Record Keeping Key For Vets To Avoid State Board Inquiries

by | 03.24.2019 | 3:13pm

State board inquiries are designed to ensure that proper care is being given to a veterinarian's equine patients; medical record management has become a key issue for veterinarians.

Good communication is a necessity to keep clients happy; poor communication generally translates into unhappy clients, who could complain about the care their horses receive.

It's important to remember that the examining board is meant to be used as a resource to help clarify any questions that arise. Some tips that will help prevent an inquiry include:

  • Every time a patient is seen for a condition that is not preexisting, a physical exam should be done. Results from the exam should be recorded. This is the first thing an examining board will look for; any other information recorded about the visit will be invalidated without supplemental data to support the diagnosis.
  • Recommendations should be documented, as should the client's response to the recommendation.
  • Record every communication in the patient's record. This includes text messages, messages on social media and emails. While time consuming, records of each of these are necessary if the board opens an inquiry.

Read more at DVM360.

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