Title 201 | Chapter 016 | Regulation 702
PREVIOUS VERSION
The previous document that this document is based upon is available.
201 KAR 16:702.Standards for veterinary surgery.
Section 1.
Definitions.(1)
"Animal" is defined by KRS 321.181(5).(2)
"Large animal" includes bovids, camelids, cervids, equids, swine, or other animals ordinarily raised or used on a farm.(3)
"Patient" is defined by KRS 321.181(47).(4)
"Professional arrangements" means that the veterinary facility where surgery takes place or the veterinarian who performed surgery shall not list another veterinary facility as able to provide services to a client unless they have previously confirmed that the alternate veterinary facility is available to provide services. This shall not need to be done on a case-by-case basis but may be professionally arranged in advance for all clients.(5)
"Small animal" includes any animal not within the definition of large animal, and regardless of weight includes avians, canids, felines, rabbits, pocket pets, and other animals typically kept as companion animals.Section 2.
All veterinary surgical procedures performed in the Commonwealth shall comply with the following basic surgical standards.(1)
If patients are housed or retained for treatment in a veterinary facility:(a)
Appropriate housing shall be provided for each patient before and after surgery; and(b)
Enclosures shall be secure and provide a flat surface for the patient that is clean, dry, and warm with adequate space for the patient to turn around, while allowing for safety at various stages of sedation and anesthesia and sufficient visibility by the staff.(2)
All drugs and biologicals shall be labeled in accordance with 201 KAR 16:600, and procured, managed, and disposed of in compliance with state and federal laws.(3)
During the postoperative period, care shall be taken to provide patients with a smooth transition from the anesthetized state.(4)
Plans shall be in place to handle any emergency that might occur throughout the procedure, and immediately postoperatively while the patient is with the veterinarian or in the veterinary facility.(5)
Immediately prior to release, patients shall be evaluated and deemed adequately recovered, stable, mobile, and within normal physiological parameters following anesthesia. A veterinarian shall use their best professional judgment and medical training to make an appropriate determination about recovery for the specific species and patient.(6)
The client shall be provided clear instructions for postoperative care in writing. For clients who are provided repeated services, a single instance of written instructions may be provided during the term of the VCPR pursuant to KRS 321.185.(7)
The client shall be provided options in writing for follow-up or emergency care during the forty-eight (48) hour period after surgery that includes information for a twenty-four (24) hour emergency veterinary facility or with another veterinary facility where professional arrangements have been made to see clients.Section 3.
Additional Requirements for Small Animal Patients. All veterinary medical procedures performed on small animals in the Commonwealth shall comply with Section 2 of this administrative regulation and the following basic surgical standards.(1)
The operating area shall:(a)
Be dedicated to surgery while in use for surgical purposes; and(b)
Contain the necessary equipment for anesthesia, appropriate intubation, administration of oxygen, and monitoring.(2)
A veterinarian and operating area personnel shall establish, maintain, and comply with:(a)
Infectious disease protocols to be performed in an environment to minimize infectious disease;(b)
Aseptic surgical technique protocols;(c)
Sterile instruments protocols ensuring separate sterile instruments to be used for each patient. Cold sterilization shall not be an appropriate method to adequately sterilize surgical instruments for small animals, except for cold sterilization for endoscopic, laproscopic, and arthroscopic procedures. In these allowable instances of cold sterilization, the method is permitted only by use of FDA-Cleared Liquid Chemical Sterilants and High Level Disinfectants;(d)
Anesthetic protocols that are balanced and include sedation, the provision of peri- and post-operative analgesia, stress reduction, muscle relaxation, and controlled, complete recovery of consciousness prior to discharge;(e)
Pre- and post-op monitoring protocols to monitor patients; and(f)
Thermal support protocols.Section 4.
Responsibility for Patient Care.(1)
During the forty-eight (48) hour period after surgery, a client shall be provided information in accordance with Section 2(7) of this administrative regulation.(2)
If there are no personnel on the premises during any time a patient is left at the veterinary facility:(a)
Prior notice of this fact shall be given to the client in writing and the notification recorded in the medical records; and(b)
If requested, the client shall be provided an option to transfer the patient care to a twenty-four (24) hour facility.Section 5.
Large Animal Patient Standards and Exceptions.(1)
Field surgeries shall be performed within an appropriate environment as possible.(2)
Appropriate cold sterilization is acceptable in field work.(3)
During the postoperative period, care shall be taken to provide patients with a smooth transition from the anesthetized state. A veterinarian shall use their best professional judgment and medical training to make an appropriate determination about recovery for the specific species and patient.(4)
All drugs and biologicals shall be labeled in accordance with 201 KAR 16:600, and procured, managed, and disposed of in compliance with state and federal laws.(5)
Plans shall be in place to handle any emergency that might occur throughout the procedure, and postoperatively while the patient is with the veterinarian.(6)
The client shall be provided clear instructions for postoperative care in writing. For clients who are provided repeated services, a single instance of written instructions may be provided during the term of the VCPR pursuant to KRS 321.185.(7)
The client shall be provided options in writing for follow-up or emergency care during the forty-eight (48) hour period after surgery that includes information for a 24-hour emergency veterinary facility or professional arrangements with another veterinary facility.HISTORY: (50 Ky.R. 520, 1312, 1481; eff. 4-2-2024.)
FILED WITH LRC: December 11, 2023
CONTACT PERSON: Michelle Shane, Executive Director, Kentucky Board of Veterinary Examiners, 107 Corporate Drive, Second Floor, Frankfort, Kentucky 40601, phone (502) 782-0273, fax (502) 695-5887, email michelle.shane@ky.gov.
201 KAR 16:702.Standards for veterinary surgery.
Section 1.
Definitions.(1)
"Animal" is defined by(2)
"Large animal" includes bovids, camelids, cervids, equids, swine, or other animals ordinarily raised or used on a farm.(3)
"Patient" is defined by(4)
"Professional arrangements" means that the veterinary facility where surgery takes place or the veterinarian who performed surgery shall not list another veterinary facility as able to provide services to a client unless they have previously confirmed that the alternate veterinary facility is available to provide services. This shall(5)
"Small animal" includes any animal not within the definition of large animal, and regardless of weight includes avians, canids, felines, rabbits, pocket pets, and other animals typically kept as companion animals.Section 2.
All veterinary surgical(1)
If patients(a)
Appropriate housing shall be provided for each patient(b)
Enclosures shall be secure and provide a flat surface for the patient(2)
All drugs and biologicals shall be labeled in accordance with 201 KAR 16:600, and procured, managed, and disposed of(3)
During the postoperative period, care shall be taken to provide patients with a smooth transition from the anesthetized state.(4)
Plans shall be in place to handle any emergency that might occur throughout the procedure, and immediately postoperatively while the patient is with the veterinarian or in the veterinary facility.(5)
Immediately prior to release, patients(6)
The client shall be provided clear(7)
The client shall be provided options in writing(8)
Section 3.Section 2.
Additional Requirements for Small Animal Patients(1)
The operating area shall:(a)
Be dedicated to surgery while in use for surgical purposes; and(b)
Contain the necessary equipment for anesthesia, appropriate intubation, administration of oxygen, and monitoring.(2)
A veterinarian and operating area personnel shall establish, maintain, and comply with(a)
Infectious disease protocols to be performed in an environment to minimize infectious disease;(b)
Aseptic surgical technique protocols;(c)
Sterile instruments protocols ensuring separate sterile instruments to be used for each patient. Cold sterilization shall(d)
Anesthetic protocols that are balanced and include sedation, the provision of peri-(e)
Pre- and post-op monitoring protocols to monitor patients; and(f)
Thermal support protocols.Section 4.Section 3.
Responsibility for Patient Care.(1)
During the forty-eight (48) hour period after surgery, a client shall be provided information in accordance with Section 2(2)
If there are no personnel on the premises during any time a patient(a)
Prior notice of this fact shall be given to the client in writing and the notification recorded in the medical records; and(b)
If requested, the client shall be provided an option to transfer the patient care to a twenty-four (24) hour facility.(3)
(a)
(b)
(c)
Section 5.Section 4.
Large Animal Patient Standards and Exceptions.(1)
Field surgeries shall be performed within an appropriate environment as possible.(2)
Appropriate cold sterilization is acceptable in field work.(3)
During the postoperative period, care shall be taken to provide patients with a smooth transition from the anesthetized state. A veterinarian shall use their best professional judgment and medical training to make an appropriate determination about recovery for the specific species and patient.(4)
All drugs and biologicals shall be labeled in accordance with 201 KAR 16:600, and procured, managed, and disposed of in compliance with state and federal laws.(5)
Plans shall be in place to handle any emergency that might occur throughout the procedure, and postoperatively while the patient is with the veterinarian.(6)
The client shall be provided clear instructions for postoperative care in writing. For(7)
The client shall be provided options in writing for follow-up or emergency care during the forty-eight (48) hour period after surgery that includes information for a 24-hour emergency veterinary facility or professional arrangements with another veterinary facility.(1)
(2)
HISTORY: (50 Ky.R. 520, 1312, 1481; eff. 4-2-2024.)
FILED WITH LRC: December 11, 2023
CONTACT PERSON: Michelle Shane, Executive Director, Kentucky Board of Veterinary Examiners, 107 Corporate Drive, Second Floor, Frankfort, Kentucky 40601, phone (502) 782-0273, fax (502) 695-5887, email michelle.shane@ky.gov.