College Connection Fall 2018 | Page 7

college connection ACCREDITATION MODEL The Opioid Crisis and Veterinary Medicine MANAGEMENT OF OPIOIDS INVOLVES CLIENT EDUCATION An excerpt from the Canadian Veterinary Medical Association’s document “Opioids: Risk Evaluation/Mitigation Strategies in Veterinary Medicine” Veterinarians have the distinct privilege to be both a prescribing and dispensing profession. While different facility types will purchase different types of drugs to match the scope of their practice, veterinary medicine includes prescribing, dispensing and the administration of controlled substances including narcotics. Opioid-class medications have been used in veterinary medicine for many years and remain important to pain management. However, it is important to be attentive to the safe management of opioids in the clinic. Client Education Client education about the proper use, side effects, and secure storage of a patient prescription is incumbent upon the prescribing veterinarian. Ideally, a Helpful tips for managing opioids in your clinic “Veterinarians have a vital role in public health.” written treatment plan that outlines narcotic medication risks and benefits, proper handling, administration, storage and disposal should be strongly considered. Information for the careiver regarding home assessment of comfort/pain signs should be provided as part of that written plan. Follow up by the veterinarian to confirm that the drug is still needed should be done before refills are authorized, and the client should be made aware in the plan instructions that this is an integral part of the plan. and careful prescription practice can hlep veterinary professionals reduce possible diversion leading to misuse, while continuing to prescribe these important medications. Veterinarians are an important part of the “one health” agenda and can play their role in protection of the public health while ensuring the humane management of animal pain. Review of current legislation and guides for handling opioids is both important from a public health perspective, as well as being a requirement of licensure. Increased staff awareness, public education, Update on new accreditation model EXPERT ADVISORY GROUP DRAFTING STANDARDS In 2017, Council took the opportunity to enhance standards within the veterinary profession and approved a new facilty accreditation model. At that time, an expert advisory group was established to draft standards for the new model. The Essential Standards focus on facility services and equipment, medical records, safety management, pharmaceutical management, biosecurity and biomedical waste management, professional reference sources and professional practice. That expert advisory group has been meeting throughout 2018 and is nearing completion of its work drafting the Essential Standards to support the new model. Additional Scope of Services Standards will look at anesthesia, surgery, diagnostic imaging, hospitalization, confinement, and isolation. The Essential Standards will be met by all facility types under the new model. The group is beginning work on scope of veterinary practice standards which will reflect the services provided from the facility. Council is expected to review the draft Essential Standards in spring 2018. Council approved the new facility accreditation model in June 2017. The model shifts from a prescribed checklist style that is found in the PROFESSIONALS HEALTH PROGRAM Confidential Ontario Toll-free Line: 1-800-851-6606 http://php.oma.org The Professionals Health Program is a free, confidential service. Minimum Standards for Veterinary Facilities in Ontario to an outcome based very facility accreditation that reflects the services and scope of practice of the facility. Professionals Health Program Fall 2018 / 7