Current through Register Vol. 49, No. 27, December 30, 2024
Subpart
1.
General standard.
The delivery of veterinary care must be provided in a competent
and humane manner consistent with prevailing standards of practice for the
species of animal and the professed area of expertise of the veterinarian. For
a veterinarian to exercise properly the rights granted by the veterinary
license, a veterinarian-client-patient relationship must exist.
Subp. 2.
Pharmaceutical
services.
The provision of pharmaceutical services is governed by items A
to C.
A. No prescription drug may be
prescribed, dispensed, or administered without the establishment of a
veterinarian-client-patient relationship.
B. A veterinarian is responsible for assuring
that a prescription drug or biologic prescribed for use is properly
administered, or for providing instructions to clients on the administration of
drugs when the veterinarian will not be providing direct supervision.
C. Drugs and biologics must be stored,
prescribed, and dispensed in compliance with Minnesota Statutes 1990, section
151.35, and
the United States Pharmacopeia & the National Formulary, which is
incorporated by reference in part
9100.0200, subpart
1.
Subp. 3.
Sterile surgical
services.
When sterile surgical services are being provided, or when
prevailing standards dictate sterile surgery, those services are governed by
items A to D.
A. The surgery room must
be clean, orderly, properly maintained, capable of being adequately
disinfected, well-lighted, and provided with effective emergency
lighting.
B. The floors, table
tops, and counter tops of the surgery room must be of a material suitable for
regular disinfection and cleaning.
C. Instruments, equipment, and packs for
aseptic surgery must be:
(1) adequate for the
type of surgical service provided; and
(2) sterilized by a method sufficient to kill
spores.
D. Proper
illumination for viewing radiographs must be available.
Subp. 4.
Record keeping.
Record keeping is governed by items A to F.
A. A veterinarian performing treatment or
surgery on an animal or group of animals, whether in the veterinarian's custody
at an animal treatment facility or remaining on the owner's or caretaker's
premises, shall prepare a written record or computer record concerning the
animals containing, at a minimum, the following information:
(1) name, address, and telephone number of
owner;
(2) identity of the animals,
including age, sex, and breed;
(3)
dates of examination, treatment, and surgery;
(4) brief history of the condition of each
animal, herd, or flock;
(5)
examination findings;
(6)
laboratory and radiographic reports;
(9) medication and treatment, including
amount and frequency.
B.
Individual records must be maintained on each patient, except that records on
food, fiber, milk animals, birds, and horses may be maintained on a per-client
basis.
C. Medical records and
radiographs are the physical property of the hospital or the proprietor of the
practice that prepared them. Records must be maintained for a minimum of three
years after the last visit. Radiographs must be maintained for a minimum of
three years.
D. Medical records, or
an accurate summary of them, must be released to the animal owner or the
owner's authorized agent, including the board, within two weeks of a written
request. A reasonable charge for copying or preparation of a summary may be
made, except in the case of a board investigation, in which case no charges are
authorized.
E. A radiograph must be
permanently identified. It must be released on the written request of another
veterinarian who has the written authorization of the owner of the animal to
whom it pertains. The radiograph must be returned within a reasonable time to
the practice which originally prepared the radiograph.
F. Contents of medical records must be kept
private and not released to third parties unless authorized by the client or
required by law.
Subp.
5.
Emergency service.
The provision of emergency service is governed by items A to
E.
A. The staffing for an emergency
veterinary facility must include a licensed veterinarian on the premises at all
times during the posted hours of operation.
B. Advertisements for emergency veterinary
facilities must clearly state:
(1) the hours
the facility will provide emergency service;
(2) a licensed veterinarian is on the
premises during the posted emergency hours; and
(3) the address and telephone number of the
facility.
C.
"Veterinarian on call" means a veterinarian is not present at a veterinary
facility, but is able to respond within a reasonable time to requests for
emergency veterinary services. The facility's services are not to be considered
or advertised as an emergency clinic or hospital.
D. If continuing care of the patient is
required following emergency service, the animal owner or caretaker must be
provided with a legible copy of the medical record to be transferred to the
next attending veterinarian, or a copy must be transmitted directly to the
attending veterinarian. The information included in the medical record must
consist of at least the following:
(1)
physical examination findings;
(2)
dosages and time of administration of medications;
(3) copies of diagnostic data or
procedures;
(4) all radiographs,
for which the facility must obtain a signed release when transferred;
(6) tentative diagnosis and prognosis;
and
(7) follow-up
instructions.
E. An
emergency facility must have the equipment necessary to perform standard
emergency medical procedures and must have the capability to render timely and
adequate diagnostic radiologic services, laboratory services, and diagnostic
cardiac monitoring on the premises.
Subp. 6.
Mobile veterinary
practice.
Mobile veterinary practice is governed by items A to E.
A. Mobile veterinary practice is that form of
clinical veterinary practice that may be transported or moved from one location
to another for delivery of service. Mobile veterinary practice may be general
service, limited service, or outcall service. For purposes of this item:
(1) "general mobile veterinary practice"
means providing a wide range of medical or surgical services in a movable
trailer or mobile home type of vehicle modified to function as, and comparably
equipped to, a fixed veterinary practice facility;
(2) "limited service mobile veterinary
practices" means practices restricted to the delivery of animal health
protection through vaccination or minor diagnostic testing and treatment;
and
(3) "outcall service" is a
mobile extension of a fixed location general service veterinary practice,
located within the same practice area, but physically removed from the practice
premises. Depending on the types of animals being treated, an outcall service
provides vaccinations, physical examinations, treatments, diagnostic
screenings, and surgery.
B. Mobile veterinary practices that are not
extensions of a fixed veterinary facility must have an affiliation with a
general service veterinary facility in the same region for the provisions of
long-term hospitalization, surgery, or radiology if not available in the mobile
unit. Clients must be informed, in writing, of this affiliation.
C. In all types of mobile veterinary
practice, patient care must be consistent with prevailing standards of practice
and a veterinarian-client-patient relationship must exist.
D. Mobile units must be maintained in a clean
and sanitary fashion. Vehicles must contain equipment necessary for the
veterinarian to perform physical examinations, surgical procedures, and medical
treatments consistent with the type of veterinary services being rendered and
the standards of practice for those services.
E. Representatives of the board, upon receipt
of written complaint, may inspect mobile veterinary units for sanitation and
cleanliness and may direct action to ensure adequate sanitation and
cleanliness.
Subp. 7.
Supervision.
Supervision is governed by items A to C.
A. A licensed veterinarian is professionally
and legally responsible for any practice of veterinary medicine by the
veterinarian's unlicensed employees. An employee's practice of veterinary
medicine without a license constitutes grounds for the board to take action
against the licensed veterinarian and the unlicensed individual. A veterinarian
must have examined the animal patient prior to the delegation of an animal
health care task to a nonlicensed employee. The examination must be conducted
at a time consistent with prevailing standards of practice relative to the
delegated animal health care task.
B. A veterinarian shall not authorize a
nonlicensed employee to perform the following functions:
(2) diagnosis and prognosis; and
(3) prescribing of drugs, medicines, and
appliances.
C. A
veterinarian shall ensure that the activities of a supervised individual are
within the scope of the orders, assignment, or prescriptions of the
veterinarian and within the capabilities of the individual. Supervision by a
veterinarian must involve the degree of close physical proximity necessary for
the supervising veterinarian to observe and monitor the performance of a
supervised individual. The supervising veterinarian must be on the client's
premises or present in the veterinary facility while the supervised individual
is performing health care services. This does not prohibit the performance of
generalized nursing tasks, ordered by the attending veterinarian, to be
performed by an unlicensed employee on inpatient animals during the hours when
a veterinarian is not routinely on the premises. Nor does it prohibit, under
emergency conditions, wherein an animal is placed in a life-threatening
condition and requires immediate treatment to sustain life or prevent further
injury, an unlicensed employee from rendering lifesaving aid and treatment to
an animal in the absence of a veterinarian.
Subp. 8.
Humane care.
A licensed veterinarian shall treat animals entrusted to the
veterinarian by a client consistent with prevailing professional standards of
humane treatment and care.
Subp.
9.
Informed consent.
A client shall be informed by the veterinarian, prior to
treatment, of the treatment choices and reasonable medical or surgical
alternatives including an estimated cost of the alternatives for consideration
by the client.
Subp. 10.
Advertising.
Print or electronic media advertisements offering professional
veterinary services must include the corporation's, partnership's, and/or
individual veterinarian's name and business address.
Subp. 11.
Specialist
practitioners.
A. A veterinarian may
claim to be a specialist only if the veterinarian is certified as a specialist
in a discipline for which there is a specialty board approved by the American
Veterinary Medical Association (AVMA). A veterinarian may not use the term
"specialist" for an area of practice for which there is no AVMA-recognized
certification. A diplomate of the American Board of Veterinary Practitioners
can claim only a specialty for the class of animals in which the diplomate
specializes.
B. "Specialty" or
"specialists" may not be used in the name of a veterinary hospital unless all
veterinary staff are board-certified specialists.
Statutory Authority: MS s
156.01;
156.081;
214.06