CVO JURISPRUDENCE EXAM
What are the 5 dispensing exceptions?
1) it is not reasonable possible for the client to obtain the drug from the
prescribing member or a pharmacy
2) it is necessary in the interests of the animal to admin/dispense the drug w/o
delay that would be associated with going to prescribing member
3) the member makes a reasonable effort to contact the prescribing vet
4) the member makes a sufficient assessment of the animal's circumstances (+/-
PE) to ascertain that it is unlikely that there has been a material change in the
circumstances since drug was prescribed
5) dispense no more than would allow the client to get a refill at the prescribing
vet
6) member makes a written record of the transaction as otherwise required by
the regulation
What needs to be document in the patient file when drugs are
prescribed/dispensed (6)?
1) name, strength and quantity of the prescribed drug
2) DIN
3) directions for use
4) date the drug was dispensed
5) price (see invoice)
6) name f prescribing vet if it is not the same as the vet who is dispensing the
drugs
,T/F a client can request an oral prescription
T.
What are the 8 requirements for meeting professional standards re: dispensing?
1) dispenses drugs that are not past expiry OR will not expire before the
treatment course is up
2) dispenses a drug for resale only to an Ontario licensed vet/pharmacist in
limited quantities to address a temporary shortage
3) advises client of common side effects and serious risks associated with the
dispensed drug
4) advises client of proper storage and handling of dispensed drugs
5) disposes of drugs that are damaged/expired/unfit for dispensing safely and
according to enviro regs
6) cannot re-stock or re-dispense drugs that were already sold/dispensed
7) explicitly states withdrawal times
8) properly stores drugs
Under Regulation 1093 can a non-prescribing vet dispense a controlled substance
to a client?
NO. Controlled drugs can only be prescribed/administered/dispensed to an
animal under a vet's care (valid VCPR) and the controlled substance is required for
the condition
What 4 things must be included in the controlled drug log?
1) the date the controlled substance was administered or dispensed
2) name and address of the client
, 3) name, strength and quantity of the controlled substance dispensed or
administered
4) the quantity of the controlled substance remaining int he member's inventory
after the controlled substance is dispensed
In the case of companion animal facilities, how often should audits of controlled
drug logs be performed?
Weekly.
Vets meet professional practice standards for order lab tests when (5)?
1) establish a VCPR before ordering/conducting tests
2) require the test results as part of a preventative health maintenance program
or to formulate a diagnosis and/or treatment plan
3) interpret the results and ensure that the results are communicated to the client
4) implement and regularly document a quality control process for each piece of
in-house equipment
5) any external testing must be sent out to an accredited lab
Under Regulation 1093, when is written consent required?
For an surgical procedure on a companion animal - it's best to get informed
written consent for any high risk procedure
What are the 5 categories of information that should be included in a patient
record?
1) Assessment
2) Treatment plan
3) Advice
4) Informed/written consent
What are the 5 dispensing exceptions?
1) it is not reasonable possible for the client to obtain the drug from the
prescribing member or a pharmacy
2) it is necessary in the interests of the animal to admin/dispense the drug w/o
delay that would be associated with going to prescribing member
3) the member makes a reasonable effort to contact the prescribing vet
4) the member makes a sufficient assessment of the animal's circumstances (+/-
PE) to ascertain that it is unlikely that there has been a material change in the
circumstances since drug was prescribed
5) dispense no more than would allow the client to get a refill at the prescribing
vet
6) member makes a written record of the transaction as otherwise required by
the regulation
What needs to be document in the patient file when drugs are
prescribed/dispensed (6)?
1) name, strength and quantity of the prescribed drug
2) DIN
3) directions for use
4) date the drug was dispensed
5) price (see invoice)
6) name f prescribing vet if it is not the same as the vet who is dispensing the
drugs
,T/F a client can request an oral prescription
T.
What are the 8 requirements for meeting professional standards re: dispensing?
1) dispenses drugs that are not past expiry OR will not expire before the
treatment course is up
2) dispenses a drug for resale only to an Ontario licensed vet/pharmacist in
limited quantities to address a temporary shortage
3) advises client of common side effects and serious risks associated with the
dispensed drug
4) advises client of proper storage and handling of dispensed drugs
5) disposes of drugs that are damaged/expired/unfit for dispensing safely and
according to enviro regs
6) cannot re-stock or re-dispense drugs that were already sold/dispensed
7) explicitly states withdrawal times
8) properly stores drugs
Under Regulation 1093 can a non-prescribing vet dispense a controlled substance
to a client?
NO. Controlled drugs can only be prescribed/administered/dispensed to an
animal under a vet's care (valid VCPR) and the controlled substance is required for
the condition
What 4 things must be included in the controlled drug log?
1) the date the controlled substance was administered or dispensed
2) name and address of the client
, 3) name, strength and quantity of the controlled substance dispensed or
administered
4) the quantity of the controlled substance remaining int he member's inventory
after the controlled substance is dispensed
In the case of companion animal facilities, how often should audits of controlled
drug logs be performed?
Weekly.
Vets meet professional practice standards for order lab tests when (5)?
1) establish a VCPR before ordering/conducting tests
2) require the test results as part of a preventative health maintenance program
or to formulate a diagnosis and/or treatment plan
3) interpret the results and ensure that the results are communicated to the client
4) implement and regularly document a quality control process for each piece of
in-house equipment
5) any external testing must be sent out to an accredited lab
Under Regulation 1093, when is written consent required?
For an surgical procedure on a companion animal - it's best to get informed
written consent for any high risk procedure
What are the 5 categories of information that should be included in a patient
record?
1) Assessment
2) Treatment plan
3) Advice
4) Informed/written consent
