Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Veterinary Medicine
 
chapter
Regulations Governing the Practice of Veterinary Medicine [18 VAC 150 ‑ 20]
Action Prescribing of opioids
Stage Emergency/NOIRA
Comment Period Ended on 8/9/2017
spacer
Previous Comment     Next Comment     Back to List of Comments
7/31/17  12:45 am
Commenter: Kelly Gottschalk

Veterinarians can be a part of the solution
 

I have read these proposed regulations multiple times.  They appear to be in line with the way the majority of veterinarians already practice.  I agree, that it is unlikely that veterinary medicine is contributing to the opioid crisis in any meaningful way.  However, I don't see a problem with adherence to best practices and I think these regulations delineate best practices. This is an opportunity to highlight how carefully veterinarians consider their patients' needs and how appropriately our profession addresses pain and use of all modalities to bring comfort to our patients. We are and should be an example to other professions. Most of the commenters are concerned about the reevaluation of the patient, and this being a deterrent to appropriate use of these medications.  As I read this, the reevaluation at 7 and/or 14 days could be done as a phone conversation to check on progress and response to the treatment.  I do not see a requirement for an office visit or physical examination except for the original prescription and then every 6 months for chronic prescriptions.  Perhaps the wording in these sections could be made more clear.  Section A2 says "shall perform a history and physical examination", Section A4 says "reevaluation of patient" (but does not say physical exam) and section B says "seen and reevaluated".

CommentID: 62739