STATE OF NEVADA BOARD MEETING. Oquendo Center for Clinical Education 2425 East Oquendo Road Las Vegas, Nevada Wednesday, October 10, 2012

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1 STATE OF NEVADA BOARD OF VETERINARY MEDICAL EXAMINERS 4600 Kietzke Lane, Building O-265 Reno, Nevada Phone /fax BOARD MEETING at Oquendo Center for Clinical Education 2425 East Oquendo Road Las Vegas, Nevada Wednesday, October 10, 2012 MINUTES BOARD MEMBERS PRESENT Richard Simmonds, DVM President William Taylor, DVM - Vice-President Ronald Sandoval, DVM Scott Bradley, DVM Steve Damonte, DVM Mark Iodence, DVM Beverly Willard BOARD STAFF PRESENT Debbie Machen - Executive Director Tracie Estep Administrative Asst. Louis Ling, Esq. Board Counsel Christina Johnson, LVT - Inspector Patricia Handal, DVM - Investigator 1

2 Dr. Simmonds called the board meeting to order at 9:27 a.m. 1. Public Comment: None 2. Approval of Board Minutes July 18 & 19 Board Meeting/Hearing Motion: Dr. Taylor moved to accept the minutes as presented. Passed: Unanimous 3. Review & Determination of Complaints/Disciplinary Action: A. BS Hany Botros, DVM: Letter of Reprimand Motion: Beverly Willard moved to accept the Letter of Reprimand as presented. B. BS Jayme Bradley, LVT: Letter of Reprimand Motion: Dr. Taylor moved to accept the Letter of Reprimand as presented. Second: Dr. Damonte C. GS Robert Goldman, DVM: Letter of Reprimand Motion: Dr. Taylor moved to accept the Letter of Reprimand as presented. Passed: Unanimous. Dr. Sandoval abstained D. CN Don Hittenmiller, DVM: Letter of Reprimand Motion: Dr. Taylor moved to accept the Letter of Reprimand as presented. Second: Dr. Sandoval Passed: Unanimous. Dr. Bradley abstained E. PR Kris Peterson, DVM: Letter of Reprimand Motion: Dr. Damonte moved to accept the Letter of Reprimand as presented. Second: Dr. Sandoval Passed: Unanimous. Dr. Taylor abstained F. GS there for disciplinary action. The complainant, Ms. Fox was present and addressed the Board with her concerns following the Board s decision was announced. 2

3 Motion: Dr. Taylor moved to dismiss. Second: Dr. Iodence Passed: Unanimous. Dr. Damonte abstained G. RS there for disciplinary action. Motion: Dr. Bradley moved to dismiss. Second: Dr. Sandoval Passed: Unanimous. Dr. Simmonds abstained H. BS constitutes a cause for disciplinary action and send a letter of concern to the Licensee regarding surgical and anesthesia notations lacking some details, including descriptions of the masses excised, sutures types, closure patterns, anesthesia concentration, and rate of intra-operative fluid administration. Motion: Dr. Bradley moved to dismiss with a letter of concern. Second: Dr. Iodence Passed: Unanimous. Dr. Sandoval abstained I. HN there for disciplinary action. Motion: Dr. Iodence moved to dismiss. Second: Dr. Taylor Passed: Unanimous. Dr. Bradley abstained. J. FS there for disciplinary action. Motion: Dr. Taylor moved to dismiss. K. DS /HS Discussion: The review panel recommended the Board order a psychological evaluation of the Licensee and continue the investigation. Motion: Dr. Bradley-Pursuant to NRS (1), that the Licensee undergo a psychological examination and table the complaint for further investigation. Passed: Unanimous. Dr. Sandoval abstained 3

4 L. AS constitutes a cause for disciplinary action and send a letter of concern to the Licensee regarding: 1) NAC : Notice required if animal will be left unattended. A person who operates a veterinary facility where animals are kept during the hours that the veterinary facility is not regularly open to the public shall notify, in writing, an owner of an animal or his or her designee if the animal will be left unattended; and 2) The current euthanasia authorization form needs to be separated from the disposition form if the animal dies from anything other than euthanasia. Motion: Dr. Iodence moved to dismiss with a letter of concern. M. DS constitutes a cause for disciplinary action. Motion: Dr. Taylor moved to dismiss the complaint against the named veterinarian and open an investigation regarding Dr. B, a secondary veterinarian involved with this case. N. KN constitutes a cause for disciplinary action. Motion: Dr. Taylor moved to dismiss. Passed: Unanimous. Dr. Iodence abstained. O. SS constitutes a cause for disciplinary action. Motion: Dr. Iodence moved to dismiss. Second: Dr. Taylor P. SS constitutes a cause for disciplinary action and send a letter of concern to the Licensee regarding the 4

5 use of physical examination defaults in a computerized medical record. Motion: Dr. Taylor moved to dismiss with a letter of concern and open an investigation on the facility regarding the use of computerized clinical records that use default values which must be changed by the veterinarians or else they remain in the records, potentially indicating exams were done when, in fact, they were not accomplished. Second: Dr. Damonte Q. LS constitutes a cause for disciplinary action and send a letter of concern to the Licensee regarding veterinarians, veterinary technicians, or any other staff initialing the medical record indicating who provides the treatment to the patient. Motion: Dr. Taylor moved to dismiss with a letter of concern. 4. Continuing Education-Request for approval of CE's for: A. Bandaging Techniques and Tips, Tips & Tricks-Orthopedic Exam, Anesthetic Monitoring-Tools & Techniques, and Biopsy Techniques each class is 1 hours of CE for veterinarians and licensed veterinary technicians. Discussion: Dr. Taylor reviewed the above noted courses and recommended that the request be approved for the requested CE hours. Motion: Dr. Sandoval moved to approve each class for 1 hr. Passed: Unanimous B. Nutritional Management and Gastrointestinal Diseases 2 hours for veterinarians and licensed veterinary technicians. Discussion: Dr. Simmonds reviewed the above noted courses and recommended that the request be approved for the requested CE hours. Motion: Dr. Taylor moved to approve the course for 2 hrs. Passed: Unanimous. 5. Requests for Licensure/Reinstatement/Old Business A. Cody Feest, application for VTIT & LVT. Bachelors of Art in Speech Communication Discussion: Ms. Feest withdrew her request-no action. B. Christina Boyles, application for VTIT and LVT. Graduate of a non-accredited accelerated veterinary technician program. Discussion: Ms. Boyles submitted an application for veterinary technician-in-training/veterinary technician based on her practical experience, licensure in California since 7/13/2012, a reference from her current employer, and the completion of an accelerated veterinary technician program accepted by the California Veterinary Board. 5

6 Motion: Dr. Taylor moved to deny Ms. Boyles application due to her not meeting the educational requirements pursuant to NAC (2). Passed: Unanimous 6. Discussion of Regulations/New Policies A Renewal Process Discussion: Ms. Machen explained the revised renewal process that will save the Board approximately $ /year in printing and postage costs. Renewal notifications will be sent to all facilities via prior to October 31, 2012 and a postcard will be sent to all licensees after November 1, The Board newsletter will be available on the web-site after December 1, B Legislative Update Discussion: Ms. Laxalt provided a report to the Board of current Bill drafts for the 2013 legislative session that may impact the Board. C. Labeling of digital radiographs NAC (2)(n) Discussion: Ms. Johnson, the board inspector, had asked for clarification regarding NAC , Radiographs, the labeling of digital radiographs. Does the anatomical labeling need to be on a digital radiograph or can it be entered into the patient information database? The consensus of the Board is that if the labeling cannot be altered after saving it (Dicom imaging) then the anatomical orientation does not need to be permanently displayed on the radiograph. Computerized records must be unalterable pursuant to NAC (4) (c). D. Microchipping at animal shelters Gary Weddle, DVM Discussion: Dr. Weddle could not be present and requested this item be tabled, 7. Discussion and Determination A. Overview of the AAVSB September 2012 meeting Discussion: Ms. Machen provided the Board with an outline of AAVSB meeting in Seattle. B. Introduction of new investigator Dr. Patricia Handal Discussion: Dr. Simmonds introduced the Board s new investigator, Dr. Patricia Handal. C. Schedule Board Meetings Reno-January 31, 2012 Las Vegas - April 25, 2013 Reno July 18, 2013 Las Vegas, October 23, Staff Reports for possible Action A. Financial Audit- year and June 13, 2012 Discussion: The Board reviewed the audit. Motion: Dr. Taylor moved to accept the audit. Second: Dr. Damonte 6

7 Passed: Unanimous. B. Financial Debbie Machen C. Administrative Tracie Estep D. Hospital Inspections Christina Johnson Discussion: The above noted reports were presented to the Board s satisfaction. E. Legal Louis Ling, Esq. Mr. Ling explained to the Board that Dr. Carl Kelly had appealed the July 18, 2012 Board Order. The judicial review process has started and Mr. Ling had filed the record on behalf of the Board. Dr. Kelly did not request a Stay of the Order so the Probation and all conditions are in effect. Briefs will be filed in the next 90 days and a request will be made for oral arguments. 9. Public Comment Dr. Taylor wanted clarification on two issues: 1) Does a physical examination have to be done prior to releasing an animal? NAC states that the animal must not be released until it has been examined by a veterinarian and it is ambulating. The new surgery laws state that the vital signs of the animal must be noted after the surgery. 2) How specific does a medical record need to be on a non-critical, non-renal failure case (e.g., IV fluid patient, urine-positive, urine output) NAC (2) (i) Maintenance and availability of records; cessation of practice without providing for continuation of treatment. 2. The medical record must contain the following information, in legible form: (i) All clinical information pertaining to the animal, including, without limitation, sufficient information to justify the diagnosis or determination of the medical status of the animal and to warrant any treatment recommended for or administered to the animal 10. Agenda items for next meeting a) Hospital Inspections-repeat violations 11. Adjournment at 3:05 p.m. 7