April 7, 2004

 

 

 Dr. Barb Leslie, DVM, M.Sc.

 Registrar

 College of Veterinarians of Ontario

 2106 Gordon Street

 Guelph,On. N1L-1G6

 

          Re: CVO’s Position Statement on Delegating to Auxiliaries in 

                   Food Animal and Equine Practice

 

The OABP would like to commend CVO for inviting open discussion and for being very transparent and thorough concerning the role of auxiliaries in LA practice.  OABP feel that auxiliaries would play a very important role in LA practice should they be allowed to practice as per the CVO “draft”.  As the demand for LA practitioners grows, there are many repeatable and technical procedures that could be handled very effectively by “trained” para-professionals and/or licensed technicians.  Provided the technicians are well trained, I feel  public perception of the role of auxiliaries in LA practice will grow in a positive manner.  The auxiliaries will help alleviate the “technical” workload for the veterinarian, thereby giving the veterinarian more time to focus on other herd related issues – diseases;  reproduction; nutrition; periparturient problems; lameness; calf and heifer raising issues; investigation and problem solving; prevention and control; and monitoring herds on a regular basis. 

The OABP executive has reviewed the “draft” and agree in principle with its contents. However, there are some changes we would like instituted before the “draft” is finalized:

 

1)           The definition of “indirect supervision” should be broadened

to the following:

“the member is in face to face communication with their auxiliary at least once per day on the days that the auxiliary is performing a delegable task.  The member should be available to respond to an emergency situation ( ie anaphylactic reaction; injury to animal – fracture; uncontrollable or prolonged hemorrhage; choke; etc ) in an appropriate manner within a reasonable time-frame as dictated by the nature of the emergency.”

         

2)           The OABP executive also would like to see changes made to

categorization of certain delegable tasks:

 

          We would like to see the following delegable tasks moved from “ Under Immediate, Direct or Indirect Supervision”

to “Under Immediate or Direct Supervision”:

 

                   9.  Intravenous injections

                  17.  The implanting of embryos into horses

                  18.  Dehorning of cattle and goats less than two (2)

                        months of age

19.               Cornual nerve block of cattle and goats

20.               Castration of cattle, sheep and goats less than

two (2) months of age

21.               Castration of pigs less than one (1) month of age

 

 

3)           We ,the OABP executive, feel that the age for the dehorning of   cattle ,sheep and goats by auxiliaries is too young.  The majority of the OABP executive feel that the “trained” auxiliary, under immediate or direct supervision should be allowed to castrate and dehorn animals  under 2 months of age.

 

These are the changes which the OABP executive would like made to the existing “draft” before it is finalized.

 

     Another issue concerning OABP members is the policing and enforcement  of  these regulations.  How will the delegation of tasks to auxiliaries be monitored by CVO?  How will investigations into “disregard” for these recommendations be initiated?  Who is going to police and enforce this document once adopted by CVO so that it doesn’t become a “lame-duck”?”  There are lay-people who perform castration and dehorning services for producers now.  Will they be allowed to continue to do so?

Thanks again  for your openess and transparency on this issue.   We are looking forward to your response to our concerns.

 

Yours truly,

                                                Brian MacNaughton

                                                OABP President