Clinic Standards

Veterinary Clinic Standards
for Newfoundland and Labrador
Produced cooperatively by the Newfoundland and Labrador College of
Veterinarians and the Newfoundland and Labrador Veterinary Medical
Association and passed as bylaws under authority of the Veterinary Medical Act
(Newfoundland and Labrador), November 2007.

Classification System Of Veterinary Clinics
CHAPTER 1. DEFINITIONS page 3
CHAPTER 2. GENERAL PROVISIONS page 7
Section 2.1 Records page 8
Section 2.2 Pharmacy page 9
Section 2.3 Library page 11
Section 2.4 Construction, Housekeeping & Equipment Maintenance page 11
Section 2.5 Public Appearance page 12
CHAPTER 3. SPECIFIC PROVISIONS page 13
Section 3.1 - Companion Animals page 14
Subsection 3.1.1 - Companion Animal Hospital Standards page 18
Subsection 3.1.2 - Companion Animal Clinic Standards page 24
Subsection 3.1.3 - Companion Animal Mobile Clinic Standards page 26
Subsection 3.1.4 - Companion Animal House Call Standards page 28
Section 3.2 - Farm Animals page 30
Subsection 3.2.1 - Farm Animal Mobile Clinic Standards page 31
Section 3.3 - Aquaculture Practice page 35
Subsection 3.3.1 - Aquaculture Mobile Clinic Standards page 36
Section 3.4 - Wildlife Rehabilitation page 39
Subsection 3.4.1 - Seabird Rehabilitation Clinic Standards page 40
Section 3.5 - Public Practice page 42
Subsection 3.5.1 - Public Practice Clinic Standards page 43
Section 3.6 - Specialty Practice page 44
Subsection 3.6.1 - Specialty Clinic Standards page 45
Subsection 3.6.2 - Necropsy Facility page 47
CHAPTER 4. APPENDICES page 49
Appendix A - Sample Log Record for Controlled Substances page 50
Appendix B - Regulatory and associated websites page 52


CHAPTER 1
DEFINITIONS

For the purposes of these bylaws, the following definitions are made. Unless stated
otherwise, the definitions apply to all sections of this document. If a definition is specific
to a single or multiple sections and not to all sections this will be noted. In the absence of
other definitions, those of the Oxford Canadian Dictionary, and for medical terminology, the
Saunders Comprehensive Veterinary Dictionary (third edition) shall apply. All definitions
made under the Veterinary Medical Act (Newfoundland and Labrador), its subordinate
regulations or Bylaws apply herein.
1. “The Act” unless stated otherwise, refers to the Veterinary Medical Act (Newfoundland
and Labrador).
2. “Aquaculture Practice” is a veterinary practice that provides services to cultured and wild
aquatic species.
3. “The Association” refers to the Newfoundland and Labrador Veterinary Medical
Association, as created and empowered under The Act.
4. “The Bylaws” unless stated otherwise, refers to any bylaws approved under the authority
of The Act.
5. “Clinical pathology” refers to the examination of diseased or potentially diseased tissues,
fluids or other materials from a living patient, using all of the techniques available including
chemistry, hematology, enzymology, cytology, microbiology, parasitology, protozoology,
immunology and histopathology.
6. “The College” refers to the Newfoundland and Labrador College of Veterinarians, as
created and empowered under The Act.
7. A “companion animal” is an animal owned or cared for by a person for the benefit of its
companionship as opposed to being raised for the purposes of food or fiber production (see
farm animal). A companion animal may be raised for commercial purposes such as
breeding, racing, showing, etc. Common companion animals include dogs, cats, rodents,
caged birds, reptiles, and aquarium fish. Some breeds of farm animals, particularly
miniature breeds, may also be considered as companion animals such as pot-bellied pigs or
miniature goats.
8. “Companion Animal Clinic” is a veterinary clinic that provides the following services;
animal examination, local anaesthesia, minor surgery, morgue, and emergency response for
companion animals.
9. “Companion Animal Hospital” is a veterinary clinic that provides all the services of a
Companion Animal Clinic plus general anesthesia, major surgery, necropsy, and overnight
care.
10. “Companion Animal Practice” means the business of providing veterinary services to
owners or care-givers of companion animals and includes the various forms of this practice
as detailed in that section of the bylaws.
11. “Controlled substance” means those substances so defined under the Controlled Drugs
and Substances Act (Canada) and listed in schedules I-V of that Act.
12. “Equine practice” is a farm animal veterinary practice that restricts its services to horses.
13. A “farm animal” is one that is raised for the purposes of commercial food, fiber, skin
or hide production or for draft purposes, or is raised to provide breeding populations for
these animals, and includes, but is not limited to, cattle, sheep, swine, goats, poultry, and fur
animals or an animal that is otherwise raised on a farm such as horses, llamas, alpacas
whether used for companion purposes or commercial.
14. “Farm Animal Mobile Clinic” is a veterinary clinic that provides its services to clients
at the site of their farm, or related facilities; such a mobile service also has a base office out
of which it operates.
15. “General provisions” are those standards that apply to all those types of veterinary
clinics covered by these bylaws unless stated otherwise.
16. “Major surgery” means any surgical intervention that requires general anesthesia and
ventilation, unless otherwise qualified in these standards.
17. “Minor surgery” means any surgery not requiring general anesthesia and ventilation,
unless otherwise qualified in these standards.
18. “Morgue” means a room, freezer or other facility for the temporary holding of dead
animal carcasses prior to disposal.
19. “Narcotic” means those substances so defined under the Narcotic Control Regulations
(Controlled Drugs and Substances Act, Canada) and listed in the schedule under those
regulations.
20. “Necropsy facility” means any place where dead animals are examined to determine the
cause of illness or death.
21. “Poultry Practice” means a farm animal veterinary practice that restricts its services to
domestic poultry.
22. “Public Practice Clinic” refers to those veterinary functions outside of clinical
veterinary practice, that are exercised by the Crown in right of Canada.
23. “The Regulations” unless stated otherwise, refer to any regulations passed under the
authority of The Act. At the present time there are no regulations passed under The Act.
24. “Rehabilitation Clinic (Seabirds)” is a facility established for the purposes of
rehabilitating seabirds that have become sick through oiling, severe weather events, or
otherwise and may be either permanent or temporary in nature.
25. “Specialty Practice” is the practice of veterinary medicine either offered directly to the
public or through the intermediate of a sponsoring clinic in a field of veterinary medicine
and with those qualifications designated and recognized by The College.
26. “Specific provisions” are those standards that apply to only limited types of veterinary
clinics as detailed herein.
27. “Standards” are measureable physical, equipment, maintenance, training, procedural
or other requirements for a specific type of veterinary clinic as defined in this document.
28. A “veterinarian” is someone licensed to practise veterinary medicine in the Province
of Newfoundland and Labrador under authority of The Act.
29. A “veterinary clinic” (section 2 (i) of The Act) means a place from which a person
practises veterinary medicine.
30. “Veterinary medicine” (section 2 (j) of The Act) means veterinary medicine, surgery,
pathology and dentistry and includes
a) the diagnosing, prescribing, treating, manipulating and operating for the
prevention, alleviation or correction of a disease, injury, pain or other similar
condition in or of an animal,
b) the giving of advice in respect of anything mentioned in this paragraph with a
view to obtaining a fee or other remuneration, and
c) the performance of procedures and use of equipment as may be prescribed in
regulations made under section 48 of The Act.
31. A “veterinary practice” is a business, whether incorporated as such or not, that provides
veterinary services and which may include a number of associated veterinary clinics.
32. A “Veterinary Specialist” is a veterinarian with advanced training in a particular branch
or discipline of veterinary medicine or surgery and is recognized by The College as such.


CHAPTER 2
GENERAL PROVISIONS

The following provisions apply to all forms of veterinary practice covered by these
standards with the exception of Public Practice Clinics.
2.1 RECORDS
1. There must be a clearly legible, individual medical record maintained for every individual
patient administered to by the clinic with the following qualifications;
a) for the examination of a litter of companion animals under 16 weeks of age, the
litter is considered to be the patient,
b) for the examination of a group (e.g. herd, flock or pen) of farm animals, where the
group is suffering, or potentially suffering, from the same condition and will
subsequently be treated as a group, the group is considered to be the patient.
2. A medical record shall contain all clinical information pertaining to the patient, whether
hospitalized or not, together with sufficient information to indicate the patient’s assessment,
planned treatment and results, including;
a) patient identification, including species, breed or signalment, age, weight and sex,
b) name, address and telephone number of the client,
c) present illness and history, while a patient of current clinic,
d) current vaccination status if known,
e) laboratory reports, which shall include clinical pathology, radiography,
histopathology, necropsy, surgery, cardiology, etc., as applicable,
f) record of all medical treatments, surgical procedures with anesthetic protocols and
adverse reactions if any, including drugs prescribed and dispensed strength or dosage
and quantity,
g) hospitalization records as appropriate,
h) identification of the attending veterinarian for each entry either by name, initials
or code, and
i) relevant signed consent forms.
3. All patient medical records shall be maintained for at least five (5) years from the date
of last entry, except those of deceased patients which need only be kept for a minimum of
three (3) years or other length of time as determined by the Limitations Act (Newfoundland
and Labrador).
1 The impact of privacy laws on this section must be examined.
2 A sample log record is appended as Appendix A
4. All medical records shall be readily retrievable, and shall be open to a clinic inspector
appointed pursuant to The Act.
5. The clinic inspector may make copies or prepare abstracts from the records only in cases
of alleged violation of standards1.
6. When records are retained on an electronic medium, the recorded information shall be
capable of being printed promptly.
7. Any changes in recorded information shall be clearly indicated as changes.
8. Unless required for the purposes of a clinic inspection, or other legitimate action of the College,
a medical record is considered to be a confidential record that is accessible only to the owner of the
animal (or representative) and the attending veterinary clinic.


2.2 PHARMACY
1. Compartments shall be provided for the storage, safekeeping and preparation of drugs in
accordance with federal and provincial laws.
2. A locked area shall be provided for controlled substances and an inventory logbook shall
be maintained that identifies, for every controlled substance:
a) the brand name and DIN for every such product held in the clinic,
b) the quantity of bottles, packages or other units of such products held in the clinic
with the corresponding lot numbers, dates of receipt and expiry dates recorded,
c) the disposition of all quantities of these products by individual use or by unit if a
full bottle, package or other format is returned, disposed, transferred to another clinic
or otherwise disposed of, and
d) the name or initials of the individual who used or otherwise disposed of any
quantities of these products2.
3. Dispensing labels shall indicate
a) hospital/clinic’s name, address and phone number,
b) client’s name,
c) animal species and name or identification,
d) drug name and concentration (DIN is not necessarily recommended),
e) quantity of product dispensed,
f) veterinarian’s name, and
g) date dispensed.
4. Directions for use of pharmaceutical products must be specific and never abbreviated
(e.g. 2-4 should be 2 to 4) and specify;
a) amount to be administered,
b) route of administration,
c) frequency of administration, and
d) duration of treatment,
5. All drug labels are required to have on them, FOR VETERINARY USE ONLY and
KEEP OUT OF REACH OF CHILDREN.
6. Auxiliary labels shall be used to avoid confusion, for example:
a) FOR ORAL USE ONLY
b) SHAKE WELL BEFORE USE
c) IMPORTANT FINISH ALL MEDICATION UNLESS OTHERWISE
DIRECTED
d) KEEP REFRIGERATED
7. Childproof dispensing containers and tamper-proof prescription pads must be used where
appropriate.
8. Expired drugs are to be kept separately and securely until removed from premises.
9. Expiry dates must be indicated on all pharmacy products, where applicable.
10. When pharmacy products are dispensed outside of their original containers, an expiry
date of no more than 1 year from the date dispensed shall be applied unless otherwise
specified by the manufacturer.
11. Refrigeration shall be available for biologics and other drugs requiring storage at
temperatures of 2 / C to 7 / C.

2.3 LIBRARY
1. Each clinic shall contain a library which must include:
a) adequate surgery and medicine reference texts pertaining to the scope of the
practice, (current professional journals are also highly recommended)
b) a current edition of The Act, and any Regulations, Bylaws or Standards written
under the Act,
c) an edition of the Compendium of Veterinary Products (Canadian Edition) that is
no more than three years old and one veterinary pharmaceutical reference text that
is no more than three years old,
d) a current copy of the regulations and schedules of The Controlled Drugs and
Substances Act (Canada), and
e) a current copy of Schedule F (Parts I and II), of The Food and Drug Regulations
(Food and Drug Act, Canada),
NOTE: The above library requirements may be met by having access to an electronic
equivalent, current websites are appended.
2.4 CONSTRUCTION, HOUSEKEEPING & EQUIPMENT MAINTENANCE
1. The entire clinic shall be constructed and maintained such that it is cleanable, clean,
uncluttered, and in good repair.
2. Where the clinic receives the public with their animals, the clinic must have;
a) a client reception area that is presentable and free from hazards; and
b) public restrooms as prescribed by local building codes.
3. The clinic shall contain puncture-proof containers into which needles, scalpel blades and
other sharps are discarded.
4. Where surgical suites are maintained, there shall be, outside the surgery area, an adequate
supply of clean linens, stored to minimize contamination from surface contact or airborne
sources, including towels, smocks, lab coats, aprons, masks and caps.
5. Closed storage shall be provided for all housekeeping equipment, supplies and hazardous
materials in accordance with provincial, federal and municipal requirements.
6. Biological, pathological and other hazardous wastes must be disposed of in accordance
3Veterinary Biomedical Waste Management Guidelines are being written for this
province and will be attached to these standards as Appendix B.
with federal, provincial and municipal requirements3.
7. A clean, reliable water supply must be available.

2.5. PUBLIC APPEARANCE
1. All veterinarians and veterinary clinic staff will present themselves in a manner that
upholds the reputation of the profession; this includes a neat appearance, courteous manner,
and attitude towards the clients and patients that is respectful of their needs.


CHAPTER 3
SPECIFIC PROVISIONS

Section 3.1
Companion Animals

Conditions applying to all companion animal hospitals, clinics, mobile clinics and house
call services.
1. EXAMINATION FACILITIES AND EQUIPMENT
1. There shall be an examination room that;
a) is clean and orderly,
b) is constructed of readily disinfectable material,
c) has a waste receptacle,
d) has sufficient lighting,
e) has sufficient area for the veterinarian, patient and client,
f) has an examination table with readily disinfectable, impervious surface,
g) has the following equipment and supplies;
i) stethoscope,
ii) ophthalmoscope,
iii) otoscope,
iv) thermometer, and
v) alcohol or other disinfectant.
2. Where there is more than one examination room, duplication of examination room
equipment is not required provided the equipment is readily available to all the examination
rooms.

2. MINOR SURGERY, DENTISTRY AND PATIENT PREPARATION
1. For minor surgery, dentistry and patient preparation, the following shall be available;
a) clippers and a fine surgical blade or razor,
b) vacuum cleaner,
c) scrub material,
d) final preparation materials,
e) cold sterilization solution,
f) dental scalers, extractors and elevators,
g) sterile I.V. and urinary catheters; and
h) a sink with hot and cold running water.

3. CLINICAL PATHOLOGY EQUIPMENT
1. Clinical pathology equipment shall be available and must include:
a) microscope, with oil immersion lens,
b) centrifuge and micro-hematocrit centrifuge,
c) refractometer,
d) urinalysis diagnostics, and
e) diagnostic equipment and supplies sufficient for the collection, preservation and
transportation of blood samples, urine samples, bacterial cultures, and other clinical
pathology specimens.
2. Clinical pathology services shall be provided within the facility or through other qualified
laboratory services.

4. EMERGENCY SERVICES
1. While the facility is not required to be open to the public at all times, it is the facility’s
responsibility to ensure that professional services for emergency situations are available at
all times.
2. Emergency services may be provided in various ways;
a) assignment of staff which, could include co-operative efforts between hospitals
or clinics,
b) twenty-four (24) hour telephone answering services which can direct the caller to
a duty veterinarian, or
c) any other method deemed acceptable to The College, which assures professional
assistance is available.

5. ANIMAL COMPARTMENTS AND CARE FACILITIES
1. Facilities for the proper care and containment of all patients shall include compartments
for holding animals, such as kennels or runs, plus areas and equipment involved with nursing
care.
2. Floors shall be of water impervious material and easily cleaned and disinfected.
3. All areas must be lighted.
4. Adequate facilities for bathing patients shall be available.
5. The hospital/clinic shall provide sufficient personnel to assist in the treatment of
outpatients and inpatients.
6. A separate area shall be provided for patients with contagious diseases.
7. Size of compartments shall conform to the Canadian Council on Animal Care guidelines.
8. Runs, if provided, shall;
a) have walls and floors of water impervious material, properly drained and easily
cleaned,
b) be covered to prevent escape if located outdoors,
c) have solid partitions a minimum of 1.2 m (4 feet) high between runs.
d) have running water available to clean runs.
e) have adequate run-drying facilities, if indoors,
f) have all refuse stored in closed containers and removed at least once daily and
disposed of in accordance with federal, provincial and municipal requirements, and
g) be well ventilated.


Subsection 3.1.1
Companion Animal Hospital
Standards
Veterinary Clinic Standards for Newfoundland and Labrador 19

1. RADIOGRAPHY
1. A diagnostic radiography area shall be provided on the premises.
2. Newer diagnostic imaging technologies, such as digital radiography, can replace
traditional methodologies; this may require, at the discretion of The College, the exemption
of the clinic from some of these standards.
3. The clinic must have a current certificate of registration from the Government of
Newfoundland and Labrador department responsible for licensing of this equipment.
4. The clinic shall have a copy of, or have electronic access to, a copy of the “Recommended
Safety Procedures for Installation and Use of Veterinary X- Ray Equipment Safety Code 28"
prepared by Health Canada, and abide by those safety procedures therein described.
5. In the clinic there must be available, apparatus and methodology for permanently
identifying diagnostic images including, but not necessarily limited to, the following:
a) clinic name or name of veterinarian,
b) patient ID,
c) owner name, date and spatial position indicator where appropriate, and
d) time stamp indicators for serial studies.
6. Files for radiographs shall be provided; radiographs not stored with the medical record
of the animal, that are stored collectively and maintained in a systematic manner, shall be
retained as per medical records.
7. A radiography logbook shall be maintained which includes
a) owner/patient identification, date performed and veterinarian ID, and
b) other pertinent data relating to the radiograph, including technique info and area
of study.
8. Film developing facilities shall be provided on site or via access to an outside facility
within a reasonable time frame.
9. An x-ray viewer shall be available.
10. Material for positive contrast radiography shall be present.
11. A technique chart and measuring device shall be available to indicate the MAS, KV, and
Veterinary Clinic Standards for Newfoundland and Labrador 20
focal distance for specific body areas and thickness that are calibrated for that specific x-ray
machine.
12. The diagnostic radiography area shall not be combined with the suite where major
surgery is performed

2. SURGICAL SERVICES
1. There shall be a separate suite for major surgical procedures, which shall
a) be clean and orderly,
b) be a completely enclosed, single-purpose room,
c) have walls, floors and doors constructed of solid impervious material that can be
easily disinfected,
d) contain a surgical table that can be readily disinfected,
e) have lighting adequate for its purpose, and
f) have emergency lighting equipment sufficient to permit completion of procedures.
2. Instruments, gowns, towels, drapes and gloves used within the surgical suite must be
sterilized before each surgical procedure, unless they are purchased as single use, presterilized
supplies and maintained under conditions that will not compromise their sterility.
3. An area outside the surgery shall be available for pack preparation and sterilization.
4. An autoclave shall be available to the facility for preparing a sufficient quantity of sterile
packs to meet the hospital's surgical needs.
5. At least one monitor must be included within every surgical pack to be sterilized.
6. All autoclaved material shall be dated and initialed.
7. Sterile suture material shall be available.
8. Preliminary preparation of the patient shall be made outside the room where major
surgery is performed
9. Equipment for anaesthetic services shall be readily available.
10. A record of anesthetic usage shall be kept which contains;
Veterinary Clinic Standards for Newfoundland and Labrador 21
a) client/patient identification,
b) pre-anaesthetic agent,
c) anaesthetic agent,
d) start and finish times,
e) surgical procedures, and
f) any remarks relevant to the anesthesia.
11. It is recommended that a copy of the record of anesthetic usage be kept in a separate
logbook for the purposes of cross-referencing the controlled substances logbook.
12. All necessary equipment and supplies are to be available for performing local analgesia
blocks and pre-anaesthetic agent preparation.
13. Equipment and supplies for gaseous and intravenous anesthesia shall be available,
including:
a) an anaesthetic machine,
b) an oxygen supply and delivery system,
c) endotracheal tubes of various sizes, and
d) a stethoscope.
14. If anesthetic gas is being used, a gas scavenger system shall be provided to remove
waste anesthetic gas.
15. A method for respiratory monitoring is mandatory; a bag device will be considered as
an acceptable respiratory monitoring device when gaseous anaesthetic is used.
16. A method for cardiac monitoring is mandatory; a stethoscope will be the minimum
considered adequate.
17. Parenteral fluids shall be present.
18. If narcotics are used, specific narcotic antagonists must be available.
19. Resuscitative equipment must be available including an emergency crash cart,
epinephrine and atropine.
Veterinary Clinic Standards for Newfoundland and Labrador 22
20. Equipment for the alleviation of hypothermia during and post surgery must be available;
hot water bottles are a minimum.
21. A recovery area shall be available where a patient may be frequently observed following
anesthesia; this area need not be separate from the animal compartments.

3. MORGUE & NECROPSY FACILITIES
1. Morgue and necropsy facilities shall be provided.
2. Equipment for necropsy shall be available, which shall include;
a) table with a surface capable of being disinfected and of a size permitting the
examination of those species of animals normally served by the clinic,
b) single-use or disinfectable knives, scissors, shears, and other instruments needed
for the opening of the carcass and the taking of samples where appropriate,
c) containers, swabs, preservatives and other consumable items necessary to collect
and preserve samples for further testing,
d) disinfectant solutions or systems that are capable of adequately disinfecting
surfaces or other potentially contaminated areas of the room such that no risks of
persistence of infectious organisms is permitted.
3. Refrigerated or frozen storage for carcasses and body tissue shall be provided and an
adequate method for disposal of carcasses and body tissue that conforms to federal,
provincial and municipal requirements.

4. OVERNIGHT COMPARTMENTS
1. There shall be an adequate number of overnight compartments of adequate size in relation
to the hospital inpatient case load requirement.
2. A separate compartment shall be provided for each patient; the size and number in any
area shall ensure comfort and adequate ventilation.
3. The sizes of compartments shall conform to the Canadian Council on Animal Care
guidelines.
4. Five (5) sides of each compartments shall be solid.
5. Compartments, bedding, litter and any other materials used while holding patients, must
either be disposable or capable of being disinfected.
Veterinary Clinic Standards for Newfoundland and Labrador 23
6. Appropriate bedding must be available for patients.
7. Covering must be available to insure minimum heat loss.
8. There must be a method for securely fastening the compartment door closed.
9. The compartments shall be secure enough to prevent movement while occupied.
10. Animal compartments shall be arranged so that frequent observations of patients may
be carried out.
11. Compartments with barred doors shall have the bars no further apart than two (2) inches
(5 cm).
12. There shall be a method of ensuring correct patient identification to the compartment
in which the patient is hospitalized for any reason.
13. Sufficient number of litter trays shall be available.

5. FOOD PREPARATION AREA
1. Food and feeding utensils shall be stored in clean dry areas.
2. There shall be an adequate variety and quantity of food and dishes available to feed and
water hospitalized patients.
3. The dishes and utensils shall be easily cleaned and disinfected or be disposable.
4. Refrigeration for spoilable foods shall be available.

6. OVERNIGHT CARE
1. Adequate provision shall be available for the supervision of patients in the hospital until
they are in sternal recumbency and their general condition is stable and satisfactory.
Veterinary Clinic Standards for Newfoundland and Labrador 24
Subsection 3.1.2
Companion Animal Clinic Standards
Veterinary Clinic Standards for Newfoundland and Labrador 25
The minimum standards for a companion animal clinic are the same as those for a
companion animal hospital with the following exceptions.
1. Radiography, major surgery, anaesthetic service, and overnight compartments may or
may not be included, but each, if present, must conform to the standards for a companion
animal hospital.
2. Morgue facilities must be provided or carcasses removed daily to a proper morgue
establishment.


Veterinary Clinic Standards for Newfoundland and Labrador 26
Subsection 3.1.3
Companion Animal Mobile Clinic Standards
Veterinary Clinic Standards for Newfoundland and Labrador 27
The minimum specific provisions for a companion animal mobile clinic are as described
previously with the following clarifications.
1. The examination room will either be within the vehicle with enough room to adequately
accommodate the patient, client and veterinarian or within a facility with an examination
table that has a readily disinfectable, impervious surface,
2. If radiography, major surgery and anaesthetic services are to be provided; they must meet
the appropriate Companion Animal Hospital Standards.
3. A disinfected, adequately ventilated, properly secured portable holding compartment
made of impervious material must be made available to permit transportation of a patient to
a licensed companion animal hospital/clinic.


Veterinary Clinic Standards for Newfoundland and Labrador 28
Subsection 3.1.4
Companion Animal House Call
Standards
Veterinary Clinic Standards for Newfoundland and Labrador 29
The minimum specific provisions for a companion animal house call service are as
described previously with the following clarifications.
1. A veterinarian, who in their scope of practice conducts house calls, shall have a
permanent base of operations.
2. Only pertinent records removed from the central record bank required for specific visits
need be taken to the house call; a copy of the record including history, physical examination
findings and treatments administered shall be left with the owner at the time of the visit.
3. A disinfected, adequately ventilated, properly secured portable holding compartment
made of impervious material must be made available to permit transportation of a patient to
a licensed companion animal hospital/clinic.


Veterinary Clinic Standards for Newfoundland and Labrador 30
Section 3.2
Farm Animals

Veterinary Clinic Standards for Newfoundland and Labrador 31
Subsection 3.2.1
Farm Animal Mobile Clinic Standards
(including food animals, poultry, large exotic, wildlife, domestic
fur animals, and equine clinic standards but excluding aquaculture)
Veterinary Clinic Standards for Newfoundland and Labrador 32
1. GENERAL CONDITIONS
1. This mobile practice shall consist of a vehicle in addition to the base office.
2. PHARMACY
1. In addition to those pharmacy requirements set out in the general provisions; warnings
for meat or milk withdrawal times or contraindications shall be included for food producing
animals.
3. LIBRARY
1. In addition to those library requirements set out in the general provisions, a current copy
of the Compendium of Medicating Ingredients Brochure.
4. EQUIPMENT
1. The following examination equipment shall be available;
a) stethoscope,
b) thermometer;
c) focal 1ight source,
d) rectal gloves and lubricant, and
e) restraint devices appropriate for the species being handled.
5. RADIOGRAPHY
1. If an x-ray machine is used, it must have a current certificate of registration from the
appropriate provincial government licensing authority, and be operated in accordance
with all associated provincial and federal government regulations.
2. The base office or mobile unit shall have a copy, or have electronic access to a copy,
of the “Recommended Safety Procedures for the Installation and Use of Veterinary XRay
Equipment, Safety Code 28" prepared by Health Canada, and abide by those safety
procedures therein described.
3. There must be available with the mobile x-ray unit, apparatus and methodology for
permanently identifying diagnostic images.
Veterinary Clinic Standards for Newfoundland and Labrador 33
6. SURGERY (exemption for Poultry Practice)
1. Dated, initialed and autoclaved packs shall be available for major surgery in the field.
Cold sterilization of instruments is acceptable for minor surgery.
2. Adequate surgical preparation material shall be available.
7. ANAESTHETIC SERVICE (exemption for Poultry Practice)
1. All necessary equipment and material shall be available for;
a) local infiltration,
b) field nerve blocks,
c) epidural anesthesia,
d) pre-anaesthetic agents, and
e) intravenous anaesthetic agents.
8. EMERGENCY SERVICES
1. Any veterinary clinic offering Farm Animal Mobile Practice shall ensure that 24-hour
emergency consultation services are available within a reasonable amount of time and
considering the safety of road conditions.
2. There shall be prior co-operation and notification, within a reasonable timeframe, of a
practice referring its calls to another practice, with mobile services available when
reasonably and safely available.
3. Emergency services shall be provided by;
a) an out-of-hours answering machine checked regularly and periodically for
emergencies, or
b) a cell phone, or
c) a pager and message manager with retrievable messages, or
d) a telephone/cell phone with call forwarding to the duty veterinarian, or
e) a commercial answering service which can direct the caller to the duty
veterinarian, or
Veterinary Clinic Standards for Newfoundland and Labrador 34
f) staff or alternative answering system at the base office referring calls to the duty
veterinarian, or
g) any other method, deemed acceptable to The College, which assures that
professional assistance is available.
Veterinary Clinic Standards for Newfoundland and Labrador 35


Section 3.3
Aquaculture Practice

Veterinary Clinic Standards for Newfoundland and Labrador 36
Subsection 3.3.1
Aquaculture Mobile Clinic Standards
Veterinary Clinic Standards for Newfoundland and Labrador 37
1. GENERAL CONDITIONS
1. This mobile practice shall consist of a vehicle in addition to the base office.
2. PHARMACY
1. In addition to those pharmacy conditions set out in the General Provisions; warnings for
meat or oil withdrawal times or contraindications shall be included for aquatic species.
3. LIBRARY
1. In addition to those library conditions set out in the General Provisions; a current copy
of the Compendium of Medicating Ingredients Brochure and up to date recommendations
from the Canadian gFARAD (Global Food Animal Residue Avoidance Databank),
Veterinary Drug Directorate (Health Canada) or the Canadian Association of Aquaculture
Veterinarians.
4. EQUIPMENT
1. The following equipment shall be in the vehicle;
a. sterile needles, syringes and blood collection vials,
b. refrigeration for biological and other drugs as required (a cooler with ice packs is
the minimum requirement for this purpose,
c. anaesthetic agents for humane euthanasia, and
d. equipment and disinfectants as required to meet the biosecurity protocols of the
Newfoundland and Labrador Department of Fisheries and Aquaculture as authorized
by the Aquaculture Act (Newfoundland and Labrador).
2. The following equipment shall also be available;
a. microscope,
b. polarized sunglasses,
c. dissection kit,
d. propane torch, and
e. access to a -80 C freezer for long term preservation of samples.
5. NECROPSY FACILITIES AND SERVICES
Veterinary Clinic Standards for Newfoundland and Labrador 38
1. Necropsy services shall be available under the direction of a veterinarian or at a laboratory
deemed appropriate by the attending veterinarian.
2. If the veterinarian performs necropsies, the appropriate equipment shall be available.
3. Necropsy facilities must be clean and disinfectable.
4. Refrigerated or frozen storage for carcasses and body tissue shall be provided and an
adequate method for disposal of carcasses and body tissue that conforms to federal,
provincial and municipal requirements.
6. EMERGENCY SERVICES
1. Any veterinary clinic offering Aquaculture Mobile Practice shall ensure that 24-hour
emergency consultation services are available within a reasonable amount of time and
considering the safety of road conditions.
2. There shall be prior co-operation and notification, within a reasonable timeframe, of a
practice referring its calls to another practice, with mobile services available when
reasonably and safely available.
3. Emergency services shall be provided by;
a) an out-of-hours answering machine checked regularly and periodically for
emergencies, or
b) a cell phone, or
c) a pager and message manager with retrievable messages, or
d) a telephone/cell phone with call forwarding to the duty veterinarian, or
e) a commercial answering service which can direct the caller to the duty
veterinarian, or
f) staff or alternative answering system at the base office referring calls to the duty
veterinarian, or
g) any other method, deemed acceptable to The College, which assures that
professional assistance is available.


Veterinary Clinic Standards for Newfoundland and Labrador 39
Section 3.4
Wildlife Rehabilitation
Veterinary Clinic Standards for Newfoundland and Labrador 40
Subsection 3.4.1
Seabird Rehabilitation Clinic Standards
Veterinary Clinic Standards for Newfoundland and Labrador 41
Seabird rehabilitation clinic standards are the same as those applied to poultry practice.


Veterinary Clinic Standards for Newfoundland and Labrador 42
Section 3.5
Public Practice Clinic
Veterinary Clinic Standards for Newfoundland and Labrador 43
1. A Public Practice Clinic shall be the offices occupied by veterinarians employed by the
Crown in right of Canada. No inspection of the public practice clinic will be required. The
annual fee for this licence is nil.


Veterinary Clinic Standards for Newfoundland and Labrador 44
Section 3.6
Specialty Clinic
Veterinary Clinic Standards for Newfoundland and Labrador 45
Subsection 3.6.1
Specialty Clinic Standards
Veterinary Clinic Standards for Newfoundland and Labrador 46
1. A Specialist may be licensed as such by The College or may operate through temporary
licensure, as a Visiting Specialist, by The College in cooperation with a veterinary clinic or
veterinarian licensed as such by The College.
2. The Specialist shall operate under the same standards of practice as other veterinarians
with respect to records, pharmacy, equipment and public appearance.
3. Notification of specialty clinics, when operated by Visiting Specialists, shall be provided
to the Registrar of The College or their chosen representative on the basis of a written
notification form from the sponsoring veterinarian prior to the event, indicating;
a) that they will conform to the standards of practice for Specialty Clinics, and
b) including a complete description of the type of services and/or procedures to be
performed.
Veterinary Clinic Standards for Newfoundland and Labrador 47
Subsection 3.6.2
Necropsy Facility
Veterinary Clinic Standards for Newfoundland and Labrador 48
For the purposes of this subsection, a necropsy facility is a stand alone facility that
specialises in the examination of dead animals for determination of the cause of illness or
death. Normally such a facility is managed by a Veterinary Pathologist.
1. A necropsy facility (postmortem room) shall be constructed and operated in a manner that
minimizes the risks of disease spread from the facility, as appropriate to its animal pathogen
containment level, as defined by the most recent edition of The Containment Standards for
Veterinary Facilities (Canadian Food Inspection Agency). This includes but is not limited
to:
a) reception facility to permit receipt and transference of carcasses into a secure
holding area.
b) holding areas sufficient to contain carcasses under appropriate temperature and
security arrangements.
c) disposal facilities, on site or off site, that will permit the neutralisation of any
infectious risks arising from the facility, and
d) operational guidelines that permit the safe operation of all equipment and
processes within the facility.

Veterinary Clinic Standards for Newfoundland and Labrador 49


CHAPTER 4

APPENDICES
Veterinary Clinic Standards for Newfoundland and Labrador 50

Appendix A
Sample Log Record for Controlled Substances
Name of Veterinary Clinic
Record for _____________________________________ DIN ______________________ Format _____________________
Quantity Date Received or Used Lot # Expiry Date Total Volume On Hand Volume Used Total Volume
Remaining
Employee
Veterinary Clinic Standards for Newfoundland and Labrador 51
Example of log record in use:
ABC Veterinary Clinic
123 Fourth Street
Capelin Cove, NL
Record for _____________________________________ DIN ______________________ Format _____________________
Quantity Date Received or Used Lot # Expiry Date Total Volume On Hand Volume Used Total Volume
Remaining
Employee
Veterinary Clinic Standards for Newfoundland and Labrador 52


Appendix B
Regulatory and associated websites
Veterinary Clinic Standards for Newfoundland and Labrador 53
Regulatory Sources
1. Veterinary Medical Act (Newfoundland and Labrador)
www.hoa.gov.nl.ca/hoa/statutes/v04-1.htm
2. Limitations Act (Newfoundland and Labrador)
www.hoa.gov.nl.ca/hoa/statutes/L16-1.htm
3. Aquaculture Act (Newfoundland and Labrador)
www.hoa.gov.nl.ca/hoa/statutes/a13.htm
Aquaculture Regulations
www.hoa.gov.nl.ca/hoa/regulations/rc961139.htm
4. The Controlled Drugs and Substances Act (Canada) -
laws.justice.gc.ca/en/C-38.8/index.html
Regulations
Schedule I - laws.justice.gc.ca/en/C-38.8/229687.html
Schedule II - laws.justice.gc.ca/en/C-38.8/229687.html#rid-229688
Schedule III - laws.justice.gc.ca/en/C-38.8/229687.html#rid-229689
Schedule IV - laws.justice.gc.ca/en/C-38.8/229687.html#rid-229690
Schedule V - laws.justice.gc.ca/en/C-38.8/229687.html#rid-229691
Narcotic Control Regulations
laws.justice.gc.ca/en/C-38.8/C.R.C.-c.1041/index.html
Schedule - laws.justice.gc.ca/en/C-38.8/C.R.C.-c.1041/211266.html
5. Food and Drug Act (Canada) - laws.justice.gc.ca/en/F-27/index.html
Food and Drug Regulations - laws.justice.gc.ca/en/F-27/C.R.C.-c.870/index.html
Schedule F Part I - laws.justice.gc.ca/en/F-27/C.R.C.-c.870/238521.html
Schedule F Part II - laws.justice.gc.ca/en/F-27/C.R.C.-c.870/238522.html
Veterinary Clinic Standards for Newfoundland and Labrador 54
6. Compendium of Medicating Ingredients Brochure
www.inspection.gc.ca/english/anima/feebet/mib/mibtoce.shtml
Guidelines
1. Canadian Council on Animal Care - www.ccac.ca
Guidelines - Volume 1
www.ccac.ca/en/ccac_programs/guidelines_policies/guides/english/toc_v1.htm
Guidelines - Volume 2
www.ccac.ca/en/ccac_programs/guidelines_policies/guides/english/toc_v2.htm
2. Health Canada
Recommended Safety Procedures for Installation and Use of Veterinary X- Ray Equipment
Safety Code 28
www.hc-sc.gc.ca/ewh-semt/alt_formats/hecs-sesc/pdf/pubs/radiation/91ehd-dhm151/91e
hd-dhm151_e.pdf
3. Canadian Food Inspection Agency
Containment Standards for Veterinary Facilities
www.inspection.gc.ca/english/sci/lab/convet/convete.shtml
Professional Associations
1. Canadian Veterinary Medical Association
www.canadianveterinarians.net
2. Newfoundland and Labrador Veterinary Medical Association
www.nalvma.ca
3. Canadian Association of Animal Health Technologists and Technicians
www.caahtt-acttsa.ca
Veterinary Clinic Standards for Newfoundland and Labrador 55
4. Eastern Veterinary Technicians’ Association
www.evta.ca
Humane Societies
1. Canadian Federation of Humane Societies
www.cfhs.ca
2. Society for the Prevention of Cruelty to Animals (NL)
www.spcashelter.nf.ca
Academic Institutions
1. Atlantic Veterinary College - www.upei.ca/~avc/index.html
2. Ontario Veterinary College - www.ovc.uoguelph.ca
3. Faculté de médecine vétérinaire - www.medvet.umontreal.ca/index.html
4. Western College of Veterinary Medicine - www.usask.ca/wcvm

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