College Connection Winter 2018 - Page 2

college connection COUNCIL NEWS COLLEGE RESOURCES SUPPORT RECORD KEEPING continued from page 1 Complete documentation helps to minimize risk to the patient, such as making errors due to gaps in documentation. For example, missing the strength of a drug, diagnostic test results, or relevant history or physical exam findings can delay appropriate treatment. Complete records support effective client communication and they are used as a communication device between caregivers. Medical records are legal documents and can be used as evidence in legal proceedings. Records represent the veterinarian’s thought process, decisions, judgment, action and interactions with others all of which impact on patient outcomes. The information in the medical record belongs to the client and they can request a copy of their animal’s complete medical records at any time, which the veterinarian must provide. Comprehensive patient records are a good risk management strategy for the patient, the client and the veterinarian. A quality record is fundamental to quality practice and is an important aspect of patient care. Veterinarians have found ways, often very creative ways, to make record keeping more efficient. These efficiencies in record keeping help to reduce the time required to maintain complete records that meet legislative requirements and standards. Some examples of time-saving strategies include the use of a SOAP (Subjective data, Objective data, Assessment, Plans) or DAP (Data, Assessment, Plans) format, the use of history or physical exam templates, the use of surgical protocols, discharge summaries, client education hand-outs, and more. Learn more about keeping complete medical records and time-saving tips by taking the College’s online learning module: Foundations for Medical Record Keeping: Companion Animal Watch for a new learning module: Foundations for Medical Record Keeping: Food Producing Animal, Equine and Poultry For further resources on medical record keeping, visit COUNCIL ELECTS EXECUTIVE COMMITTEE FOR 2019 Dr. Patricia Lechten, of Barrie, Ontario, is the new president of the College. “I appreciate the opportunity to serve the public in this role and to work with Council in managing the risks involved in the practice of veterinary medicine in Ontario to reduce the potential for harm to animals and people,” said Dr. Lechten. “The Council agenda is always full and interesting. In 2019, Council will focus on continued development of the facility accreditation model and on professionalism in veterinary medicine. Policy work in the coming year includes pain management, after hours care, and non-prescription veterinary products,” she added. Dr. Lechten graduated from the University of Missouri in 1985 and is currently the owner of the Allandale Veterinary Hospital in Barrie. Dr. Lechten was first elected to Council in 2014. “I am proud to be a veterinarian and welcome the opportunities that are presented through my profession. I am committed to the College’s mandate which supports the public’s right to safe, quality veterinary medicine,” said Dr. Lechten. 2 / College Connection At its recent Annual Council meeting, the College welcomed four new members of Council as a result of recent elections. Joining Council are Dr. Patricia Alderson, a university veterinarian from Thunder Bay; Dr. Christine Hickman, a veterinarian from Toronto whose practice focuses on in-home end of life care for pets; Dr. Alana Parisi, a companion animal and emergency care veterinarian from Belleville; and, Dr. Wade Wright, a companion animal veterinarian from Ottawa. 2nd Vice-President; Dr. Steven Jacobs, Past President and Ms. Claudia Newman, Public Member. Appointments were also made to the College’s statutory committees and details can be found on the College’s website at Council elected its Executive Committee which includes Dr. Lechten, President; Dr. Susan Warren, 1st Vice-President; Dr. Tyrrel de Langley, Executive Committee: (l-r) Dr. Steven Jacobs, Dr. Patty Lechten, Dr. Tyrrel de Langley, Claudia Newman, and Dr. Susan Warren.