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Recent Graduate Handbook

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Page 1: Recent Graduate Handbook - gvma.memberclicks.net · career can take advantage of the Veterinary Career Network (VCN) through the GVMA website. Job seekers can conduct a free nationwide

Recent GraduateHandbook

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2 GVMA Recent Graduate Handbook

Congratulations on your graduation and welcome to the profession of veterinary medicine!

The GVMA is providing you with this handbook as a reference for practicing veterinary medicine in Georgia!

Now that you’re a GA vet, connect with the GVMA member community.Discounted membership is offered to new grads up to 3 years after graduation.

Membership Benefits Include:

Discounted Registration on GVMA Conferences & EventsSave $$ on GVMA CE including VetSouth (formerly known as the GVMA Fall Convention), Traveling CE, and our Young Professionals Conference.

The Power of 10 Leadership AcademyThe GVMA Leadership Academy is an initiative designed to help develop foundational skills in leadership, communication, and business. Participants should anticipate a combination of in-person, teleconference, and webinar format.

Career CenterRecent graduates looking for your 1st job or to advance your career can take advantage of the Veterinary Career Network (VCN) through the GVMA website. Job seekers can conduct a free nationwide search by position, practice type, and location.

Plumb’s Veterinary Drug AppWe are happy to announce a 15% discount to Plumb’s Veterinary Drugs for GVMA members. You will be able to access drug information from your computer, smartphone and tablet. Drug information is continuously updated giving you the most up to date version of Plumb’s.

Employee Assistance ProgramThe GVMA has partnered with McLaughlin Young and is proud to provide an Employee Assistance Program (EAP) that offers support and resources you need to address personal or work-related challenges and concerns.

We believe that success starts with community. Join the GVMA today at www.gvma.net/membership!

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GVMA Recent Graduate Handbook 3

Table of Contents

Important Contact Information .......................................................................................4

Power of Ten Leadership Academy .............................................................................. 8

Getting Your New Veterinary License ....................................................................... 10

Georgia Licensure Information .......................................................................................12

License Renewal Information ..........................................................................................13

Special Licenses......................................................................................................................14

Georgia Continuing Education Requirements ........................................................15

LEAP CE .....................................................................................................................................17

Georgia State Board of Veterinary Medicine ...........................................................18

Practicing Veterinary Medicine in Georgia ............................................................ .20

Scope of Practice – Licensed Technicians ............................................................. .24

Scope of Practice – Veterinary Assistants ...............................................................26

Requirements to Apply for USDA Veterinary Accreditation ...................... .28

USDA Initial Accreditation Procedures......................................................................29

Recordkeeping ......................................................................................................................30

Legal Considerations for Medical Records .............................................................30

Releasing Medical Records ..............................................................................................32

Releasing Pets ........................................................................................................................32

Abandoned Animals ........................................................................................................... 34

Animal Abuse and Neglect ..............................................................................................35

Georgia Law About Animal Cruelty ............................................................................35

Radiation Safety Training ..................................................................................................37

Specialty Practice Areas ...................................................................................................38

OSHA ...........................................................................................................................................38

Wildlife Resources ................................................................................................................38

Rabies Vaccination Protocols .........................................................................................39

Mental Health & Wellbeing Resources ......................................................................40

Employee Assistance Program .......................................................................................41

What the GVMA is Not Able to Do ..............................................................................42

Insurance Guide .................................................................................................................... 43

Top 10 protections every veterinarian should have ........................................... 45

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4 GVMA Recent Graduate Handbook

Important Contact Information

GVMA2200 Century Parkway, Suite 725, Atlanta, GA 30345

Voice ........................................................................................................(678) 309-9800Fax ..............................................................................................................(678) 309-3361Toll Free Long Distance ...................................................................(800) 853-1625Website .....................................................................................................www.gvma.netEmail ...................................................................................................... [email protected]

AVMA1931 North Meacham Road, Suite 100, Schaumburg, IL 60173

Schaumburg .........................................................................................(800) 248-2862Washington (Government Relations Division) ..................... .(800) 321-1473Insurance Information (AVMA Authorized Rep.) ..................... (770) 985-0988 / (800) 430-6568Website .....................................................................................................www.avma.orgEmail ...............................................................................................avmainfo@avma.org

Georgia State Board of Veterinary Medicine237 Coliseum Dr., Macon, GA 31217

Voice ........................................................................................................ .(478) 207-2440Website .................................... www.sos.ga.gov/index.php/licensing/plb/53

Georgia Department of Agriculture19 M. L. King Drive, Atlanta, GA 30334

Voice ..........................................................................................................(404) 656-3671Companion Animal Health (dogs, cats, exotics) complaints on licensed facilities, breeders ................................................................................(404 656-4914Animal Health & Reportable Diseases ....................................(404) 656-3667Equine Health ....................................................................................... (404) 656-4914Livestock/Poultry Field Forces .................................................. (404) 656-4914

Georgia Department of Public HealthState of Georgia Bldg, 2 Peachtree St #5, Atlanta, GA 30303Main Telephone ..................................................................................... 404-657-270024/7 Public Health Emergency Line1-866-PUB-HLTH (1-866-782-4584)Rabies Questions ................................................................................ 404-657-2588

Georgia State Board of Pharmacy237 Coliseum Dr., Macon, GA 31217

Voice ...........................................................................................................(478) 207-1686Website ..................................................................................................gbp.georgia.gov

Georgia Department of Human ResourcesVoice ........................................................................................................ (404) 656-4937Website ..................................................................................................www.dhr.ga.govRabies Laboratory (Testing) ........................................................ (404) 327-7980Radiology (Health Care Division) .............................................(404) 657-5400

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GVMA Recent Graduate Handbook 5

Georgia Dept. of Natural Resources (Wildlife Resources Division)Voice .........................................................................................................(770) 918-6400Website .............................................................................. www.georgiawildlife.com

Georgia Poison CenterVoice .......................................................................................................... (800) 222-1222Administrative ......................................................................................(404) 616-9237Education ................................................................................................(404) 616-9237Website ................................................................... www.georgiapoisoncenter.org

Canine Assistants (mobility-impaired free assistance) Voice ........................................................................................................... (800) 771-7221Atlanta Area ........................................................................................... (770) 664-7178Website .............................................................................www.canineassistants.org

Georgia Veterinary Technicians and Assistants AssociationP.O. Box 80702, Athens, GA 30608

Email .................................................................................turtlepower1@hotmail.comWebsite ................................................................................................www.GVTAA.org

IRS - Small Business DivisionWebsite ..........www.irs.gov/businesses/small-businesses-self-employed

OSHA Atlanta West Area Office ................................................................ (678) 903-7301Atlanta East Area Office ...............................................................(770) 493-6644Savannah Area Office ........................................................................(912) 652-4393

Pet Bereavement HotlinesASPCA Pet Loss Hotline ..................................................................1-877-GRIEF-10University of Florida Grief Counselors ........ (352) 392-4700, Ext. 1-4080

Small Animal Importation (contact the Centers for Disease Control and Prevention)

Voice ......................................................................................................... (404) 498-1670Website ........................................................................................................www.cdc.gov

State GovernmentGovernor’s Office ............................................................................... .(404) 656-1776Website ........................................................................................................... georgia.govHouse of Representatives - Public Information................. (404) 656-5082Senate - Public Information ......................................................... (404) 656-5097Consumer Service Unit .................................................................. (404) 656-3790

Georgia Emergency Management Agency (GEMA) ..... (404) 635-7000Website .............................................................................................www.gema.ga.gov

continued on next page

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6 GVMA Recent Graduate Handbook

University of Georgia, College of Veterinary MedicineAthens, GA 30602

Website ................................................................................................www.vet.uga.eduTeaching Hospital .............................................................................. (706) 542-3221Continuing Education Information ............................................. (706) 542-1451Alumni Relations ................................................................................ (706) 542-5732Athens Diagnostic Laboratory ....................................................(706) 542-5568Tifton Diagnostic Laboratory ......................................................(229) 386-3340

US FDA - Center for Veterinary MedicineVoice ........................................................................................................... 240-402-7002www.fda.gov/about-fda/fda-organization/office-foods-and-veterinary-medicine

USDA APHIS Veterinary Services (Meat and Poultry Hotline)Voice ............................................................................................................. 770-761-5420Website ............................................................................................ www.fsis-usda.gov

USDA Veterinary ServicesVoice ........................................................................................................ .(770) 922-7860Website .........................................................................................www.aphis.usda.gov

US Drug Enforcement AgencyVoice ......................................................................................................... (202) 307-1000Website ........................................................................................................www.dea.gov

Georgia NPIPVoice ..........................................................................................................(770) 766-6810Website .........................................................................www.gapoultrylab.org/npip

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GVMA Recent Graduate Handbook 7

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8 GVMA Recent Graduate Handbook

Power of Ten is a GVMA initiative designed to help

recent graduates develop foundational skills in

leadership, communication, and business.

How It Works

Ten participants will be selected from the applicant pool to participate inthe Power of Ten leadership academy. Participants will join a network ofpeers in a series of learning experiences through the year-long program.Power of Ten is a pathway to help recent graduates answer questions like:

• I graduated and I’m in practice – but how can I get a bettergrasp on what makes me tick?

• Now that I have a technical staff , how can I form, manage andlead an effective team?

• Who am I in the bigger picture, and what can I give to my family,my community, and my profession that will be my legacy?

The Power of Ten Leadership Academy creates a sense of community and participants build lasting bonds with other members of the class.

In-person learning experiences are scheduled to minimize the impact onworking hours - and the entire program is designed to garner support frompractice owners who recognize their key responsibility in developing humanresources. Participants will also have the opportunity to participate in VetSouth, the GVMA’s Fall Convention.

Two Power of 10 curriculum coaches are assisted by a team of subject matterexperts, veterinary mentors, and certified facilitators in helping Power of 10participants grow through in-depth, high-impact learning experiences.

Participants will receive full tuition scholarships to the program. GVMA willprovide food for gatherings, coaches and the curriculum team, and lodgingfor the initial gathering; participants are otherwise responsible for their ownlodging if needed and for transportation to all learning experiences.

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GVMA Recent Graduate Handbook 9

Key Benefits

Through the Power of Ten, participants will:• Develop a fundamental understanding of leadership skills and

emotional intelligence• Deepen comprehension of communication styles and skills• Acquire critical skills to intensify business acumen• Gain the competency to utilize these skills within one’s life,

practice, and community• Heighten awareness of one’s self and better understand how to

maximize interactions with others• Experience a supportive environment that fosters meaningful

interpersonal relationships and collaborative, lifelong interactions

Sign-up todayhttps://www.gvma.net/power-of-ten for more information.

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10 GVMA Recent Graduate Handbook

Getting Your New Veterinary License

Veterinarians in Georgia are licensed by the Professional Licensing Board atthe Georgia Secretary of State’s Office. The application process can be daunting for a new graduate, so the GVMA has created this easy step-by-step list for your convenience.

Step 1: Go to the veterinary licensing board website - www.sos.ga.gov/index.php/licensing/plb/53

Step 2: Click on the “Application/Form Downloads” button and then on“Application - Veterinary Medicine”.

Step 3: Print the license application and complete the form

Step 4: Get the application notarized (all applications must be notarized)

Step 5: Obtain the following items to mail with your notarized application

• $100 APPLICATION FEE (non-refundable) – it is best to send a check ormoney order made out to the Georgia Secretary of State ProfessionalLicensing Board.

• VERIFICATION OF VETERINARY COLLEGE EDUCATION – this form mustbe completed by the Academic Affairs Department at the UGA Collegeof Veterinary Medicine.

• NATIONAL BOARD SCORES - If you have previously taken the NAVLE,NBE &/or CCT, you must have the scores transferred to the GeorgiaBoard by contacting AAVSB at http://www.aavsb.org/VIVA.

• GEORGIA LAW EXAM: You must take and submit a completed LawExam with a passing score. The exam can be downloaded from licensingboard website at http://www.sos.ga.gov/plb/veterinary, and link toApplication/Form Downloads. HINT: all the answers to the test questionscan be found online, and all the answers must be correct or yourapplication will be returned to you, increasing your application time.

• OFFICIAL TRANSCRIPT – sent directly from the school, showing Doctorof Veterinary Medicine Degree and date awarded. For transcripts visitwww.reg.uga.edu/transcripts

• SECURE AND VERIFIABLE DOCUMENT –the following are acceptable forms:

o A United States passport or passport card.o A United States military identification card.o A driver’s license or identification card issued by one of the United

States, the District of Columbia, the Commonwealth of Puerto Rico,Guam, the Commonwealth of the Northern Marianas Islands, theUnited States Virgin Island, American Samoa, or the Swain Islands.

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GVMA Recent Graduate Handbook 11

o A tribal identification card of a federally recognized NativeAmerican tribe identification.

o A United States Permanent Resident Card or Alien RegistrationReceipt Card.

o An Employment Authorization Document that contains aphotograph of the bearer.

o A passport issued by a foreign government.o Visit the veterinary licensing board – www.sos.ga.gov/index.php/

licensing/plb/53 – for other forms of secure andverifiable documentation.

Step 6: Place all documents in a 9 X 12 envelope with pages unstapledand unfolded. Mail the application to:Georgia State Board of Veterinary Medicine237 Coliseum Drive, Macon, Georgia 31217

Other Important Information• Keep the application checklist for your records, recording the date

information was submitted.

• Keep a copy of your application.

• If any item is missing, incomplete or incorrect, your application cannotbe reviewed by the Board.

• You will be notified of your completed application via email. You willnot receive a paper veterinary license.

• The application process may take up to 25 days. An application is notdeemed as complete until all documentation has been received,reviewed and processed.

• If you have not received notification from the Secretary of State’s Officethat you are licensed you may not practice veterinary medicine. If youbegin employment after graduation from veterinary school but beforeobtaining approval of your licensure, you are considered an unlicensedprofessional and can only work as a Veterinary Assistant. Visit the GVMAwebsite at www.GVMA.net and look for the Scope of Practice –Veterinary Assistants for the limitations.

Questions?There is an FAQ page on the licensing board website at www.sos.ga.gov/index.php/licensing/plb/53 or call the Professional Licensing Board at478-207-2440.

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12 GVMA Recent Graduate Handbook

Georgia Licensure Information

1. What are the licensure requirements? What are the associated fees?

Veterinary Licensure Requirements:• Completed application• Fees as appropriate• $100 non-refundable application fee• Completed application for the Veterinary Licensing Examination (NAVLE)

$525 fee (check NAVLE website for most current fees) submitted along with the NAVLE application directly to:National Board of Examination Committee for Veterinary MedicinePO Box 1356, Bismarck, ND 58502

• Color Photograph taken within last 90 days• Verification of graduation from College of Veterinary Medicine• Foreign graduates must submit proof/certification of enrollment in the

ECFVG from the American Veterinary Medical Association• Foreign graduates must submit a copy of the ECFVG certificate before a

license is issued

To be considered for licensure, applicants must submit passing scores fromthe NAVLE. If you have previously taken the CCT and the NBE and been unsuccessful in passing any section of these exams – you are now required to sit for the NAVLE.

Applicants who have previously successfully completed the NBE and CCTexams must submit certifi ed copies of scores which can be obtained from:Professional Examination Service475 Riverside Drive, New York, NY 10115

2. Where can I find the veterinary medicine application?The application package and other various forms are located online atwww.sos.state.ga.us/cgi-bin/plbforms.asp?board=07

3. How long does it take to receive a license after submitting all requiredforms and documents?Once the board office receives your passing score from the testing vendorand receives your licensure fee, a license number will be generated for you.The process generally takes four to six weeks.

4. Does Georgia have reciprocity with other states?No, the Georgia State Board of Veterinary Medicine does not provide forlicensure by reciprocity.

5. I am a foreign graduate. Can I obtain a Georgia license?If you did not graduate from an American Veterinary Medical Association(AVMA) approved veterinary college, you must go through the EducationCommission for Foreign Veterinary Graduates (ECFVG) before you can sit forthe examination. For information on the ECFVG program, you may contactthe AVMA, which sponsors the ECFVG program, at 1.800.248.2862.

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GVMA Recent Graduate Handbook 13

If you are already enrolled in the program or if you have completed the program, you must submit proof/certification of the ECFVG from the AVMA.

License Renewal Information

1. When is my license up for renewal?Every veterinarian is on the same renewal cycle. The cycle ends December 31of even numbered years.

2. How do I renew my license?Complete the renewal application that will be mailed to you at time of renewal, or you may renew on-line at: http://sos.ga.gov/index.php/licensing/plb/53/veterinary_medicine_licensure_information

3. How many continuing education credits do I need for renewal?You are required to take 30 hours every two year cycle. Veterinarians arerequired to take two of these hours in legal, ethical and professional training.See the section on LEAP CE for more information.

4. This is my first renewal – am I required to take continuing education?A veterinarian licensed on an odd numbered year must obtain 15 hours ofcontinuing education. A veterinarian licensed during an even numbered yearof a biennium is exempt from obtaining continuing education for that renewalperiod. After this time period, the entire 30 hours is required for each renewal.

5. Can I carry over any credits I earn over the required 30 hours?No. Credits earned must be within the required two-year renewal period. Additional credits earned will not count towards the next renewal period. Credits earned outside the two-year period will be credited towards the next renewal period.

continued on next page

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14 GVMA Recent Graduate Handbook

6. Will the board keep track of my continuing education hours?No, it is the responsibility of the licensee to keep track of his or her continuingeducation hours. If you are audited by the board, you will be required to showproof of your CE hours by producing your CE certificates for the events youattended.

7. Must I submit my CE hours to the Board office?Only those Veterinarians randomly selected for Continuing Education auditmust submit proof of their CE credits along with their renewal application.You will receive specific instructions if you are chosen for an audit.

8. How do I submit a name and/or address change?The Board will accept address changes via letter or fax at (478) 207-1699. Aname change request must be submitted in writing accompanied by supporting legal documents.

Special Licenses

1. How do I get my Drug Enforcement Agency license?You must contact the Drug Enforcement Agency at 1-800-882-9539 or www.deadiversion.usdoj.gov/drugreg/process.htm. A DEA license is requiredfor all veterinarians writing prescriptions for controlled drugs. Your licensecovers only you as an individual and cannot by used by other individuals.

2. USDA accreditation to write health certificatesThe U.S. Department of Agriculture, Animal and Plant Health InspectionService (APHIS), Veterinary Services (VS), administers the National VeterinaryAccreditation Program (NVAP). This voluntary program certifies private veterinary practitioners to work cooperatively with federal veterinarians and state animal health officials.

Georgia Veterinary Services OfficeUSDA, APHIS, VS1498 Klondike Rd., Suite 200Conyers, GA 30094(770) 922-7860 / Fax (770) [email protected]

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GVMA Recent Graduate Handbook 15

Georgia Continuing Education Requirements

Each veterinarian licensed to practice in the State of Georgia must obtain30 hours of State Board approved continuing education every two yearsfor license renewal. Of the 30 hours required, two per renewal period mustbe acquired in Georgia laws, rules and professionalism. Of the two hours;one must be acquired in person. Georgia licensees who do not practice inthe State of Georgia are not required to meet the two hour requirement inGeorgia laws, rules and professionalism. A veterinarian may not carry overcontinuing education credits from one biennium license renewal period tothe next.

At the time of license renewal on years ending with an even number, eachveterinarian shall certify to the Georgia State Board of Veterinary Medicinethat he/she has completed the continuing education required for licenserenewal.

A veterinarian licensed during the first year of a biennium must obtain 15hours of continuing education and is not required to meet the two hour requirement in Georgia laws, rules and professionalism. A veterinarian licensed during the second year of a biennium is exempt from obtaining continuing education for that renewal period. After this time period, the entire 30 hours is required for each renewal.

In the event that a veterinarian fails to verify or submit documentation of continuing education credits at the same time of renewal of his/her license, the Board will not process the renewal until continuing education requirements have been met and proof has been received and approved by the State Board. If documentation of continuing education is requested and not received by the Board prior to the expiration date, the license will expire.

Each veterinarian must maintain a record of credit hours earned and proof ofattendance of such hours for a period of three years from the date of the preceding renewal period and must provide documentation to the State Board upon request.

Veterinarians who attend programs where more than one course is taughtmust maintain proof of the courses attended and the number of hoursawarded for each course.

CE requirements continued on next page

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16 GVMA Recent Graduate Handbook

CE requirements continued from previous page

Credit hours may be earned as follows:

• One hour may be given for each 50 minutes of contact time. Seminars are composed of lectures or labs; welcoming remarks, business sessions, unstructured demonstrations or degree programs are not considered seminars.

• 15 hours of interactive computer generated courses will be allowed. Followup testing is required.

• A maximum of 12 hours will be allowed per calendar day.

• A maximum of six hours for veterinarians can be acquired through in house training at the licensees’ place of employment.

• A maximum of 10 hours can be acquired through in house training for veterinary faculty at AVMA accredited institutions.

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LEAP CE

According to rule 700-7-.03, the Georgia State Board of Veterinary Medicine requires Georgia veterinarians to obtain continuing education (CE) in Georgia laws and rules, and legal, ethical and professional issues.

What is LEAP CE?LEAP (Legal, Ethical and Professional) CE is an education program created bythe GVMA to help veterinarians meet requirements from the Georgia StateBoard of Veterinary Medicine.

How many hours of LEAP CE are required?Veterinarians must have at least two hours of their 30 required hours ofcontinuing education in Georgia laws and rules, and legal, ethical andprofessional issues each biennial licensure period. Veterinary technicians are required to have one hour per licensure period.

How do I know what CE is approved?The simple answer is to attend the GVMA LEAP CE offerings. The GVMA hasworked directly with the State Board to create approved CE for all GVMA LEAP programs. If you are uncertain whether the CE you obtained from non-GVMA events meets the requirements contact the Georgia State Board of Veterinary Medicine at 478-207-2440.

Where can I get LEAP CE?The GVMA works hard to include LEAP CE in its two major conferences duringthe summer and fall, as well as multiple two-hour sessions throughout thestate. Visit www.gvma.net for specific dates and locations. The GVMA also has resources to provide LEAP CE throughout the state.

How much does LEAP CE cost?LEAP CE is free for all GVMA members, and free registration for LEAP CE only is available for members at any meeting where LEAP CE is offered. If attending non-LEAP CE, regular registration rates apply. Registration rates will also apply to non-GVMA members.

LEAP CELegal, Ethical & Professional

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Georgia State Board of Veterinary Medicine

What are the functions of the Georgia State Board of Veterinary Medicine?The board regulates individual practitioners of veterinary medicine andrequires each licensed veterinarian to maintain minimum standards of care, at the facility where he or she is employed, as set forth in the Board’s rules.

Contact Information237 Coliseum Drive, Macon, GA 31217 (478) 207-2440

What are the statutes and rules that govern veterinary medicine in thestate of Georgia?The practice of veterinary medicine in Georgia is governed by the State ofGeorgia and the laws created by its legislature. These laws can be found at – Title 43, Chapter 50 of the Official Code of Georgia Annotated.

The Veterinary Practice Act is the section of the Georgia code that specifically applies to the practice of veterinary medicine in Georgia. The complete Veterinary Practice Act can be found on the GVMA website at www.GVMA.net.

The State of Georgia has also given the Georgia State Board of VeterinaryMedicine the ability to create rules, in addition to the law, that veterinariansmust abide by. These rules can be found on the website of the state board atsos.georgia.gov/plb/veterinary

Rules of the State Board of Veterinary MedicineOrganization – Chapter 700-1

Qualifications for admission to examination – Chapter 700-2

Examination – Chapter 700-3

Temporary License – Chapter 700-4

Faculty license – Chapter 700-5

Registration of veterinary technicians – Chapter 700-6

Renewal of license – Chapter 700-7

Unprofessional conduct – Chapter 700-8

Procedural rules – Chapter 700-9

Fees – Chapter 700-10

Inactive status – Chapter 700-11

Minimum standards – Chapter 700-12

Veterinary specialist – Chapter 700-13

Scope of practice for veterinary technicians – Chapter 700-14

Scope of practice for veterinary assistants – Chapter 700-15

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GVMA Recent Graduate Handbook 19

Five ways to avoid complaints to the Georgia State Board of Veterinary Medicine

1. Communicate plainly and show compassion when appropriate.A majority of cases that come before the State Board of VeterinaryMedicine involve some sort of communication issue, whether the clientdidn’t understand instructions and therefore didn’t comply with recommendations, the veterinarian failed to listen to and understand the client and case, or the animal owner felt the veterinarian lacked compassion, care, concern and sorrow for the outcome of the pet’s health. The next time you are in a difficult situation with a client, remember nothing is gained in life from impatience, jealousy, arrogance, rudeness, and failing to say “I am sorry.” Let your clients know that you share their sorrow, have concern for the health of their animal, or grieve for their loss.

2. Do not criticize other veterinarians. Veterinarians who speak poorlyof the performance of others may become involved in a State Boardcomplaint and, if the owner takes the issue to court, may be called as awitness against a colleague. Perhaps the symptoms the original veterinarian observed are totally different from the symptoms seen later.

3. Document the written record completely. The medical record is theprimary means of protecting yourself and could be your best defense.Obtain client consent whenever possible. Any type of negative interactionwith an animal owner should be noted in the record.

4. Obey the law. The American Bar Association labelled veterinarymedicine an untapped resource for future income. Several U.S. lawschools have specialized animal law degrees, and many law schoolsare now teaching their students and graduates how to bring lawsuitsagainst veterinarians.

5. Assistants are not Technicians. In addition to exclusive veterinarianduties – such as making a diagnosis or prognosis; prescribing treatments,medications, or appliances; performing surgery; and administeringrabies vaccine – there are several functions that are prohibited forassistants, including: • performing non emergency intubation, central venous catherization and arterial catherization • inducing anesthesia • arterial collection for any animal • identifying himself/herself as a veterinary technician

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Practicing Veterinary Medicine in Georgia

Activities not prohibited (Georgia Code – 43-50-44)(1)(A) An employee of the federal, state, or local government or any contractualpartner thereof from performing his or her duties relating to animals owned by or on loan to such employer or the control of stray animals; or

(B) Any employee of a public or private college or university from performinghis or her duties relating to animals owned by or on loan to such employer;

(2) A person who is a regular student in a veterinary school or school of veterinary technology performing duties or actions assigned by his or her instructors or working under the supervision of a licensed veterinarian;

(3) A person, compensated or otherwise, from performing acceptable livestock management practices, which practices shall include, but not be limited to, castration of food animals, dehorning without the use of prescription drugs or surgical closure of wounds, hoof trimming or shoeing, docking, ear notching, removing needle teeth, testing for pregnancy, implantation of over-the-counter growth implants, implantation of over-the-counter identification devices, artificial insemination, the use of federally approved over-the-counter products, branding, collecting of fluids for genetic identification and classification, semen collection and storage, and the use of ultrasound for collection of production data and similarnondiagnostic purposes;

(4) A person assisting with a nonsurgical fetal delivery in a food animal, provided that no fee is charged;

(5) The actions of a veterinarian currently licensed in another state, province of Canada, or a United States territory in consulting with a licensee of this state but who: (A) Does not open an office or appoint a place to do business within this state; (B) Does not print or use letterhead or business cards reflecting in-state addresses; (C) Does not establish answering services or advertise the existence of a practice address within this state; (D) Does not practice veterinary medicine as a consultant rendering services directly to the public without the direction of a licensed veterinarian of this state more than two days per calendar year; and (E) Is providing services for an organization conducting a public event lasting less than ten days that utilizes animals in need of veterinary examinations, treatments, or oversight to promote the safety and health of the public, the event, and the animal participants; provided, however, that a veterinarian licensed in another state who practices veterinary medicine on animals belonging to residents of this state by communicating directly with such owners and independent of the attending veterinary licensee is not exempt from this state’s licensing requirements;

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Article 1. General Provisions

43-50-1. Short title43-50-2. Legislative purpose43-50-3. Definitions

Article 2. State Board of Veterinary Medicine43-50-20. Creation of board; members; qualifications; vacancies; expenses; meetings; officers43-50-21. General powers of board; liberal construction of powers Article 3. Licensing: Part 1. Veterinarians43-50-30. License requirement for practice of veterinary medicine; practice by business employee43-50-31. Application for license; qualifications; recordation of license and issuance of certificate of registration Article 3. Licensing: Part 2. Licensing Generally43-50-40. Renewal of licenses and registrations; reinstatement; waiver of fee; continuing education; inactive status43-50-41. Disciplinary action; subpoenas; judicial review; reinstatement; investigatory powers; immunity; failure to appear; voluntary surrender of license or registration43-50-42. Issuance and renewal of temporary license by board Article 3. Licensing: Part 3. Veterinary Technicians43-50-50. Purpose of part43-50-51. Practice of veterinary technology by veterinary technician43-50-52. Application for registration as veterinary technician;

qualifications; examination; renewal; applicants registered in other states; board’s responsibility43-50-53. Administration of examinations; reexamination; reactivation43-50-54. Supervision required; prohibited activities of technician43-50-55. Posting notice of use of veterinary technicians; proper identification; limitation on number of technicians supervised and employed; exception43-50-56. Veterinarian responsible for veterinary technician’s violations of limitations on duties Article 3A. Veterinary Assistants43-50-53. Administration of examinations; reexamination; reactivation43-50-54. Supervision required; prohibited activities of technician43-50-55. Posting notice of use of veterinary technicians; proper identification; limitation on number of technicians supervised and employed; exception43-50-56. Veterinarian responsible for veterinary technician’s violations of limitations on duties Article 3A. Veterinary Assistants43-50-60. Purpose43-50-61. Practice of veterinary technology by a veterinary assistant43-50-62. Supervision required; prohibited uses of veterinary assistant43-50-63. Posting notice of use of veterinary assistant; proper identification required43-50-64. Veterinarian ultimately responsible for violations of veterinary assistant

Veterinary Practice ActThe following is a table of contents for the Veterinary Practice Act. The full text can be found at www.gvma.net/georgia-veterinary-practiceact/.

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22 GVMA Recent Graduate Handbook

(6) Any merchant or manufacturer selling, at his or her regular place of business, medicines, feed, appliances, or other products used in the prevention or treatment of animal diseases. This shall not be construed to authorize the sale of medicines which must be obtained by a prescription from a pharmacist but shall only include the right to sell those medicines which are classified as proprietary and which are commonly known as over-the-counter medicines;

(7) (A) The owner of an animal or the owner’s full-time regular employee caring for and treating the animal belonging to such owner; or (B) The owner’s friend or relative caring for or treating the animal belonging to such owner, provided that no fee is charged and the friend or relative does not solicit, advertise, or regularly engage in providing such care or treatment or administer or dispense prescription drugs without a valid prescription;

(8) The owner, operator, or employee of a licensed kennel, animal shelter, or stable or of a pet-sitting service providing food, shelter, or supervision of an animal or administering prescription drugs pursuant to prescription of a licensed veterinarian or over-the-counter medicine to an animal;

(9) A member of the faculty, a resident, an intern, or a graduate student of an accredited college or school of veterinary medicine or school of veterinary technology performing his or her regular nonclinical functions or a person lecturing or giving instructions or demonstrations at an accredited college or school of veterinary medicine or school of veterinary technology in connection with a continuing education course or seminar;

(10) Any person selling or applying any pesticide, insecticide, or herbicide;

(11) Any person engaging in bonafide scientific research which reasonably requires experimentation involving animals;

(12) Any person performing artificial insemination;

(13) An employee of a licensed veterinarian administering prescribed care to an animal under the appropriate supervision of the veterinarian;

(14) A graduate of a foreign college or school of veterinary medicine who is in the process of obtaining the ECFVG certificate or its substantial equivalent performing duties or actions under the direct supervision of a licensed veterinarian;

(15) The owner of an animal, the owner’s employee, or a member of a nationally recognized organization that acknowledges individuals performing embryo transfer or artificial breeding and which organization is approved by the board from: (A) The nonsurgical removal of an embryo from an animal for the purpose of transplanting such embryo into another female animal, cryopreserving such embryo, or implanting such embryo in an

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GVMA Recent Graduate Handbook 23

animal, provided that the use of prescription medications in such animals is maintained under the direction of a licensed veterinarian with a valid veterinarian-client-patient relationship; or (B) The testing and evaluation of semen; (16) Any other licensed or registered health care provider utilizing his or her special skills so long as the treatment of the animal is under the direction of a licensed veterinarian with a valid veterinary-client-patient relationship;

(17) A person performing soft tissue animal massage or other forms of soft tissue animal manipulation;

(18) A person performing aquaculture or raniculture management practices;

(19) A person implanting electronic identification devices in small companionanimals; or

(20) An employee or contractual partner of a zoological park or aquarium accredited by the American Zoo and Aquarium Association or other substantially equivalent nationally recognized accrediting agency as determined by the board from performing his or her duties that are approved by a licensed veterinarian and relate to animals owned by or on loan to such zoological park or aquarium.

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24 GVMA Recent Graduate Handbook

Scope of Practice for Veterinary TechniciansState Board Rules 700-14-.01 through 700-14-.04

The purpose of this chapter is to outline thescope of practice for veterinary technicians and the level of supervision required when veterinary technicians perform assigned tasks.

Immediate Supervision (700-14-.01)A veterinary technician working under thedirection of a licensed veterinarian may provide the following animal patient care under immediate supervision: • surgical assistance

Direct Supervision (700-14-.02)A veterinary technician working under thedirection of a licensed veterinarian mayprovide the following patient care under direct supervision: • euthanasia • administration of blood or blood components to animal patients • application of splints and slings • dental procedures including, but not limited to the removal of calculus, soft deposits, plaque and stains; the smoothing, filing, and polishing of teeth; or the floatation or dressing of equine teeth • non-emergency intubations • induce anesthesia • maintenance of anesthesia • assisting any duly licensed veterinarian in the measuring of quantities of medication, but excluding the dispensing, compounding, or mixing of drugs • dental extraction not requiring sectioning of the tooth or the resectioning of bone • perform central venous • perform arterial catherization/arterial collection

Definitions

Immediate supervision means that the licensed veterinarian is in audible and visual range of the animal patient and the person treating the animal.

Direct supervision means that the licensed veterinarian is on the premises and is quickly and easily available and that the animal patient has been examined by a licensed veterinarian at such time as acceptable veterinary medical practice requires, consistent with the particular delegated animal health care task.

Indirect supervision means the licensed veterinarian is not on the premises but has given either written or oral instructions for the treatment of the animal patient and the animal has been examined by a licensed veterinarian at such times as acceptable veterinary medical practice requires, consistent with the particular delegated health care task. Not Allowed means the specified group is not allowed to perform this task.

RVT - has passed the National Veterinary Technician Exam and hasregistered with the Georgia State Board of Veterinary Medicine.

Assistant - has ‘on the job training’ or a single year of formal training.

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Indirect Supervision (700-14-.03)Animal Patient CareA veterinary technician working under the direction of a licensed veterinarian may provide the following animal patient care under indirect supervision:

• administration and application of treatments, drugs, medications and immunological agents by oral, parenteral and injectable routes, excluding rabies vaccine for animals required to receive a rabies vaccine by Georgia law • initiation of parenteral fluid administration • intravenous catheterizations • radiography including settings, positioning, processing, and safety procedures • collection of blood for diagnostic purposes; collection of urine by expression, cystocentesis, or catheterization; collection and preparation of tissue, cellular, or microbiological samples by skin scrapings, impressions, or other nonsurgical methods for diagnostic purposes • routine laboratory test procedures • supervision of the handling of biohazardous waste materials • blood or blood component collection and preparation for transfusion

Emergency CareA veterinary technician working under the direction, supervision and control of a duly licensed veterinarian may provide the following emergency animal patient care under indirect supervision:

• application of tourniquets and/or pressure bandages to control hemorrhage • resuscitative procedures • application of temporary splints or bandages to prevent further injury to bones or soft tissues • application of appropriate wound dressings and external supportive treatment in severe wound and burn cases • external supportive treatment in heat prostration cases

Additional Care • Grooming procedures and non-invasive skin (topical) treatment • handling of biohazardous waste materials

Restrictions (700-14-.04)A veterinary technician is not permitted to do the following:

• make any diagnosis or prognosis • prescribe any treatments, drugs, medications, or appliances • perform surgery • administer a rabies vaccine to any official vaccinate

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26 GVMA Recent Graduate Handbook

Scope of Practice for Veterinary AssistantsChapter 700-15, Rule 700-15-.01 through 700-15-.04

The purpose of the chapter is to outline the supervision responsibilities forveterinary assistants and the supervision required when veterinary assistantsare assigned animal care tasks.

Immediate Supervision (700-15-.01)A licensed veterinarian is responsible to assure that the following tasks beingperformed by veterinary assistants is under immediate supervision:

• surgical assistance• maintenance of anesthesia• application of splints and slings

Direct Supervision (700-15-.02)A licensed veterinarian is responsible to assure that the following tasks beingperformed by veterinary assistants is under direct supervision:

• intravenous catheterizations• collection of blood for diagnostic purposes; collection of feces: collection

of urine by expression; collection and preparation of tissue, cellular,or microbiological samples by skin scrapings, impressions, or othernonsurgical methods except when in confl ict with governmentregulations

• dental procedures including, but not limited to the removal of calculus,soft deposits, plaque and stains; the smoothing, fi ling, and polishing ofteeth; or the fl oatation or dressing of equine teeth

• routine laboratory test procedures• radiology assistance• assisting any duly licensed veterinarian in the measuring of quantities of

medication, but excluding the dispensing, compounding, or mixing ofdrugs

Indirect Supervision (700-15-.03)Animal Patient CareA licensed veterinarian is responsible to assure that the following tasks beingperformed by veterinary assistants is under indirect supervision:

• administration and application of treatments, drugs, medicationsand immunological agents by oral, parenteral and injectable routes(subcutaneous, intramuscular, and patent intravenous catheter),excluding rabies vaccine for animals required to receive a rabies vaccineby Georgia law

• grooming procedures and non-invasive skin (topical) treatment• handling of biohazardous waste materials

Emergency CareUnder conditions of an emergency, veterinary assistants may render thefollowing life-saving aid and treatment after identifying himself/herself as aveterinary assistant:

• application of tourniquets and/or pressure bandages to controlhemorrhage

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"Money"

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GVMA Recent Graduate Handbook 27

• administration of parenteral fluids shall only be performed after directcommunication with a duly licensed veterinarian, and such veterinarianis either present or enroute to the location of the distressed animal

• resuscitative procedures• application of temporary splints or bandages to prevent further injury

to bones or soft tissues• application of appropriate wound dressings and external supportive

treatment in severe wound and burn cases• external supportive treatment in heat prostration cases

Restrictions (700-15-.04)A veterinary assistant is not permitted to do the following:

• make any diagnosis or prognosis• prescribe any treatments, drugs, medications, or appliances• perform surgery• administer a rabies vaccine to an official vaccinate• identify himself/herself as a veterinary technician

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28 GVMA Recent Graduate Handbook

Requirements to Apply for USDA Veterinary Accreditation

USDA accreditation is needed for any veterinarian that wants to write health certificates for interstate movement or for any other purpose it would be required. There are 2 levels—level 1 and 2.

Level 1 is primarily for small animal veterinarians.Level 2 is for vets that will work with livestock, horses and small animals. Each requires a different amount of modules to be completed for renewal.Level 1—3 modulesLevel 2—6 modules FYI: Accreditation is state specific so if you move to another state, you must get accredited in that state. USDA accreditation is free!

A candidate for veterinary accreditation must fulfill the following requirements:

1. Graduate from a school of veterinary medicine

2. Submit an application (the application includes your certification of the 16 performance tasks) to the Area Office. The 16 performance tasks are as follows:

Applicants for accredited status must be able to:

• Perform physical examinations of individual animals, and visually inspect herds or flocks, to determine whether the animals are free from any clinical signs suggestive of communicable disease;

• Recognize the common breeds of livestock so as to be able to record breed information on official documents;

• Recognize brucellosis tattoos and calfhood vaccination tags, and determine the state of origin of eartags, to properly identify animals in interstate commerce;

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GVMA Recent Graduate Handbook 29

• Estimate the age of livestock using a dental formula;

• Apply an eartag, tattoo, backtag, and legband;

• Certify the disease status of a poultry flock with regard to disease caused by Salmonella enteritidis, chlamydiosis and exotic Newcastle disease, by evaluating records of the flock’s participation in and testing by Federal and State poultry health programs;

• Properly complete certificates for domestic and international movement of animals;

• Apply and remove official seals;

• Perform a necropsy on livestock;

• Recognize clinical signs and lesions of exotic animal diseases;

• Plan a disease control strategy for a livestock unit;

• Vaccinate for brucellosis and fill out the vaccination certificate;

• Draw and ship blood for testing;

• Perform a caudal fold test for tuberculosis;

• Develop appropriate cleaning and disinfection plans to control communicable livestock disease spread; and

• Explain basic principles for control of diseases for which APHIS or APHIS-State cooperative programs exist, such as brucellosis, pseudorabies, and tuberculosis.

3. Complete a core orientation session (note: this is normally given while you are still in school)

4. Complete a supplemental orientation if required by the Area Veterinarian in Charge (AVIC) in cooperation with the State Animal Health Official (SAHO)

5. Be licensed or legally able to practice without supervision in the State in which the candidate applies

6. Obtain application approval

Application information is also available on their website at:www.aphis.usda.gov

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30 GVMA Recent Graduate Handbook

Record Keeping

GA State Board Rule 700-12-.04 addresses the proper maintenance ofpatient records.

(1) Complete, accurate and legible records must be maintained on all animals, or animal groups, including but not limited to, animal owner information, animal identification, and veterinary care. (A) All records must be maintained for a minimum of 3 years (including diagnostic imaging and other patient data). (b) The veterinarian must furnish clients with an established mailing address for obtaining medical records.

Authority O.C.G.A. Secs. 43-1-25, 43-50-21, 43-50-41. History. Original Rule entitled “Record Keeping” adopted. F. Apr. 8, 2004; eff . Apr. 28, 2004

This Rule can also be found at the following links:http://rules.sos.state.ga.us/GAC/700-12-.04 or http://rules.sos.state.ga.us/gac/700-12

Legal Considerations for Medical Records

Patient records should be retained at least 1 year past the longest statute of limitations for a cause of action (torts such as malpractice, ordinary negligence, breach of contract, injury to personal property, etc.) in the state where the practice is located.

In Georgia the statute of limitations for negligence (ordinary or professional) is 2 years, whereas a breach of contract action varies among states from 3-5 years. A conservative estimate of the retention time is 5-6 years in Georgia.

Statute of LimitationsThere are several factors, especially in Georgia, which can act to toll thestatute of limitations, i.e., acts or events that delay or not allow the “clock to start ticking”. Please consult an attorney. regarding specific cases.

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Minimum Record StandardsGeorgia Code 700-8-.01(c) Failure to Maintain Patient Records:

1. A veterinarian shall prepare and maintain a record reflecting the care and treatment of animals treated.

2. These records shall contain clinical information sufficient to justify the diagnosis and warrant treatment and shall, if applicable, include but not be limited to the following information: (i) Name, address and telephone number of the animal’s owner; (ii) Name of attending veterinarian and staff rendering care;

(iii) Patient identification, including name, ages, sex and breed; (iv) Dates of examination, treatment and custody of the animal; (v) Patient history; (vi) Presenting complaint; (vii) Vaccination history; (viii) Findings from physical examination, including temperature and weight; (ix) Clinical lab reports, if applicable; (x) Medication and treatment, including frequency; (xi) Anesthetic, including type and amount, if applicable; (xii) Details of surgical procedure with complications and/or abnormalities noted, if applicable; (xiii) Progress and disposition of the case; (xiv) Differential diagnoses; and (xv) X-rays if applicable.

3. All records shall be kept in a readily retrievable form, shall be recorded contemporaneously, and shall be filed promptly following treatment.

4. Patient records shall be kept by a veterinarian for three (3) years after a patient’s last visit, notwithstanding any other provisions of law.

5. All records are the sole property of the veterinarian, however, copies must be made available to the owner of the animal upon their written request. Such records must be made available within ten (10) business days from request. The veterinarian may charge a reasonable charge for the search, retrieval, duplication and, if applicable, mailing of the patient records.

6. Failure to keep records as required by this subparagraph shall constitute a failure to conform to the minimal standards of acceptable and prevailing veterinary medical practice.

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32 GVMA Recent Graduate Handbook

Releasing Medical Records

Q – I have a new client and I would like to get the patient’s records from the previous veterinarian. Can I just call and have them sent to me?

A – Patient medical records are the property of the veterinarian, however Board Rule 700-8-.01 (c)(5) requires copies of patient records (including x-rays) to be made available to the owner of an animal. You may charge a reasonable fee to the owner. There is no requirement that they be made available to other veterinarians. It is recommended that every veterinarian create a records request form that your client can fill out if they want a copy of the records.

Q – Do I have to release medical records even if the pet owner has not paidthe bill?

A – Records must be provided when requested by the owner per Board Rule700-8-.01 (c)(5). Outstanding balances can be sought through civil remedy.

Q – How long do we need to keep medical records and X-rays ?

A - This is text from the Rules of the Georgia State Board of VeterinaryMedicine. You can review all the rules at www.sos.state.ga.us/acrobat/PLB/Rules/chapt700.pdf

700-8-.01-3. All records shall be kept in a readily retrievable form, shallbe recorded contemporaneously, and shall be filed promptly followingtreatment. 4. Patient records shall be kept by a veterinarian for three (3) yearsafter a patient’s last visit, notwithstanding any other provisions of law.

Important note: the IRS requires records be kept for seven years, so be sureto make that distinction in your record keeping. Also, the three year ruleapplies whether the pet is living or deceased.

Releasing Pets

Q – Do I have to release the pet even if the pet owner has not paid the bill?

A – No. Every licensed veterinarian shall have a lien on each animal or pettreated by them while in their custody and under contract with the owner ofthe animal or pet for the payment of charges for the treatment of the animal.The veterinarian shall have the right to retain the animal until the charges arepaid.

Georgia Code 44-14-490. Lien for treatment, board, or care of animal; right to retain possession (a) Every licensed veterinarian shall have a lien on each animal or pet treated, boarded, or cared for by him or her while in his or her custody and under contract with the owner of the animal or pet for the payment of charges for the treatment, board, or care of the animal or pet; and the veterinarian shall have the right to retain the animal or pet until the charges are paid.

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(b) (1) As used in this subsection, the term: (A) “Charges” means: (i) Any charges, fees, expenses, and reimbursements which have been contracted for, agreed to, or otherwise mutually acknowledged by written agreement, course of conduct, or understanding, including but not limited to: (I) Board, care, services, and treatment of the animal or pet, whether provided by the operator or by a third party and incurred by the operator; (II) Farrier and veterinary fees and expenses incurred by the operator for or on behalf of the boarded animal or pet; and (III) Fees and expenses for transportation of the animal or pet; and (ii) Late payment fees, returned check fees, and all costs of collection, including but not limited to reasonable attorney’s fees and expenses of litigation and costs of sale. Charges shall not include fees, expenses, or commissions of any kind relating to purchase, sale, or lease of such animal or pet, other than a sale pursuant to Code Section 44-14-491.

Other related statutes

44-14-492. Disposition of sale proceedsWhen any animal or pet is sold as authorized in this part to satisfy a lien for any of the services enumerated in Code Section 44-14-490, any surplus realized from the sale after payment of the charges and any expenses incurred in making the demand for payment thereof in connection with the sale shall be paid to the owner of the animal or pet.

44-14-493. Necessity of other legal proceedingsOther than compliance with the requirements of this part, no legal proceedings shall be necessary for the enforcement of the lien created by this part.

44-14-494. Criminal liability under Code Section 44-14-491It shall not constitute a violation of Code Section 16-12-4 if a licensed veterinarian or an operator of a facility for boarding animals or pets disposes of an animal or pet as provided in Code Section 44-14-491.

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Abandoned Animals

Q – When is an animal/pet considered abandoned?

A – If charges for services are not paid within 10 days after the demand or if the animal/pet is not picked up within 10 days after the demand, which is made in person or by registered or certified mail with return receipt requested and addressed to the owner at the address given at the time the pet is dropped off - the animal/pet is considered abandoned. The 10day period begins on the date the demand is postmarked or the date the verbal demand is communicated in person and should be noted in the veterinarian’s or facilities file on the animal or pet.

Microchip ConsiderationsEvery companion animal, bird, and equid presented to a veterinarian should be scanned, whenever possible, for the presence of a microchip. In instances where the ownership of the animal is in question, if a microchip implant is detected, the veterinarian, or designated staff , should inform the client of this fact, provide the client with contact information for the microchip database company, and encourage the client to contact that company. The veterinarian should document in the patient’s medical record that he or she spoke to the client about these matters. The veterinarian is not expected to investigate nor resolve ownership disputes over an animal, nor should a veterinarian be held liable for relying on a client’s claim of ownership following scanning.

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Animal Abuse and Neglect

Animal cruelty has a direct link to human cruelty and acts of violence against society and is a state crime in Georgia. Under Georgia Law, a veterinarian maintains both civil and criminal immunity when reporting suspected animal cruelty or dog fighting. Veterinarians are not required to report suspected cruelty under the law, but should for several reasons.

Veterinarians are often the first individuals to see suspected cruelty, in private practice and shelter settings, and most often these cases are domestic violence related. Reporting initiates an investigation that often reveals other types of crimes are taking place in the home.

The AVMA mandates that veterinarians have an ethical obligation to reportsuspected abuse. If a veterinarian sees animal cruelty and fails to report it,not only does this fail to protect the animal, it also enables the perpetrator to continue the abuse. In certain cases, if the abuse was obvious and the animalwas treated but the crime not reported, the veterinarian may be charged with“aiding and abetting” or “conspiracy to commit” animal cruelty.

Because the Georgia Law grants immunity to veterinarians, the implication is also that the veterinarian is expected to cooperate with the investigation.

If a veterinarian has a good faith belief that his/her patient is a victimof a crime, that crime should be reported to the local animal control,police department or sheriff ’s office.

Veterinarians can also contact theprosecuting attorney in their

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Georgia Law About Animal Cruelty

O.C.G.A. § 16-12-4 Current through the 2018 Regular Session of the General AssemblyOfficial Code of Georgia Annotated > TITLE 16. CRIMES AND OFFENSES > CHAPTER 12.OFFENSES AGAINST PUBLIC HEALTH AND MORALS > ARTICLE 1. GENERAL PROVISIONS

1st & 2nd Offense In Georgia Are A Misdemeanor§ 16-12-4. 2-C(c)Any person convicted of the offense of cruelty to animals shall be guilty of a misdemeanor; upon the second or subsequent conviction of cruelty to animals shall be guilty of a misdemeanor of a high and aggravated nature.

3rd Offense Is A FelonyO.C.G.A. § 16-12-4 E(e)Any person convicted of the offense of aggravated cruelty to animals shall be guilty of a felony and shall be punished by imprisonment for not less than one nor more than five years, a fine not to exceed $15,000.00,

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36 GVMA Recent Graduate Handbook

jurisdiction. Have ready a detailed description of findings, name and address of suspect, photographs, x-ray or lab reports, and any evidence collected. It should be noted that the animal, live or deceased, is considered evidence of a crime. This evidence must be preserved until the investigation is complete.

A veterinarian should report the crime as soon as he/she suspects that a crime has occurred so law enforcement can take control of the evidence (animal) and direct further testing. Fast reporting will help with the prosecution ofcases. Law enforcement is more likely to discover a crime scene when reported right away.

Courts in Georgia do recognize a veterinarian/client privilege when there is pending legal action such as a veterinary malpractice claim or a criminal charge against a client. However, when reporting suspected cruelty and providing the above documents and evidence, it is not a violation of the veterinarian/client privilege because of the specific immunity provided by Georgia law. Licensed veterinarians in the state are not required to disclose any information concerning the veterinarian’s care of an animal except on written authorization or other waiver by the veterinarian’s client or on appropriate court order or subpoena. A veterinarian who does release information under above terms is not liable to the client or any other person.

If a veterinarian is involved in a civil or criminal legal preceding, the before mentioned privilege provided by Georgia’s Code is waived in the event that the veterinarian’s client or the owner of the animal places the veterinarian’s care and treatment of the animal or the nature and extent of injuries to the animal at issue in the hearing into question. For example, if the defendant in a criminal case or a party involved in a civil veterinary malpractice case opens the door and discusses the veterinarian’s care of the animal during the hearing, then the veterinarian is free to discuss his/her treatment of the animal or the injuries the animal incurred.

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GVMA Recent Graduate Handbook 37

Radiation Safety Training

Did you know that your support staff helping with x-rays must have taken a 6-hour safety certification course? If you would like to read about it, check out the Radiation Control Act, O.C.G.A. – Chapter 31-13 and the Rules and Regulations for X-Ray, Chapter 290-5-22.

The law says your support staff must have this certification. If your hospital is inspected by the State Department of Human Resources, documentation must be presented indicating that your staff has received training. If you cannot provide this documentation your hospital could be fined.

The certification is to ensure that your staff and patients are safe and do not get exposed or have limited radiation exposure. The certification must begin within 30 days of hire and must be completed within 90 days. Since we cannot smell, taste, touch or see radioactivity, it is even more imperative that your staff understands the risk.

The GVMA has collaborated with RAD 101 Radiological Training to provide an online radiological safety class for your staff. Certificates of completion will be earned after passing the final exam.

Each GVMA member veterinarian can have staff register for the class at $75/person with a 20 % discount. Have a larger group that needs to get certified? Group purchases of 5 or 10 memberships are already discounted and then you get an additional 20% off with your GVMA Member discount code.

Learn more in the member section of https://www.gvma.net/radiology-certification-equipment-registration/

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Specialty Practice Areas

Q – What is required to represent myself as a specialist in a specific areaof practice?

A – Georgia State Board rule 700-13-.01 defines a Veterinary Specialist as aveterinarian who has completed the requirements to become a Diplomatewithin an AVMA-recognized veterinary specialty organization or as recognized by the ABVS or other Board-approved organizations, or has obtained an MS or PhD in a specific area or discipline in veterinary medicine.

Identifying yourself to the public as meeting these criteria if you do not willbe considered unprofessional conduct. The use of the terms “board eligible”or “board qualified” shall be used only by practitioners with certifi cation froman AVMA-recognized specialty organization or as recognized by the ABVS orother Board-approved organizations.

The rule does not prohibit the performance of specialty functions by aveterinarian who doesn’t meet these criteria as long as the veterinarian doesnot represent himself or herself as a specialist in the particular area of veterinary medicine.

OSHA

All animal hospitals are subject to OSHA rules, including but not limited to: • Recording and Reporting Occupational Inquiries and Illness • Walking-Working Surfaces Occupational Health and Environmental Control • Exit Routes-Emergency Action Plans and Fire Prevention Plans • Hazardous Materials • Hazardous Waste Operations and Emergency Response • Personal Protective Equipment • General Environmental Controls • Medical and First Aid • Fire Protection

For complete information, please visit www.OSHA.gov.

Wildlife Resources

Q – What is required in order for a veterinarian to treat wildlife?

A – You must be a licensed wildlife rehabilitator. This license is obtained from the Georgia Department of Natural Resources at 770-761-3044.

• Georgia Refuges• Banks Lake National Wildlife Refuge• Blackbeard Island National Wildlife Refuge• Bond Swamp National Wildlife Refuge• Eufaula National Wildlife Refuge• Harris Neck National Wildlife Refuge• Okefenokee National Wildlife Refuge• Piedmont National Wildlife Refuge• Savannah National Wildlife Refuge• Wassaw National Wildlife Refuge• Wolf Island National Wildlife Refuge

This list and additional information about each site can be found at www.fws.gov/georgia.

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GVMA Recent Graduate Handbook 39

Rabies Vaccination Protocols

In Georgia, only a licensed veterinarian may administer parenteral animal rabies vaccines (Animal Industry Rule 40-16-1-.09 and O.C.G.A. § 31-19-5). Any questions regarding cases of animal and/or human exposure, please contact the GA Department of Public Health @ 404-657-2588 or go to https://dph.georgia.gov/.This website will provide a link to the most recently updated Rabies Control Manual.

You can also contact your local health department and the animal control officer of your county for discussion of cases.

Rule 40-16-1-.09. Hazardous Biologicals, Authority to ImpoundBiologicals which are determined to be hazardous, and those biologicals not meeting the requirements as set out in these and any other rules and regulations or orders as may be promulgated by the Commissioner of Agriculture of this state and any laws as may pertain thereto, shall be subject to impoundment, confiscation, seizure, and any other action that may be deemed necessary to assure the proper control thereof. Biologicals and test antigens such as Brucella vaccine, Pseudorabies vaccine, Brucella antigen, and tuberculin are restricted for sale to and use by or under direction of a veterinarian accredited by the USDA and licensed under the Georgia Veterinary Practice Act, and employees of the state and federal government approved by the State Veterinarian; provided, however, that rabies vaccine may be sold to and used by any veterinarian licensed under the Georgia Veterinary Practice Act.

What does this mean? Veterinarians no longer have to be licensed and USDA accredited to administer rabies vaccines.

For questions about rabies please contact the Department of Public Health at 404-657-2588.

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40 GVMA Recent Graduate Handbook

Mental Health & Wellbeing Resources

The GVMA’s Wellness Committee’s charter is to identify, verify, assist and support veterinarians, family members or staff members who are impaired by reason of their addiction to or abuse of drugs, including alcohol. The committee also serves as an advocate for the impaired person with the family, state board, peers, employers and government enforcement agencies. Thanks to a partnership between the Georgia Veterinary Medical Association and QPR Institute Inc., GVMA members receive FREE Question-Persuade-Refer Suicide Training. Go to www.gvma.net/veterinary-wellness/ for more info.

NOTE: The information contained in these self-help documents is not to be used as a substitute for professional care. Neither the authors nor the Georgia Veterinary Medical Association (GVMA) assume liability for injury incurred by following the information presented in these self-help resource.

If you are thinking of harming yourself, PLEASE, PAUSE and:

Call 911.

Call a suicide prevention line (800) 273-8255 or (800) 784-2433.

Call your local county crisis line.

Talk to your friends or family…tell them you need their help.

Call a mental health care provider.

Give them a chance to help you.

Call your primary care provider.

Talk with someone at www.suicidepreventionlifeline.org/chat/

For help with substance abuse call The Georgia HELPLINE at 1-800-338-6745.

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Employee Assistance Program

Lending a Hand, When You Need it Most. The GVMA is providing a valuable benefit to all members and their immediate family members known as the Employee Assistance Program (EAP). We have partnered with McLaughlin Young Group, an independent provider of EAP services. There is no enrollment required and you are eligible to use the EAP through McLaughlin Young as of January 1, 2019.

The EAP offers help for personal and/or professional concerns by providing free, confidential, short-term counseling and personal consultation. Additionally, the EAP provides work-life resources for such issues as legal and financial consultations, online learning and resources.

The EAP has a network of counselors that are conveniently located. They can help you improve or resolve personal difficulties whether big or small, personal or work-related.

Some examples of concerns that the EAP addresses include:

• Family conflict • Depression and anxiety • Relationship issues • Work-related issues • Grief and loss • Alcohol or drug use • Stress • Legal and financial issues

Confidentiality is one of the most important features of the EAP. No one will know that you have used this resource unless you offer that information or unless someone’s safety is threatened. There is no cost to you for your phone calls or face-to-face visits with the EAP. The Georgia Veterinary Medical Association covers all expenses for this program.

GVMA Members – To seek assistance through the EAP, please visit www.gvma.net

Appointments are available during both daytime and evening hours. If you schedule appointments during work hours, it is your responsibility to make appropriate arrangements with your supervisor or Human Resource Director. The EAP is not designed to evaluate fitness for duty or authorize leave of absences but will provide referrals as needed.

Please take advantage of this wonderful benefit! The EAP staff at McLaughlin Young is available 24 hours a day, seven days a week, ready to assist you.

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What the GVMA is Not Able to Do

The GVMA cannot become involved in the enforcement of contractual matters or marketing policies. The GVMA cannot become involved in any activity that might be perceived as using the association’s influence to affect trade.

If you have concerns or complaints about any pharmacy whose practices appear to be contrary to FDA and other regulation and inconsistent with best patient care, you may fill out an AVMA complaint form.

Letter to clients regarding internet pharmacies

The Georgia Veterinary Medical Association recommends that you send the following response to your clients that request prescriptions for Internet pharmacies. Please remember to update this letter with your clinics information.

Dear Valued Client:The prescription you requested is attached. Please understand that the (Hospital or Clinic Name) does not comment on and cannot endorse the quality of medications obtained from any other pharmacy other than our own. We have complete confidence in, and stand behind, the prescription medications distributed by our pharmacy because we obtain them directly from nationally known and trusted drug manufacturers.

The doctors and staff at the (Hospital or Clinic Name)l care about the welfare and health of your pet(s) and we appreciate the trust that you put in our professional services and products. We stand ready to take care of your pet(s) and to provide you with medications in which we have complete confidence.

Sincerely,

The Doctors and Staff at (Hospital or Clinic Name)

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GVMA Recent Graduate Handbook 43

Insurance Guide

Now that you are a doctor of Veterinary Medicine, you must consider the many types of insurance designed to protect you and your practice. Insurance is designed to protect you from unexpected losses so that you can maintain your current standard of living.

DentalThere are strong links between good oral health and overall health. Moreover,studies show that investing in preventive dental care saves money in the longrun by reducing costly restorative care.

LifeLife insurance provides protection for those dependant on your income. Oftentime’s banks will require life insurance on those opening new clinics to insurethe loan as a collateral assignment. There are two main types of life insurance;whole life which offers a guaranteed payout and term life which is inexpensivebut only offers payment if loss occurs within the agreed term.

DisabilityOne in five individuals will experience a disability, according to the U.S. CensusBureau. There are two types of disability insurance; short term disability that is designed to cover your loss quickly for up to 6 months and long term disability that is designed to cover you through your working age and into retirement. It is recommended to secure disability before an injury or loss.

Professional Overhead ExpenseWhile disability insurance may safeguard your income, a disability could also threaten the continuation of your practice. Professional Overhead Insurance addresses the cost of keeping a business open during the disability of an owner or partner and can also be required by a bank when building a new clinic.

For more information about personal lines of coverage please contact Philip Ladner with American Veterinarians’ Insurance at 866.252.2627 or www.amvetins.com

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44 GVMA Recent Graduate Handbook

Commercial Insurance Coverages

Professional Liability CoverageProfessional Liability or “Errors & Omissions” Insurance (similar to malpracticeinsurance for physicians and other medical providers) provides coverage in the event you are legally obligated to pay for economic damages to your client or a third party allegedly caused by your negligence, error or omission in the performance of your professional services. Although professional liability insurance is not required in Georgia, it is highly recommended.

Workers Compensation Workers’ Compensation Insurance provides medical and disability coverage for company employees in the event of a work-related illness or injury. Georgia law requires veterinary practices with three or more employees (owners and officers may be exempted) to have a workers compensation policy.

Commercial Auto CoverageHired/non-owned auto liability is a must if employees use their personal vehicles for business-related errands or house calls. Uninsured and underinsured motorist coverage’s are available by endorsement.

Employment Practice LiabilityEPLI insurance provides the protection you need should one of your employees allege any number of employment practice violations. These violations include age, race or gender discrimination, wrongful termination and sexual harassment. EPLI is essential coverage for today’s employment agency.

Business Owners PolicyA BOP policy includes General Liability insurance to cover your commercial liability and property insurance for physical assets, such as contents, that are leased or owned. The BOP insurance policy may also cover loss of business income and extra expense resulting from an insured peril.

Umbrella CoverageUmbrella or “Excess Liability” Insurance provides you with an extra layer of protection in the event you have large or multiple claims that exceed your General Liability, Commercial Auto or Employment Practices Liability policies.

For more information about personal lines of coverage please contact Philip Ladner with American Veterinarians’ Insurance at 866.252.2627 or www.amvetins.com

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GVMA Recent Graduate Handbook 45

Top 10 Protections Every Veterinarian Should Have

An independent personal finance consultant has provided us with the top 10personal protections veterinarians should have when entering the profession.

1. Current last will and testament – A will or testament is a legal declaration by which a person, the testator, names one or more persons to manage his or her estate and provides for the distribution of his or her property at death. Wills are often drafted by an attorney, but may also be created using online legal software.

2. Advance healthcare directive “living will” – An advance healthcare directive, also known as living will, personal directive, advance directive, or advance decision, is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves because of illness or incapacity.

3. Durable power of attorney – A power of attorney or letter of attorney is a written authorization to represent or act on another’s behalf in private affairs, business, or some other legal matter, sometimes against the wishes of the other. The person authorizing the other to act is the principal, grantor, or donor (of the power). The one authorized to act is the agent or, in some common law jurisdictions, the attorney-in-fact (attorney for short).

4. Funeral arrangements – when funeral arrangements are not made in advance, the arrangements are often left to family and loved ones during a time of great grief and stress

5. Where are your important documents? – consider using a safe deposit box, or a fireproof safe, and keep backup files in online or digital storage.

6. Video your wishes – video documenting your wishes and leaving the video with an attorney, family member or friend, is an excellent and safe means of ensuring your wishes are followed when you are not able to deliver them.

7. Personal umbrella policy – A personal umbrella policy (PUP) is a type of insurance that provides liability coverage over and above your automobile or homeowners policy. So, if your liability coverage isn’t enough to cover the damages of an accident you cause or an incident on your property, a personal umbrella insurance policy kicks in right where your other liability underlying limits have been reached. An umbrella policy can protect you when your automobile or homeowners insurance isn’t enough.

8. Estate Planning – Estate planning can be used to eliminate uncertainties over the administration of a probate and to maximize the value of the estate by reducing taxes and other expenses.

9. Proper disability insurance coverage

10. Tax exempt retirement plan

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