
ready for release. (“The owner of ‘Fluffy’ Smith is ready for release.”)
•
If the Medical Record and PDS have not been turned in before the client arrives the
technician and clinician will be contacted that the client is back in the lobby.
o Once the Medical Record and PDS are brought to the Reception Desk side counter the
client will be checked out and the service will be called/paged that the patient is ready
for release.
*Note: It is important that we collect the payment before you bring the patient out. The
clients usually prefer this because it is easier for them, at the counter, to not have to hold a
leash or the pet itself, while they are trying to make their payment. Also, once the owner has
their pet and instructions, it is easy for them to leave without paying and harder for us to
collect by billing.
54
•
V.
For outpatients that are being admitted to the hospital:
o An Estimate Form must be submitted if a patient is staying in the hospital overnight.
o The Estimate Form must be signed by the clinician and the owner.
o Please sign out of the patient Vetstar record.
o All three copies of the Estimate Form should be turned in to the Reception Desk side
counter.
o You may keep the current visit information and any paperwork essential to that day’s
treatment of the patient.
Equine and Farm Animal Emergency Hours Communication
• All Farm Animal and Equine communication regarding “expectations” of what can or may
happen during Emergency Hours should be placed in the "Extern Book". The Extern Book is
a large black binder that will be delivered to the Client Services Companion Animal office
from the Farm Animal and Equine offices at the close of their business hours.
• The communication expected to be put in the Book includes any activity (authorization for
releases, visits, on-call changes, etc.) taking place after 500pm Monday-Friday and/or on
Saturday or Sunday.
• Information entries should be logged under the date they are expected to happen.
• Equine and Farm Animal patient status reports are not provided to owners during
Emergency Hours unless you tell your client they can call at a specific time and you will be
here to provide the update.
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The Hospital Phone System
To make a call to a number on campus:
Dial the last five digits
To make a local call to a number OFF campus:
Dial “9”
Enter the phone number
Call back phone numbers:
Equine: 4-3704 / 4-3701
Food Animal: 4-6666/ 4-4441
Small Animal, see following documentation
Personal Long Distance Calls
The University has issued a strict policy regarding using university phone services for personal long distance
calls. Absolutely no personal long distance phone calls should be made using a university phone or a hospitalassigned UNITS long distance code.
There are several alternatives if you must make a personal long distance phone call from work.
Use your personal cell phone
Obtain a UNITS Long distance Access code for personal use.
Visit http://www.units.osu.edu/long_distance/traditional.php for details. You will be billed directly for any calls
you make using this access code.
Use a calling card
You should be using your Veterinary Hospital-assigned UNITS long distance access code for any business related
long distance calls. Phone bills will reviewed on a monthly basis to look for patterns indicating personal calls. If
you suspect someone else is using your phone or your business long distance code, please report it to Alicia
Palmer at 8-5404 or [email protected]. If Alicia is not available, please contact Jennifer Holman at 23756 or email her at [email protected] immediately and we will cancel your code and obtain a new
one for you.
We appreciate your honesty in this matter.
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Incident Report Form
Background and Purpose:
Numerous individuals (students, interns, residents, technicians, staff, and faculty) can be involved with patient
care in the Veterinary Teaching Hospital. Unanticipated incidents that relate to patient care and client service
can occur. When they do, a clear understanding by all involved as well as timely communication to the hospital
administration is essential. A cogent written description of the given incident and subsequent review will
expedite the most satisfactory resolution. Additionally, formal incident reporting can eliminate or minimize
future incidents of a like nature.
An additional purpose to formally report such incidents is that the written documentation might serve to reveal
chronic patterns or issues that need attention.
When an incident occurs that warrants reporting, a standardized “Incident Report Form” will be filled out by the
individual who has the most knowledge of the incident. Incidents that require reporting are not clearly defined.
However, any injury or accident that involves a hospital patient should be reported. In general, any incident
that has an adverse effect on the patient or significantly influences our ability to manage the patient or
communicate with the owner should be reported.
Procedure:
Whenever an incident involving a hospital patient or client occurs, the clinician in charge of the case is to be
informed. An incident report form is available in the hospital administration office and should be completed
and returned to that office as soon as possible after the incident occurs, generally within 24 hours. The person
with the most complete knowledge of the incident should initiate the report. Questions as to whether an
incident report should be completed are to be directed to the Veterinary Hospital Administration.
Incident reports should not be filed with the patient medical record; however, any pertinent medical
information that pertains to the animal should be recorded in the medical record.
When an incident report is received, the hospital director will review the report and determine which individuals
should meet to discuss the incident. This will generally be the hospital director, the clinician in charge of the
patient, the person completing the form, and any other hospital personnel relevant to the incident. The
purpose of the meeting is not to place blame but rather to determine what action should be taken to minimize
the risk of a similar incident occurring in the future. Incident reports will be kept on file indefinitely.
NOTE: Separate forms are available in the hospital administration office for reporting accidents, injuries, or bites
involving people; e.g. employees, students, clients and visitors.
57
Hospital Related Injuries and/or Illnesses
Veterinary Students, Columbus State Students, Volunteers
Students with OSU Student Health Insurance
1. Between the hours of 8:00 a.m. and 4:30 p.m. Monday through Friday, and 9:00 a.m. – 12;30 p.m. on
Saturday, students should go to the Student Health Center for treatment at no charge. Phone: 292-4321
2. After 4:30 p.m. Monday through Friday and on weekends and holidays, students with health insurance
should go to any Network Urgent Care facility for treatment of ACUTE medical conditions. (i.e. America’s
Urgent Care Facilities, including Urgent Care of Upper Arlington, 4661 Sawmill Rd., 614-583-1183). Prior
illnesses and injuries that have not been previously treated are not considered acute.
3. Students may go to the EMERGENCY ROOM (check plan to see which ER’s are in the Network) for treatment
after 4:30 p.m. Monday through Friday and on weekends and holidays.
Students with non-OSU health insurance
Students who do not have OSU Student Health Insurance should contact their individual insurance providers for
instructions.
Injury/Illness Reports
• All students injured while performing duties as part of their curriculum or while volunteering at the
Veterinary Medical Center should complete a "Student/Volunteer Accident Report" form (available in hall
wall pocket next to the Veterinary Hospital Administration Office, room 1102) and return it to the VMC
Administration Office.
Animal Bites
• An “Animal Bite” report form (available in hall wall pocket next to room 1102 Veterinary Medical Center)
must be completed and returned to room 1102 anytime someone is bitten in the hospital.
If a student has any questions or concerns about an injury or illness that was a result of something that
happened at the Veterinary Medical Center, he/she should contact the Veterinary Medical Center
Administration Office (rm. 1102 Veterinary Hospital, 614/292-7158).
58
STUDENT/VOLUNTEER ACCIDENT REPORT
INSTRUCTIONS
This form is to be completed by the individual or a person with knowledge of the accident and submitted to the VMC
Administration office (VMC 1102) within 24 hours of the occurrence.
STUDENT/VOLUNTEER INFORMATION
Name:
OSU ID #________________________________
Home Address:
City:
Zip Code:
Sex ☐Male ☐Female Date of Birth:
Age:
Home Phone:
Supervisor’s Name_______________________________________________Supervisor’s Phone__________________________
ACCIDENT INFORMATION
Accident Location (room, stall, ward, etc.):
Accident Date:
What was being done before the accident occurred:
Time:
☐a.m. ☐p.m.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
What happened:
________________________________________________________________________________________________________
Was this part of your normal duties: ☐Yes ☐No Body Part(s) affected or injured:___________________________________
Type of Injury or illness:___________________________What object harmed the individual:____________________________
Did the student/volunteer seek medical attention: ☐Yes ☐No
Witness (name and phone number):
Report prepared by (if other than accident victim):
Student/Volunteer Signature:
Date:
SUPERVISOR/CHARGE PERSON
This accident was reported to me on: Date:
Supervisor/Charge person signature:
__ Time:
_ ☐a.m. ☐p.m.
Date:
HEALTH CARE/TREATMENT
Student/Volunteers with OSU Health Insurance procedure:
•
Between the hours of 8:00 a.m. and 4:30 p.m. Monday through Friday, and 9:00 a.m. and 12:30 p.m. on Saturday,
students should go the Student Health Center for treatment (phone number 292-4321)
•
After 4:30 p.m. Monday through Friday and on weekends and holidays, student with health insurance should go to
any Network Urgent Care facility for treatment of ACUTE medical conditions, (i.e. America’s Urgent Care Facilities,
including Urgent Care of Upper Arlington, 4661 Sawmill Rd., 614-583-1183). Prior illnesses and injuries that have not
been previously treated are not considered acute.
•
Students may go to the EMERGENCY ROOM (check plan to see which ER’s are in the Network) for treatment after
4:30 p.m. Monday through Friday and on weekends and holidays.
Student/Volunteers with non-OSU Health Insurance:
•
Students who do not have OSU Student Health Insurance should contact their individual insurance providers for care
and instructions.
59
ANIMAL BITE REPORT
INSTRUCTIONS
•
This form is to be completed by the person who was bitten or someone who witnessed the incident. This form must
be turned into the VMC Administration Office (VMC 1102) within 24 hours of the occurrence.
VICTIM’S INFORMATION
Name
________
Address_________________________________________________________________________
Age_____________________________________________________________________________
Phone number____________________________________________________________________
BITE INFORMATION
Date of bite
Area affected by the bite
Severity of the bite
Area of VMC where bite occurred_____________________________________________________
Brief explanation of how the bite occurred _____________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Did the victim receive medical treatment?
☐Yes, if yes describe treatment including where treatment was given
☐No
Name of person who reported the incident to the owner (must be completed)
________________________________________
OWNER’S INFORMATION
Owners Name
Owners Address (including city and state)
ANIMAL’S INFORMATION
Description of animal (species, breed, color, size)
Rabies tag number
Expiration date
________________________________________________________________________________
Signature of Person Submitting Report
Date
60
REPORT OF AN INCIDENT INVOLVING AN ANIMAL IN THE VMC
INSTRUCTIONS
•
•
•
This form is to be completed by a person with knowledge of an accident or incident and submitted to the VMC
Director within 24 hours of the occurrence.
DO NOT file this report with the Medical Record.
Multiple blocks under each category below may be applicable, if so check them all
DATE OF INCIDENT
FACULTY VETERINARIAN IN CHARGE OF THE CASE
TIME OF INCIDENT
☐a.m. ☐p.m.
LOCATION OF INCIDENT
☐Ward
☐Stall
☐ICU
☐Prep room
☐LA unloading area
☐Recovery
☐Radiology
☐SA Lobby
☐Exam room
☐Surgery suite
☐Parking lot
SEVERITY OF INCIDENT
☐No apparent injury
☐Minor
☐Moderate
☐Severe
☐Death
☐Not applicable
TYPE OF INCIDENT
__
☐Anesthesia
☐Diagnosis challenged
☐Diagnostic procedure (i.e.x-ray, lab test)
☐Discharge of patient against medical advice
☐Equipment misuse/malfunction
☐INJURY
☐Self-caused
☐Slip and fall of animal resulting in injury
☐Struck by an object
☐Other
☐MEDICATION
☐IV or injection
☐Other
☐Patient property lost/damaged
☐Remarks by owner
☐Treatment procedure
☐Other________________________________
_______________________________________
_______________________________________
_______________________________________
SHORT DESCRIPTION OF INCIDENT
(Include only facts about what occurred. Avoid speculation and assignment of blame. Attach additional documentation if
necessary.) If injury, state type of injury and body part involved.
TREATMENT GIVEN OR ACTIONS TAKEN FOLLOWING INCIDENT
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
61
(Provide names)
Personnel on Duty
at time of incident
☐Faculty Member
☐Resident
☐Intern
________________________
☐Technician
________________________
☐Student
☐Other
OWNER NOTIFIED
☐Yes
Date
Time
By whom
Owner response
Notified at time
of incident
Examined animal at
time of incident
________________________
________________________
________________________
________________________
☐a.m. ☐p.m.
☐No
Reason why owner was not notified
What, if any, changes in procedure would you recommend to avoid the recurrence of the type of indident?
(Signature of person completing incident report)
(Date)
STATEMENT OF VETERINARIAN IN CHARGE OF CASE – Below or on an attached sheet, include facts about patient’s condition
and treatment needed following incident, if sufficient information is not included elsewhere on this form.
(Signature of Veterinarian in charge)
(Date)
62
CLIENT ACCIDENT REPORT
INSTRUCTIONS
This form is to be completed by the individual or a person with knowledge of the accident and submitted to the VMC
Administration office (VMC 1102) within 24 hours of the occurrence.
CLIENT INFORMATION
Name:
Home Address:
Sex ☐Male ☐Female Date of Birth:
ACCIDENT INFORMATION
Accident Location (parking lot, lobby, etc.):
Accident Date:
What was being done before the accident occurred:
_______________________________________
Zip Code:
Home Phone:
City:
Age:
Time:
☐a.m. ☐p.m.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
What happened:
________________________________________________________________________________________________________
Is there something that could have been done to prevent this accident______________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Type of Injury or illness:____________________________________________________________________________________
________________________________________________________________________________________________________
Body Part(s) affected or injured:
________________________________________
________________________________________________________________________________________________________
What object harmed the individual:__________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Did the client seek medical attention :☐Yes ☐No
Witness (name and phone number):
Report prepared by (if other than accident victim):
Client Signature:
SUPERVISOR/CHARGE PERSON OF AREA ACCIDENT OCCURRED
This accident was reported to me on: Date:
Supervisor/Charge person signature:
Date:
Time:
☐a.m. ☐p.m.
Date:
63
Student Orientation - Medical Records
General Information:
A medical record can be retrieved 24 hours a day, 365 days a year by a member of the Client Services staff. The
Medical Records department is only staffed between 8:00 a.m. and 5:00 p.m. Monday through Friday.
Who does the medical record belong to?
♦
♦
The record, according to the State Practice Act law, is the property of the Veterinary Hospital.
The record must be maintained in the Veterinary Medical Center proper and never leave this
building or college campus unless under court order or subpoena.
Records are the legal documents outlining the agreed upon care and treatment received by the
patient and must be accessible at all times.
Who needs to have a medical record?
♦
♦
All animals that come to the hospital or need lab tests performed must be registered and have
a visit record created each time they come to the hospital. This includes animals of veterinary
students who are coming in for examination, testing and/or treatment.
Never throw away a visit record or other documents that comprise the record. If you think an
error has been made please come to the Reception Desk or Medical Records for assistance in
how to correct the problem.
Patient Records for Clinic Appointments:
Where do I obtain a record for a patient for clinic appointments?
♦
♦
The Reception Desks will provide you with the visit record, record folder and other documents
for the current appointment.
Do not remove the documents in these folders with previous visits.
Patient Records for Discharged Patients:
Where do I put a record when the patient is discharged or expires?
♦
♦
♦
The entire completed medical record, including both the old chart and the current visit, must
be turned into the Reception Desk prior to release of the animal. A completed chart contains
the medical record folder, paperwork from previous visits the current visit records, and an
accurate, completed and signed Diagnosis Sheet and Patient Discharge Summary.
In the case of animals that have expired, the entire complete record needs to be turned into
Medical Records by the following morning.
Patient Discharge Summaries are required for all patient visits including expired, adopted or
Technician appointment cases.
64
Loose Lab work or reports:
Where do I place miscellaneous reports or documents for the medical record?
♦
Lab reports, communications sheets, RDVM records, etc. should be placed in either the Red
Baskets or the Loose Lab Work bin located in Medical Records for incorporation in the medical
record.
Requesting Records for other purposes:
Where do I request a record be signed out for phone calls, prescription refills, case presentations, studies, etc.?
♦
♦
♦
♦
♦
Complete a chart request slip in the Medical Records department. These types of requests are
pulled every few hours, so plan accordingly.
For studies and research requests, give a list of the charts you are requesting directly to a
member of the Medical Records staff. These requests take a minimum of 5 business days to
complete.
All charts need to be signed out to the person who will be responsible for the chart.
Charts need to be signed out in a clinician’s name with your name added.
Return charts to “The Box” in the Medical Records department once you are through with them.
Do not leave them lying around.
Emergency Cases:
Where do I obtain a medical record for emergency cases when the department is closed?
♦
♦
The Emergency Hours Reception Desk staff will pull charts for you for Emergency Cases only
when the Medical Records department is closed. NO Self Serve.
They do not pull charts for case presentations and non-emergency situations. Requests for
these charts should be done during normal departmental business hours.
Release of Information or Record Copies:
What do I do if someone requests copies of the record?
♦
Because of the legal ramifications regarding the improper release of information, any requests
for copies of patient records must be referred to the Medical Records department for
processing.
♦
Either inform a Medical Records staff member of the copy request or have the person
requesting the records call the Medical Records department. We charge $1.00 per page for all
copies, except Patient Releases, Referral letters and Vaccination Certificates. These are
provided free.
♦
Verbal information can only be released to the Owner of the animal listed at the time of the visit
or the RDVM listed on the record.
65
Rev. June 3, 2008
Ohio Administrative Code
Ohio Veterinary Medical Licensing Board
4741-1-21 Record keeping.
(A) Every veterinarian performing any act requiring a license pursuant to the provisions of Revised Code
Chapter 4741. shall prepare, or cause to be prepared, a record documenting the health status of the
animal(s) treated and any necessary data such that another veterinarian may follow the rationale and
continue therapy if necessary. The record shall be dated and shall include all pertinent medical data
such as vaccination, drugs types and doses and all relevant medical and surgical procedures performed.
The records shall identify the owner of the animal(s) and provide an address and telephone number of
other means of contact.
(B) Records for companion animals shall include identifying information such as age, sex, species and breed
or description of the animal’s name, if known. Animals used for economic purposes that are treated on
an individual basis shall be similarly identified. Animals used for economic purposes that are treated on
a herd basis may be identified collectively, provided the treatment information is reflective of accepted
medical practice for the species and lists doses of all drugs dispensed.
(C) All regulated substances shall be recorded and required by federal and/or state regulations.
(D) Records, including imagery, diagnostic tests, laboratory data, surgery reports, progression of the disease
process and all of the pertinent information, are the sole property of the treating veterinarian. Records
shall be released upon request from a subsequent treating veterinarian and must be returned to the
original veterinarian within a reasonable time. Copies of records must be available upon request from
the owner of the animal at a reasonable cost to the owner.
(E) Records shall be kept for a period of three years following discharge of the animals(s) from veterinary
care.
Eff 1-22-03
Note: The OVMB permits the recording of such information by veterinary students. However, attending
clinicians are obligated to review the students’ recording of such information and assure it is complete.
66
Documentation Guidelines for the Record:
♦
♦
♦
♦
♦
♦
All entries must be made in permanent blue or black ink. (No pencil or colored gel pens which
are water soluble.
Patient name and medical record number must be included on every page. Either write this
information legibly on each page or affix a patient sticker to each page.
Put the Date (including year) and Signature on each entry.
Legible!!! (Imagine being on the witness stand and being asked to read your hand-written
entries)
Be Consistent and Accurate (Right vs. Left?).
Corrections - Place a single line through the change. Write “Error” next to it and date and initial
the correction. The correct information can now be documented. (Never use liquid paper or
white-out information. Never black out or obliterate information)
Form specific guidelines:


Patient Discharge Summary (PDS) – Make sure the Patient name, Admission date and
Discharge date are correct. The PDS must be signed by the clinician. Multiple patients
must not be listed on the same discharge summary.
SOAP note – Not required for Outpatient cases. Must document daily SOAP notes for all
Inpatient (hospitalized) cases.
** In legal terms – If it’s not written in the medical record, it didn’t happen**
(This is how clients and others will see your records and in turn judge the quality of care you provide.)
Chart Completion and Delinquency (For Interns and Residents only)
♦
♦
♦
♦
♦
♦
All medical records not in active use for a visit or special need such as a prescription refill, phone
call or research should be returned to the Medical Records office.
A record is considered complete when it has been diagnosed AND signed by the contact Intern,
Resident or Faculty member.
Records must be diagnosed and signed within 30 days of discharge.
Records without a diagnosis, signature and signed discharge summary are considered
incomplete.
Each month, Interns, Residents and Faculty members receive a listing of all the records they
have signed out in their name and an indication which are considered incomplete records.
Incomplete records are stored by clinician last name in a distinct location of the Medical Records
office for easy access.
Incomplete records will not be signed out for research studies until they are complete.
67
PARKING
•
Senior students are expected to have a parking permit or use the Pay-N-Display if they plan to bring a
vehicle on campus. Parking permits are available for purchase through Campus Parc which is located in
Bevis Hall. It is likely that most students purchase a C permit and would be expected to park in spaces
designated for C parking. The Coffey Road parking lot offers the only C spots close to the Veterinary
Medical Center.
•
Owners of any type of permit (A,B,C) are allowed to park in any A, B or C designated parking spaces
between the hours of 4 p.m. and 3 a.m. Monday through Friday mornings and 4 p.m. Friday through 3
a.m. Monday mornings.
•
The Large Animal parking lot may be used by any permit owner between 6:00 p.m. and 8:00 a.m.
Mondays – Fridays and 6 p.m. Fridays through 8:00 a.m. Monday mornings. Please park in a space facing
the isolation doors. The last three spaces in that row on the West side (closest to Galbreath Equine
entrance) must be left available at all times for Equine Ambulatory Field Service vehicles.
•
The parking lot immediately in front of the Companion Animal entrance and nine parking spaces in the
front row of parking across Vernon Tharp Street that are marked with Reserved (R) signs are for
VETERINARY MEDICAL CENTER CLIENTS ONLY. Even if you have brought your animal in for medical care
that day these parking spaces are not for use by VMC personnel.
•
Home Football Saturdays change all the usual weekend rules. Our client parking lot will still be reserved
for CLIENTS ONLY. It has been the practice in prior years to reserve the Goss Parking lot for use by
College and Veterinary Medical Center personnel who must work on a home football Saturday. If you
are scheduled to work one of these days, you will need to pick up a SPECIAL PARKING PASS from Room
102 on the days just proceeding that Saturday and return the pass the Monday after. This special pass
should be placed clearly visible in the windshield of your vehicle so officers directing traffic for the
event can see you have a special permit to get to the VMC and left displayed while you park in the Goss
parking lot. If the location of the reserved parking for personnel changes we will communicate that
throughout the VMC.
•
Except in emergency, unloading and loading situations, it is against Fire code and Medical Center
regulations for vehicles to be parked inside any part of the Medical Center. In emergency, unloading
and/or loading situations where the vehicle owner walks away from the vehicle, keys MUST be left in
the ignition. The inside of the Medical Center is not to be used for washing, repairing, or performing
maintenance on vehicles.
If for any reason you are asked to drive a vehicle that is owned by the University and has state license plates,
you must first complete a Registration Form so you are insured while driving. State owned vehicles are
continually under close scrutiny by the public, both as to its use being for strictly official business and the
adherence to traffic laws regarding their operation.
BICYCLES
Bicycles are to be parked and secured in designated bike racks around the Medical Center. It is against the OSU
parking regulations to attach bikes to anything except the parking racks provided for that purpose. Violators will
be ticketed. It is against fire regulations for bicycles to be parked in and/or housed inside the Veterinary Medical
Center.
68
PATIENT VISITATION
While we encourage clients to visit their hospitalized animal, it is important that the visit be arranged in advance
and approved by the assigned clinician(s). Visits must be pre-approved to ensure that the visit does not
interfere with treatment. There may be times when the clinician advises against a visit for a specified period of
time or puts strict limits on the visit. These restrictions must be followed in order not to jeopardize the animal’s
recovery.
Clients should be given the name of the contact person who will be coordinating the visit and asked to check in
at the appropriate Reception Desk to announce their arrival. During Emergency Hours the Reception Desk in the
Companion Animal lobby serves the needs of ALL clients.
Each Service is responsible for managing its own patient visits and releases.
Companion Animal patient visits will be coordinated by senior students. Visits (other than those in ICU) are
typically held in a Visitation Room or one of the examining rooms if both Visitation Rooms are occupied.
SECURITY
•
•
•
•
Everyone in the Veterinary Medical Center is required to wear their photo I.D. badge at all times.
There is a security guard on duty from 11:00 p.m. every night until 7:00 a.m.
Entrance doors to the Veterinary Medical Center are locked daily at 11:00 pm. with the exception of the
main entrance to the Companion Animal hospital which is locked at 1:00 a.m. There is an intercom
system at the main entrance door for people to use to call if they want to gain entrance after 1:00 a.m.
Entrance doors should never be propped open during times of expected lock-down.
69
Vetstar, Discharge Summary, and Infectious Disease Database:
A Mini-Manual
Last revised: April 2013
Vetstar Instructions
These instructions are intended for those who have completed the Vetstar training on
Carmen. They are not a replacement for the electronic training modules; they are
intended to supplement them.
Note: The most up-to-date copy of these instructions will be posted in the Vetstar
9.0 Online Training course on Carmen (http://carmen.osu.edu).
Overview
•
•
Vetstar is the name of the hospital information system (HIS) software used
throughout the OSU Veterinary Medical Center.
Vetstar is used for several important reasons:
1. to order all radiology procedures (e.g. radiographs, ultrasounds, etc.) and laboratory
tests (e.g. profiles, CBCs, cultures, etc.) required for your patients. When
procedures are ordered through Vetstar, requisitions are automatically printed in the
appropriate departments.
2. to view or print the results of all radiology procedures and laboratory test procedures
performed for your patients;
3. to review the electronic medical record of the procedures, lab tests, treatments and
medications for your patients; and
4. to bill clients for the services and supplies provided to your patients.
Hints and Tips
•
•
•
•
•
•
Be sure the CAP LOCK and NUM LOCK keys are on before using Vetstar.
Use the Enter key to move from field to field.
User the Tab key to select from a list.
Check to see you are in the appropriate “mode” – Add or Change.
After you are finished using Vetstar, be sure to LOG OUT of the system by
clicking the small gray box in the lower left corner, or pressing ESC to the Main
Menu, and selecting option 9-Log Out.
Call VIS Support 2-4146 if you have any problems. DO NOT turn off the
terminal, press Ctrl-Alt-Delete, or go to another terminal and repeat the
same process if your session is frozen or has a red lightning bolt in the
lower right. If the ESC key does not work to exit a frozen screen, please call
VIS.
VIS Support
• VIS Support is located at VMC room 0086. They may be called at 614-292-4146
on weekdays between 8 AM to 5 PM.
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Function Keys
• Each Vetstar screen must be in the correct “mode” to function properly.
• The modes (Change, Lookup, Add, etc.) are displayed in the lower right-hand
corner of each screen.
• Any time you want to back out of what you have done, press ESC <Escape>.
• Typically, the screens are in the correct mode by default. However, if you are not
able to change, lookup, add or delete as expected, you may need to change the
mode. You may change the mode using right-click on your mouse, using buttons
on the screen (if available), or using the following function keys:
o F3 <Save>
o F4 <Window>
o F5 <Add>
o F6 <Change>
o F7 <Delete>
o F9 <Expand>
Quick Commands
• Several Quick commands are available to students to access chosen screens
directly rather than using the menus. These are entered in the Command prompt
on the Client / Patient Processing screen and will be described throughout this
document:
o LL – Lab Labels
o LR – Lab Results
o RR – Radiology Report (Print Imaging Request)
o SR – Surgery Report (View on Screen)
Search for Client/Patient
In the COMMAND field on the Client/Patient processing screen, search for the
client/patient by one of the following options:
Medical record/chart/patient number
1.
2.
Type M and the patient 9-digit number.
For example: M000310293
Press the Enter key.
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Client’s last name/patient’s name
1.
Type in the client’s last name (or partial), slash /, and then the
patient’s name (or partial). Press the Enter key. For example:
DOE/SASSY or DOE/SAS. Avoid using partial names unless
absolutely necessary as these searches will be much slower.
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Vetstar, Discharge Summary, and Infectious Disease Database:
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2.
If more than one client/patient matches the search criteria, a
window will display with all the matching results.
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Vetstar, Discharge Summary, and Infectious Disease Database:
A Mini-Manual
Last revised: April 2013
3.
4.
Press the Expand button or F9 key to see additional client/patient
information.
Click the correct client/patient with the mouse. You may also arrow
up and down and press the Tab key to select.
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Vetstar, Discharge Summary, and Infectious Disease Database:
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Last revised: April 2013
Client name
1.
Type in the client’s complete last name, followed by a comma,
space, and then the client’s first name (or partial of first name).
Press the Enter key. For example: DOE, JOHN
2.
If more than one client/patient matches the search criteria, a
window will display with all the matching results. Press the Expand
button or F9 to see additional client/patient information.
Click the correct client/patient with the mouse. You may also arrow
up and down and press the Tab key to select.
3.
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Vetstar, Discharge Summary, and Infectious Disease Database:
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Last revised: April 2013
Ordering Lab Tests
1.
2.
3.
4.
Select the client/patient on the Client/Patient Processing screen.
Choose the Charges tab listed on the left side of the screen.
Press the Enter key to the PROC CODE field.
Type in the name of the lab test to order, and press Enter.
5.
Select the correct lab test with the mouse, if more than one lab test
appears.
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6.
7.
Enter through the remaining fields on the charge screen until the
Laboratory Request window appears or you are prompted with a
template. Depending on the type of lab test you order, either a
template or the Laboratory Request window will appear.
If you are prompted with the Laboratory Request window, double
click on the HISTORY bar to add history. Type in the reason for the
lab test, and Enter through to the next line.
Note: failure to complete the requested information may cause
delays in receiving the test results!
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Press the SAVE button or F3 until you return to the
Laboratory Request screen.
8.
If you are prompted with a Template (similar to the Comments
screen, but pre-populated with a form to fill out), click on the Word
icon in the lower left hand corner of the screen.
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9.
After clicking on the Word icon, you will be put into a text editor
called TextPad. TextPad will word-wrap for you, but does not bold,
underline, or italicize. Complete all fields/information on the
template.
Note: failure to complete the requested information when ordering lab tests
may cause delays in receiving the test results!
10.
11.
12.
13
Once all information has been completed, click on the middle X in
the upper right hand corner of the screen, or you can go the FILE
and select EXIT. Either way you will be prompted if you want to
save the changes; click on YES.
You will then see the screen flash. The information just typed will
be imported into Vetstar.
Press the Save button (or F3 key) until you return the charge
screen. Note: After saving with a template you may also be
prompted to complete the HISTORY (i.e., why the lab test is
being ordered). Complete the HISTORY information as
previously described.
If you have additional lab tests to order, begin at step 3. Otherwise,
slowly Save until you come to the REPORT DESTINATION
screen.
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14.
15.
The cursor is in the Destination field. Type in the label printer code
(example: LL165). Then press Enter and two labels will print out for
each lab test you ordered. Place one label on your specimen, and
bring the specimen to the lab along with the extra label.
If you are finished using Vetstar, LOG OUT of the system.
Reprinting a Lab Label
***Do NOT RE-ENTER the lab test if Vetstar failed to print a label for any
reason.***
1.
2.
3.
4.
5.
Select the client/patient on the Client/Patient Processing screen.
In the COMMAND field, type in the quick command LL (lab label),
and press Enter.
Bring the cursor into the L field for the correct test line.
Right-click and select Window (or press F4).
Type the label printer code in the Destination Field on the Report
Destination screen, and press Enter.
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Printing a Lab Report (except culture results)
***Note: You cannot print lab results for a single test. However, you can print lab
results for a group of tests (e.g., all Chemistry tests). Culture results are available
through the Infectious Disease Database.
1.
2.
3.
Select the client/patient.
In the COMMAND field, type in the quick command LR (lab report).
Bring the cursor to the R column for the report you want to print.
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4.
5.
6.
Right-click and select Window (or press F4) to open the Case
Results Report window.
Enter the Case Report Format using one of the following options:
LR = all lab results
CLR = chemistry results only
HLR = hematology results only
CYLR = cytology results only
PLR = parasitology results only
SLR = serology results only
PALR = histopathology/necropsy results only
Type Y in the OK field.
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7.
On the Report Destination screen, type in the printer identification
in the Destination field and press Enter.
View Lab Results On Screen
1.
2.
3.
Select the client/patient.
In the COMMAND field, type in the quick command LR.
Bring the cursor to the RESULTS column for the results you want to
see, right-click and select Window (or press F4).
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Ordering a Radiograph/Ultrasound/MRI/CT Scan
1.
2.
3.
4.
5.
6.
Select the client/patient on the Client/Patient Processing screen.
Choose the Charges tab listed on the left side of the screen.
Press the Enter key to the CODE field.
Type in the area of the procedure, and press Enter. Do not just
type in the word ‘radiograph, ultrasound, etc.;’ be specific to the
location (e.g., tibia).
All procedures associated with radiology/ultrasound/MRI/CT Scan
will begin with the word RADIOLOGY. Highlight and use Tab to
select the procedure desired.
Enter through the remaining fields on the charge screen until the
Imaging Request Screen appears. Using the Enter key complete
the following fields:
• Location – where the patient is located in the hospital.
• Imaging Comments/History – The window will
automatically open. Type in the reason for the request. After
completing the information, Enter through to the next line.
Save (F3) – the information & return the Imaging Request
screen.
• Examination Area – a window will open at this field. In the
Examination Area field, type in the first few letters of the area
to be examined (e.g., TIBIA = TIB), and press Enter.
• When applicable, complete:
R/L field with R=right, L=left, B=both
F/H field with F=fore, H=hind, B=both.
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Once you have completed the Examination Area and R/L and F/H
fields (when applicable), Save (or press F3) until you return to the Imaging
Request screen.
Note: failure to complete the requested information may cause delays in
receiving the radiograph results!
7.
Enter through to the OK field, type in Y, and press Enter.
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8.
9.
You are then returned to the charge screen. If you have additional
radiographs to order, begin with Step 3. Otherwise, Save (or
press F3) until you return to the Client/Patient Portal screen.
If you are finished using Vetstar, LOG OUT of the system.
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Printing a Radiology/Ultrasound/MRI/CT Scan Report
1.
2.
3.
4.
Select the client/patient on the Client/Patient Processing screen.
Enter the quick command RR (radiology report) in the COMMAND
field, and press Enter.
Patient with one radiograph procedure: You will be immediately
brought to the Imaging Report screen. If so, then type in Y in the
OK field on the Imaging Report screen, and press Enter. Type in
the printer identification in the Destination field and press Enter.
Patient with more than one radiograph procedure: Highlight and
use Tab to select the radiograph procedure. Then type in Y in the
OK field on the Imaging Report screen, and press Enter. Type in
the printer identification in the Destination field and press Enter.
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Surgery Report Instructions
Hints and Tips
*
*
*
*
*
*
BE PATIENT when starting and exiting TextPad as Vetstar must export and
import your text.
If you encounter problems, DO NOT turn off the terminal, press Ctrl-AltDelete, or go to another terminal and repeat the same process. You will be at
risk for losing all the information you typed into the computer.
Do not attempt to bold, highlight, italicize, or underline. Only plain text will be
retained.
You can spell check your text by clicking the ABC√ icon on the toolbar.
If the screen goes white, the word processor screen disappears, or the keyboard
is unresponsive, press the ALT ESC keys to bring the word processor program
to the foreground. You should then be able to continue your work.
Call VIS Support 2-4146 if you have any problems.
Creating a NEW Surgery Report
1.
2.
Select the client/patient on the Client/Patient Processing screen.
Double click on the Pad & Pencil (comments) icon.
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3.
4.
5.
6.
If the patient has multiple visits, highlight and select the visit to
which the surgery report is applicable.
Click Surgery Reports with your mouse, or scroll down to highlight
this and press Tab.
With the first line of the Comments window selected, press
the Window (F4) key.
If the page is blank: In the Enter Document Code field type SR
(for surgery report). [Note: if the Enter Document Code window
does not appear, press the Add (F5) key, then the Window (F4)
key.]
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7.
8.
Press Enter three times; wait, and the Surgery Report template will
appear.
Double click on the Word icon in the left hand corner of the screen
to start the text editor.
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9.
Type your report in accordance with the template. TextPad will
word-wrap for you, but does not bold, underline, or italicize. You
can spell check your report by clicking the ABC√ icon on the
toolbar.
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10.
11.
12.
Once all information has been completed, click on the middle X in
the upper right hand corner of the screen, or you can go FILE and
select EXIT. Either way you will be prompted if you want to save
the changes; click on YES. You will then see the screen flash. The
surgery report you just typed in was imported into Vetstar.
Press the Save button (or F3 key) twice to return to the
Client/Patient Portal screen.
Log out of Vetstar if you are finished, or continue working in
Vetstar.
Edit an Existing Surgery Report
1.
2.
3.
4.
5.
6.
7.
8.
9.
Select the client/patient.
Double click on the Comments icon.
If the patient has multiple visits, select the visit to which the surgery
report is applicable.
Double click on the Surgery Reports line.
Click on the Word icon in the left hand corner of the screen to start
the text editor.
Edit your report as needed. You can spell check your report by
clicking the ABC√ icon on the toolbar.
After revising the report, go FILE and select EXIT. You will be
prompted if you want to save the changes; click on YES. You will
then see the screen flash. The
revisions to the surgery report are imported into Vetstar.
Press the Save button (or F3 key) twice to return to the
Client/Patient Portal screen.
Log out of Vetstar if you are finished.
Printing a Surgery Report for an OPEN Visit
If your patient has an OPEN visit, you will see visit information listed in the Visit
Information section on the Client/Patient Portal screen.
1.
2.
Select the correct client/patient.
Type in the quick command SR (surgery report) in the Command
field and press Enter.
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3.
Type in the printer identification in the Destination field and press
Enter.
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Adding Another Surgery Report to an Existing Surgery Report
1.
2.
3.
4.
5.
6
7.
8.
9.
10.
11.
Select the client/patient on the Client/Patient Portal screen.
Double click on the Pad & Pencil (comments) icon.
If the patient has multiple visits, highlight and select the visit to
which the surgery report is applicable.
Highlight Surgery Reports and press the Tab key or double click
on the Surgery Reports line.
Press the Add (F5) key, then the Window (F4) key.
Press Enter three times and wait. The Surgery Report template
will append to the end of the first surgery report.
Double click on the Word icon in the left hand corner of the screen
to start the text editor.
Type your report in accordance with the template. The text editor
will word-wrap for you, but does not bold, underline, or italicize. You
can spell check your report by clicking the ABC√ icon on the
toolbar.
Once all information has been completed, click on the middle X in
the upper right hand corner of the screen, or you can go the FILE
and select EXIT. Either way you will be prompted if you want to
save the changes; click on YES. You will then see the screen flash.
The additional surgery report you just typed has been imported into
Vetstar.
Press the Save (F3) key twice to return to the Client/Patient Portal
screen.
Log out of Vetstar if you are finished, or continue working in
Vetstar.
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Printing a Surgery Report for a CLOSED Visit
1.
2.
3.
4.
Select the correct client/patient.
Left click on the VISIT SUMMARY tab on the left side of the screen.
Enter sr for Custom Report.
Check the Closed Visit Report box and press Enter.
5.
In the Patient Visit Inquiry window, use the arrow keys to select the
visit. Press Tab.
Type in the printer identification in the Destination field on the
Report Destination screen and press Enter.
6.
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Discharge Summary Instructions
Overview
•
•
The purpose of the Discharge Summary application is to create, print,
search and retrieve patient release forms and referral letters for patients seen
in the hospital.
This document is also referred to as the “Go Home”.
Creating a NEW Discharge Summary Document
1.
2.
3.
4.
5.
Double click on the Discharge Summary icon.
Once the application has started, you may be prompted for your
CVM Domain account and password.
Click on the Create NEW Discharge Summary icon. You will then
be prompted with the option of using a Discharge Summary with a
template (e.g., Cat Declaw, Canine Vaccines, Dermatology) or
creating a document without a template (i.e., Blank – no template).
Click on either Template or Blank.
If you select Template, a list of templates will appear. Click on the
green COPY TO NEW button of the template you would like to use.
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6.
7.
8.
9.
10.
11.
Your cursor will then go the OSU Case No: field. Type in the
patient’s medical record number (do not use the M as you do in
Vetstar). Then click on Lookup Patient Data icon. The
client/patient/RDVM information will populate the screen.
The fields in blue are required fields for the Discharge Summary
document.
Complete the following fields:
Type (LA, SA, EQ)
Clinician #1: The doctors will be listed in alphabetical order
by last name.
Date Admitted & Discharged
Patient Status: Select the appropriate patient status.
To the left are gold-colored section tabs (Diagnosis, History,
Findings, etc.). The tab you are working in will be highlighted
yellow. To move to another tab, simply click on the desired tab.
In the DIAGNOSIS tab section, indicate whether the Diagnosis
Status is either Final or Pending, and indicate any lab tests or
cultures that are outstanding.
Type the information into each tab section as indicated by the tab
heading.
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12.
13.
14.
15.
16.
To Spell Check each tab/section, click on the Spell Check icon in
each section.
To the right of section box is a green-colored Notes to RDVM tab.
This is for the user to type additional information for the RDVM. If
you are typing Notes to RDVM, the area will be highlighted a light
green. The additional RDVM information will append to the
Discharge Summary Report.
To Print a DRAFT of the Discharge Summary document click on
DRAFT under the Patient Discharge or Referral Letter to the right of
the screen. Then click on the green PRINT icon.
You will then be prompted to print either the RDVM or Patient
Discharge Summary. Click on the appropriate selection.
A copy of what the DRAFT Discharge Summary document will look
like will appear on the screen. At the top of the document, you will
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see Press Enter to continue. Once you press Enter, you will be
prompted with the Print window. You must select the correct name
of the printer. There are times the system will put a default printer in
the NAME field, and your document will print elsewhere in the
hospital. Select the correct printer & print your DRAFT copy of the
Discharge Summary document.
17.
18.
After you print your DRAFT Discharge Summary document, you are
prompted as to whether or not you want to make this your FINAL
record. Click NO. (You will probably need to edit the document
later.)
You are then returned to the Discharge Summary screen with the
tabs and client/patient information. To exit the Discharge Summary
application, click on red Quit button.
Edit/Revise an Existing Discharge Summary Document
1.
2.
3.
Double click on the Discharge Summary icon.
Type in the password when prompted and press Enter or click on
OK.
Click on the Find Current Discharge Summary to Edit/Print icon.
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4.
5.
6.
The cursor is in the Med Rec # field. Type in the patient’s nine-digit
medical record number, and then click on the blue Find icon.
If there is more than one current Discharge Summary document, all
will appear on the screen. Click on the yellow Edit icon of the
Discharge Summary document that is to be edited.
Edit/revise your Discharge Summary document as needed, Spell
Check (if needed), and print.
Note: In order to print a FINAL Discharge Summary document with the OSU
Veterinary Medical Center information, click on the Final button for either the
Patient Discharge or Referral Letter.
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Infectious Disease Database Instructions
Overview
•
•
The purpose of the Infectious Disease Database application is to provide the
microbiology results for patients with cultures submitted in the hospital.
Students are not able to enter or modify information in this database.
Printing Culture Results
1.
2.
3.
Click on the Infectious Disease DB icon.
If prompted, type in your CVM Domain account name and
password (password is case sensitive).
Click on the Student Menu tab.
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4.
Click on Search/View Microbiology Results.
5.
Type in nine-digit patient medical record number, and then click on
Find.
To print, click on the Print button.
6.
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You also have other options to retrieve results, such as clicking on View List of Most
Recent Microbiology Results. From there, you will have different resulting options to
choose from (e.g., Today, Yesterday, Last 7 days, Last 14 days). You can also click
on any of the table headings (e.g, Patient Name, Medical Record No., etc.) to sort and
then select.
Page 104
ANESTHESIA PROTOCOLS Revised 4-13
SMALL ANIMAL
REQUEST FORMS
A paper anesthesia request form must be completed for all cases requiring anesthesia. These and other hospital
request forms are located in the yellow boxes on the shelves outside of the small animal surgery office door, in
the CP-ICU treatment room, and on the shelves across from wards D and E.
Requests must be completely filled out with all appropriate boxes checked and the animals weight noted in kg.
A procedure time or case order as well as the requesting clinician’s signature are required. Any special requests:
i.e. Arterial catheters, central lines should be noted as well as current medical problems seizure history, cardiac
murmurs, azotemia etc. Please indicate on the form if the animal is aggressive, cage protective, etc.
REQUESTS MUST BE TURNED IN BY 4:00 the day before the procedure! If this is not possible, please handdeliver the sign-up to an anesthesia technician as soon as you are aware of the need for anesthesia. Requests
that are received after this cut-off time or that are incomplete will be prioritized by the anesthesia service in
consultation with the requesting service. Every attempt will be made to inform you as soon as possible if a
request is incomplete. The request form has 3 copies. The white and yellow copies are to be placed in the
appropriate labeled box outside the door to the surgery office (room1058). The pink copy is to be used as a no
food sign for the animal’s cage or run.
PRE ANESTHETIC REQUIREMENTS
Healthy animals up to 5 yrs. of age: PCV & TP.
Healthy” animals older than 5 years of age: CBC and Profile within 30 days of the requested procedure and a
PCV &TP within 24 hours.
Compromised Patients or repeat anesthetics might require additional lab work.
Check with the anesthesiologist on duty if you have any doubts. The name of the anesthesiologist on duty is
located to the left of the door to the small animal surgery office.
Please make sure that all anesthetic candidates are as stable as possible for anesthesia. For example if an animal
is dehydrated, hypotensive, hypoprotienemic please take the appropriate measures to correct the instability.
DO NOT RELY ON THE ANESTHESIA DEPARTMENT TO STABILIZE YOUR PATIENT PRIOR TO IT BEING
ANESTHETIZED!!
If any case is going to the ICU post-anesthesia we ask that you have the ICU orders written ahead of time
whenever possible.
105
LATE CASES AND EMERGENCIES
The “Last Call” for patients scheduled for anesthesia should be made by 2:30pm to ensure table times of 3:30.
The Anesthesia Department will only induce Emergency procedures after 3:30. Please be aware that this
might result in an extra day’s board charged to the client if the case is delayed until the following day.
There is an anesthesia student assigned for cases needing after hours Small Animal Anesthesia. The name of the
anesthesia student on call for that particular night or weekend day is located on the inside of the prep room
door and in the ER book at the front desk. For “HIGH RISK” patients or if there are any questions concerning
protocol there are anesthesia technicians or residents on call. The call list for these anesthesia personnel is in
the ER book as well as in the SAS office. All cases after hours will receive appropriate anesthesia emergency fees.
DO NOT call the anesthesia technicians or residents to warn us of pending cases. Do Not call us before the
surgeon has evaluated the patient, you have owner permission and all financial obligations have been taken care
of.
Phone protocol: Call the number listed on the ER call list for the anesthesia technician. If there is no answer and
an alternate number is listed please try the alternate number otherwise leave a detailed message including a
number that is available by an outside line. If you do not get a call back in an appropriate amount of time please
try your call again. Once you have spoken to the on-call technician please also call the on call anesthesia student
(phone list locations are above).
LARGE ANIMAL / EQUINE/ FOOD and FIBER (LAA)
REQUEST FORMS
All Equine and Food and Fiber cases need to be signed up by 4:00 p.m. the day before surgery. A completed
anesthesia request form for each patient must be completed and submitted. Place the white and yellow copies
of the request in the black basket hanging on the Anesthesia door in the red hallway. Blank forms are located at
that location and in other designated area for forms. Hang the pink copy on the patient’s clipboard on the stall
door.
In the event of “to arrive” cases we would prefer the case to be signed up for anesthesia, even if the Clinician
won’t know until it arrives if it needs our service. If a case needs to be added first thing in the morning, let the
Surgery Technician know in morning rounds by 10:00 a.m., so they can sign it up.
Complete all pertinent information on the request form.
• The form should have a patient-identifying label affixed. If a label is unavailable include at the minimum
the owner’s name and the case number.
• Date of the procedure on the form.
• Include the time of the procedure or the order in the event of multiple procedures.
• Write the exact procedure(s) being performed (example: CT Scan then EEG).
106
•
•
•
•
Note positioning of the patient (examples: LSD or dorsal then LSD).
Include the procedure location (example: radiology, room B).
Have the Clinician and or Resident sign the bottom of the form.
Add any information that might be helpful for us to know about the case in the “special request” area
(example pre-op drugs, the prep standing or down, or any critical patient information).
Please contact us as soon as possible if a scheduled time needs to be changed or cancelled. Notification of such
a cancellation or delay can allow us to assign an earlier time to case scheduled for a later time.
The time requested may need to be changed slightly in the event that multiple cases are signed-up for the same
time (example; three cases for 10:00 a.m. – we would need to stagger them to 10:00, 10:15, 10:30 etc.). We will
communicate the changes as needed to the Clinician in charge of each case.
The Resident or Faculty member from the requesting service assigned to the case and one senior student must
stay with the case from induction through recovery. NO EXCEPTIONS
Please direct any questions about the anesthesia request forms or scheduling changes to the Large Animal
Anesthesia Supervisor phone #. 2-9587, if no answer call 7-7954
Cases received after 4:00 will be prioritized by the anesthesia service in consultation with the requesting
service and will be fit into the schedule at the discretion of the Anesthesiologist on duty.
All scheduling conflicts should be discussed with the Anesthesiologist on duty.
Pre anesthetic requirements
Young Healthy patients: PCV and TP.
Compromised patients: CBC, Profile, and other pertinent laboratory data.
Please check with a member of the anesthesia team when in doubt.
Please make sure that all anesthesia candidates are as stable as possible for anesthesia. For example if an animal
is dehydrated, hypotensive, hypoprotienemic please take the appropriate measures to correct the instability.
DO NOT EXPECT THE ANESTHESIA DEPARTMENT TO STABILIZE YOUR PATIENT!
EMERGENCY PROCEDURES
For after hours Large Animal Anesthesia (LAA) Only Anesthesia Personnel are on Duty. The schedule is posted
at the front desk as well as in the Equine, Equine ICU, and Large Animal offices.
DO NOT call the anesthesia technicians or residents to warn us of pending cases. Do Not call us before the
surgeon has evaluated the patient, you have owner permission and all financial obligations have been taken care
of.
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108
Standard Practices for Management of Small Animal Infectious Disease
By Dr Dennis Chew and Dr Shane Bateman
1. Classification of Infectious Disease
High Risk
Moderate Risk
Canine Parvovirus
Infectious Canine Hepatitis (CAV-1)
Canine Distemper
Leptospirosis
Canine Infectious Tracheobronchitis Feline Infectious Peritonitis
Feline Calicivirus
Salmonellosis
Feline Rhinotracheitis
Campylobacteriosis
Feline Panleukopenia
Hospital Diarrhea
Chlamydiosis
Cheyletiella Mange
Q-Fever
Sarcoptic Mange
Exotic Newcastle Disease
Giardiasis
Plague*
Chlamydiosis
Canine Brucellosis
Tularemia
Avian Influenza*
Cryptosporidiosis
Zoonotic Potential
Rabies*
Leptospirosis
Canine Brucellosis
Sporotrichosis
Dermatophytosis
Giardiasis
Round/Hook Worm
Salmonellosis
Campylobacteriosis
Q-Fever
Tularemia
Plague*
Cat Scratch Disease
(Bartonella)
Cheyletiella Mange
Sarcoptic Mange
Toxoplasmosis
Cryptocococosis - birds
Cryptosporidiosis
Monkey Pox *
Tuberculosis
Mycobacterium bovis*
Avian Influenza*
*Reportable Disease
Priorities for Students, Clinicians, Technicians and Hospital Staff
Diligent attention to the potential for spread of infectious disease to other areas of the hospital is
paramount. Persons who are participating in the care of a patient suspected to have a high-risk infectious
disease, should minimize contact with other patients that are believed to be immunosuppressed or
insufficiently vaccinated. One student or technician in a ward will be designated to manage patients in
Small Animal Isolation.
2. Admission of Patients Suspected of HIGH RISK Infectious Disease
a. Suspicion of High Risk Infectious Disease Present Prior to Patient Entering Hospital: If
suspicion of high-risk infectious disease (dangerously contagious disease) is present prior to the
client/patient entering the hospital admission area, clients should be cautioned to enter the
building only as necessary. Clinicians and students having contact with the patient must wear
protective gowns, gloves, and plastic boots. Patients should be examined outside the building
when possible. Alternatively, animals may be examined in a room close to the entry door that is
designated for cases suspected to be infectious (the “garage” room with lobby access). Dogs
suspected to have parvovirus infection will remain in this designated room on a gurney with the
109
client while awaiting results of ELISA testing for parvo status and for results of WBC count. This
process usually takes between 30 and 45 minutes. Those dogs that have ELISA + reaction or
neutropenia will be admitted to the isolation ward. If there is suspicion of another high-risk
infectious disease, then the patient should be admitted immediately to the isolation unit until this
can be confirmed. Except for patients <5kg who can be carried, all other patients must be placed
onto a gurney. To minimize the potential for spillage of infectious material (feces, urine, and
vomit) during transport, the gurney must contain adequate absorptive material to prevent spillage
(i.e.: plastic garbage bags, cage pads). The gurney must be transported through the client
waiting area and through the double doors into the hallway in front of Wards 1-3. The gurney
should be transported through Ward 2, then down the hallway behind Wards 1-8 directly into the
isolation unit anteroom. The gurney should not enter the isolation room. The patient should be
lifted from the gurney in the anteroom to the cage. Someone must be designated to immediately
mop the floor along this route with an effective disinfectant solution, which shall be available in
the examination room hallway. The gurney must be thoroughly cleansed while in the anteroom.
After cleaning, the gurney is moved just outside the anteroom door, where it must be thoroughly
wiped/sprayed with disinfectant (10% bleach) on all surfaces including the wheels.
b. Suspicion of High Risk Infectious Disease Not Identified until after Patient Entry to
Hospital: If the patient has already entered the hospital, before the potential for a high-risk
infectious disease has been identified, every effort must be made to identify possible areas of
contamination. The examination room, client waiting area and all other areas where potential
contamination with infectious material may have occurred must be cleansed thoroughly with an
effective disinfectant solution (See Chapter 1). All students and clinicians handling the patient
must wear gloves, gowns and protective boots as soon as the potential for high-risk infectious
disease has been identified. All other clients present in the waiting area whose patients may
have been exposed to the infectious disease should be informed of the risk and the symptoms of
the disease in question. Vaccination status should be determined and updated vaccination
recommended for diseases to which the animal has been exposed and for which there is a
vaccine available (especially for parvovirus, canine distemper, panleukopenia, infectious
tracheobronchitis). The owner is responsible for keeping his/her animal’s vaccination status up to
date. The patient that is suspected of high risk infectious disease should be transported to the
isolation unit as outlined in 2 (a) above.
c. Contamination of Persons in Contact with Patient Suspected of High Risk Infectious
Disease:
• Owners of high-risk infectious disease patients should be encouraged to enter the
hospital only when necessary, and should wear clean uncontaminated clothing. Clients
who must have contact with front desk staff and who are wearing potentially
contaminated clothing must be provided with a protective gown and thoroughly wash their
hands prior to any contact with front desk staff. Clients must be instructed regarding the
policy for entry and exit from the isolation unit identified in III (a) below if visitation of their
pet is to be allowed in the isolation unit. The practice of allowing clients to visit patients in
Isolation should not be encouraged.
• Any person (student, clinician, technician, staff member) who has unprotected contact
with a patient suspected of high risk infectious disease must immediately be provided
with a clean uncontaminated set of surgical scrubs or change into other clean
uncontaminated clothing. The contaminated clothing should be placed in a plastic bag
and transported for laundering. After placement of the clothing in the bag, the person
must thoroughly wash his/her hands prior to any further contact with other patients or
clients. In addition, any person who experiences contamination of their personal clothing
during protected contact with a patient suspected of high risk infectious disease must
immediately change clothing as outlined above.
d. Admission of dog or cat suspected to have Rabies.
• All rabies suspects will be kept in the ICU and so noted with a sign on the cage “Rabies
Suspect”. Only faculty, residents, interns, students, and staff presumed to have a
protective titer to rabies will care for the patient.
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3. Isolation Unit Entrance and Exit Procedures
a. Personnel: Upon entry into the anteroom, patient supplies should be gathered and
prepared prior to entry into the isolation room. Once these preparations are complete,
then protective footwear, gown and gloves must be put on prior to entry into the isolation
room. All patient treatments and diagnostic procedures should be performed in the
isolation room when possible. After completion of necessary patient contact, all
personnel should clean the area as well as possible. All infective material should be
cleaned from the floor using a mop and appropriate freshly prepared disinfectant solution
(1:10 dilution bleach). ALL soiled cage material should be placed in the trash. Upon
completion of necessary procedures, gloves, gowns, and protective footwear should be
removed and placed in the trash at the door to the anteroom. ALL PERSONNEL
LEAVING THE ISOLATION ROOM MUST IMMEDIATELY WASH THEIR HANDS
THOROUGHLY AT THE SINK IN THE ANTEROOM PRIOR TO EXITING FROM THE
ANTEROOM. If any article of personal clothing becomes soiled with infective material or
comes into close contact with the patient, procedures in 2(c) above must be followed.
b. Patient: When the patient is required to leave the isolation room for diagnostic
procedures or is being discharged from the hospital it should be carried from the cage to
the anteroom and placed on a gurney. To minimize the potential for spillage of infectious
material (feces, urine, and vomit) during transport, the gurney must contain adequate
absorptive material to prevent spillage (i.e.: plastic garbage bags, cage pads). Any
hospital personnel having contact with the patient during transport or during diagnostic
procedures must be provided with protective gowns and gloves. After contact is
complete, all hospital equipment that the patient has come into contact with must be
cleansed thoroughly with an effective disinfectant solution (1:10 dilution bleach). All
gowns and gloves should be transported to the isolation unit and disposed of in the trash
in the isolation unit. ALL PERSONNEL WHO HAVE PARTICIPATED IN THE
PROCEDURE MUST IMMEDIATELY THOROUGHLY WASH THEIR HANDS AFTER
REMOVING THEIR GOWNS AND GLOVES AND PRIOR TO ANY OTHER PATIENT
CONTACT. If any article of personal clothing becomes soiled with infective material or
comes into close contact with the patient, procedures in 2(c) above must be followed.
The gurney should not enter the isolation room. The patient should be lifted from the
gurney in the anteroom to the cage. The gurney must also be cleaned completely,
including the wheels and allowed to dry prior to being used again (see above).
c.
Trash and Cleaning Procedures: Trash should be double bagged and clearly labeled
as: BIOHAZARDOUS MATERIAL-POTENTIALLY INFECTIOUS, and left in the hallway
outside the anteroom. Ward attendants will place these bags into red biohazard bags
and transport to the holding area for biohazard waste removal on the dock. The route to
reach the Dock should be through the corridor behind the Wards to the elevator behind
Ward 1. Any supplies or equipment which enter the isolation unit (anteroom or isolation
room) must not be removed unless in the trash, or following a thorough cleansing with an
appropriate disinfectant solution (1:10 dilution bleach). The floor of the anteroom must be
mopped once daily, or more often if necessary, with an appropriate disinfectant solution
(1:10 dilution bleach). The entire isolation unit must be thoroughly cleaned after
departure of any patient, which was housed there with an appropriate disinfectant
solution (1:10 dilution bleach). Special attention must be paid to cleaning any infective
material from walls, and equipment.
d. Maintenance of Disinfectant Wash Buckets
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•
Fresh buckets of disinfectant (1:10 dilution bleach) are maintained in the isolation
area by the small animal critical care unit technicians at least once daily.
Disinfectant buckets are prepared and maintained in the general receiving areas
and the wards by the small animal grooms and by the small animal technicians.
Methods of preparing the disinfectant buckets and proper sanitation of the ward
areas and equipment are taught during groom and technician orientation to the
job.
4. Admission of Patients Suspected of MODERATE RISK Infectious Disease
a. All patients, who are suspected of moderate risk infectious disease, may be admitted to
the critical care unit. At the discretion of the admitting clinician, and preferably in
consultation with the director of the critical care unit, the patient may be admitted to the
isolation unit and treated as a high risk infectious disease case and procedures outlined
in 2 and 3 above must be followed. This should be necessary only if there are
immunosuppressed patients who are at risk for the infectious disease in question, that
are present in the critical care unit.
b. Hospital personnel and/or clients, who are required to have contact with a patient
suspected of a moderate risk infectious disease, must wear a protective gown and
gloves. A special trash receptacle labeled as BIOHAZARDOUS MATERIALPOTENTIALLY INFECTIOUS must be located nearby and all gowns, gloves, and soiled
cage materials must be placed in this receptacle. This trash will be disposed of as in 3(c)
above. ALL PERSONNEL WHO HAVE CONTACT WITH THE PATIENT MUST
IMMEDIATELY AND THOROUGHLY WASH THEIR HANDS AFTER REMOVING THEIR
GOWNS AND GLOVES, AND PRIOR TO ANY OTHER PATIENT CONTACT. If any
article of personal clothing becomes soiled with infective material or comes into close
contact with the patient, procedures in 2(c) above must be followed. If the patient must
leave the critical care unit for diagnostic testing, relevant procedures in 2 (b) above
should be followed. Any equipment, which has become soiled by infective material,
should be immediately and thoroughly cleansed with an effective disinfectant solution
(1:10 dilution bleach) prior to being utilized for any other patient.
5. Admission of Patients Suspected of ZOONOTIC POTENTIAL Infectious Disease
a. All patients, who are suspected of zoonotic potential infectious disease, may be admitted
to the critical care unit. At the discretion of the admitting clinician, and preferably in
consultation with the director of the critical care unit, the patient may be admitted to the
isolation unit and treated as a high risk infectious disease case and procedures outlined
in 2 and 3 above must be followed. This should only be necessary if there are
immunosuppressed patients, that are at risk for the infectious disease in question,
present in the critical care unit. Alternatively, if the zoonotic potential is very high or
special precautions must be taken to prevent human transmission.
b. Hospital personnel and/or clients, who are required to have contact with a patient
suspected of having a zoonotic infectious disease, must wear a protective gown and
gloves. A special trash receptacle labeled as BIOHAZARDOUS MATERIALPOTENTIALLY INFECTIOUS, must be located nearby and all gowns, gloves, and soiled
cage materials must be placed in this receptacle. This trash will be disposed of as in 3(c)
above. ALL PERSONNEL WHO HAVE CONTACT WITH THE PATIENT MUST
IMMEDIATELY AND THOROUGHLY WASH THEIR HANDS AFTER REMOVING THEIR
GOWNS AND GLOVES, AND PRIOR TO ANY OTHER PATIENT CONTACT. If any
article of personal clothing becomes soiled with infective material or comes into close
contact with the patient, procedures in 2(c) above must be followed. If the patient must
leave the critical care unit for diagnostic testing, relevant procedures in 2(b) above should
be followed. Any equipment that has become soiled by infective material should be
112
immediately and thoroughly cleansed with an effective disinfectant solution (1:10 dilution
bleach) prior to being utilized for any other patient.
c.
Hospital personnel and/or clients, who have had contact with a patient suspected of
having a zoonotic infectious disease known to be transmitted by fomites must not enter
into areas of food preparation or distribution designed for human consumption wearing
the same clothing and shoes as during the potential exposure. The use of disposable
barrier clothing is encouraged. Clothing and shoes must be changed before leaving the
building in these circumstances. Clothing should be bagged and laundered, and shoe
bottoms and sides disinfected.
d. Clients should be informed of the zoonotic potential of their pet’s disease as soon as a
reasonable suspicion or confirmation of a zoonotic disease is established. The client
should be encouraged to contact their local physician for further advice following
exposure to a zoonotic disease. See Table at beginning.
e. Immunocompromised people (clients, students, staff, faculty, technicians) may be
exposed to zoonotic diseases in our hospital or from animals at home. Special
precautions to lower the risk for acquisition of an infectious agent from animals may be
appropriate in these circumstances. It is important that confidentiality be maintained if
that is the wish of the individual. Resources for more information on these issues are :
Healthy Pets, Healthy People at www.cdc.gov and PAWS (Pets Are Wonderful Support)
[Pets and the Immunocompromised Patient]
at www.pawssf.org/library_immunocompromised.htm. These sources provide helpful
material for attending veterinarians and the immunocomproimsed community.
Excerpted from: INFECTIOUS DISEASE CONTROL: BIOSECURITY POLICIES AT THE OHIO STATE
UNIVERSITY COLLEGE OF VETERINARY MEDICINE, March 2004
Infectious disease control in the Veterinary Teaching Hospital
By Dr Richard Bednarski
Introduction
Infectious disease control within the Veterinary Teaching Hospital implies that infectious diseases, which by
definition are regularly introduced to the hospital by its patients, are prevented from contacting and
infecting other patients and hospital personnel. Infectious disease control measures should be designed
to prevent transmission of infectious microorganisms from recognized and unrecognized sources of
infection. To this end, facility design including ventilation, patient housing and stratification must be
appropriate. Additionally, all patient contact personnel must be trained in appropriate personal hygiene
practices including hand washing and the use of barrier clothing. Personnel should be familiar with basic
principles of cleaning and disinfection as well as proper disposal of contaminated waste.
Hospital personnel including students, staff, and faculty have a duty to take all reasonable steps to safeguard
patients, staff and the general public form infection. It is essential that hospital personnel be familiar with
the clinical signs and epidemiology of infectious disease that may pose a threat to hospital patients and
animals in our community. It is the duty of all to follow written and unwritten guidelines pertaining to the
containment and control of infectious disease.
Objectives
1. Protect the hospital staff, patients, and facility from exposure to extremely contagious and
dangerous diseases by not admitting animals involved in a herd outbreak (epizootic) of
disease and/or those with a disease that is reportable to state or federal authorities.
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2. Provide care for animals with contagious diseases while protecting hospital staff and patients
from exposure to these diseases by enforcing strict isolation policies (Refer to respective
large and small animal isolation documents).
3. Identify patients with zoonotic disease (see attached list), particularly those diseases that
pose a risk for immunocompromised humans. Reduce exposure of students and staff to
these patients while continuing to provide excellent care, by adhering to appropriate personal
hygiene and recommending against exposure for immunocompromised persons.
4. Reduce the likelihood of the introduction of infectious diseases into the VMTH by way of
recently acquired teaching and research animals and protect research and teaching animals
from infectious diseases that may be present in the hospital.
Minimize hospitalization of horses and cows from the teaching herd. It is especially important to
minimize contact with the cull cows purchased for Large Animal Techniques and Palpation
classes. The committee recommends that teaching of LA and Equine techniques occur at the
College’s Finley Farm or in a separate facility near the Columbus campus, such as the Waterman
Farm. This will eliminate teaching animals as a source of disease introduction. Teaching animals
brought to the hospital must have undergone appropriate quarantine at Finley Farm or another
College-approved facility.
Monitoring research animals in the hospital
 Require a 2-week quarantine at Finley Farm or other approved quarantine
facility before hospitalization. Donated horses coming directly from an
individual’s home may not be required to undergo quarantine before
admission to the hospital.
 House research and teaching animals in designated parts of the hospital (See
below).
 Minimize contact with hospital patients by using specified traffic flow patterns,
and restricting as much as possible, contact of research technicians with
hospital patients.
5. Reduce the likelihood of outbreaks of nosocomial disease by adhering to stringent policies for
hospital hygiene. (Isolation of animals with infectious diseases, periodic depopulation and
disinfection of all parts of the hospital; monitoring of the environment.) Refer to the section
describing yearly depopulation, cleaning, and disinfection, below.
6. Prevent nosocomial infection by facilitating a strict code of personal hygiene.
Hand washing is the single most important procedure for preventing nosocomial infection. Personnel
must have easy access to hand washing facilities. Preferably these facilities will provide a source
of hot and cold running water, a liquid soap dispenser, and disposable paper towel dispenser.
The design must minimize contamination of the hand washing station (e.g. Foot pump style soap
dispenser, foot or arm control faucet handles). When clean running water is inaccessible nonwater antiseptic cleaners can be used as an alternative. Non-water antiseptic cleaners may be
used as an alternative when hands are not visibly soiled and repeated hand washing inflames the
skin. Hands must be cleaned immediately before and after patient contact. Hands must be
cleaned before and after patient contact even when disposable protective gloves are worn.
Clean clothing and suitable protective clothing must be worn during patient contact, typically a white
coat in small animal clinics and coveralls in large animal clinics... Visibly soiled clothes must be
removed as soon as possible and before contact with another patient. Footwear worn in the large
animal hospital must be capable of being cleaned and disinfected. Suitable materials for this
footwear are rubber, latex, plastic, leather, or other moisture impervious material. As an
alternative, disposable plastic footwear shall be worn over non-protective footwear.
Hospital personnel should remove protective clothing (white coats, coveralls) and remove protective
footwear before leaving the hospital. Hospital personnel should adhere to these guidelines when
visiting areas of the Veterinary College outside the hospital.
7. Protect hospital staff and students by requiring immunization against rabies. Require periodic
checks of Rabies titers (through Occupational Health).
Cleaning Isolation Stalls (See Isolation stall floor plan, Appendix 1)
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1.
Routine daily cleaning of occupied stalls.
a. Whenever possible, it is advisable to have one Ward Attendant in charge of the Isolation
area. This person should be very familiar with all Isolation protocols.
b. Isolation stalls are cleaned in the afternoon; after all other hospital stalls have been
cleaned.
c. Two people are required to clean these stalls. One person stays on the apron outside the
stalls to move the forklift and attached red ISOLATION bucket. This person should be
wearing barrier clothing [boots, gloves and a gown, obtained from the isolation storage
room]. Large isolation gowns are available to fit over winter clothing. This person also
hands straw and hay to the person inside the stall. A second person who is inside the
stall and is wearing prescribed barrier clothing, removes soiled bedding into the red
bucket that is parked in the open doorway on the parking lot side of the stall. This person
exits through the anteroom opening onto Ward 1 and must follow the protocol for using
barrier clothing in isolation.
 Put on plastic boots and gloves in Room A. Look into room B to see if trash
container is full. If so, take a new red Biohazard trash bag into room B. All
trash from Isolation should be treated as Biohazard waste.
 Put on a new isolation gown in Room A.
 Empty the trash into the bag you brought in and tie shut.
 Enter the stall, taking any tools needed and the full trash bag(s). Shut the
stall door. Give trash bags to the person outside on the apron. The trash
bags should be placed in the Isolation Trash Cart.
 All soiled bedding and hay is placed in the red bucket. The stall is re-bedded
and fresh hay is placed in the stalls, unless there are special instructions for
feeding. Make sure the automatic waterer is on (unless special instructions
have been posted that the waterer should be off), and is clean. Empty, clean
and refill auxiliary water bucket(s). Note quantity and quality of feces (formed,
watery, voluminous scant etc.). Record these observations on the ICU flow
sheet in Room A as you leave. Be sure to note time and to initial your
comments.
 Replace tools in room B. Remove and discard Isolation gown. Do not lean on
anything. Open the door to room A and prop open with hip. Do not touch the
room A side of the door with gloves or boots. Remove boots as you step out,
being careful not to step in room B without boots or to touch anything in room
A with dirty gloves. Gloves should be removed by turning inside out from the
cuff, and should be discarded in the wastebasket in room B.
d. Wash hands with Betadine or Nolvasan soap.
e. All soiled bedding and manure goes directly into the compacter. This includes tanbark.
The forklift should be driven around the outside of the Galbreath Equine Center to the
compacter and should never be driven through the hospital or the connector between the
old hospital and the Galbreath Equine Center. The red bucket should not be set down
anywhere except immediately adjacent to the compacter or on the isolation apron.
f. Any material from an Isolation stall is considered contaminated. Spillage must be
immediately cleaned up and every effort must be made to minimize scatter of organic
material on the concrete apron in the Isolation enclosure.
g. All feed and bedding should be taken into the stall through the parking lot side, never
through rooms A and B.
2. Feeding Horses in Isolation
a. Ward attendants will feed in the afternoon after cleaning the stalls. Special feeding
instructions should be posted in room A.
b. Ward attendants will leave hay and grain rations outside the parking lot door to the stall,
weather permitting. An ICU technician will feed horses in the morning.
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c.
Hay is transported on a cart that is parked in the Supply Room near the Northeast
exterior door of the Galbreath Center connector. When the weather is inclement, hay for
horses in Isolation is left on this cart.
3. Cleaning and Disinfecting a Vacated Stall
a. Room A should be cleaned first or at a different time than cleaning of rooms B and C.
b. Room A
 Students and ICU Technicians will remove all medications. Unopened vials and
boxes can be returned to the pharmacy and credited to the client. Partly used
medications are not returnable and are placed in the “Good Sam” medication
box in the Isolation Supply Room. All paperwork should be returned to the
Equine or Food Animal Office.
 An ICU Technician will designate someone to remove all items from the counter
and shelves. The large box containing new gowns can be used to collect all
these items. The box will be left on the counter in room A. The Ward Attendant
will remove the box and put it on a clean cart in the Ward 1 hallway during
cleaning of room A. Wet down all surfaces, walls, floor and doors in the room
using a hose from the Ward 1 hallway. Do not soak shelves. Counter, sink,
doors, shelves, walls, floor, coat hooks, and trash container should be
scrubbed using Profoam. The seals around doors and edges of door to Room
B should be carefully cleaned. Clean counter top and scrub any stains. Rinse
well. Spray phenol on all surfaces.
 An ICU technician will designate someone to replace shelf and counter contents
when room A dries.
c. Rooms B and C
 Be sure that the exterior door of the stall is open, and that the Phenol sprayer is
just outside the stall on the concrete apron. Put on gloves, boots and an Isolation
gown before entering Room B. Do so whether entering Room B from Room C or
from Room A.
 Gather all trash. Blue towels, gowns, fluid bags, bandage material, extra
supplies, and tape on equipment, should all be discarded. Sharps should be
placed in the sharps container. Discard the thermometer and the stethescope. All
trash should be placed in a Biohazard Bag.
 Nasogatric tubes, buckets, muzzle, lead shank, and hoof pick should be
thoroughly scrubbed and rinsed in Room B. Nasogastric tubes should be double
bagged and returned to Central Supply. Place muzzle, lead shank and hoof pick
in a bucket while completing stall cleaning.
 To double bag equipment. first place in a garbage bag and tie shut. Then, have a
person outside the stall open a red bag into which the contaminated garbage bag
can be carefully inserted, taking care to keep the outside of the red bag
uncontaminated. Label bag with contents. The use of the red bag alerts the
Technicians in Central Supply that the equipment is contaminated. Be careful not
to discard biohazard bags containing reusable equipment!
 An ICU or Medicine Technician will clean clippers, stomach pump, oral dose
syringe, oxygen reduction valve and bubbler, and CRI pump that may be in the
stall. CRI pumps and oxygen reduction valve and bubbler should be wiped with
alcohol and placed in room A. Flush stomach pump and dose syringe with water
and phenol. Place in bucket with muzzle etc. Wipe clippers with alcohol and
remove and clean blades. Clipper body is placed in room A. Double bag blades
for return to Central Supply where they will be gas autoclaved.
 Medicine or ICU technicians will make sure that stomach pumps and dose
syringes in Isolation are intermittently taken apart and gas autoclaved. This can
be done when contamination is perceived to be heavy or after approximately 3
months of service. Check with Rick Teasley in Central Supply to make
arrangements to have the pumps and syringes autoclaved. This will probably be
done on a Saturday. Clean the pumps and flush with water and phenol. Double
bag and take to Central Supply.
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
4.
5.
6.
7.
Use hot water and completely rinse all surfaces of the rooms B and C, including
lights, vents, pipes and doors. Flush all drains. Scrub with all surfaces with
Profoam, starting in Room B, including the top of the short wall, the air exchanger
and the hose rack. Wash and scrub all stall surfaces. Pay particular attention to
the outside door and pipe divider if there is one.
 Rinse thoroughly, staring in Room B. Rinse all surfaces and floors into drains.
When Room B is rinsed, replace resident equipment.
 Using the bleach sprayer, spray bleach (undiluted) on all floor and wall stains.
Some are permanent, but most are not. Let stand about 10 minutes then rinse
thoroughly into drains.
 Spray disinfectant (phenol) in a fine mist for best contact. Uses the 3 gallon pump
sprayer kept in the ICU storage room. Disinfection should start in Room B and
move to the door in the parking lot side of the stall. Spray inside waterer, and
feed bowl, buckets, muzzle, lead shank and hoof pick and the grate of the air
exchanger. Spray all surfaces in each room, including door seals and steps of
both doors. Thoroughly rinse waterer, buckets, muzzle and feed tub after 30
minutes.
 Clean and disinfect the concrete apron in front of the stall.
Stall Culturing Protocol
a. Stalls should be cultured 24 hours after cleaning. The culture result log sheet (Appendix
2) for the stall is obtained from the logbook in the Isolation Supply Room, and hung on
the clip on the outside of the door to the Ward 1 hallway. The Ward attendant writes in
the date the stall was cleaned, the date the disinfection process was completed, the date
the cultures were obtained and where in the stall the cultures were obtained.
b. Samples for culture should be obtained by swabbing the stall drain, under the feed tub, in
the drain in Room B, and any defect in the stall floor or walls where organic material may
be sequestered. Pool the swabs and submit to the VMTH Microbiology Laboratory. The
cost of stall surveillance is defrayed by the hospital.
c. The Ward Attendant checks for results of the culture. When results are obtained, he/she
notes on the log sheet the date and the culture results. If the culture is positive, the stall
must be cleaned and sanitized again. A new entry on the log sheet should appear for the
second cleaning process. The stall will not be used until the culture is negative.
Records of Stall Use and Disinfection
a. Stall Culture log sheets are kept in the log book in the Isolation Supply Room. These
important hospital records form a data base that allows us to track the history of stall use.
b. Census sheets are kept in a logbook in the Isolation Supply Room. One census sheet is
used per stall. The Ward Attendant enters the case number and owner’s name for each
horse in each stall. The census book allows us to determine which horse was in a stall on
a given date. This information is especially useful when there is great pressure on the
isolation facility; occasionally, a horse must be placed in a stall for which the disinfection
process has not been completed. The Biosecurity Officer should be consulted before
using a stall that has not been properly sanitized.
Trash Removal
a. All non-organic debris is placed in biohazard trash bags that are tightly tied. Place the
bags on the apron just outside the stall while the stall is being cleaned. Bags are then
placed in the trash cart kept outside the Isolation Storage Room. Do not open bags or set
them down elsewhere.
b. When the cart is full, it is wheeled to the dumpster for biological waste that is located on
the loading dock, taking a route outside the hospital. Do not enter the Connector with this
cart.
c. Biohazard and sharps containers should be removed when the container is close to full.
Remove through the stall door on the parking lot side.
Concrete apron outside Isolation Stalls.
a. The apron should be kept clean of debris at all times. The area just in front of each stall
should be carefully cleaned after the stall is cleaned each day.
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8.
9.
10.
11.
b. The apron should be swept, scrubbed with profoam, rinsed and disinfected weekly,
weather permitting.
Ancillary Equipment
a. Mats are often used for foals in Isolation. Mats should be cleaned and disinfected after
every use.
b. Mats are usually stored on the concrete apron. Mats should be placed in a clean, vacant,
isolation stall if one is available. Mats must be cleaned and disinfected before being
placed in such a stall. If no stalls are available, we recommend that the mats be stored on
the apron, covered with a tarp.
Guidelines for Stall Reuse
a. All stalls should be subjected to the cleaning, disinfection, and culturing. Culture results
must be negative before the stall can be reused.
b. Exceptions should be authorized by the Biosafety Officer for Equine or Food Animal and
Medicine and Surgery.
Supply Room
a. Sweep out daily to keep free of organic debris and as clean as possible.
b. Keep supply cabinets closed.
c. Clean all surfaces with foam cleaner weekly.
Handling contaminated equipment
a. CRI pumps, should be kept in ROOM A if possible, with lines attached that lead to the
patient, and should be externally cleaned by an ICU technician.
b. One pair of clippers should be designated for use in isolation and should be kept in the
Isolation Store Room. Clippers used in Isolation should receive preliminary cleaning by
an ICU technician in Room B. The external surfaces including the cord, should be wiped
with alcohol. The blades should be removed, scrubbed, double bagged, and returned to
Central Supply for autoclaving. The rest of the clipper should be removed from the stall
via the parking lot door, and replaced in the Isolation Storage room.
c. Other equipment should be cleaned as well as possible by an ICU technician in Room B,
double bagged and returned to Central Supply.
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Appendix 1
LARGE ANIMAL ISOLATION STALL
WARD 1
B
A
TREATMENT
ROOM
ANTEROOM
SINK
C
STALL
TRASH
PARKING LOT
119
Stall Cleaning Record
Appendix 2
STALL #
_______________________________
Date Cleaned ____________________
Date Cultured ____________________
Results: Date
Date Sanitized__________
Where Cultured_____________
_____________________________________
____________________________________
_____
Date Sanitized_______________
Where Cultured_____________
Date Cleaned ____________________
Date Cultured ____________________
Results: Date
________________________________________________________________________ Date
Cleaned____________________
Date Sanitized_____________
Date Cultured ____________________
Where Cultured_____________
Results: Date
________________________________________________________________________ Date
Cleaned____________________
Date Sanitized_____________
Date Cultured ____________________
Where Cultured_____________
Results: Date
______________________________________________________________________Date
Cleaned________________
Date Sanitized_______________
Date Cultured ____________________
Where Cultured
___________
Results: Date
Date Cleaned____________________
Date Sanitized_____________________
Date Cultured ____________________
Where Culture______________
Results: Date
________________________________________________________________________Date Cultured
____________________
Date Sanitized________________
Date Cultured____________________________
Where Cultured
_____________
Results: Date
Date Cleaned____________________
Date Sanitized_______________
Date Cultured ____________________
Where Cultured_______________
Results: Date
______________________________________________________________________Date Cleaned
____________________
Date Sanitized______________
Date Cultured ____________________
Where Cultured
___________
Results: Date
120
Chapter 5
Biosecurity in Food Animal Medicine and Surgery
By Dr Michael Rings
General Rules and Considerations
All students, staff and faculty of the food animal section will dress appropriately for the work within the
section (Coveralls or surgery scrubs). Personnel in the Food Animal area should be clean at the
beginning of each day and wear footwear that can be disinfected (rubber boot preferred) A second set of
clean coveralls or scrubs should be available in the event that the original set becomes contaminated by
feces or blood during the course of the day.
All equipment used in the examination or treatment of a patient should be thoroughly cleaned prior to
storage within the Food Animal section or before being returned to Central Supply. Any equipment used
in the treatment of a suspected zoonotic or contagious disease should be placed in a biohazard bag prior
to returning to Central Supply.
Transporters and tilt tables will be thoroughly cleaned between animal use and disinfected with a 10%
bleach solution or other satisfactory disinfectants.
Non-Foreign Diseases that require special attention
Diarrhea Diseases
Johne’s Disease / Paratuberculosis (Reportable* if culture positive)
Cryptosporidiosis
Bovine Virus Diarrhea
Salmonellosis
Respiratory Diseases
Infectious Bovine Rhinotracheitis
BVD
Mycobacterium bovis*, Mycobacterium avium
Abortion Diseases
Q-fever (Coxiella burnetti)
Brucella abortus*, Brucella melitensis*, and Brucella suis*
Leptospirosis
Central Nervous System Diseases
Rabies*
Scrapie*
Transmissible spongiform encephalitis*
Miscellaneous Diseases
Contagious Ecthyma
Mycosporum gypseum (Club Lamb Fungus) There is considerable interest in this disease and it
creates large problems for exhibition livestock. This disease may be zoonotic.
Bluetongue (In sheep*)
*Reportable Disease
For cattle, sheep, goats and camelids presenting with a primary complaint of diarrhea, assessment of the
most likely differential diagnoses needs to be made by the receiving clinician before the animal is
121
hospitalized. If there is a strong possibility for any of the above-listed problems, the animal should be
housed in an isolation stall (ward 1) and the area in the hospital where the animal examined should be
disinfected. Attempts to confirm the diagnosis should be made as soon as possible.
Students, technicians and faculty having contact with any of these animals prior to hospitalization in
isolation must disinfect their footwear and any clothing contaminated by feces must be changed before
contact with any other patient. The use of disposable barrier clothing is strongly encouraged. Thorough
hand washing with a disinfectant soap (betadine scrub, chlorhexidine, etc.) should take place before
handling other patients.
Contaminated areas should be thoroughly cleaned. Disinfection of premises and equipment contaminated
during examination will be done using a phenol-based compound such as One Stroke Environ, Osyl or
Amphyl (known to show activity against M. avium subsp. paratuberculosis).
Respiratory Diseases
Ruminants presented with a primary complaint of respiratory disease should be examined closely for
evidence of highly contagious viral pathogens (Herpesvirus, Bovine Virus Diarrhea Virus). Any evidence
of necrotic nasal plaques or oral ulcers is justification for placing the animal in Isolation. Animal with
histories suggesting an outbreak of respiratory disease involving more than 10% of the herd will be
considered to be infected with a contagious disease and hospitalized in isolation stalls until an accurate
cause of the condition can be determined.
Mastitis and Udder Evaluation
All lactating dairy cattle being examined should be evaluated with respect to mastitis by both the black
plate and California Mastitis Test and the results entered into the record. Evidence of clinical mastitis
should be brought to the owner’s attention, especially in animals to be hospitalized. Evaluation of the
severity of the mastitis will be used to decide the order of milking during hospitalization, with non-mastitic
cows being milked first, followed by less severe cases and ending with the most severe cases. All teats
will be dipped in an appropriate sanitizing solution (usually chlorhexidine teat dip) following evaluation of
the milk. Where appropriate (animal off antibiotics or not infused locally), cultures will be submitted to
determine whether contagious agents such as Mycobacteria, Mycoplasma spp, or yeasts are present.
Lactating dairy cows to be hospitalized shall be listed by the stall number on the white board at the end of
Ward 2. The stall number of cattle with mastitis will be circled on this board so that the milkers are aware
of the mastitis. The “claw” of the milking machine must be rinsed in fresh betadine solution (diluted to a
3% solution) after milking each cow. All milking equipment must be rinsed with dilute betadine solution.
Contagious ecthyma (ovine contagious pustular dermatitis), while not a contagious problem to cattle,
represents a problem both as a contagious disease for sheep, goats and camelids and as a zoonotic
problem for humans. Indications from prior research suggest that scabs remain as infective agents for
years. Sheep and goats entering the OSU VTH should be examined closely for signs of CE, i.e.
proliferative lesions at the lateral commissures of the lips, proliferative lesions on the muzzle. Owners
should be questioned about exposure to CE/soremouth/orf so that animals in the recovery phase will be
identified and appropriate safety measures taken (students must wear appropriate barrier clothing,
especially gloves) when handling suspect animals. Animals with contagious ecthyma don’t necessarily
need to be in isolation but should be clearly identified and access to the stall limited to personnel needed
to treat the animal. Personnel handling suspicious animals should wear disposable gloves that can be
discarded in biohazard bags following examination or treatment.
122
Biosecurity in Equine Medicine and Surgery
By Catherine W Kohn
1. Biosecurity Risk of Diseases of Equids: Clinicians should be vigilant in identifying
patients that may be affected with these diseases.
a. Very High Risk Diseases: Diseases of such a highly contagious nature or potential for
catastrophic disease that quarantine of affected animals on the home farm is desirable.
EHV-1: Transmission of virulent EHV-1 from horses with neurologic disease has been documented at the
OSU VTH. Affected horses originated from a large outbreak of virulent disease at a boarding
stable.

Horses from an outbreak of EHV-1 should not be transported to the hospital because
of the danger of spreading the virus in nasal secretions via aerosol or fomite contact.
When discussing potential referral of horses with respiratory, neurologic or
reproductive signs consistent with EHV-1 infection, hospital staff are directed to
determine whether a serious outbreak of EHV-1 disease has occurred. If so, the local
veterinarian should be directed to quarantine the affected horses. OSU staff may
arrange to visit the premises to help in diagnosis or management of affected horses,
but must observe strict biosecurity measures while on the farm and before returning
to the OSU-VMTH (see Chapter 8).
b. High Risk Diseases: Contagious diseases or those with significant zoonotic potential for
serious human disease. Horses suspected of having one of these diseases must be strictly
isolated.









c.
Salmonellosis
West Nile Virus*
Rabies*
EHV-1 (not associated with a serious outbreak)
Mycobacterium avium (GI)
Cryptosporidia especially foals.
Campylobacter
Cryptococcosis
Methicillin resistant staphylococci
Moderate Risk Diseases: Transmission to horses or other large animals in the hospital is
possible. Strict isolation is required.








Streptococcus equi var equi
Influenza
Diarrhea (any patient)
Horses with fever and leucopenia
EIA*
Piroplasmosis*
Blastomycosis
Histoplasmosis
d. Potentially Zoonotic and Contagious Diseases with a low risk of horse to horse transmission.
Use disposable barrier clothing.
 Rhodococcus equi
 Lawsonia intracellularis
*Reportable Diseases
123
2. Admitting an Equine Patient with an Infectious Disease that Poses a Biosecurity Risk
a. Identify high risk patients based on history and results of initial physical examination. It is
crucial that all faculty, staff and students become familiar with the diseases listed above, to
facilitate identification of affected horses.
b. Horses should NOT be admitted to the wards, hallways, or surgery and examination rooms.
Walk immediately into a clean Isolation stall.
c. Hospital staff should then put on appropriate barrier clothing as described below (Isolation
Protocol) before examining the horse in the isolation stall.
d. The owner/handler should be instructed not to enter the VMTH. The owner should be advised
of the seriousness of the risk of transmission of contagious or zoonotic disease and should
be given advice on washing/disinfecting clothing and shoes.
3. Hospitalized Patients that Develop Potentially Infectious Disease while in the Hospital
a. Identify patients quickly and move them to Isolation immediately. It is preferable to be
conservative, and move a patient to Isolation when not necessary than to have a breech
of biosecurity. Any horse with diarrhea must be moved to an Isolation Stall. Horses with
fever and leucopenia (with or without diarrhea) should be moved to Isolation.
b. A red “DO NOT USE” sign should be placed on the door of the vacated stall in the main
hospital. This sign alerts the Ward Attendants that the horse that vacated the stall may
have an infectious disease. The stall cannot be used until it has been cleaned,
disinfected, and cultured. See Stall Cleaning.
4. Isolation Protocol
a. Meticulous attention to isolation protocol is crucially important for the welfare of all animals
that enter our hospital. The Isolation stalls are used to isolate potentially infectious horses
from the rest of the hospital and to isolate potentially infectious horses from each other. See
Appendix 1 Chapter 3 for a diagram of an isolation stall.
b. How to Enter and Leave Isolation: The Anteroom (A) is a clean “safe” area. This room is
stocked with plastic boots, plastic gloves, plastic rectal sleeves, syringes, needles, and scrub.
Red contamination bags are provided for transport of biohazardous material. Use the
anteroom for storing drugs and materials for use on the case, but not for materials that have
been in contact with the case. Enter A from the Ward I aisle. Put on clean plastic boots,
disposable gloves, and an isolation gown. Enter the Treatment Room (B). A lead shank,
stethoscope, stomach tube, pump, buckets, a contaminated waste container and a sharps
container are kept in the Treatment Room. Contaminated equipment, such as a
thermometer, IV fluid sets etc. are kept in the Treatment Room. Medications are not stocked
in the treatment room because unused medications must be discarded. Non-disposable
equipment needed for the patient is double bagged, and returned to Central Supply for
cleaning (See Chapter 3). . Buckets will be cleaned and disinfected in the stall by the Ward
Attendant when a horse is discharged. After working on the patient, the stall door should be
latched securely. Remove coveralls and discard. Open anteroom door and prop open with
one hip. Remove one boot and step on ledge between Treatment Room and Anteroom.
Remove other boot and gloves and throw in basket provided in the Treatment Room, then
step into Anteroom. Wash hands with disinfectant soap (Betadine or Nolvasan).
c. Supplies in Isolation: A thermometer is checked out of the pharmacy for each patient in
Isolation. The thermometer is kept on the shelf in the Treatment Room. A new disposable
stethoscope will be provided for each patient. Keep all drugs, syringes, rectal sleeves, etc. in
the Anteroom only. Take individual drug doses, or materials needed for one procedure into
the treatment room and stall. Never store drugs or materials in treatment room. Items that
are not used and are not autoclavable/gasable must be thrown away. The Ward Attendants
stock the Anteroom and additional supplies are kept in the Isolation Supply Room, located
next to Isolation stall #9.
d. A Medicine Cart is kept in the Isolation Storeroom. The cart is stocked with supplies and a
limited number of drugs (carbocaine, xylazine, acepromazine etc.). To perform routine
procedures on horses in isolation (such as a catheter change), the outside door (towards the
Parking Lot) can be opened by someone not dressed in barrier clothing. This assistant can
pass the necessary equipment etc. to those working on the horse in the stall.
e. Special Procedures for Horses in Isolation
124

Endoscopy: The endoscope that is not attached to a video unit should be used. The
horse should be restrained in the open doorway on the parking lot side of the stall,
held by suitably attired persons. The scope is operated by a person on the outside of
the stall, who handles the controls only; the scope is passed by someone in the stall.
The endoscope light source should not be taken into the stall.
 Radiographs. A suitably attired person moves the horse to the parking lot door way.
The portable x-ray machine is outside the stall. If necessary, the horse can be moved
partially out of the stall to facilitate the procedure. Clean and disinfect the area in front
of the stall after such procedures. Portable spray canisters containing Wexcide are
available for spot disinfection. The appropriate dilution for Wexcide should be used
(See Chapter 1). Occasionally a horse in Isolation must be moved to Radiology for a
diagnostic procedure. Consult the Biosecurity Officer for Equine Medicine and
Surgery before moving the horse. Such procedures should be scheduled at the end
of the day. The horse must be walked all the way around the hospital, and should
enter the red corridor at the south end and proceed directly into the large animal
radiology room. All manure must be cleaned up and the spill area must be thoroughly
cleaned and disinfected with a phenolic disinfectant (Wexcide). Persons handling the
horse should wear barrier garments. The radiology room will be cleaned and
disinfected after the procedure is completed.
 Ultrasonography: The ultrasound machine is placed outside the open parking lot side
door of the stall. The probe is placed in a rectal sleeve, and handed to the suitably
attired person performing the ultrasound examination, in the isolation stall. The
ultrasound machine should never be taken into the stall. When the procedure is
complete, the probe is taken out of the stall as the operator removes the rectal
sleeve. The probe should then be thoroughly cleaned and disinfected.
 Bandage Changes: Should be performed in the stall, or, if there is a compelling
reason, on the concrete apron in front of the stall. Clean and disinfect this area after
the procedure is completed.
 Other procedures: It is sometimes necessary to perform hydrotherapy on a horse in
isolation. A second, clean and unbedded isolation stall can be used for this purpose,
if one is available. The treatment stall should be cleaned and disinfected after every
use.
f. Moving horses in Isolation: it is occasionally necessary to perform procedures that are unsafe
or impossible in the isolation stall. For example, a rectal examination, joint flush etc. Joint
flushes in foals can be managed on a mat on the concrete apron in front of the isolation stall,
weather permitting. It may occasionally be necessary to use the third bay, nearest the main
entrance, in Triage to perform a procedure on a horse from isolation.
 Horses with diarrhea or strangles should not be moved out of isolation. Consult the
Biosecurity Officer for Equine Medicine and Surgery before using the triage area for a
horse in isolation. Such procedures should occur only at the end of the day, the
activity should be confined to the third bay, appropriate barrier clothing should be
warn by all who have contact with the horse, and triage should be cleaned and
disinfected after such use.
g. Horses in isolation because of enteric disease should be cultured for salmonella a minimum
of 3 times (once daily for 3 days). If all 3 initial cultures are negative, 2 more cultures should
be submitted before declaring the horse salmonella negative. A form to record when cultures
are taken should be taped to the Anteroom side of the treatment door. (Appendix 1). All
salmonella isolates should be serotyped. When a salmonella organism is isolated, obtain a
Serotyping Request Form from Microbiology (Appendix 2). Fill out the form and return it to
the Microbiology Laboratory. The sample will be sent the NADL in Ames Iowa for serotyping.
A log of all isolates that are serotyped should be kept electronically in Microbiology. This data
base should be readily available.
h. Horses in isolation should be discharged from isolation and should not reenter the Barn
except in extenuating circumstances (long stay in the hospital is anticipated, draft horse too
big for the stall, etc.). Check with the Biosecurity Officer for Equine Medicine and Surgery
before moving a horse into the Barn from isolation.
125
i.
Availability of Isolation Stalls: Occasionally, all isolation stalls may be in use or awaiting
negative culture results. If this is the case and a client wants to send a horse requiring an
isolation stall, the case should not be admitted or the client should be told the following:
“Currently, our isolation facility is full. We have a strict infectious disease control protocol that
requires that we culture each stall after it has been cleaned and disinfected subsequent to
discharge of the previous case. We do have open stalls that are awaiting results of cultures.
We can put your horse in one of these stalls or you can take the horse to another referral
facility.” If asked about the risk of putting a horse in such a stall, the clinician should say that
we cannot guarantee that disease transmission will not occur, but the stall has been
thoroughly cleaned and disinfected. Do not use stalls that have yet to be cleaned and
disinfected. A record of patients that have been housed in each isolation stall is kept in the
Isolation Storage Room. Using this record, clinicians can determine the diagnosis for the last
animal in the stall. For example, a horse with diarrhea and 5 negative cultures might have
been the last occupant. If stall cultures are not yet available, this stall would be safer for a
new admission than a stall occupied by a horse with salmonellosis or Srep equi var equi,
j. Taking Laboratory Specimens out of Isolation: Lab specimens from Isolation patients should
be bagged to avoid contamination. After the sample is collected, it should be left on the floor
just inside the Treatment Room. Remove coveralls, boots and gloves and enter the Anteroom
as usual. Use a clear plastic bag as a glove. Put your hand in the bag; reach into the
Treatment Room (B) to pick up the specimen. Pull the bag over your hand to invert the bag
around the specimen. Tie off the bag. Plastic bags are stored in the Anteroom. THERE
SHOULD BE NO FECAL CONTAMINATION OF THE OUTSIDE OF CONTAINERS
SUBMITTED FOR ANY LABORATORY EXAMINATION.
k. When a Horse Leaves Isolation: Dispose of all items in Treatment Room that cannot be
autoclaved/gased. Put these items in the trash container provided. Items that can be
cleaned, such as nasogastric tubes will be managed by the Ward Attendant or a Medicine or
ICU technician. Items in the Anteroom can be returned to the hospital.
l. Daily Cleaning of Isolation Stalls: Isolation stalls are cleaned in the afternoon, after other
stalls have been cleaned. Ward Attendants entering the stall wear barrier clothing. The stall is
cleaned through the open door on the parking lot side, using a large container on the forklift.
A second Ward Attendant moves the forklift from stall to stall. Waste is placed in the
compacter. (See Chapter 3).
5. Cleaning of Stalls that Housed a Horse with an Infectious Disease (in the Barn or in Isolation)
a. A Stall Cleaning Record (Appendix 2, Chapter 3) should be placed on the clipboard on the
stall door. A red “DO NOT USE” sign should have been placed on the stall door (in the Aisle
of Ward 1 for isolation stalls) by the clinician when the occupant was moved to isolation or
was discharge from an Isolation Stall. Each stall has a cleaning record and these should be
reused until the sheet is full. All stall cleaning records (except those for Isolation) are kept by
the Ward Attendants in a loose leaf notebook in Equine ICU. A similar notebook containing
records from isolation stalls is maintained in the Isolation Supply Room. These “libraries” of
stall histories are available if needed for investigating biosecurity issues.
b. The Ward Attendant records the dates the stall is cleaned and disinfected. All stalls are
thoroughly cleaned of organic material and disinfected (See VMTH Barn Cleaning
Procedures, Chapter 3).
c. A composite culture sample is then taken from 3 or more areas of the stall including the drain
(isolation) or area near the grate at the back of stalls in the barn, and any defect in the stall
mats or the walls where organic material may be sequestered (see page 16 4 b).
d. The composite sample is submitted to the Microbiology Laboratory in the VMTH. We routinely
culture for Salmonella. Culture for Strep equi var equi and Rhodococcus equi is also
important. Three to 5 days are required to obtain culture results. Culture results are not
available on Sundays or Holidays.
e. The Ward Attendant will mark the Stall Cleaning Record with the date on which the cultures
were negative.
f. When the stall culture is declared negative, the Stall Cleaning Record is completed and then
returned to the notebook in the Isolation Supply Room, and the red sign is removed from the
stall, indicating that the stall may be used.
126
g. If the stall cultures positive, the red sign is left in place. The stall should then be inspected by
the Barn Manager, (currently Mr. John KIndall) to determine if there are problem areas such
as space under the mat, defects in the wall etc. Repairs should be made and a second cycle
of cleaning and disinfection will then be initiated. The Equine and Food Animal Biosecurity
Officers should be informed.
6. Stall Allocations and Management of Cases in the Hospital
a. The Galbreath Equine Center Surgery Ward
 This area should be reserved for orthopedic patients hospitalized for treatment of
elective, clean surgical conditions.
 In general the end of the Ward nearest the Surgery suites should be used for surgical
preparations and should not be used for procedures such as bandage changes or
wound management. The ward should be “cleanest” at the surgery suite end.
 The initial surgical preparation should take place in the Ward, so that only a final prep
is required in the OR anteroom.
 Outpatients should not be placed in this surgical ward.
b. Room B surgical suite should be used for dirty surgeries including exploratory
ceiliotomies, standing urogenital surgery, airway procedures (with the exception of
laryngeal prostheses that can be managed in the Galbreath Surgery Suites), and joint
flushes. Every effort should be made to contain dirty procedures to this room.
c. Room C may also be used for surgery on contaminated or obviously infected lesions.
However, this room is used primarily for surgery on Food Animals and camelids.
d. Triage may be used for dirty procedures such as flushing joints. Use the third bay.
Occasionally, standing flank laparotomy, or laparoscopy may be performed in the stocks
in the first bay of triage. If room B is unavailable or there is a crisis in the old hospital (no
vacuum etc.) Triage may be used for abdominal surgical procedures.
e. Ward 3: should house research horses. A maximum of 6 stalls at the red hallway end of
the ward may be occupied by camelids, when appropriate stalls are not available in
Wards 1 or 2.
f. Ward 4: Equine Medicine patients should be housed in Ward 4, along with overflow
surgical patients
g. Ward 5 will be used to house teaching animals during Autumn and Winter Quarters. The
ward will be functionally isolated from the rest of the hospital during these quarters so
that teaching animals, particularly cull cattle, are isolated from hospital patients. (See
Recommendations 4 and 5 in the Introduction). The only exception will be horses that are
used for force-plate studies. These horses may temporarily be taken into Ward 5 for force
plate studies.
7. Foals
a. Mares and foals that need intensive care should be housed in the large stalls on the west
side of Equine ICU.
b. Persons entering foal stalls should wear plastic foot covers and gloves. Protective footwear
and gloves should be removed when leaving the stall, and placed in a trash can.
c. Any foal with diarrhea should be in an Isolation Stall.
8. Horses with Colic
Horses with colic are housed in ICU or may be moved to Ward 4 when they no longer require intensive
monitoring. Because colic patients are more likely to shed salmonella, these horses should not be
routinely walked around the hospital or grounds.
9. Outpatients
a. Outpatients should be housed temporarily in the west end of Ward 4.
b. Contact with other hospital patients and research horses should be minimized.
10. Research Horses in the Hospital
a. All horses must undergo a two week quarantine at Finley Farm, or at a facility approved
by the Biosecurity Officer for Equine Medicine and Surgery and Dr Bednarski, before
entering the hospital.
b. All horses should be housed in Ward 3 or Ward 5 (Spring and Summer Quarters). If
restraint is required to work on these horses, the stocks at the red hall way end of Ward 3
should be used.
127
c.
Movement through the hospital should be absolutely minimized. Technicians and faculty
working with research horses should avoid contact with other horses in the hospital.
11. Teaching Horses
a. In principle, there should be little or no contact between teaching horses and clinical
patients. This can be best accomplished by reducing the number of teaching labs
performed in the hospital or preferably moving all teaching laboratories to another
location outside the VMTH. See Recommendations 4 and 5 in the Introduction.
b. Teaching horses should be housed in Ward 3 or Ward 5 (Spring and Summer Quarters).
12. Blood Donor Horses
The hospital maintains a small group of blood donor horses at Finley Farm. One or two horses are
always in the hospital and should be housed in Ward 3 or 5 (Spring and Summer Quarters).
Blood collection procedures should be performed using the stocks at the red hall way end of Ward 3.
128
Appendix 1
Fecal Culture Collection
and Results
Culture Collection and Results
Date Entered Isolation:
_______________
From Stall #
_______________
Doctor
_______________
Culture #:
Date:
Result:
__________
_______________
__________
__________
_______________
__________
__________
_______________
__________
__________
_______________
__________
__________
_______________
__________
__________
_______________
__________
__________
_______________
__________
__________
_______________
__________
__________
_______________
__________
__________
_______________
__________
129
Appendix 2
Serotyping Request Form
Date ____________________
Dear Clinician/Pathologist:
Should you want this Salmonella/Arizona serotyped, please complete the following form and return to
the microbiology lab within one week of the date reported. This information is required by the National
Veterinary Services Labs before they will serotype these isolates. Your assistance is appreciated.
Clinic/Path. #
____________________
Micro Lab #
____________________
Owner Name
________________________________________
Address
________________________________________
________________________________________
________________________________________
Source Animal
____________________
Clinical Role
Herd/Flock Size
____________________
Primary
# of Herd Affected
____________________
Secondary _______________
# of Herd Dead
____________________
Other
Age of Animal
___________________
_______________
_______________
Return to the Veterinary Microbiology Laboratory OSU VMC
130
Prices are as follows:
Blood Bank
Packed red blood cells canine 200 ml per unit
Packed red blood cells canine small (120 ml)
Packed red blood cells feline 20-25 ml per unit
$134.50
$103.50
$ 138.75
Fresh Frozen Plasma canine 100 ml, or feline) per unit
Fresh Frozen Plasma feline 25 to30 ml
$113.75
Cryoprecipitate (canine) per unit
$140.75
Cryoprecipitate Poor Plasma (canine) (150 to 200 ml’s) per unit
$124.25
Blood typing kits (Alvedia)
The typing kits are in the ICU cabinet and the instructions are inside each kit.
Our stock of PRBC’S FOR DOGS is mainly UNIVERSAL BLOOD TYPE, and is in the refrigerator on the first shelf.
DEA 1.1-POSITIVE DOG SHOULD RECEIVE DEA 1.1-POSITIVE RED BLOOD CELLS. Positive PRBC’S, if available, are
stored in the BOTTOM SHELF of the refrigerator.
IF THE RECIPIENT IS DEA 1.1-NEGATIVE, HE/SHE MUST RECEIVE UNIVERSAL BLOOD TYPE.
Any dog that has been previous transfused should be BLOOD TYPED and CROSS-MATCHED.
Our stock of PRBC’S FOR CATS is TYPE A. THERE IS NOT UNIVERSAL BLOOD TYPE FOR CATS.
TYPE-A RECIPIENTS MUST RECEIVE TYPE-A BLOOD OR PRBCs.
TYPE-B RECIPIENTS MUST RECEIVE TYPE B-BLOOD OR PRBCs.
ALL CATS MUST BE BLOOD TYPED AND CROSS-MATCHED; INCOMPATIBLE BLOOD TRANSFUSIONS IN CATS IS
TYPICALLY FATAL.
FRESH FROZEN PLASMAS for dogs and cats are in the FREEZER. Canine FFP is identified with orange color, and
Feline FFP is identified with blue color.
Cryoprecipitate for dogs is identified with green color, and Cryoprecipitate-poor plasma is identified with yellow
color.
Each blood product (PRBC’S, FFP, Cryoprecipitate, and Cryoprecipitate-poor plasma) has a charge slip
attached. Please complete the charge slip and place it in the box attached to the BLOOD BANK Refrigerator.
131
Central Supply Policy and Procedures
1. What is Central Supply?
Central Supply is the area where surgical packs, surgical instruments, buckets, etc. are cleaned and
sterilized. All non-pharmaceutical items are purchased here, such as sutures, feeding tubes, i.v. catheters,
bandage material, syringes, needles, etc. We dispense bulk supplies to the Hospital Sections where you can
obtain single syringes, needles, sponges, etc. There are supply stations located in all sections of the hospital.
Some catheters are stocked in Central Supply that require client charge tickets to obtain. There are also
dispensing machines (Pyxis) where these products can be checked out after hours. The list of the se items is
too large to list here- please ask for assistance.
We have high vacuum steam autoclaves for items that can tolerate high temperatures (stainless steel
instruments, silicone catheters, cloth drapes). We also have two Ethylene Oxide (gas) Low temperature
sterilizers for items that cannot endure steam sterilization such as cautery handles, feeding tubes, etc.
Items returned to Central Supply for processing are first cleaned either manually or in the Sonic cleaner or
instrument washers. The items are rinsed, dried, arranged into packs, and wrapped before sterilizing. Steam
autoclave processing takes about one hour where gas sterilization takes sixteen to twenty hours.
2. Access to Central Supply
• Central Supply is open Monday through Friday, 7:00 a.m. to 2:00am. Please ring the doorbell located
next to the doors on both the Small Animal door and the Large Animal Door.
• Central Supply is located on the main floor next to Pharmacy, our room number is 1143.
• The personnel in Central Supply will assist you with your requests.
3. Obtaining items from Central Supply
Please bring the client’s charge tag or the clients account number with you when you need an item from us.
Some items do not require a charge (surgical instruments, re-wrapped items, catheters, buckets, nasogastric tubes, etc.) but other idem do require a charge (single use catheters, casting material, staple
removers, etc.) This is basically trial and error, so pleas seek assistance until you become familiar with the
system.
4. Isolation and Biohazard Procedure
If an animal is in Isolation or is suspect of having a contagious disease, the re-usable item returned to Central
Supply for cleaning and sterilization must be double-bagged in plastic bags and labeled as contaminated.
Items that are disposable like needles, syringes, bandages, etc., must be discarded in an approved biohazard
container. These can be identified by the red color with the international symbol for BioHazard.
All sharps (disposable hypodermic needles, scalpel blades, trocars and catheters with needles) must be
discarded in a Sharps bucket. These buckets are in 2 gallon and 7 gallon sizes and are identified with the
International BioHazard sign. Do not allow sharps to be disposed of in the trash or laundry.
Any drapes, bandages or towels containing blood or body fluids must be discarded in an approved BioHazard
container as described above.
132
5. Returning items to Central Supply
During regular hours of operation, please ask for assistance. After hour, put items next to the sink nearest
to the large animal hallway. Do not let surgical instrument soak in water and make sure that all sharps
(scalpel blades, needles) are removed and discarded property. If possible, please rinse buckets and tubes
and discard disposable materials.
6. Surgical scrubs and Uniforms
Students are NOT permitted to use scrubs or other uniforms owned by the Veterinary Hospital. NO
EXCEPTIONS! Always have your scrubs with you even if you do not anticipate needing them.
7. Use of University-owned equipment
Students are NOT permitted to use University-owned equipment for personal use.
8. Obtaining Assistance after-hours or on weekends
Please ask the technicians on duty to obtain necessary items from Central Supply if not found in the
treatment or ward areas. If an emergency situation cannot be resolved please have a technician contact
Rick Teasley. Rick Teasley: Central Supply phone 614-292-6975/Cell 614-557-5938
133
GUIDE TO THE CLINICAL LABORATORY
The Clinical Pathology Laboratories include the clinical chemistry, cytology and hematology laboratories.
These laboratories provide diagnostic service and professional laboratory expertise to the Veterinary
Medical Center and other departments/research laboratories within the college and university.
 The Clinical Labs are staffed by 3 Clinical Pathologists, 4 full time and 3 part time medical laboratory
technicians.
 Routine laboratory hours are Monday-Friday 7:00 a.m. to 5 p.m. and Saturday 8 a.m. to 12:00 p.m.
Following routine hours, a technician is available to process STAT samples 7 days a week, with the final
submission cutoff time being @11:30 p.m. Please call the evening technician if you anticipate a submission
after 11:30 but prior to midnight.
 For ER/Critical care patients that require laboratory work after midnight, there are bench top analyzers
available for electrolytes, blood gases, and baseline CBC parameters. A laboratory technician is on call for
those patients that may need additional special procedures, in which case an emergency call back fee will
be charged to the client.

ROUTINE SPECIMEN REQUIREMENTS
•
•
•
•
•
•
•
•
CBC, platelet count, Coombs, Cortisol
Profile, T4, digoxin, phenobarb, ELISA heartworm
Ammonia level
OSPT or APTT, fibrinogen, AT III
Foal IgG TIA
Urinalysis
Crossmatch
NOVA samples
purple top
red top
green top / on ice
blue top
small red top
syringe or French square
red or purple top
heparinized syringe
SUBMISSION PROCEDURES





All lab work must be ordered in VETSTAR which will give you sample requirements, price, and if the test is
done “in house” or is available through a send out lab.
Upon completion of the lab order entry, the system will generate two labels, one of which goes on the
sample tube, the other one dropped off at the lab along the specimen.
***ANY UNLABELED SAMPLES WILL NOT BE PROCESSED AND WILL BE DISCARDED***
There is @ a 2 hour turnaround time for routine samples after which the results will be available in VETSTAR
to view and/or print.
Samples may be ordered STAT if needed for an additional cost. Please inform the lab staff when dropping
off those samples.
134
ADDITIONAL INFORMATION
IF YOU HAVE ANY QUESTIONS OR PROBLEMS WITH TEST RESULTS – PLEASE MAKE THE LABORATORY STAFF
AWARE OF IT AS SOON AS POSSIBLE. WE WILL RECHECK THE RESULTS - IN SOME CASES YOU MAY BE ASKED
TO REDRAW THE SAMPLE FOR FURTHER ANALYSIS.
• Alert technicians of all potentially biohazardous samples.
• Label cytology slides with PENCIL only.
• Alert chemistry lab ½ hour before submitting an ammonia sample.
• Hematology samples are kept for 24 hours, chemistry samples are kept for one week. (Spin and save
samples are kept longer)
• If a test you have ordered has been processed /completed and you need to cancel it – you have to “write it
off”
• Any research samples that need to processed are to be scheduled with the lab as soon as you know your
protocol. An erequest will be required to process charges.
Contact Numbers:
Hematology/Cytology Lab
Chemistry Lab
2-7955
2-7952
Evening technician
Weekend technician
2-7951
2-7944
135
Test
(Chemistry)
Submission Requirements Status
Lab
ACTH
PT/Spin Cold/Freeze
Send Out
MSU
Adrenal Panel (pre and post)
RT - 3 ml
Send Out
Tennessee
Albumin
RT - 3 ml
Routine/Stat
In House
Aldosterone
PT
Send Out
MSU
Alpha 1 (Fecal Proteinase Inhibitor) Special tubes in Chemistry Send Out
Texas
ALT - Alanine Amino Trans
RT - 3 ml
Routine/Stat
In House
Amikacin
RT - 3 ml
Send Out
URL
Ammonia
GT/On Ice/Spin Cold
Routine/Stat
In House
Amylase
RT - 3 ml
Routine/Stat
In House
AP - Alkaline Phosphatase
RT - 3 ml
Routine/Stat
In House
APCAP - (CIALP)
RT - 3 ml
Routine/Stat
In House
AST - Aspartate Amino Trans
RT - 3 ml
Routine/Stat
In House
BHBA (Beta-Hydroxybutyrate)
RT - 3 ml
Routine
Oregon
Bartonella PCR
PT - 2 ml
Send Out
NCSU
Bicarbonate - Total
RT - 3 ml
Routine/Stat
In House
Bile Acids - Pre/Post
RT - 3 ml
Routine/Stat
In House
Bilirubin - Direct
RT - 3 ml
Routine/Stat
In House
Bilirubin - Total
RT - 3 ml
Routine/Stat
In House
Blood Gas
Whole Bld/Hep. Syringe
Routine
In House
Blood Donor Feline <10
PT - 2 tubes
Send Out
NCSU/Illinois
Bromide
Large RT - 6 ml (min.)
Routine/Stat
In House
BUN
RT - 3 ml
Routine/Stat
In House
Calcidiol-25 HD - (VIT. D)
RT - 3 ml
Send Out
MSU
Miscchg
(+) add
SO fee
$15.00
Calcitriol - 1.25 HD
RT - 3 ml
Send Out
Hollis
Calcium - Total
RT - 3 ml
Routine/Stat
In House
Calcium/Mag Panel - Ion & Tot
RT - 3 ml
Routine/Stat
In House
Calcium/Mag Panel - Ion
Hep syringe/RT - 3 ml
Routine/Stat
In House
Calculi - Stone Analysis
Urinary stone in clean contai Send Out
Biliary stone in clean contain Send Out
UCD
Texas Urolith Lab
Carnitine
GT - 3 ml
Send Out
UCSD
Catecholamines
GT - 10 ml *KEEP COLD*
Send Out
ARUP Lab
Chloramphenicol
RT - 3 ml
Send Out
URL
Chloride
RT - 3 ml
Routine/Stat
In House
Cholestrol
RT - 3 ml
Routine/Stat
In House
Cholinesterase
PT - 5 ml *DO NOT SPIN*
Send Out
URL
CK - Creatine Kinase
RT - 3 ml
Routine/Stat
In House
Clot Fact Assays
BT - 3 ml
Send Out
Cornell
Clot Fact Assays - ADT'L
BT - 3 ml
Send Out
Cornell
COP
RT/PT - 3 ml
Routine
In House
Copper - Tissue
10 mg/Dry Wt.
Send Out
MSU
Cortisol -Pre/Post 1/Post 2
PT - 3 ml
Routine
In House
Creatinine
RT - 3 ml
Routine/Stat
In House
Cyclosporin
PT - 3 ml
Send Out
URL
Digoxin Level
RT - 3 ml
Routine
In House
Dilantin
RT - 3 ml
Send Out
URL
DM testing
PT - 3 ml
Send Out
Missouri
Drug screen
RT - 3 ml/Urine - 10 ml
Send Out
URL
Electrophoresis (SPE)
RT - 2 ml
Wednesdays
In House
Estradiol
RT - 3 ml
Send Out
UCD
Estrone Sulfate
RT - 3 ml
Send Out
UCD
$163.00+
$50.00
$130.00
Ethylene Glycol Testing
RT - 5 ml
Send Out
URL
Felbamate
RT - 3 ml
Send Out
URL
Ferritin
RT - 3 ml
Send Out
KSU
Folate & B12
RT - 3 ml
Send Out
Texas
Fructosamine
RT - 3 ml
Send Out
Idexx
FSH & LH
RT - 3 ml
Send Out
BET Labs
Gastrin
RT - 3 ml
Send Out
MSU
Gentamicin
RT - 3 ml
Send Out
URL
GFR (Iohexol Clearance)
RT - 5 ml/2,3,4 hr.
Send Out
MSU
GGT
RT - 3 ml
Routine/Stat
In House
Glucose
RT - 3 ml
Routine/Stat
In House
Gluthathione Perox
GT/PT - 3 ml - whole blood Send Out
MSU
Granulosa Cell Tumor
RT - 3 ml
Send Out
UCD
Heartworm Ser - Ant K-9
RT - 3 ml
Routine/Stat
In House
Herpes-PCR
RT - 3 ml
Send Out
Univ. Missouri
Immunoelectrophoresis
RT - 3 ml
Send Out
Arrange w/lab
Immunoglobulins
RT - 3 ml
Send Out
CSU
Inhibin
RT - 3 ml
Send Out
UCD
Insulin
RT - 3 ml
Send Out
MSU
Insulin Like Growth Factor (Somatom RT - 3 ml
Send Out
MSU
Iron & Total Binding Capacity
RT - 10 ml
Send Out
Kansas St.
Keppra Leval
RT - 3 ml
Send Out
NMS Labs
Lactate
Hep syringe/RT - 3 ml
Routine
In House
LDH
RT - 3 ml
Send Out
Idexx
Lead
GT - 5 ml or Urine 10 ml/whoSend Out
Idexx
Magnesium
RT - 3 ml
In House
Routine/Stat
$84.00
$35.00+
$85.00+
$85.00+
Masticatory Muscle Myocitis
RT - 3 ml
Send Out
UCSD
Muscle Profile
.5x.5x1.0cm biopsy
(saline moistened)
Send Out
UCSD
Mineral Analysis
RT - 3 ml/tissue
Send Out
MSU
Myasthenia Gravis
RT - 3 ml
Send Out
UCSD
Mycoplasma PCR
PT - 3 ml
Send Out
Illinois
Neospora Titer
RT - 3 ml
Send Out
Auburn
Nerve Profile
1" biopsy
Send Out
UCSD
NEFA(Non-Estar. Fatty Acids)
RT - 3 ml
Send Out
Oregon
NOVA Blood Gas
Hep syringe
(includes pH, pCO2, pO2, Hct, SO2, BE, HCO)
Routine
In House
NOVA BUN/Creat
Hep syringe/RT - 3 ml
Routine
In House
NOVA iCa/iMg Panel
(includes pH, iCa, iMg)
Hep syringe/RT - 3 ml
Routine
In House
NOVA Co-oximetry
Hep syringe
(includes tHb, SO2, O2Hb, MetHb, HHb, O2Ct, O2Cap)
Routine
In House
NOVA Electrolytes
Hep syringe/RT - 3 ml
(includes Na, K, iCa, Cl, iMg, Ca/Mg)
Routine
In House
NOVA Metabolic Panel
Hep syringe
(includes pH, Na, K, iCa, Cl, iMg, Ca/Mg, BUN, Creat
Routine
In House
NOVA Panel (full w BG)
Hep syringe
(includes Metabolic panel tests plus Blood gas)
Routine
In House
Osmolality
RT - 3ml or CSF 1ml or UrineRoutine
In House
PARR PCR Clonality
PT - 3 ml
Send Out
Colorado
Phenobarbital
RT - 3 ml
Routine/Stat
In House
Phosphorus
RT - 3 ml
Routine/Stat
In House
PLI
RT - 3 ml
Send Out
Idexx/Texas
PLI snap
RT - 3 ml
Routine
In House
NOVA tests (Chem):
Postassium/Sodium
RT - 3 ml
Routine/Stat
In House
Pre Purchase Drug Screen
RT - 25 ml
Send Out
Arizona
Large Animal
RT - 3 ml
(includes 19 tests with GGT, Mg, SDH, no ALT)
Routine/Stat
In House
Small Animal
RT - 3 ml
(includes 17 tests with ALPLEV on canine samples)
Routine/Stat
In House
Camelid
RT - 3 ml
(includes same tests as large animal profile plus Cortisol)
Routine/Stat
In House
Equine
RT - 3 ml
Routine/Stat
(includes 20 tests with D.Bili, GGT, Mg, SDH, Trig, no ALT or Cholesterol)
In House
CSF
RT - csf
(includes same tests as serum profile, less T.P. and Albumin)
Routine
In House
Geriatric
RT - 4 ml
(includes same tests as Small Animal profile plus T4)
Routine
In House
Liver
RT - 3 ml
(Includes: ALT, ALP, GGT, T. Bili, Albumin & Bile Acid)
Routine/Stat
In House
Renal
RT - 3 ml
(Includes Alb, BUN, Ca, Bicarb, Creat, Cl, K, Na, Phos)
Routine/Stat
In House
$100.00+
Profiles:
Submammilian
RT - 3 ml
Routine
In House
(includes same tests as Small Animal profile (less osmo) plus Bile Acids and Uric Acid)
Exotic Mammal
RT - 3ml
Routine/Stat
(includes same tests as Small Animal profile (less osmo) plus Bile Acids)
In House
Urine
Urine - 15 ml (fresh)
Routine
In House
(includes: Na, Cl, K, B.U.N., Creatinine, Calcium, Phosphorus, Osmo - freezing point)
Progesterone
RT - 3 ml
Routine
In House
Protein Electrophoresis
RT - 3 ml/ CSF 5 ml or Urine Routine/Stat
In House (Wed)
Protein (total) (T.P.)
RT - 3 ml
Routine
In House
Parathormone (PTH)
RT - 3 ml
Send Out
MSU
PTHRP
PT - 3 ml
Send Out
MSU
Quinidine
RT - 3 ml
Send Out
URL
Rheumatoid Factor
RT - 3 ml
Send Out
Idexx
Rodenticide Testing (Toxicology scre PT - 3 ml
Send Out
MSU
Selenium
RT/PT - 3 ml
Send Out
MSU
17-Hydroxyprogesterone (pre & post) RT/PT - 3 ml
Send Out
Tennessee
SDH
RT - 3 ml
Routine
In House
Sodium/Potassium
RT - 3 ml
Routine/Stat
In House
Taurine
GT - 3 ml on ice
Send Out
UCD
Testosterone
RT - 3 ml
Send Out
UCD
Theophylline
RT - 3 ml
Send Out
URL
Thyroid Screen
RT - 5 ml
Send Out
MSU
T3
RT - 3 ml
Send Out
MSU
T4
RT - 3 ml
Routine
In House
Free T4
(by dialysis)
RT - 4 ml
Send Out
Idexx
TLI, B12, Folate
RT - 5 ml
Send Out
Texas
Toxo/Neospora
RT - 4 ml
Send Out
Auburn
Triglyceride
RT - 3 ml
Routine
In House
Troponin I
RT - 3 ml
Send Out
URL
TSH
RT - 3 ml
Send Out
MSU
Uric Acid
RT - 3 ml
Routine
In House
Urine Protein/Creatinine Ratio
Urine - 3 ml
Routine
In House
Urine Cortisol/Creatinine Ratio
Urine - 3 ml
Routine
In House
Viral Panel (Llama)
RT - 3 ml
Send Out
Oregon
Vitamin A, E, D
RT - 3 ml
Send Out
MSU
$85.00 +
Vitamin B12
RT - 3 ml
Send Out
Texas
Volitile Panel
RT - 3 ml
Send Out
URL
Zinc (avian)
RT - 3 ml
Send Out
MSU
updated 10/2011
$145.00
SMALL-ANIMAL EUTHANASIA PROTOCOL
The Ohio State University Veterinary Medical Center
(updated March 2013)
Honoring the Bond Support Services are available to clients, at no cost, before, during and after the
euthanasia process. While it is especially important to consult with the HTB Program Coordinator for clients
with specific needs*, the service is available for ANY client that is considering or has decided to euthanize
their companion animal.
*Examples of clients with specific needs include families with children, single and/or senior clients, clients with
their own medical concerns, clients of service companions, and/or those with intense emotional responses
(including ones expressing great guilt, intense attachment, suicidal ideation, signs of depression, significant
changes in sleeping, eating, work habits, social involvement etc.)
When the HTB Program Coordinator is unavailable, please make an effort to distribute resources to any client
coping with the terminal diagnoses, euthanasia or death of their companion-animal. The resources are
located in the brochure organizer hanging on the wall in the area between the pharmacy window and the
door to the business office, as well as in the comfort rooms. Brochure titles include, but are not limited to:
Difficult Decision-Making
Choices after the Death of a Companion Animal (necropsy and body care options)
Coping with the Loss or Death of a Companion-Animal
Helping Children Cope with the Death of a Pet
How Do I Know When it’s Time? Assessing Quality of Life for your Companion Animal and Making End-of-Life
Decisions
Do Companion-Animals Grieve?
Before Euthanasia










In non-emergency situations, plan ahead. Schedule euthanasia for when you have adequate time to answer
questions and address owner concerns.
Encourage client to bring someone for support and/or transportation.
Reserve Visitation/Comfort Room or identify appropriate outdoor location.
Prepare room/location for euthanasia (Exam table folded away, supply of tissues, comfort mat or padding
on floor.)
Inform pet's caregivers in advance (including technical staff) that pet will be euthanized.
Notify reception staff of client's appointment or greet client in lobby at a specified time and escort them to
quiet room. (Avoid requiring the client to wait in the lobby surrounded by healthy animals and happy pet
owners). Do not discuss patient’s condition or other case related issues in the lobby.
Provide client with brochure titled Choices after the Death of a Companion Animal, which explains the
necropsy process, as well as choices of cremation and burial options.
Discuss postmortem examination options (full necropsy, cosmetic necropsy, no necropsy). *
Discuss body care options (owner takes pet; hospital disposition/communal cremation; cremation or pet
cemetery-separate arrangements must be made by family with funeral home/cemetery). *
Every effort should be made to have the client check out PRIOR to the euthanasia. You may ask the cashier
to enter the room to avoid the client standing in the public lobby. Please ensure all charges have been
entered prior to asking cashier to enter room.
*See addendum for suggested language for these discussions.
143
Client-Present Euthanasia






Confirm/clarify client's necropsy/body care decisions.
Complete necessary legal paperwork (Euthanasia Disposition/Request Form).
Inform client that accounting representative can come into the room to collect final payment.
Once all the charges are entered and prior to euthanasia, notify accounting representative that client is in
the Visitation/Comfort room; when appropriate, ask accounting representative to meet with client to review
account and collect final payment.
Offer to/ask client if they would like to clip fur, remove collars, or carry through with any activity that might
be symbolic or meaningful to them.
Ask owner’s permission to make a clay paw print impression. (Some owners do not want one, and may be
upset or offended upon receiving one, unexpectedly.)
Phone Authorized Euthanasia






Provide same education and support as for client-present euthanasia.
Ask for a second witness over the phone, as client is not present to sign paperwork.
Ask client if there is anything that they want you to say to their pet before euthanasia.
Determine if a caregiver would like to be your client/patient advocate (someone who will remain with the
pet throughout the entire euthanasia process).
If feasible, provide pet a special snack, allow special playtime, and/or offer one last walk outside.
Inform them that will be notified by mail regarding any remaining balance related to the patient’s care.
(Some clients prefer to pay at that time, in order to get all the affairs resolved and avoid receiving a bill,
later. If this is the case, please assist owner in contacting accounting.)
Educate Client About Euthanasia Process






Ask if client has ever euthanized a companion-animal before (this information may provide you valuable
insight into the important do's and don'ts for this particular client).
Educate about euthanasia drugs and their actions.
Educate that process is quick; 10-30 seconds on average.
Discuss agonal breathing. "After Bo has died, it may still appear that he is breathing…"
Educate that after death, pet may urinate and defecate, eyes will remain open, and muscle movement may
occur.
Remind client that it is and individual choice whether to be present or not and that you support either
choice.
144
Prepare Pet







Before pet is transported to quiet room, an IV catheter should be placed to decrease the stress involved
with euthanasia. Preferred placement for the IV catheter is in a rear limb vein to allow client easier access to
the patient’s head and face.
Let other health care providers say good-bye. It is especially important to inform any technical staff who
may have cared for your pet for several days, weeks, or crucial hours, that a pet is now being euthanized.
If the pet has wounds or fecal/urinary staining, clean-up, bandage, or cover with towel.
If transporting pet on a gurney, use cage pads, blankets, or towels to soften the feel and appearance of the
metal surface.
Once in the room or outside location where the euthanasia is to occur, place the pet on padding or blankets,
or utilize a padded gurney. Do not place pet directly on ground, floor, or exam table.
If the pet is not agitated, ask client if he/she would like to spend some time alone with their pet before
proceeding. Allow client private time with pet before administering sedation. Advise client you will check
back with them at a designated time (10…15…20 minutes). If client requests additional time, check back
with client as needed.
Encourage client to hold or talk to pet. If feasible, encourage client to provide pet a special snack, allow
special playtime, and/or offer one last walk outside.
The Euthanasia Procedure










Talk to client and pet in gentle tone of voice.
Administer sedation; allow appropriate time to peak affect.
Suggested doses of sedation would include any of the following:
 Acepromazine 0.05-0.1 mg/kg IV-allow 10-20 minutes to peak effect (avoid in patients with poor
perfusion or seizure history).
 Propofol 1-4 mg/kg IV-immediately prior to euthanasia solution.
Offer client one last opportunity to say good-bye before proceeding.
Remind the client that you will be flushing the catheter, administering the drugs, and flushing the solution
again after the drugs have been administered.
Remind the client that the process takes approximately 10-30 seconds on average. (Even though this
information will already have been discussed, many clients report not being “quite ready” for how quickly
death comes after the drugs have been administered—help eliminate surprises by quickly reviewing the
process prior to administration). You may even choose to let the client know that the heart may stop
beating even before the injection is finished.
Support pet's head if possible.
Once breathing has stopped, auscult pet.
Gently inform client that pet has died (She’s died. Her heart has stopped beating. Etc.)
Role model for client that it is o.k. to touch or talk to companion-animal after it has died.
145
After Euthanasia





When/if appropriate, it may be helpful to encourage client to share favorite stories or memories.
Encourage client to spend additional time with pet if desired.
If client is not taking pet's body home, assure client that their companion-animal is not being left alone.
(Either take body, or have someone stay with body as client leaves).
If the Honoring the Bond Social Worker is not present, inform client of the possibility of a follow-up phone
call. Also provide any appropriate written material/brochures to the client.
To every extent possible, do not have client walk through the lobby. If client exits at this time, escort them
via the department chair/hospital director hallways (i.e. turn right out of the comfort rooms).
Preparing Body
Body to be taken by owners or hold/undecided: Use white, cardboard casket/coffin or blue tarp (Coffins
are located in the loading dock and tarps are located in cabinet in treatment room or on the loading dock).
o Clean body
o Express bladder
o Line casket with disposable cage pads
o Brush/groom pet
o Position pet to give appearance that animal is sleeping
o Cover body, not head
o At client’s request, place familiar objects with pet
o Tape casket closed
Body to Funeral Home or Hospital Disposal/Communal Cremation: Use plastic bag
Client Taking or Picking Up Deceased Pet



DO NOT TRANSPORT THE PET'S BODY THROUGH THE MAIN LOBBY.
IT IS ALSO NOT ACCEPTABLE TO TRANSPORT A BODY THROUGH THE CLIENT SERVICES AREA.
When delivering a pet's body to a client, USE A PRIVATE EXIT (north door into the large animal breezeway or
main entrance via the department chair/hospital director hallways). Do not “hand-off” a body to a client in
the lobby.
Client After Care



Sympathy card: Encourage care team members to sign and share sentiments; relevant poetry or stories may
be included. If cards are not signed within 5 days of the death, pawprints and/or other items will be mailed
to the owner with a general sympathy card from the VTH.
Pawprint and/or hair clippings: If an owner has consented to making and/or painting of pawprint, please
complete in a timely manner.
If collars have been removed, please mail or offer to clients. Do not throw away lost collars and/or leashes.
Place them in appropriate lost and found bins, either in ICU or near the paw print station.
146
SMALL ANIMAL EUTHANASIA CHECKLIST
 Reserve quiet room (tissues available, mat on floor)
 Inform reception staff
 Notify staff/medical team that may want to say goodbye
 Consult the Honoring the Bond Program or provide brochures to owner
 Review/sign Euthanasia Request/Disposition form
o
Discuss postmortem/necropsy examination options *
o
Discuss body care options *
o
Only check box about “approved protocols” if the client signs additional consent forms for IACUC
approved research (tissue bank, research, etc.)
o
Provide brochure titled “Choices After the Death…” (explains necropsy and body care options)
 Educate about euthanasia process
o
drugs, their actions, timing
o
agonal breathing, muscle fasciculation
o
involuntary urination/defecation
 Return collars, leashes, carriers to owner
 Ask owner if they would like clay pawprint, hair clipping, etc.
 Ask owner if they would like cashier to collect payment in room
o
After all charges are entered and prior to euthanasia, ask cashier to collect payment in room
 Place IV catheter (preferably) in rear limb vein
 Euthanize (talk owner through steps, as you go)
 Use a private exit (via the department chair/hospital director hallways or meet owner outside with pet via
Large Animal breezeway)
 Enter client/patient information in Deceased Database and label appropriately
 Sympathy Card
 Pawprint made
 Pawprint wrapped, owner address on envelope and placed in “to be mailed box”
 Collars/leashes mailed and/or placed in lost and found, if not sent with owner
*See addendum for suggested language for these discussions.
147
Discussing Necropsy Examination
Many families may be reluctant to consent to necropsy examination, which may be important in answering
many questions for the veterinary team. In such situations, the following may be useful ways of initiating a
discussion with the family. Ensure the client initials the appropriate spot on the Euthanasia Request form, or
that their choice is clearly recorded in the medical record (witness who confirmed client’s directives should also
sign the record if possible). It is also important to let owners know that there is a possibility that a necropsy will
not give us answers.
“This is a hard decision to make. I’d like you to know that there are several methods of performing a necropsy
examination, which may help us shed some light on Ralph’s problems. Would you like me to explain them?
• A complete necropsy allows us to examine all the body cavities visually to detect problems that might be
visible to the naked eye. We also take tissue samples from various organs that are then prepared in a special
way to allow us to examine them under a microscope and detect very small problems. This option allows for
the collection of the most information.
• Choosing a cosmetic necropsy might be your choice if you are considering burial. With this option only the
chest and abdominal cavities are opened for examination and tissue sampling. Afterwards, the cavities are
closed again so that you may view the body if you wish. With a cosmetic necropsy, it is less likely to find
results.
• A final option for you to consider would be to consent to allowing us to obtain tissue biopsies using a needle
through the skin instead of opening a body cavity. Although we might not obtain complete information with
this method there is still a reasonable chance that we can learn something important.
“This must be very difficult for you. Would it be helpful to offer you a different perspective on this decision?
• I know how much you loved Ralph and how much joy he brought to those who knew him in life. Other
families in this situation have taken some comfort in the thought that even after death, and by consenting to
necropsy examination, you might let Ralph be able to contribute to our knowledge and training so that we
might help another animal and family in the future. I know this might sound selfish, but the information that
we obtain from a necropsy examination might really help us and other patients like Ralph in the future.
Please know that I’ll support whatever decision you make.”
• Some families have found comfort in the thought that Ralph’s final contribution might be the gift of
information or education. They have also found comfort in consenting to a necropsy examination as an
educational memorial for their beloved companion. I don’t want you to feel pressured into any decision and
just know that I’ll support whatever decision you make, but I wanted you to know that by consenting to a
necropsy examination you would be able to contribute to my understanding of problems like Ralph’s and
thus it might help other families and future veterinarians.
Discussing Body Care Choices
Clients are often uneducated regarding the choices available to them for the care of their companion’s body
following death. Moral and spiritual beliefs may prevent them from consideration of some options. The
following may be helpful in discussing the client’s choices. Ensure the client initials the appropriate spot on the
Euthanasia Request form, or that their choice is clearly recorded in the medical record (witness who confirmed
client’s directives should also sign the record if possible). It is also important to let owners know that they have
3 (business) days to make arrangements. If they do not make arrangements within that time, we will take care
of disposal of the body.
148
“Another decision you’ll need to make is how you’d like to care for Ralph’s body. There are a number of
options open to you. Would it be helpful to discuss those choices now?
•
•
•
•
Some owners choose to take their pet with them. Some families opt for burial of their companion. If you
are interested in burial in a pet cemetery I can make some recommendations for you. Some families opt
for burial in a spot closer to home or in one of their companion’s favorite locations. Unfortunately, the
laws and regulations governing this option are created locally to protect the public from the potential
risk to the water supply, so if you’re thinking of this as a possibility, it might be a good idea to check with
local authorities first.
Cremation is a popular choice. Many funeral homes/pet cremation services offer the option of having
your companion cremated individually (only one pet cremated at a time). Others offer segregated
cremation (more than one pet cremated at a time, but separated from each other). In both these
options, you may have ashes returned to you. It is important to ask each funeral home/pet cremation
service how the body is handled as several methods are in current use. I can make some
recommendations about local funeral homes/services that have high standards of care and who have
offered excellent service to other families. Because we do not contract with one specific provider, we ask
that the owners make the arrangements with the cremation provider or funeral home. You have 3 days
to make the call to the provider.
The last option is for you to leave your pet with us and we can arrange for him/her to be communally
cremated. If you choose this option, your companion would be cremated alongside other animals,
therefore, you would not be able to receive your pet’s ashes
If you are having difficulty making a decision about body care, or you might need some time to think it
over, we also offer the possibility to keeping your companion safe in refrigerated storage for up to 72
hours. If you require holding longer than 72 hours then you must arrange for a funeral home to claim
your companion’s body and make arrangements with them directly for a longer holding period. If you do
not make arrangements in 3 business days, your companion will be communally cremated and you will
receive the bill for that expense ($25).
149
Euthanasia/Disposition Request Form
The Ohio State University Veterinary Medical Center
601 Vernon L. Tharp Street
Columbus, Ohio, 43210
(614) 292-3551
Euthanasia Request
I request that my animal identified above be euthanized at The Ohio State University Veterinary Medical Center
(OSU-VMC). I certify that I am the owner (or legal authorized agent for the owner) of the animal described above and
hereby release OSU-VMC (including its trustees, employees, agents, and students) from any and all liability for
performing the requested euthanasia.
Disposition Request
I acknowledge that I have received information regarding the available options for both necropsy of my animal AND
the options available to me for disposition of my animal that are in accordance with local health codes. To the best of
my knowledge, my animal identified above has not bitten any person or animal in the last 10 days and has not been
exposed to rabies. I authorize OSU-VMC to euthanize my animal and, except where otherwise required by law, to
implement my choices for the disposition of my animal’s body as stipulated below, in accordance with hospital
policy. I release OSU-VMC (including its trustees, employees, agents, and students) from any and all liability for
performing said necropsy examination and body disposition.
My INITIALS in the boxes below indicate my choices:
☐ Perform a COMPLETE necropsy (body is NOT suitable for viewing).
☐ Perform a COSMETIC necropsy, SMALL ANIMALS ONLY (body is generally suitable for viewing).
☐ Do NOT perform a necropsy examination.
AND
☐ I am taking my animal’s body with me without a necropsy.
☐ I am leaving my animal’s body for disposal by the OSU-VMC.
☐ My animal’s body should be held for pick-up by myself or a private service provider.
I understand that it is my responsibility to arrange for my animal’s body to be retrieved by me or by a cremation
service provider, funeral home or pet cemetery within 3 working days of the date below. I understand that if
my animal’s body has not been retrieved within 3 working days, the OSU-VMC will dispose of the body.
AND
☐
☐
I have been informed of OSU-VMC approved protocols and authorize the use of my animal’s body for
instructional purposes in accordance with these protocols.
I have received pamphlets on necropsy and disposition options.
Signature (Owner/Agent): _________________________________________Date:______________________
Witness: ____________________________________________________ Date: ______________________
Witness: ____________________________________________________ Date: ______________________
(second witness for phone consent)
150
Identification & Handling of Deceased Patients
Once the client has made a decision about necropsy and body care options, ensure the client initials the
appropriate spots on the Euthanasia Request form, or that their choice is clearly recorded in the medical record
(witness who confirmed client’s directives should also sign the record if possible). Bodies held pending owner
decision will be held for no longer than 3 business days. If owners have not made a decision, then they must
arrange for a funeral home to claim the body for further storage at the funeral home. Accurate and
compassionate handling of the body is expected of all personnel involved. These guidelines should be followed
in ALL circumstances.
Body Identification and Handling
Cleanse and prepare the body appropriately for the possibility of family viewing. Upon request of the family,
prepare clay paw print, clip hair and remove other items the family requests for return. (Please see the Small
Animal Euthanasia Protocol for specifics.)
Timely processing and transport of bodies to Goss should take priority over any other clinical duties. Bodies
should never be left in the hallway or treatment room for an extended period of time.
ALL BODIES SHALL BE ENTERED INTO THE DECEASED DATABASE, regardless of necropsy choice. This includes
ALL patients that die or were euthanized in the VMC, as well as animals that have died before arrival and nonVTH patients presenting to for necropsy. Necropsy requests shall be entered, electronically, in the Deceased
Database. DO NOT use hardcopy necropsy request forms. Print one copy of the necropsy request form to
deliver with the body.
Once data has been entered into the Deceased Database, the computer will direct you to the appropriate
colored cardboard tag to use. Pre-printed labels are located in the cabinet in the small animal treatment area.
You must hand write some information on two (2) labels. You may choose to attach a patient medical record
sticker to the label and add the clinician name and circle necropsy and aftercare choices. Attach one label to the
appropriately colored cardboard tag and attach to the patient. (The other label/tag will be attached to the body
bag or coffin.)
Body Given to Family, Undecided or Hold Body (regardless of necropsy choice):
PLACE BODY IN WHITE COFFIN OR ON BLUE TARP. (Coffins are located in the loading dock and tarps are located
in cabinet in treatment room or on the loading dock). If body will fit, select an appropriately sized cardboard
casket and line with disposable pads. Position the patient in the casket to ensure an acceptable appearance.
Close the casket and affix the second label/tag to the top of the casket near one end.
Body to Funeral Home or Hospital Disposal (regardless of necropsy choice):
PLACE BODY IN PLASTIC BAG-DO NOT USE WHITE COFFIN. Affix the second label/tag to the neck of the bag with
a cable tie.
Transport the body and the necropsy request to the refrigerated storage unit in Goss Lab and place the body on
a shelf (not on the floor) so that the label is visible and place the request form in the wooden submission box in
the refrigeration unit. Afterhours obtain the key from ICU. Weekdays (between 7am and 12a) a Veterinary
Assistant may be contacted to assist with transport to Goss.
151
Step-by-Step Instructions
1. Determine client choice for necropsy type (standard, cosmetic, none)
2. Determine client choice for body care (hospital disposal/communal cremation, private cremation
provider, owner pickup, or undecided-hold 3 days)
3. Enter data/demographic information in Deceased Database
4. Attach patient sticker on (2) identification labels (located in cabinet in Treatment Room), be certain to
indicate necropsy and aftercare selections
5. Complete electronic Necropsy Request and print ONE copy
6. Adhere ONE label to appropriate colored tag and attach to patient’s rear toe/foot with cable tie
7. If body care choice is HOLD, UNDECIDED or OWNER PICKUP, place body in a cardboard casket and
adhere one label to appropriate colored tag and attach label end of casket on top. (If body does not fit
in casket or use a blue tarp and attach the color tag.)
8. If body care choice is HOSPITAL DISPOSAL/COMMUNAL CREMATION or PRIAVE CREMATION PROVIDER,
place body in bag and adhere one label to appropriate colored tag and attach to neck of bag with cable
tie (DO NOT USE WHITE COFFIN)
9. Transport body to refrigerated storage unit in Goss Lab and place on shelf in appropriate section (follow
signage) with identification label visible. Afterhours obtain the key from the ICU.
10. Place Necropsy Request (if appropriate) into wooden submission box in the refrigeration unit
152
Honoring the Bond Program: Info for Clinicians, Staff and Students
Joelle Nielsen, MSW, LSW, Program Coordinator
(614) 247-8607
[email protected]
Hours: 8:30 a.m. – 5:00 p.m., Mon-Fri (after hours consult for suicidal or severely mentally ill clients)
GENERAL
• The goal is to supplement, not replace, the skills of the medical team. Involvement of the HTB program
allows the medical team to focus on the health and well being of the animal, while the social worker can
focus on the well-being of the human.
• It is just as appropriate to refer clients that are experiencing “normal” or “typical” emotions as those that are
exhibiting extreme or concerning reactions.
• While giving bad news is a common occurrence for the medical team, receiving bad news is not the norm for
our clients. Please remember that clients may be in shock or repressing their emotions.
• There is no cost associated with referral to the HTB program.
SERVICES AVAILABLE
• Be present to support owners when they arrive to emergency medicine for serious illness or injury
• Be present during delivery of “bad” news (death notification, terminal illness, unexpected diagnosis)
• Assist owners in processing difficult decisions (treatment, euthanasia, surgery, etc.)
• Be present with owners before, during and/or after euthanasia procedures. The social worker can help with
discussions with owners regarding body care decisions, filling out the euthanasia consent form, etc.
• Provide resources, including reading lists, websites, counselor and pet loss support group referrals,
cremation/burial resources, memorial ideas, etc.
SUGGESTIONS FOR INTRODUCING THE PROGRAM TO OWNERS
• The most effective way may be to call Joelle and have her introduce herself to the client. This way, the
client will be able to place a face with the name and may be more comfortable utilizing the services in the
future. Clients are always given the option whether they would like to talk or not.
• Please feel free to provide client with Joelle’s direct contact information
• If you prefer to ask client yourself, you may choose any of the following:
• We have a program called Honoring the Bond. Joelle Nielsen is the program coordinator and her role/job
is to be here to provide support for you. I’d like to call her for you if you are open to that. Would you like
me to see if she is available?
• Sometimes it’s nice to put a face to the name. I would like to see if she is available for you to meet, in case
you might want to talk to her at a later time.
• Sometimes, pet owner’s reactions to different situations vary. Joelle is here, in case you need to talk.
• You may receive a follow-up call from someone in the next few days.
BROCHURES AVAILABLE FOR OWNERS (please feel free to provide to owners)
o
o
o
o
o
o
Difficult Decision-Making
Choices after the Death of a Companion Animal (necropsy and body care options)
Coping with the Loss or Death of a Companion-Animal
Helping Children Cope with the Death of a Pet
How Do I Know When it’s Time? Assessing Quality of Life for your Companion Animal and Making
End-of-Life Decisions
Do Companion-Animals Grieve?
153
CLINICAL MICROBIOLOGY LABORATORY PROCEDURES
OSU VTH Room 0047 (Basement), 2-7956
Faculty: Dr. Josh Daniels (7-1725),
Staff: Nancy Martin (Service Coordinator), Steve Anderson (Technician)
Laboratory Hours: Monday-Friday 8:00am-5:00pm and Saturday 8am-12pm
After Hours: 5:00-12:00am (292-7951), and Weekends (292-7944).
1.) A completed order request is required for each sample that is submitted to the microbiology laboratory.
The order request should contain as much information as possible including:
•
•
•
•
Source of specimen
Clinician last name
Tentative diagnosis/Pertinent history (e.g. “diabetic”, “CRF”, “suspect FPT”)
Antimicrobial treatment history including whether or not the patient was on antibiotics at the
time of sampling.
2.) When submitting specimens, please use a pre-printed label or mark each container clearly and legibly
with the following information:
•
•
•
•
•
Animal name
Owner last name
Medical record number
Sample type
Spec
ALL SAMPLES SUBMITTED MUST BE
100% IDENTIFIABLE. PROVIDING
UNIDENTIFIABLE OR MISIDENTIFIED
SPECIMENS TO THE LABORATORY IS
INEXCUSABLE.
NOTE: There are times when the computer system is down and order requests are not generated. In
these instances, the sample still must be submitted with the proper information – i.e. medical record
number, animal name, species, owner’s last name, and clinician and left on the laboratory counter of
processing. If possible, please alert a technician about this issue. Please remember that the test must
be ordered in Vetstar by the submitter once the system returns to normal.
3.) Proper specimen collection and handling greatly influence the diagnostic utility of the microbiology
work-up. Careful selection of specimens that are representative of the suspected disease process is
critical. When submitting samples to the laboratory, please observe the following guidelines:
•
•
Specimens should be submitted in sterile, leak-proof containers (make sure outside of container
is clean and disinfected)
Use appropriate transport containers or culturettes (if absolutely necessary) for samples to be
cultured
 Examples of appropriate containers for submission include “French squares”, red top
tubes, and designated transport swabs /transport media
QUESTIONS ABOUT MICRO SAMPLE SUBMISSION, CHARGES, RESULTS? CALL 2-7956
154
 If submitting a culture swab for anaerobic testing, use appropriate anaerobic transport
media such as a port-a-cul tube which can be found in Central Supply or acquired
directly through the laboratory.
 Viral transport media is available through central supply or direct from the lab for any
viral sendouts or applicable PCR requests.
•
Do not submit samples for culture in EDTA or any other blood tubes with additives. These
additives adversely affect bacterial viability.
If you are unsure how to properly submit a particular laboratory sample, call the microbiology
lab (2-7956).
•
4.) Often times, additional tests are desired using sample material that was previously submitted to other
divisions of the clinical laboratory. Material that you know is intended for bacterial culture should
always be sent to microbiology in a separate container for reasons related to sample viability and
contamination. If you would like to have additional tests performed on left-over clinical material in
other labs (e.g. serum left-over from chemistry for a serology test), please do the following:
a) Contact the section with your sample to see if there is any specimen material remaining.
b) Ask him/her to transport the material to microbiology and inform one of the microbiologists
that an order is pending.
c) Order the appropriate microbiology or serology test in VETSTAR.
5.) Results
•
•
•
•
Microbiology culture results and Reference Laboratory Send-out results are reported directly
into the INFECTIOUS DISEASE DATABASE until sometime Summer 2013.
o Results from in-house snap tests are reported into VETSTAR
 This includes the SNAP 4DX Plus, FELV/FIV and PARVO test results
Preliminary reports are posted to the Infectious Disease Database on a Daily basis
Results from outside laboratories are posted as soon as they are received
If you have questions about a test or can’t locate a result, please call the laboratory for
assistance (2-7956)
6.) Laboratory test cancellation policy
•
Once a submitted sample has been set-up for culture by the laboratory technicians, the ordered
testing may no longer be canceled
 Exceptions to this rule will be made on a case by case basis at the discretion of Dr.
Daniels or the laboratory manager. You must contact the lab ASAP in these cases. (If
case has been billed, it’s too late).
QUESTIONS ABOUT MICRO SAMPLE SUBMISSION, CHARGES, RESULTS? CALL 2-7956
155
Department of Veterinary Biosciences
Orientation for Senior Rotations
Contact people in Applied Pathology:
Shelly Haramia 247-4795
Necropsy Floor 688-4091
A.
Necropsy rotation
1.
2.
3.
4.
5.
Necropsies are performed Monday – Saturday.
Necropsy orientation begins at 8:00 a.m. on your scheduled start date in room 212b Goss lab.
Normal weekday rotation will also begin at 8:00 a.m., unless otherwise noted by the instructor.
Saturday sessions begin at 9:00 a.m. – May start earlier during football season due to traffic.
You will be responsible for having the following:
- scrubs or coveralls (any color)
- rubber boots
B.
Submitting a necropsy
1.
4.
Necropsy requests and the animal must be in the Goss lab cooler
before 11:00 a.m. Monday – Friday. Any cases presented after this time
will be done the next working day.
On Saturdays, necropsy requests and animals must be in the Goss
Lab cooler by 10:00 am.
The procedure for submitting a necropsy is described in a separate
section of the Hospital Manual.
There are no rabies checks on pocket pets and rodents.
C.
Funeral homes
1.
If owners would like to have their pet privately cremated, the small animal desk has a list of funeral
homes that can provide this service. The Equine office has information about equine cremation services.
2.
3.
The following procedure is used:
a)
Arrangements for funeral home pickups are to be done by the owner.
b)
Once the owner calls the funeral home, the funeral home will then contact the pathology
department for release of the animal to them.
If no call is received from the funeral home, the animal will not be picked up.
2.
For owner pickups only - this is your responsibility to remind the owner that they must retrieve the
animal within three working days after placement in the Goss lab cooler.
Animals left after three working days will be submitted for disposed.
156
D.
Submitting biopsy specimens
1.
Biopsy specimens are picked up by the small animal grooms between 7:30 and
9:30 a.m. and are brought to Goss lab for processing.
2.
Histopathology requests are submitted through Vetstar. Make sure you charge for
the histology and the surgical procedure separately.
Example: Surgery performed was a mass removal from abdomen.
Charges would be:
Histopathology - 1 site
Excisional – abdomen
3.
Number of sites corresponds to where the specimen was taken.
Multiple sites from the same patient should be on one request.
4.
If you need to change a charge or add information to a request, re-enter the charge again. Please call
Accounting at 2-1360 as they can remove the charge.
E.
Obtaining results
1.
Once reports are complete, necropsy and histopathology results are available on the patient record via
Vetstar. Printed copies are sent to medical records. Results are also emailed to the clinician listed on
the request form. Prelims are emailed roughly 48 hours post and a final is sent through the Vetstar
system in around 4 weeks.
2.
If there are any problems or questions, please call Applied Pathology at 7-4795.
157
Standard Procedures
For Applied Pathology
Department of Veterinary Biosciences
THE OHIO STATE UNIVERSITY
revised 4.12.13
158
TABLE OF CONTENTS
Requests & Submission for Standard Cases
Page 3
Submitting Emergency Necropsies
Page 4
Submitting Cosmetic Necropsies
Page 4
Submitting Cosmetic Necropsies in Which the Brain Must Be Removed
Page 5
Diagnostic Tests Available from Applied Pathology
Page 5
Infectious Diseases
Page 5
Post-Mortem Neurological Examinations
Page 8
Post-Mortem Neurological Examination Protocol on
Submissions Accompanied by a Neuropathology Request Form
Page 9
Clinical Non-localizing neurologic abnormalities
Page 9
Clinically localizing neurologic abnormalities
Page 11
Large Animal Abortion Necropsies
Page 12-15
Disposal of Carcasses
Page 15
Rabies Suspects
Page 15
Scrapies Suspects
Page 16
Submissions of Specimens from Necropsy to Microbiology
Page 16
Necropsy Reports
Page 16
Request & Submission of Surgical Pathology Cases
Page 17
Surgical Pathology Reports
Page 17
Research Cases
Page 17
Special Stains Available
Page 18
Phone Contacts
Page 19
Veterinary Pathobiology Library Policies
Page 19
159
NECROPSY
I. Requests and Submission for Standard Cases
A. Necropsy requests should be reviewed and signed by the clinician-in-charge.
Outpatient cases should be placed in the necropsy cooler by hospital staff or students along with a
complete history. Payment should be made at the Companion Animal desk the cost is $300 for equine,
$125 for non-equine species over 500 lbs., and $100 of non-equine species under 500 lbs. for other
species. Companion animals have an extra $25 charge to cover communal cremation costs.
Payment is due upon delivery of the animal. We do not send out invoices.
For those cases that arrive without payment, late payments must be immediately sent to:
The Ohio State University
Department of Veterinary Biosciences
Attention: Business Office
1925 Coffey Road
Columbus, Ohio 43210
If payment is not received within 5 days, all tissue from the necropsy will be discarded and a report will not be
prepared. The Department of Veterinary Biosciences will send final necropsy reports to veterinarians within four
weeks upon completion of the necropsy.
B. The following are not charged for necropsy: OSU clients, clients of OSU that were seen in the past 60
days, Columbus Zoo, The Wilds, OSU Marysville, and Ohio Humane Societies and Ohio Rescues.
C. Necropsy requests and the animal must be in the Goss Lab cooler by 11:00 a.m. on weekdays. On
Saturdays, cases must be in the cooler by 10:00 a.m.
*Use of the hoist system in the necropsy cooler is restricted to authorized personnel.
*If the owner wants the body saved for cremation, pickup or a cosmetic necropsy is to be performed, make
sure it is clearly stated on the request form. Bodies for pickup will be held a maximum of 3 days. We do not
call owners for pickup.
D. The clinician should indicate which details of the case need to be explained, clarified or confirmed by
the postmortem examination. Any organ system the clinician thinks ought to be evaluated
histopathologically should be explained in the clinical abstract.
E. The number of requests for necropsies on dogs and cats is low. We encourage clinicians to help us
increase these accessions since they are an essential component of the students’ education. For
cases in which you do not need necropsy to confirm a diagnosis, check the “necropsy optional” area
of the form, and ask a student to complete the request. You do not need detailed companion
documents (CBC’s, etc) to accompany the necropsy form in these instances.
F. Necropsy submission information is given to fourth-year students in the VMC. A copy of this is
provided in Appendix A.
160
G. Tissues collected from field necropsies (necropsies in a jar) are not accepted by the Applied Pathology
service unless the necropsy falls into the category of an emergency necropsy (see below) or a faculty
pathologist makes special arrangements with the submitting clinician.
H. Necropsies submitted as “Good Samaritan” cases will be performed at the discretion of the faculty
pathologist.
II. Submitting Emergency Necropsies
Emergency necropsies for OSU Veterinary Medical Teaching Hospital cases can be arranged when
needed on weekends, holidays and after regular class hours (i.e. after 11:00 p.m. weekdays and after
10:00 a.m. Saturdays). A Clinical Sciences faculty member must contact the diagnostic pathologist
directly for these arrangements. Emergency necropsies are performed on OSU clinic and ambulatory
cases only and are strictly defined as cases: a) in which human health may be endangered, b) which
involve group health problems (multiple animals affected) and where a necropsy will enhance the ability
of the OSU clinician to manage the disease outbreak, c) where an immediate necropsy will deter
potential litigation against The Ohio State University concerning medical and surgical management,
husbandry or unexpected death of a patient, d) death of an officially-listed endangered species where it
is the judgment of the OSU clinician that the results of the necropsy will affect management of the
remaining animals.
An emergency necropsy not included in the above categories requested by faculty or referring
veterinarians will be performed for a fee of $750 for insured animals (all species), $500 for non-insured
horses, and $250 for non-insured pet and food animals. This fee can be waived in specially arranged
instances when necropsies are performed for mutually-agreed-upon academic reasons on cases of
common interest to the pathologist and clinician. Requests for emergency necropsies by referring
veterinarians should be directed to the Head of Applied Pathology Services or to the pathologist on call.
The pathologist on-call on weekends and holidays will leave a message at the large animal clinic office if
he or she plans to be unavailable at the listed phone number for more than two hours. This message
will indicate how and where the pathologist can be contacted.
161
III. Submitting Cosmetic Necropsies
Cosmetic necropsies are discouraged but are performed upon request. These are performed on small
animals only and examination will be limited to the thoracic and abdominal viscera. It is the obligation
of the necropsy pathologist to place carcasses of cosmetic necropsies in the Goss Laboratory receiving
cooler. Containers containing carcasses from cosmetic necropsies should be labeled with the name of
the clinician, owner and date. Owners claiming the carcass are instructed to go to the Veterinary
Medical Teaching Hospital’s Small Animal Desk for assistance.
There is a limit of 3 working days for holding bodies of animals that owners wish to pick up. Owners
should be informed of this when they drop off the body for necropsy and should be reminded of this if
they call and inquire about times for pick up. It is not our policy to call owners to remind them that the
body is ready to be picked up.
IV.
Submitting Cosmetic Necropsies In Which The Brain
Must Be Removed.
Requests for cosmetic necropsies in which the brain must be removed must be made by the faculty
clinician in charge of neurological cases. See the neurological examination protocol.
V.
Diagnostic Tests Available from Applied Pathology
Professional services offered by the Department of Veterinary Pathobiology include gross and
appropriate microscopic tissue evaluation and diagnostic bacteriology is also available in collaboration
with the Diagnostic and Clinical Microbiology Service in the Department of Veterinary Clinical Sciences.
Toxicology and virology services are not available. Tissue can be saved for virologic and toxicologic
evaluation but it is the responsibility of the veterinarian or owner to have these tests performed
elsewhere. Tissues saved for virologic and toxicologic evaluation will be discarded after 60 days from
the date of necropsy.
Vl.
Infectious Diseases
A. Control of Spread of Infectious Agents
1. No one, no matter how briefly, no matter the purpose should be on the necropsy floor without
removable/washable boots.
2. All boots, aprons and reusable gloves should be washed to remove organic material and then
washed with the disinfectant
3. Clothing exposed to fluids from cases highly suspected to have contagious infectious disease should
be removed as soon as possible and routinely laundered. Under no circumstance should anyone
enter areas of patient care/examination in the VMC wearing clothing with fluid contamination
acquired during a post mortem. Specimens from cases highly suspected to have contagious disease
should NOT leave the necropsy floor unless in sealed containers (do not bring these specimens to
the conference area).
B. Personal responsibilities - Necropsy of cases without Zoonotic or Epizootic Disease
1. No one should be on the necropsy floor without removable/washable boots and outer protective
clothing apron/smock/coveralls/labcoat.
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2. Routine necropsies are performed wearing protective gloves, rubber boots and apron.
3. Boots, gloves and aprons are not to be worn off of the post mortem room floor. Disposable boots
and gloves are disposed as biohazardous waste. Rubber boots and re-useable aprons and re-useable
gloves are to be cleaned of organic debris before leaving the post mortem floor and given final rinse
and sprayed with disinfectant in the locker room area.
4. Following necropsy students are required to remove all exposed clothing by going directly from the
necropsy area to student locker in the VMC (access by east entry). No special precautions are
required in laundering of this clothing.
5. For faculty, residents, staff and visitors outer wear is required over street clothes/scrubs
(apron/smock/coveralls/labcoat) while in the necropsy area. Grossly contaminated clothing is not to
be worn outside of the necropsy area. Outer wear is not to leave necropsy area.
6. In the case of cuts or needle puncture while performing a necropsy (see below if zoonotic disease) an
accident report MUST be completed (student and employee forms attached) and the individual is
encouraged to go to Employee Health/Student Health Service after performing standard hygiene
care.
C. Personal Responsibilities - Necropsy of cases with Zoonotic Diseases
1. A case is considered to have a zoonotic disease if the disease is listed in the compendium cited (See
list of diseases and method of spread in Compendium of Veterinary Standard Precautions for
Zoonotic Disease Prevention in Veterinary Personnel, 2008 – JAVMA 233 (3):415, 2008 - attached)
above and if this disease is:
A. confirmed antemortem by appropriate tests.
B. the primary clinical differential on the case.
C.suspected to be present based on preliminary gross findings.
D. confirmed or strongly suspected from findings of testing after the post mortem has been
completed (eg. histopathology, microbiology).
3. Gloves and masks are disposed as biohazardous waste.
4. Boots and aprons are cleaned as described above for routine necropsies.
5. Any contamination of outer wear should be handled as described for exposure to intact skin
(standard hygiene). Outer wear can be laundered routinely.
6. Exposure to Zoonotic Disease
A. The names of all students, faculty and residents participating in the necropsy of animal with a
zoonotic disease should be listed in the student necropsy report.
B. In the case of cuts or needle puncture while performing a necropsy on an animal with a
zoonotic disease an accident report MUST be completed (student and employee forms
attached) and the individual MUST go to Employee Health/Student Health Service after
performing standard hygiene care.
C. In the event of exposure of intact skin or intact mucous membrane, standard hygiene care
should be performed and an accident report MUST be filed and faxed to Employee
Health/Student Health Service but medical attention need not be sought unless symptoms
occur.
D. In the even that a zoonotic disease is suspected AFTER the post mortem has been performed.
All participants in necropsy that day need to be contacted to determine level of exposure.
E. Individuals must immediately contact Employee Health/Student Health if exposed to a
confirmed case of rabies. Names and phone numbers of students performing post mortem
on cases to be tested for rabies need to be recorded (as indicated above in A).
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C. Prevention of Infection
Special protective wear is required for performing necropsy on animals confirmed to have or highly
suspected to have a zoonotic disease.
1. For diseases spread by contact, double gloves, protective eyewear and surgical mask are required.
2. For diseases spread by aerosol, double gloves, protective eyewear and a 3M N95 mask are required.
3. For diseases spread by contact in which aerosolization is possible due to use of power equipment, a
3M N95 mask is to be worn while using the power equipment.
4. For post mortem of animals with a high suspicion of being rabid, a complete necropsy should not be
performed until it is likely that the virus within the carcass is no longer viable (24 hours at 20°C or 3
days at 0-4°C). Prior to this, if necessary for confirmation/rule out of rabies, only the head should be
removed. This should be done assuming potential for aerosol exposure (see #2 above). The carcass
should be appropriately labeled and wrapped to prevent blood leakage and kept until the times
listed above.
D. Exposure to Zoonotic Disease.
1. In the case of cuts or needle puncture while performing a necropsy on an animal confirmed to have,
or highly suspected to have, a zoonotic disease listed in the Compendium of Veterinary Standard
Precautions for Zoonotic Disease Prevention in Veterinary Personnel, 2008 – JAVMA 233 (3):415,
2008, an accident report should be completed (student and employee forms attached) and the
individual should get medical advice from Employee Health/Student Health service after performing
standard hygiene care.
2. In the event of exposure of intact skin or intact mucous membrane, standard hygiene care should be
performed and an accident report filed. Medical attention need not be sought unless symptoms
occur.
3. Individuals should immediately contact Employee Health/Student Health if exposed to a confirmed
case of rabies. Names and phone numbers of students performing post mortem on cases to be
tested for rabies should be kept on file until the test for rabies has been completed.
VII. Post mortem Examination
A gross post mortem examination consists of visual examination of the following organs: Larynx,
trachea, lungs complete, bronchial nodes, heart, aorta, oropharynx, tonsils, mandibular salivary glands,
esophagus, stomach, large and small intestines, mesenteric nodes, liver, gall bladder, pancreas, kidneys,
urinary bladder, mammary gland, gonads, uterus, accessory sex glands, pituitary, adrenal, thyroid,
parathyroid, thymus, spleen, bone (rib of large animals, femurs or ribs of small animals), bone marrow
(of bones sited above), skin, diaphragm, and brain.
Tissues to be examined histologically are at the discretion of the pathologist based on the clinical history
and postmortem findings.
The clinician may list on the necropsy request organs that should be saved in formalin. If there is no
justification given for why these organs need to be evaluated histologically, they will be saved for 1 year
but not routinely examined histologically.
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When the final necropsy report returns, if the clinician feels additional tissues should be examined,
he/she should discuss with the pathologist the option of cutting in and examining additional tissues that
were saved but not cut in.
In cases in which the cause of death is not apparent clinically or on gross necropsy, at least the following
organs will be examined microscopically: Brain stem, lung, heart, kidney and liver.
Note: The attending pathologist must be contacted where manipulation of the specimen has been
performed prior to submission (incomplete carcasses, partial necropsy or post-mortem sampling). The
attending pathologist reserves the option to decline the submission if post-mortem manipulation
interferes with the ability of the service to interpret findings
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VIII. Post-Mortem Neurological Examination Protocol on Submissions Accompanied by a Neuropathology
Request Form
A)
Clinically non-localizing neurological abnormalities
Minimal histopathological evaluation required for a given case is divided into three categories based on
the general classification of the clinical abnormality.
Brain, non-localizing
Four coronal sections of brain should include the following structures...
1)
Frontal cortex
Olfactory white matter tracts
2)
Parietal cortex (A)
Basal nuclei (B)
Lateral ventricle (C)
Choroid plexus (C)
Thalamus (D)
3)
Occipital cortex (A)
Hippocampus (B)
Mesencephalon (C)
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4)
Cerebellum (A)
Pons/myelencephalon (B)
Fourth ventricle (C)
Choroid plexus (E)
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Spinal cord, non-localizing
One section from each of the major spinal cord segments (ie; cervical, thoracic, lumbar, and sacral spinal
cord) together with a segment of a major peripheral motor nerve (eg; sciatic) will be sampled.
In addition, for equine cases in which a wobbler syndrome is identified (eg; equine degenerate
myeloencephalopathy, herpesviral myelitis, cervical vertebral stenosis/instability, or protozoal
myeloencephalitis), tissues sampled should include at least the following:
1)
myelencephalon at the level of the obex
(See figure below.)
2)
three sections of cervical spinal cord
eg; proximal, middle, and distal
Gross evaluation of spinal canal diameter and vertebral articular facet surfaces will be included.
Clinical evaluation may have localized the deficit to the cervical spinal cord or a specific region
therein. In this instance the case would be treated as a localized spinal cord abnormality (see
below).
Disseminated (brain and spinal cord), non-localizing
Sampling is a combination of that outlined above for brain and spinal cord.
B)
Clinically localizing neurological abnormalities
These cases should be accompanied by a neuropathology request form to facilitate identification of
relevant anatomical areas by the pathologist. This will also enhance the clinician's ability to interpret the
significance of pathological findings or lack thereof.
This selective sampling may be used in lieu of that outlined for non-localizing lesions if lesions are
identified at the sites predicted by the clinical neurological abnormality. The specific approach taken in
this instance should be based on communication between the clinician and pathologist.
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IX. Large Animal Abortion Necropsies
A.
Postmortem examination of fetuses from horses, cattle, sheep, goats, and pigs will be performed under
the following guidelines:
1.
2.
3.
B.
All fetuses submitted from OSU clinic cases will be treated as routine necropsy submissions.
Freshly aborted fetuses presented to OSU at the request of a veterinarian will be examined.
However, OSU will not accept "mail in" cases.
A necropsy report will be sent only to the veterinarian requesting the examination.
The following protocol should be followed for standard postmortem examination of all fetuses:
1.
2.
3.
4.
5.
6.
7.
Sex fetus and obtain a crown-rump measurement or biparietal measurements in camelids
Determine the degree of autolysis. The pathologist on duty has the right to judge whether the
degree of autolysis is advanced enough to preclude bacteriologic examination.
HISTOPATHOLOGY - Collect lung, liver, kidney, spleen, adrenal gland, cerebral cortex, brain
stem and placenta (if presented). Sample any tissue with a gross lesion. Place tissues in 10%
formalin.
MICROBIOLOGY - Collect abomasal contents and lung aseptically and place in sterile bottles.
Submit to Microbiology Laboratory (Rm 0047) in Veterinary Hospital.
VIROLOGY - Collect lung, liver, kidney, spleen and adrenal gland in fecal cups, label with path
numbers, tissue, and date. Deliver to Microbiology Laboratory. Refrigerate if processing will not
be delayed. Otherwise, store in -70C freezer.
SEROLOGY - If possible, obtain heart blood or clot and place in sterile bottle. Submit to
Microbiology Laboratory.
REQUEST
a.
b.
c.
d.
Bovine
aerobic bacterial cultures
direct darkfield examination of abomasal contents for leptospires, Campylobacter
and Trichomonas
vial isolation/FA for BVD, IBR
Ovine
aerobic bacterial cultures
direct darkfield examination of abomasal contents for Campylobacter
serology for Chlamydia, Toxoplasma, Coxiella, Bluetongue
Equine
aerobic bacterial cultures
viral isolation/FA for rhinopneumonitis
Porcine
aerobic bacterial cultures
direct darkfield examination of stomach contents for leptospires
viral isolation/FA for parvovirus, pseudorabies
serology for pseudorabies
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C.
Services - virus isolation and FA will be performed once per week at the Ohio Department of Agriculture
Laboratories (ODA) in Reynoldsburg. Tel. 614-728-6200. There is no fee for food animal submissions
but postage and handling charges will be assessed. A fee will be charged for special OSU laboratory
procedures not considered routine such as Toxoplasma and Chlamydia serology. Bacterial cultures,
darkfield examination and histopathology will be performed without charge. Generally charges will not
exceed $30.00 unless special diagnostic tests are performed at outside referral laboratories.
D.
CAUTION!
Remember, several of the agents which are important causes of abortion may also cause zoonotic
disease. Use extreme caution when handling specimens from aborted fetuses. Wear protective
clothing.
E.
Summary of Diagnostic Procedures to be Performed on Large Animal Abortion Submissions.
1.
Bovine
a.
Bovine viral diarrhea (BVD)
Histopathology (OSU Vet. Path.); virus isolation and fluorescent antibody (FA) (ODA).
Neutralizing antibody (SN) from heart blood (ODA).
b.
Infectious Bovine Rhinotracheitis (IBR)
Histopathology; virus isolation, FA, SN (ODA).
Virus isolation by OSU Microbiology Laboratory is under development.
c.
Leptospirosis
Histopathology (silver stains when appropriate); direct darkfield examination of
abomasal contents by OSU Microbiology Laboratory. FA (ODA).
d.
Campylobacter
Histopathology; direct darkfield examination and culture of abomasal contents.
e.
Brucella
Histopathology; culture
f.
Listeria
Histopathology; culture
g.
Actinomyces
Histopathology; culture
h.
Fungi
Histopathology; culture if lesions present
2.
Ovine
a.
b.
c.
d.
e.
f.
g.
Listeria - same as bovine
Campylobacter - same as bovine
Brucella - same as bovine
Chlamydia
Histopathology of placenta with Gimenez stain; serology (ELISA, OSU Microbiology Lab);
FA (ODA)
Toxoplasma
Histopathology of placenta; serology (OSU Microbiology Lab).
Coxiella
Histopathology of placenta with Gimenez stain; serology (sent to Wisconsin)
Bluetongue
Serology (ODA)
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3.
Equine
a.
Rhinopneumonitis (Herpesvirus)
histopathology; virus isolation/FA (ODA) and underdevelopment in OSU
Microbiology Lab
b.
Fungi - same as bovine
c.
Bacteria - same as bovine
4.
Porcine
a.
Parvovirus
virus isolation/FA (ODA)
b.
Pseudorabies
histopathology; virus isolation, serology (ODA)
c.
Leptospirosis - same as bovine
X. Disposal of Carcasses
1.
Owners can retrieve their pet’s body for individual cremation or disposal, which these animals will be
placed in the necropsy cooler in Goss. It is imperative that animals for owner pickup be clearly
marked; otherwise they will be removed for group cremation. There is a limit of 3 working days for
holding bodies of animals that owners wish to pick up. The bodies can be claimed by going to the
small animal desk in the Veterinary Medical Teaching Hospital. Owners should be informed of this when
they drop off the body for necropsy and should be reminded of this if they call and inquire about times
for pick up. It is not our policy to call owners to remind them that the body is ready to be picked up.
XI. Rabies suspects
No charge is made for these tests on domestic animals and wild animals known to act as carriers of the
rabies viruses. A charge is made for tests on pocket pets and wild animals not known to be rabies
carriers (e.g. squirrels, wild rodents, rabbits). People requesting tests for rabies on animals for which
there would be a charge should be sent directly to the Ohio Department of Health Laboratory on in
Reynoldsburg. The Ohio Department of Health requests the name and address of anyone bitten. Please
include this information on necropsy requests on rabies suspects.
Examinations for rabies are done by fluorescent antibody tests on unfixed brain specimens by the Ohio
Department of Health. The necropsy technician will be responsible for submitting the entire unfixed
brain to the Ohio Department of Health laboratory for fluorescent antibody testing for viral antigen. If
subsequent histopathologic evaluation is indicated, brains are submitted together with a jar of formalin,
so that brain tissues may be returned in fixative following tissue sampling.
On cases in which rabies is the primary differential diagnosis, the postmortem will be delayed until the
results of the rabies examination are known. On cases in which rabies is a remote diagnosis but still in
the differential, the pathologist is encouraged to perform the postmortem examination prior to
completion of the rabies examination. In any event this decision is to made by the pathologist.
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XII. Scrapie Suspects
Scrapie confirmation will be provided by the NVSL (National Veterinary Services Laboratory). The local
federal office (Dr. John Clifford, 469-5602) should be contacted to obtain approval to submit a case.
Send 1-H&E and 2-unstained slides (tissue should represent medulla at the level of the obex) along with
a copy of the necropsy request and the necropsy report to Dr. Taylor, 711 E Lincoln Way, PO Box 844,
Ames, IA 50010.
XIII.
Submissions of specimens from Necropsy to Microbiology
Specimens must arrive in Microbiology by 3:30 p.m. on weekdays and by 11 a.m. on Saturdays.
XIV.
Necropsy Reports
Daily gross can be viewed on VetStar once approved by the pathologist. This is usually within 48 working hours of
the necropsy.
Final necropsy reports can be viewed on VetStar once approved by the pathologist. This is usually within 3-4
weeks from date of necropsy.
Applied Pathology will send email copy (via VetStar) of the final necropsy report to the clinician(s) listed on the
written necropsy request.
Note: Special stains, in-house consultations and recuts could add up to 2 additional weeks.
Special stains are to be performed at the discretion of the pathologist. If a clinician feels a special stain was
indicated but not done, he/she should make inquiry to the pathologist who read the case. If still unresolved, the
clinician should contact the Head of Applied Pathology who will solicit the opinion of the faculty pathologist
regarded as an "expert" in the area of question. If the expert pathologist is in agreement with the clinician, the
stain will be done. If not, the Head of Applied Pathology will make the final decision.
SURGICAL PATHOLOGY
XV. Requests and Submissions
Submission of Surgical Biopsies: Surgical biopsy specimens are brought to Goss Laboratory by hospital staff
between 7:30 and 9:30 a.m. Mondays through Fridays.
Surgical biopsies must be requested through VetStar and must have a computer label and printed off request
form with history when left at the designated drop-off areas. Samples that are placed in the bin after the groom
has picked up specimens for that day will be picked up the following working day.
Requests for special stains will be honored if they are among the battery of special stains offered by the
department. Special stains are performed on Wednesdays and Fridays.
Charges: Fees for surgical biopsies are billed to the hospital.
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XVI. Surgical Pathology Reports
If the lesion is definitive, the report can be in the form of a morphologic diagnosis with severity, distribution and
time (if appropriate) modifiers. If the lesion is not definitive, the lesion will be described and given a morphologic
diagnosis. The pathologist should speculate on the cause and pathogenesis of non-definitive lesions.
Surgical pathology reports are available late the next day following receipt of request AND specimen(s) via
VetStar only. Currently, results are on VetStar 48 hours after the specimens are received. Clinic cases are listed
by medical record number. If information is added or changed after the initial report has been printed, an
addendum will be added and imported into VetStar. Printed copies of the reports are sent to Medical Records
by Veterinary Pathobiology Library Personnel via campus mail or courier.
Consultations: Clinicians requesting pathology consultation on surgical pathology reports should first contact the
original surgical pathologist. If the issue remains unresolved the clinician is free to seek a second opinion.
XVII.
Research Cases
Applied pathology will perform necropsies on experimental animals in order to determine either the cause of
unexpected death or the presence of spontaneous disease unrelated to the experimental protocol.
XVIII. Special Stains Available
Alcian blue
Verhoffs
Alcian blue-PAS
Von Giesen
Aldehyde Fuchsin Aniline blue
Von Kossa
Alizirin Red
Warthin-Starry
Bodian
Wilder’s reticulin
Brown-Brenn Gram
Wright’s
Congo Red
Elastic
XIX.
Giemsa
Giminez
Goodpasture
Gram Stain
Gridley
Grocott
Hall's
HBS
Iron Stain
Kinyoun's Acid Fast
Luna
Luxol fast blue
Masson’s
Machiavello
Methylsalicilate
Mucicarmine
Nissl
Oil Red
Osmium
PAS
PAS-methenimine silver (PAMS)
Prussian Blue
PTAH
Rhodanine
Saffronin O
Thioflavine T
Toluidine blue
Trichrome (Massons)
Phone Contacts
Inquiries about necropsy and surgical reports should be made to Shelly Haramia in the Veterinary Pathology
Library (247-4795). The library has records of surgical reports, daily gross reports and necropsy reports as well as
access to histopathology slides, 2x2 slides, Veterinary Pathology Journal and AFIP sets.
Necropsy submission questions and pet releases should be directed to Shelly Haramia (614-247-4795).
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XX.
Veterinary Pathobiology Library Policies
•
•
•
•
Requests for library searches on should be made to:
o 247-4795 ([email protected])
o Department of Veterinary Biosciences, Goss room 310
Photocopies of requested reports will be provided rather than the originals.
Microslides and 2x2's will be loaned for no longer than 4 weeks, unless some arrangement was made
with the Library.
New materials will not be loaned until overdue materials have been returned.
174
PHARMACY POLICY AND PROCEDURES
Everything is sold by prescription only. You may not have a client stop by the pharmacy to pick up an item
without a prescription.
The patient must be a client of the OSU Veterinary Hospital and have been seen within the previous year before
a new prescription will be filled by the pharmacy.
Prescription form requirements (SEE ATTACHED FORM)
1. In-hospital prescription requirements:
a. Patient sticker or hand-written information that includes: case number, client’s name, patient’s name,
patient’s address, and species of animal.
b. Date, outpatient or inpatient, description of service, refill, doctor’s name, student’s name
c. Licensed D.V.M.’s should personally sign all prescriptions if possible. This helps to avoid potential
mistakes made by the students when writing prescription orders.
d. Write legibly
e. Plan orders- they are filled in order received, unless emergency
f.
Must have a licensed D.V. M.’s signature on all the following or the prescription will not be filled.
1. Controlled substance prescriptions
2. Student purchases
3. Outpatient prescriptions
2. Outside prescription requirements:
Need to obtain a blank prescription form from the pharmacy. The outside prescription forms are locked in
the pharmacy safe and will only be dispensed during regular hours of operation. A limited quantity of
prescription blanks are in stock for Pyxis for afterhours use. Only write one item per RX blank.
3. DEA numbers
All licensed D.V.M’s must have a DEA number to prescribe controlled substances. On any prescription for a
controlled substance to be filled at any outside pharmacy, the quantity must be written as “#100 (one
hundred)” (numerically and long hand.)
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Formulary:
1. There is a notebook of prescription items carried by the pharmacy located at both the Small Animal and
Large Animal counters. The list is alphabetized by generic name, if available, or by brand name if no generic
is available. The prescription item list also contains the price of the medication that the client will be
charged.
2. If you want a product that the pharmacy does not carry, the doctor must talk to the pharmacy. Usually we
will order it, but it will depend on the quantity that has to be ordered and the expense.
3. Formulary – Veterinary Drug Handbook by Plumb—one at both the small animal and large animal counters.
Contains medication information and doses.
Hours of Operation:
Monday - Friday
8:00 a.m.to 8:00 p.m.
Saturdays
8:00 a.m. to 12:00 p.m.
The pharmacy is closed on Sundays and University-observed holidays
After Hours Procedure:
1. All routine prescriptions should be turned in during regular pharmacy hours. Also, clients must be told they
can only pick up pharmacy items when the pharmacy is open.
2. Most of the pharmacy items needed after the pharmacy has closed will be available from the small animal
Pyxis for small animal emergencies or the Equine Center Pyxis for equine or food animal emergencies.
These machines are only to be used when the pharmacy is closed. There are a few exceptions to this, which
will be discussed when you are trained individually for Pyxis use.
3. Most of the items in the Pyxis are available in small amounts to get the patient treated until the pharmacy is
open when we can fill a prescription for larger quantities.
4. Pyxis and Vetstar are electronically connected-- items removed from the Pyxis are billed to admitted
patients.
5. There are three Pyxis machines: 2 in small animal, 1 in Large Animal.
6. If an item is needed after hours and is not available from the Pyxis, just a few personnel have access to the
pharmacy to obtain the item. They are most of the emergency veterinary technicians and ICU veterinary
technicians. You may only request items that you absolutely need for an emergency case.
7. Controlled substances are kept in all Pyxis machines for after hours use. They may be removed from the
machine throughout the day ONLY for ICU patients. For all other patients, controlled substances must be
obtained from the pharmacy when it is open. If a non-ICU patient needs a controlled substance when the
pharmacy is closed, the medication may then be obtained from the Pyxis. Not everyone who has access to
the Pyxis has access to the controlled substances.
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8. Any controlled substance that has been obtained for an in-patient must be stored in the lockbox or Pyxis in
either small animal ICU or equine ICU if it will not be used immediately upon retrieval. Also, any UNUSED
controlled substance must be returned to the appropriate ICU lockbox, Pyxis, or to the pharmacy when
open. They cannot be kept anywhere unlocked.
9. When you are in the emergency and surgery rotation, you will be trained so you can access only the small
animal Pyxis for items needed, except controlled substances.
10. People with access to Pyxis are ICU veterinary technicians, emergency veterinary technicians, interns, and
some residents who work emergency hours.
Handling Precautions
1. Notify student affairs if you are pregnant of have other medical conditions that might affect rotations.
2. Chemotherapeutic agents – injectables should only be handled by regular personnel in the oncology
department
3. Controlled substances- procedures discussed above
Staff and student purchases:
1. Prescriptions for your own pets will only be filled during regular hours of operation.
2. The pharmacy will not fill prescriptions for personal use.
3. Students, faculty, and staff of the OSU Veterinary Hospital receive a 20% discount off the listed client price
for prescriptions.
Returns:
Once a prescription medication has left the hospital, it is no longer returnable for credit.
177
COMMON PRESCRIPTION ABBREVIATIONS
ac-----------before meals
pc-----------after meals
au-----------both ears
ad-----------right ear
as-----------left ear
gtts---------drops
sid----------once daily (veterinary medicine only) Best is to write once daily
bid----------two times daily
tid-----------three times daily
qid----------four times daily
q ------------every, each
qod---------every other day
q h---------every
hours (example q6h which is every six hours)
po-----------by mouth, orally
prn----------as needed, when necessary
ou-----------both eyes
od-----------right eye
os-----------left eye
ml----------milliliter
oz-----------ounce
tsp----------teaspoonful
x days or for days--- (x 10 days or for 10 days)
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COMMON EQUIVALENTS
Dry Measure
1000 mcg = 1 mg
1000 mg = 1 g (gm)
1000 g = 1 kg
64.8 mg = 1 grain (gr)
28.35 g (usually round to 30 g) = 1 ounce (oz)
454 g = 16 oz = 1 lb
2.2 lb = 1 kg
Liquid Measure
5 ml = 1 teaspoonful (tsp)
15 ml = 3 tsp = 1 tablespoonful
29.57 ml (usually round to 30 ml) = 1 oz
240 ml = 8 oz = 1 cup
473 ml (usually round to 480 ml) = 16 oz = 1 pint (pt)
946 ml = 32 oz = 1 quart (qt)
1000 ml = 1 liter (l)
3784 ml = 128 oz = 1 gallon (gal)
The equivalents are slightly different for dry and liquid measurements, so 454 gm = 16 oz in dry and 473 ml = 16
oz in liquid.
Gram is abbreviated as g or gm, NOT gr which is grain. A few items may still be expressed in grains, such as
phenobarbital and aspirin.
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Rabies Vaccination Policy
Rabies vaccination and its official certification must be performed by a licensed veterinarian. (Franklin County
Rabies Control Regulation 709.04). Unless you are a licensed veterinarian in Ohio you CANNOT vaccinate for
rabies. Therefore, the pharmacy will sell rabies vaccine only to licensed, accredited veterinarians for use in their
own personal pets. That veterinarian must sign the vaccination form and leave a copy with General Practice so
they can submit it to Franklin County. It is important that you keep a record of the tag number and vaccination
certificate, since we cannot verify these vaccines as having been given at our facility (no chart generated).
For all other staff, if you want your personal pets to be vaccinated for rabies through this facility, you must
register an official visit for this purpose. An official record of rabies vaccination needs to be documented in the
pet’s record to comply with the state law. In addition, Franklin County now requires a rabies tag number on all
dog license applications. If the number is not provided, they will not license the dog.
As students, staff, and faculty, you will still be able to purchase other vaccines (distemper, bordetella, etc.) for
your own personal pets without creating an official visit. However, please be aware that if you purchase and
vaccinate your own animals, the hospital will NOT be able to verify vaccination. No vaccination certificates for
boarding kennels, obedience classes, health certificates, licensing bodies, or bite investigations can be issued. If
you need certification for any reason, your pet must be seen at the hospital in an official capacity.
Thank you for your cooperation.
Chemical Handling/Labeling
In order to comply with OSHA guideline for “secondary” (non-original) containers for
all chemicals used in the college, the containers must be properly labeled. Labels with all of the required
information (chemical name, manufacturer, address, phone number, intended use, hazard warnings, target
organs, protective equipment, and safety ratings) are attached to the secondary containers. Some items, such
as isopropyl alcohol and bleach are stored in pre-labeled plastic bottles. A list of chemicals used in the hospital
follows.
Formalin for preservation of biopsy specimens is available in the pharmacy in pre-filled jars - 20ml, 45ml, and
60ml. Larger biopsy specimen jars and buckets are available in 1144 in the large animal hallway.
Ether is stored on the bottom shelf in the mustard-colored flammable cabinet in central supply. It cannot be
stored anywhere else in the hospital and is returned to the cabinet after use.
Wards/treatment areas/ refrigerators are routinely checked for expired medications.
Expired medications cannot be disposed in the trash. Some can be discarded down the sink, including fluids,
eyewash, and ear cleaning solutions, but the rest are returned to the pharmacy for disposal. Intravenous or
irrigating fluids are kept no longer than 24-48 hours once they are opened or are out of the protective over
wrap.
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Chemicals used in the hospital:
Benzalkonium solution (Zephiran)
Bleach (undiluted)
Bleach (diluted)
Chlorhexidine digluconate 2% scrub
Chlorhexidine gluconate 2% solution
Chlorhexidine gluconate solution (diluted)
Glutaraldehyde (Cidex)
Formalin (formaldehyde 10%) solution
Isopropyl alcohol 70% solution
Phenol (diluted)
Povidone iodine 0.75% scrub
Povidone iodine 1% solution
Roccal –D Plus 13.7% solution (dimethyl benzyl ammonium chloride)
Ultrasound gel
Stains:
Accustain gram stain
Protocol Hema 3 stain
Cleaners:
Best Scent Ocean Breeze
pH7 Ultra
Profoam VF7
TB Plus
Tergo Uniwash
Safe Handling of Antineoplastic Agents
I.
Managing Hazardous Drug Handling
A. Storage, use of biological safety cabinets, personal protective equipment, drug administration,
disposal, spills, and use at home of antineoplastic agents
B. Should not handle if pregnant, breastfeeding, or trying to conceive, physician should be
consulted
C. No food or drink may be stored or consumed in areas where antineoplastic medications are
prepared or administered
D. Personnel that can prepare or administer antineoplastics
1. Personnel must be trained in the proper preparation and administration of all
antineoplastic agents
2. May only be prepared by clinicians, residents, and veterinary technicians working in
oncology (occasionally prepared by pharmacists)
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3. Antineoplastics used in small and large animal patients are administered by oncology
technicians or doctors
4. If needs to be prepared after hours, doctor in oncology needs to be contacted for
preparation and administration
II.
Labeling, Storage, and Transport
A. Label all containers immediately
1. Name of medication
2. Green antineoplastic sticker on vial or syringe if not in original container
B. Store at eye level or lower
Store separately from other medications, if possible
C. Keep in plastic bags during transport, so if dropped, the spill is contained
III.
Biological Safety Cabinets
A. Must be used for preparation of all injectable antineoplastic medications
B. Use Class II, type A - minimum requirement
C. Type B hood – ideal as it vents to the outside
D. No objects over intake or rear vents
E. Keep on 24 hours (do not turn blower off)
F. Inspect and recertify every 6 months
G. Clean with deionized water or cleaner,
Do not use aerosol cleaners
H. Can use isopropyl alcohol as disinfectant
I. Put all material, empty vials, syringes, needles, cleaning materials in bag while still in hood
J. Clean weekly
Use 2 pairs of gloves, gown, mask, and eye protection (keep second pair of gloves on until
dispose plastic bag in sharps container)
IV.
Protective equipment
A. Gown
1. Wear only in work areas
2. Non-permeable, tight cuffs, no lint
B. Chemo plus gloves only
1. Wear 1 pair of chemo gloves
2. Change if torn or contaminated
3. Wash hands thoroughly before and after gloving
C. Dust and mist respirator or HEPA respirator
D. Shoe and hair protection
E. Eye protection – goggles suggested
V.
Preparation of antineoplastic injectables
A. Put everything in hood before start and wear protective equipment
B. Do not store other items in hood as may block airflow
C. Use luer lock syringes
D. Inject diluent slowly into powdered antineoplastic medication, keep needle in vial, pull air into
needle and hub, then remove from vial
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E. If must push out air, inject into empty sterile vial, so it is not aerosolized
F. Put filled syringe, vial, or IV bag in plastic bag for transport to area where medication will be
administered
G. Put all waste in plastic bag and then in appropriate biohazard container
VI.
Drug Administration
A. Wear chemo gloves, gown, mask, and eye protection
B. Small animal administration - in oncology ward or in ICU
C. Large animal administration – in stalls
D. Put pad under small animal when administering
E. Wrap gauze around needle to trap aerosols when getting air out before administration
F. Place ALERT sign on cage or stall and mark under “risks” as medication/chemical and also mark
what protective clothing should be worn
G. Put any medication, fluids, or other items left over in plastic chemotherapy-labeled bag and
then in appropriate biohazard container
VII.
Spills
A. Use cytotoxic spill kit provided in 1 of 4 areas
1. Oncology room
2. Oncology ward
3. SA ICU
4. Pharmacy
B. Spill kit contains
1. Mask
2. Goggles
3. Rubber gloves
4. Gown
5. Head cover
6. Absorbent pads for soaking up spill
7. Absorbent material
8. Scoop
9. All of the above should be returned to the white bucket and disposed in appropriate
biohazard container
VIII.
Oral and compounded oral medications
A. Use separate tray for counting
Clean with alcohol and detergent
B. Compound in hood if need to make a different strength
Wear rubber gloves, gown, mask, and eye protection
C. Compounded oral medications will only be prepared by a pharmacist
IX.
Home health care
A. Inform owner of risks - should avoid pets’s urine, feces, vomit, and saliva for 48 hours after
administration of antineoplastics
B. Pregnant women and children should avoid contact with antineoplastic medications
C. Pharmacy includes information sheet on some medications - see pharmacy for sheets
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X.
Students in oncology rotation
A. Course syllabus provided from oncology informing students of risks
1. Avoid patient’s urine, feces, vomit, and saliva for 48 hours after
administration
2. Students will not prepare or administer antineoplastics at OSU
B. Brochures from NIOSH regarding handling of antineoplastics in
notebook along with MSDS’s (material safety data sheets) – located by
oncology wards
XI.
Injectable antineoplastic medications we use
A. Asparaginase
B. Carboplatin
C. Cytarabine
D. Cyclophosphamide
E. Dactinomycin
F. Doxorubicin
G. Gemcitabine
H. Fluorouracil
I. Mitoxantrone
J. Vincristine
K. Etoposide
L. Vinblastine
XII.
Oral antineoplastic medications we use
A. Chlorambucil
B. Cyclophosphamide
C. Lomustine
D. Melphalan
E. Methotrexate
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DIAGNOSTIC IMAGING AND RADIATION ONCOLOGY SERVICE
Hours of Operation - The diagnostic imaging and ultrasound technical staff are available from 8:00 am
to 5:30 pm Monday - Friday. Routine diagnostic imaging and ultrasound studies are generally made as
follows:
A VetStar request with a complete, concise case history
and a contact clinician is required before ANY study is imaged.
1. Diagnostic Imaging Studies
Routine large and small animal radiographic procedures are generally performed between 9:00 a.m.
and 5:30 p.m. Monday - Friday. The emergency service performs routine radiographic procedures
afterhours. Emergency radiographic interpretations and/or large animal studies requiring the
overhead tube are performed by the radiology residents.
2. Ultrasound Examinations
Both large and small animal ultrasound examinations are performed on a first-come, first-served
basis between 9:30 a.m. and 5:00 p.m. Monday – Friday, scheduled with a VetStar request. An
emergency fee is applied to examinations performed after 5pm M-F and over the weekend.
Ultrasound examinations are scheduled in 30-minute blocks. Small animal patients are imaged in
dorsal recumbency and must remain still without struggling or panting. If sedation is necessary to
perform the study, a prescription should be placed in pharmacy at the time the VetStar request is
submitted. Owner consent for US guided aspirates must be acquired prior to the examination.
Horses should be sedated and clipped before the scheduled appointment. US guided cystocentesis
can be performed between examinations after consultation with the faculty or resident in
ultrasound. A separate VetStar request (with a fee) is necessary for a cystocentesis that is not part
of an abdominal examination.
3. CT Examinations
CT studies are performed hourly from 9:00 a.m. to 5:00 p.m. Monday - Friday. The CT faculty
radiologist and/or resident must be consulted before scheduling all CT examinations. Coordination
with the anesthesia service is necessary prior to finalizing a CT appointment time. Deep sedation
may be considered for specific studies after consultation with a radiologist. An emergency fee is
applied to afterhours CT studies.
4. Nuclear Medicine Examinations
Nuclear medicine examinations are performed from 10:00 a.m. until 4:00 p.m. on Monday - Friday.
Consultation with the faculty radiologist and/or resident is required prior to scheduling any study.
The nuclear medicine technologist should be informed as early in the day as possible to confirm
availability of the radiopharmaceutical for the study the following day. The radiopharmaceutical
must be ordered before 3:00 p.m. for the next day’s study. There are informational handouts
available for the individual studies that describe specific patient preparation.
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5. Magnetic Resonance Imaging (MRI)
MRI examinations are acquired at the Wright Center of Innovation. Appointments are made for
studies on Tuesday (10 am – 5 pm) and Thursday afternoons (1:00 – 5:00 pm). Consult with a faculty
radiologist to make an appointment. Whole body fluoroscopy is scheduled the day prior (for
Tuesday scans) or the day of the MR (for Thursday scans) is performed on each patient to evaluate
for metal foreign material. A request is necessary for the fluoroscopy. Patients may not leave the
hospital between their fluoroscopy and their MR scan. A special MRI checklist is required to
schedule an appointment and a VetStar request is required the morning of the study.
6. Radioactive Iodine Therapy (131I)
Consult with the radiology faculty and/or resident and the nuclear medicine technologist to
schedule 131I therapy in hyperthyroid cats. The 131I must be ordered before 3pm the day before it is
administered. Once a cat is injected with 131I, they will remain in radiation isolation with very limited
contact for 3-7 days. An informational handout is available and provides more specific instructions
for patient preparation and aftercare. Clinical appointments and estimates for treatment costs are
handled through Internal Medicine. A faculty radiologist and/or resident must review radiation
safety procedures with the client at the time of discharge. Discharges should not occur on the
weekend.
7. Special Radiographic Procedures
All contrast radiographic examinations must be scheduled through the radiology faculty, and/or
residents PRIOR to submission of a VetStar request. Consultation with the radiology faculty and
residents will help determine the best procedure for each case and any necessary steps (i.e.
enemas) to prepare the patient for the procedure.
8. Requesting Patient Imaging Studies on DVD
Clients and referring veterinarians may request a copy of their patient’s imaging studies. These
studies are burned on a DVD with a DICOM viewer. A form for this request is available in Radiology.
A fee is charged to the client for each DVD.
Revised 04/17/2013
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Triaging an Animal for an Emergency
Small Animal Clinic Policy
Whenever an animal is presented for evaluation as an emergency at the front counter, the Emergency
technician is called on the triage phone, 7-6315. This call requires students and/or techs to respond
immediately to assess the animal’s medical condition.
Triage involves obtaining a BRIEF history (presenting complaint, duration of signs, major previous medical issues)
and BRIEF examination (observation of mentation and breathing, feeling pulses, checking mucous membrane
color/CRT) for detection of any immediately life-threatening problems such as (but not limited to): loss of
consciousness, seizures, acute external hemorrhage or active arterial bleeding, respiratory distress, shock (pale
mucous membranes, prolonged capillary refill time, tachycardia, and poor peripheral pulse quality), inability of
the patient to stand or ambulate normally. The patient should also be assessed for non-immediately lifethreatening conditions that may still benefit from triage back to the treatment room, such as (but not limited
to): severe nausea, protracted vomiting or diarrhea, recent toxin exposure, and any condition that appears
painful or uncomfortable for the patient.
Patients meeting the above criteria will be taken to the treatment room immediately and the client will begin
the registration process while the pet is examined further. Under most circumstances a triage exam should not
be performed on cats in the lobby (especially if in a carrier). The patient can be brought to the treatment room
for brief assessment and returned to the client if deemed stable.
In circumstances whereby an animal is deemed to be unstable and in need of immediate diagnostic and
therapeutic intervention, an Emergency Service clinician or technician may deem it necessary to obtain and
acute estimate or “3-5”. The senior student may be asked to have this discussion. Basically, initial intervention
may cost $300-$500, and a deposit of $250 on top of the ER exam fee is required. The idea is to make the client
financially aware of what might need to happen over the next 1-2 hours. So we do not spend a bunch of money
the client doesn’t have. An example explanation might include:
“The ER staff is currently dedicated to addressing “Patient Name’s” medical needs. Based on their initial
assessment they have determined that “Patient Name” is in need of immediate therapy and testing to
help get him/her stabilized and gather more information. It is important for you to know that it is often
necessary to spend $300-500 in the first 1-2 hours under these circumstances. And so, at this time we
would ask for the $150 ER exam fee as well as a deposit of $250, as per our financial policy. As soon as
we have a more complete picture as to “Patient Name’s” status we can discuss things further.”
If agreed to then the student should let the Client Services staff know. Client Services will have the client sign a
pre-printed estimate form and collect the additional deposit. If not agreed to then notify the attending clinician
immediately so that other options can be discussed.
If the patient is considered stable, inform the client of the standard receiving protocol and that someone
examine their animal as soon as possible.
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Things to Know When You Have a Patient in ICU
Our responsibilities:
• ICU technicians and students will perform all treatments except for 8:00 a.m. treatments.
• ICU will provide common crystalloid fluids and injectable medications located at the central treatment
center. You will not need to order these.
• We will clean cages if the patient urinates or defecates.
Your responsibilities
• You are responsible for all 8:00 a.m. treatments. Morning treatments should be scheduled at 8:00 a.m.
unless it is otherwise absolutely necessary to do so.
• You are responsible for ordering and picking up all medications from the pharmacy. Please plan ahead to
ensure that you have enough medications to last overnight and throughout the weekend.
• If you are unsure how to administer a medication we strongly recommend that ask you one of the ICU
staff. For reference there is also a protocol book at the central treatment counter.
• Students on the primary service are responsible for walking that service’s patients.
• Patient orders should not be removed from the ICU until after 7:30 for any reason. Sheets from the
day before are an essential part of morning rounds.
• Orders should be posted by 9:00 a.m. daily and should be signed by the primary clinician by no later
than 10:00 a.m. If you are unsure how to complete any aspect of the treatment sheet, please ask the
ICU staff.
• Please make sure to weigh your patient daily.
• Inform the ICU staff if you are admitting or discharging a patient so that we can prepare a cage (admit)
or make sure that all charges have been entered (discharge).
• If a patient is being admitted to the ICU/SDW and needs an IV catheter in placed please provide advance
warning to make sure ICU staff are available. Please do not wait until the end of the day! Otherwise it
may be necessary for the service techs in your area to place the catheter.
• Completing treatment orders prior to bringing the patient to ICU will allow us to set up fluids, pain
meds, etc. in advance and facilitate admission.
• Please make sure to wear gloves if indicated and wash your hands between patients.
Client communication:
• Please do not tell owners to call ICU staff or students for updates. Only the primary clinician or the
student on the case may give patient status updates to owners.
• Owner visits should be arranged through the primary clinician or student on the case. If possible, a
patient should be taken to visit with the owners in a visitation room. For those that are unable to be
removed from ICU (oxygen dependent, CRI medications), owners may visit in ICU. These visits should be
kept to 15 minutes or less in length. The primary student or clinician on the case should stay with the
owner at all times and be ready to escort them from the room should an emergency arise.
• All owner visits within ICU should be cleared with the ICU technicians or faculty prior to the visit. Please
do not schedule owner visits in ICU during busy times (7 – 10 a.m.; 6 – 8 p.m.)
• The ICU/ER will not facilitate owner visits or discharges. These are the responsibility of the primary
student or clinician. If the owner comes to the hospital and the primary student or clinician is
unavailable, they will not be allowed to visit.
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Things to Know When You Have a Patient in the Step-Down Ward (SDW)
Our responsibilities:
• ICU staff will provide analgesics (injections of hydromorphone or buprenorphine, administer Tramadol,
etc.) as indicated on the orders. We will also administer acepromazine and other sedatives as needed
and monitor a single CRI
• ICU staff will monitor fluid lines and provide crystalloid therapy as indicated on the orders. You will not
need to order these.
• ICU staff will clean cages if the patient urinates or defecates, and will offer oral feedings.
Your responsibilities:
• You are responsible for ALL other treatments, TPRs, blood pressure readings and administration of all
medications except analgesics and fluids. We will not contact you to remind you to do your treatments.
When writing orders, please keep appropriate administration times in mind (i.e., do not order a dose of
Sucralfate to be given at 2 a.m. unless you want to come in to give it). Common treatment times include
8 a.m., 4 p.m. or 6 p.m. (toward the end of the clinic day), and 10 p.m. (when ward students come in to
walk patients and perform treatments).
• Devices (e.g. feeding tube, wound drain, etc. though not urinary catheters), are allowed in the SDW.
However, the primary service is responsible for all care and use of any device.
• If you are unsure how to administer a medication we strongly recommend that ask you one of the ICU
staff. For reference there is also a protocol book at the central treatment counter.
• Students on the primary service are responsible for walking that service’s patients.
• If you would like the SDW staff to perform your treatments for you, the patient will be charged at the
appropriate ICU level for that 8 hour shift.
• You are responsible for ordering and picking up all medications from the pharmacy. Please plan ahead to
ensure that you have enough medications to last overnight and throughout the weekend.
• Students on the primary service are responsible for walking that service’s patients.
• Patient orders should not be removed from the ICU until after 7:30 for any reason. Sheets from the
day before are an essential part of morning rounds.
• Orders should be posted by 9:00 a.m. daily and should be signed by the primary clinician by no later
than 10:00 a.m. If you are unsure how to complete any aspect of the treatment sheet, please ask the
ICU staff.
• Please make sure to weigh your patient daily.
• Please remember to wash your hands between patients and wear gloves if indicated.
• Inform the ICU staff if you are admitting or discharging a patient so that we can prepare a cage for them
(admit) or make sure that all charges have been entered (discharge).
• Completing treatment orders prior to bringing the patient to the SDW will allow us to setup fluids, pain
meds, etc in advance and facilitate admission.
Client communications:
• Please do not tell owners to call SDW staff or students for updates. Only the primary clinician or the
student on the case may give patient status updates to owners.
• Owner visits should be arranged through the primary clinician or student on the case. Patients should
visit with the owners in a visitation room and not in the Step-Down Ward.
• The SDW/ER will not facilitate owner visits or discharges. These are the responsibility of the primary
student or clinician. If the owner shows up to the hospital and the primary student or clinician is
unavailable, they will not be allowed to visit.
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SMALL ANIMAL SURGERY
General Information
Surgery ward assignments
The surgery technician coordinator (Mary Ross) will post ward assignments outside the surgery office at least
one week ahead of your rotation. You are responsible for confirming your assignment. General surgery small
/medium dog housing is located in Ward D, orthopedics uses Ward E.
3 Ward system
Mixed ward- Combined General Surgery and Orthopedics (Chief or Mixed Ward)
Soft Tissue - General Surgery I
Orthopedics- Orthopedics I
4 Ward system
General Surgery I (STSX1)
General Surgery II (STSX2)
Orthopedics I
Orthopedics II
Receiving/ Surgery Ward Schedule
General Surgery I & Orthopedics I
Receive cases Monday and Wednesday morning
Receive emergencies only on Friday
Surgery Tuesday and Thursday
General Surgery II & Orthopedics II
Receive cases Tuesday and Thursday morning
Surgery Monday, Wednesday, and Friday
In House Consults
1. Consults for surgery should be posted on the ward 1 door after technician notification.
2. Use a general consultation request form.
3. An anesthesia/ surgery request form may be posted on the ward door with consult form.
4. Responsibility for preparing the patient for surgery remains with the medicine ward.
5. The medicine student is required to complete the patient SOAP and diagnostic and treatment plans by 8:00
a.m. the morning of surgery.
6. Exotic animals: Surgery service only acts as consultants on exotic cases.
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Aftercare
 The case returns to the medicine ward after surgery if surgery is for diagnostic reasons only, no major
surgical complications are anticipated, or the medicine ward requests the case back.
 The case is transferred to the surgery ward following surgery if there is risk of major surgical-related
complications or the surgeon requests primary care post-operatively.
Transfers
 Overnight transfers should be posted on the door of the service ward receiving the following day.
 Patient may be placed in the surgery ward unless it needs intensive care.
 The emergency student is required to complete the patient SOAP, ICU orders (when applicable) and
treatments the morning of the transfer.
Scheduling Surgery Times
 Cases received by a surgery service generally have surgery the following day.
 Consult (transfer) cases needing surgery may go to the OR the following day or can be scheduled on a future
day as the service schedule allows.
 Cases requiring emergency surgery will be evaluated by the receiving service first.
 The receiving service will transfer the case to the service performing surgery that day.
 Surgeons will schedule the exact time of the surgery including for consult and transfer cases.
 Cases bumped from the surgery schedule may be done the following day or during the ward’s next surgery
day.
 Drop-offs on the day of surgery can only be approved and scheduled by the specific service (ward) clinicians
or SAS ward technicians.
Requirements for Surgical Cases
1. Physical Exam by surgeon/ resident
Cases that have a verbal consult only and have not had a complete physical performed by the surgery
service must have a scheduled appointment with the surgery service before the surgery is scheduled.
2. Bloodwork
• Minimum of PCV/TP on young, healthy animals
• Patients over 5 years old require a CBC and Profile
• Other bloodwork may be requested as deemed necessary
3. SOAP
Patient SOAP should be completed on the morning of surgery by 8:00 a.m. The medicine/ outpatient
student is responsible for completing all patient orders including SOAP for transfer cases on the day of
surgery.
4. Anesthesia/surgery request form
Include current weight, location, date of surgery, and exact procedure on the form. Exact time/ order of
cases will be determined by the surgeon. Surgery request forms for consult cases may be posted on the
ward 1 door with consult forms. Most procedures should be scheduled starting at 9:30 a.m.; on special
occasions, table time can be arranged earlier. See the anesthesia tech supervisor.
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Emergency Surgery after 5:00 p.m.
The schedule for the on-call emergency surgeon is posted in the general practice hallway. The surgeon
on call should be contacted when immediate surgical intervention is required, or when more
information/ care is required for a potential surgical case by the attending emergency clinician. The oncall emergency surgeon schedule is the responsibility of the surgery faculty.
Miscellaneous Information
Elective surgery
 Spays, castrations and declaws are performed by senior students. Students handle all aspects of these
cases.
 All other cases are handled jointly by the service head and resident in the respective ward.
Visitation
• Owner visitation is discouraged on surgery days.
• If the visit is approved, the patient should be transported to an exam room, if at all possible.
• If the patient must remain in ICU, arrangements must be made with ICU personnel first, and a student must
be present during visitation.
Client Communication
Surgery students are required to communicate with owners daily while their patient is hospitalized.
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SURGERY SERVICE CONTACT INFORMATION
Soft Tissue Surgery Faculty
Room
Phone
E-Mail
Mary McLoughlin, DVM DACVS
Associate Professor
1105
[email protected]
Chris Adin, DVM DACVS
Associate Professor
1027
Kat Ham, DVM DACVS
Assistant Professor, Clinical
Tatiana Motta, DVM
Assistant Professor, Clinical
1014
4-8683
740-503-2299 (C)
740-654-7340 (H)
(24)7-1853
585-750-6526 (C)
614-725-1423 (H)
(68)8-3507
(517) 290-8082 (C)
(29)2-3395
607-270-5573 (C)
Orthopedic Faculty
Room
Phone
E-Mail
Jonathan Dyce, DSAO DACVS
Associate Professor
Section Head
1022
[email protected]
Bianca Hettlich, DVM DACVS
Assistant Professor
Matthew Allen, VetMB, PhD
Associate Professor
1015
4-8690
614-270-0925 (C)
614-775-0869 (H)
(24)7-1852
614-973-9008 (C)
(24)7-7020
614-561-9619 (C)
614-750-2197 (H)
005H
048
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
Clinical Instructors
Room
Phone
E-Mail
Lily Su, DVM,
Clinical Instructor
Katy Townsend, DVM DACVS
Clinical Instructor
0006A
(29)2-6999
614-625-3042 (C)
(29)2-5928
607-342-7964 ©
[email protected]
Residents
Phone
E-Mail
3rd
(24)7-1832
919-757-1716 (C)
(24)7-6012
614-824-9154 (C)
(68)8-1378
614-530-4301 (C)
[email protected]
Lauren Pugliese
3rd Vincent Wavreille
2nd Bronwyn Fullagar
[email protected]
[email protected]
[email protected]
193
2nd Audrey Wanstrath
(68)8-1377
513-515-8441
(24)7-6073
908-720-9310
2-7237
[email protected]
Technicians
Phone
E-Mail
Mary Ross
2-0461
614-361-7637
2-1374
614-582-8576
4-9987
614-307-0496
2-0694
614-563-9403
7-1854
614-309-2587
7-7923
614-425-1835
4-2611
614-570-6552
4-86712-7866
[email protected]
1st
Jennifer Song
1st
Judith Bertran
Kim Penrod
Mat Kerzee
Kristie Brush
Amy Weatherall
Michelle Gilliam
Nikki Brown
Tomi Spyker – Overnight ward
tech
Tracy Pejsa – Rehab, Rm 0156
7-1830
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
Overnight treatment book in ICU
[email protected]
194
Small Animal Veterinary Assistant Information
Veterinary Assistants are responsible for cleaning the wards and assisting with patient care as needed.
Current Veterinary Assistants are: Small Animal: Cathy Leuszler, Catlin Flemming, De Anna Lopez, Jaime
Board, Todd Tensley.
Hours: 5:00 a.m. – 12:00 a.m. Monday – Friday and 7 a.m. – 11 a.m. Saturday and Sunday
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Bath requests after 8:00 a.m. should be brought to a vet assistant. If we are occupied we may not notice
a new request.
Cat litter and pans are located in the hallway between ICU and ward A (behind the wards.)
Dirty laundry (towels) should be taken to the appropriate containers, which are located near the
bathtubs and in the hallway across from the S.A. kitchen
Disinfectant and cage cleaning supplies are located by the exit for the dog walk ramp. (in case you need
them after we leave.)
Metal water bowls are located in the kitchen. Use paper bowls for feeding.
Cage Paper:
2-3 sheets in top cages.
3-4 sheets in bottom cages
Soiled cage pads should be placed in the cans provided--do not place soiled pads in the tall laundry
carts unless they are properly bagged. The laundry company will refuse to accept carts with loose pads
in them.
Personal pets: Must have a locator card. Also, please clean up after your pet.
Cleaning Protocol - Small Animal Wards/Cages and Runs
This cleaning protocol is for the small animal holding areas and includes all the small animal wards and their
associated cages and runs. Empty cages where animals have gone home are identified by the yellow locator card
lying on the floor of the cage. The cage paper is removed from the cage and put into plastic trash bags and
hauled to the trash bins at the loading dock (room 0072). Water bowls are taken to the kitchen area for cleaning
with hot water and Joy detergent. Litter pans are washed with Joy detergent in the bathtubs and disinfected
with PH7Q. Cage pads and other laundry items are removed to the laundry carts in the run hallway.
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Cage Cleaning: Cages are hosed from the front to the back drain to remove small organics and wet
surfaces. Cage is then scrubbed with Ph7 ultra cleaner and a brush, all surfaces including cage fronts.
With door closed, rinse cage front to back. Squeegee excess water from surfaces. Disinfect entire cage
and door with PH7 ultra disinfect. Allow a 10 minute contact time.
Ward floors: Each ward floor is disinfected daily after the cages have been cleaned. Hose from the west
entrance of each ward, down the slope and out to the trough drains in the run areas. Scrub floor with
PH7 ultra cleaner and rinse. Squeegee excess water from floor into run drains. Disinfect with mop
solution of PH7 Q from wall dispenser in run hallway. Contact time for the disinfectant solution should
be no less than ten minutes.
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Sinks and Exam Tables: The sinks and exam tables are wiped clean and disinfected with PH7Q disinfect
daily.
Ward Wall: Walls and other low contact areas are cleaned and disinfected in the same manner as the
cages on a weekly basis and spot cleaned as needed.
Ward and Run Repairs: any broken equipment (cages, runs, plumbing problems, etc.) are to be reported
to Stan Highley in Hospital Administration or the Veterinary Assistants for repairs.
Zoonotic Outbreak: In the event of a disease outbreak in a ward or run area, affected animals will be
removed from the area and isolated for treatment. The ward or run area will be steam cleaned with the
portable steam cleaner. All surfaces will be disinfected with a phenolic disinfectant allowing sufficient
contact time. Cultures will then be taken from cages and other affected surfaces and submitted to the
labs to insure quality disinfection. All areas will then be rinsed and disinfected with PH7Q disinfect.
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