G AO 54-Code on Vet Clinic & Hospitals

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    16 October 2000

    Department of Agriculture

    Administrative Order 54

    Series of 2000

    Subject: CODE O S!A"DA#DS O# $E!E#%"A#& C'%"%CSA"D (OS)%!A'S O# S*A'' CO*)A"%O" A"%*A'S

    Section +, -.%D%"- )#%"C%)'ES

    It shall be the duty of the Bureau of Animal Industry (BAI) to superviseand regulate the establishment operation and maintenance of veterinary clinics

    (non!surgical and surgical) and hospitals and any other form of structure for the

    confinement of animals "here they are #ept maintained or treated$ %hefollo"ing shall be the guiding principles in veterinary clinics and hospitals&

    1$1 A veterinary clinic or hospital shall be #ept clean at all times$

    'crements (feces and urine) from small animals shall be cleaned "ithinreasonable time$

    1$2 nless specified as a specialty veterinary clinic (specialty to speciesdiscipline or organ system) the veterinary practice shall be presumed to

    be of general practice "ith limitations to species such as practice

    limited to dogs or cats or birds or reptiles or a combination thereof$

    1$* %he minimum re+uirement stated in ,ection * shall help ensure that the

    clinic and practitioner "ill have ade+uate support facilities to performhis-her duties. it shall ensure that the animals confined "ill be

    ade+uately comfortable$

    1$/ If the surgery room-s in the clinic is-are not air!conditioned it shall bescreened using fine meshed material to prevent entry of insects$ It shall

    be separate from the other rooms used for other purposes$

    0epublic of the 1hilippines

    DE)A#!*E"! O A-#%C.'!.#E

    Office of the ,ecretary

    'lliptical 0oad 2iliman 3ue4on 5ity

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    1$ All surgeries shall be done "ithin the facilities of a BAI!registered

    surgical veterinary clinic or hospital ecept for minor cuts or small

    "ounds that need suturing "hich may be done outside these facilities$

    Section 2, DE%"%!%O" O !E#*S

    2$1 Anesthesiarefers to the state in "hich a patient is rendered insensible to

    all sensations either locally as "ith local anesthetic or completely as

    "ith general anesthetic$

    2$2 Anesthetic refers to the agents "hich are used to render a patient

    insensible to all sensations either locally as "ith local anesthetic or

    completely as "ith general anesthetic$

    2$* Animal Patient refers to an animal accepted by veterinary clinics-hospitals for veterinary care and services$

    2$/ Licensed Veterinarian refers to a person "ho graduated from a

    veterinary college "ith the degree of octor of 7eterinary 8edicine andis duly registered "ith the rofessional egulation 5ommission (5)

    and holds a rofessional %a eceipt (%) both of "hich must be

    current$

    2$ Non-Surgical Veterinary Clinic refers to a BAI!registered veterinaryclinic intended only for the diagnosis and treatment of animal patients$9o surgery shall be performed in this clinic$ 5linical cases shall be

    treated-managed only by a duly licensed veterinarian$

    2$6 Small Companion Animalrefers to dogs cats birds small reptiles andother animals that can be #ept in the household$

    2$: Surgeryrefers to the procedure performed in the animal "ith the use ofsurgical instruments involving incision ecision and-or transection of

    organs or part of it "ith the use of anesthetic$

    2$; Surgical Veterinary Clinic refers to a BAI!registered veterinary clinic

    intended for the diagnosis treatment and surgery of animal patients$

    2$< Treatment refers to the management and care of sic# animals by

    administering the proper medications and-or appropriate intervention$

    2$10 Veterinary Hospital refers to a BAI!registered establishment "ithade+uate facilities for the diagnosis treatment and surgical operation of

    animal patients$

    Section /, *%"%*.* #E.%#E*E"!S O# #E-%S!#A!%O" (as re+uired under

    the provisions of AO ; s$ 1

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    *$1$2 ocuments Boo#s and Other eading 8aterials

    *$1$2$1 ocuments such as 5 egistration % angerous

    rugs =icense or ,2 veterinary diploma and otherre+uired documents shall al"ays be made available in the

    office for inspection$

    *$1$2$2 Boo#s necessary for the practice of veterinary medicinein the clinic shall be available in the clinic$ 7eterinary

    drug inde formulary or compendium shall li#e"ise be

    available$

    *$1$2$* rescription pads bearing the name and address of the

    veterinary clinic must be available$

    *$1$2$/ 7accination 5ertificates

    *$1$2$/$1 ,ingle use the name of the veterinarian or

    veterinary institution veterinary clinic

    address %I9 5 number and %

    number shall be reflected in the certificate$

    *$1$2$/$2 8ultiple use or certification (international or

    universal form meaning that this can beused by many veterinarians) shall not be

    personali4ed and the front page shall notreflect the name of the veterinarian orclinic$ %he name of the veterinarian-s

    shall only be reflected or stamped on the

    space provided for$ Included are the %I9

    5 registration number and % of theveterinarian signing$ It is suggested that

    the hilippine Animal >ospital Asso!

    ciation (A>A) - 7eterinary ractitionersAssociation of the hilippines (7A)

    vaccination certificate or format be used$

    *$1$2$/$* 5linical record forms shall be available in

    the clinic$

    *$1$* hysical lant ?acilities

    *$1$*$1 %he eception oom

    *$1$*$1$1 %he room shall be "ell lighted "ith good

    ventilation or air conditioning$ %he "alls

    shall be smooth for easy cleaning and

    disinfection$

    *$1$*$1$2 %he room shall accommodate at least threeclients "ith their animals at any given

    time$

    *$1$*$1$* %he room shall have sufficient number ofchairs reception table filing cabinet or its

    e+uivalent one type"riter or computer

    "ith printer one simple calculator and onefunctional phone$

    *

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    *$1$*$2 %he 'amination oom

    *$1$*$2$1 %he room shall be "ell lighted "ith goodventilation or air!conditioning$ %he "alls

    and floors shall be smooth for easy

    cleaning and disinfection$

    *$1$*$2$2 %here shall be an eamination table of

    appropriate si4e "ith a top made of either

    formica aluminum stainless steel orporcelain$

    *$1$*$2$* %he room shall have a properly installed and

    functional sin# (porcelain coated orstainless steel or others) "ith a permanent

    piping for "ater supply and drainage$

    *$1$*$2$/ %here shall be cabinets or shelves for

    medicines instruments and others$

    *$1$*$* %he follo"ing e+uipment instrument and supplies shall

    be "ithin the clinic&

    *$1$*$*$1 refrigerator

    *$1$*$*$2 "eighing scale

    *$1$*$*$* mu44le and leash (* pieces each)

    *$1$*$*$/ detrose stand or provisions in the roomsfor attachment in the ceiling or "alls in the

    form of hoo#s

    *$1$*$*$ oygen cylinder "ith gauge and control

    and other paraphernalia to deliver oygen

    to the patient

    *$1$*$*$6 unused disposable syringes shall be at

    least 2$ ml (20 pcs) and needles shall beof gauge 2*

    *$1$*$*$: stethoscope

    *$1$*$*$; thermometer 2 pieces

    *$1$*$*$< ophthalmoscope or penlight or e+uivalent

    (otoscope!optional)

    *$1$*$*$10 compound microscope

    *$1$*$*$11 nail clipper 1 each for the dog and cat$

    (>uman nail clipper may be used for cats)

    *$1$*$*$12 catheters or infant feeding tubes 2 pieces

    each of @ 10 and @12

    *$1$*$*$1* bandages various si4es

    /

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    *$1$*$*$1/ glass slides and cover slips 1 bo each

    *$1$*$*$1 test tubes and rac#s

    *$1$*$*$16 magnifying lens

    *$1$*$*$1: emergency pac# shall contain the

    follo"ing&

    a) tran+uili4er 1 vial

    b) adrenaline 2 ampules

    c) atropine 2 ampulesd) deamethasone 1 vial

    e) oytocin 2 ampules

    f) calcium gluconate 10 1 ampule

    g) disposable 2 ml syringe "ith 2* gaugeneedle or needles

    h) ml disposable syringe "ith needlesi) vitamin 1 2 ampules

    C) 1 needle holder

    #) needle-sil#

    l) 1 thumb forceps m) 2 mos+uito forceps

    n) scissors

    o) bandages and tapesp) dia4epam 1 ampule

    *$1$*$*$1; 8edicines-drugs

    a) etrose ! 6 pcs = ! 6 bottles

    = ! 6 bottlesb) anesthetics

    c) de"ormers

    d) vaccines D dogs and cats

    e) antibacterialsf) disinfectants

    *$1$*$*$1< Easte receptacles shall be made of tinporcelain enamel stainless steel or

    plastic$ %hese shall be emptied as

    fre+uently as possible$

    *$1$*$/ %he 5age oom

    *$1$*$/$1 %he cage room shall be separate from theeamination and surgery rooms$

    *$1$*$/$2 It shall accommodate at least three (*)

    cages of different si4es$

    *$1$*$/$* 5age or ennel

    *$1$*$/$*$1 ,hall securely accommodate

    small and large pets$

    *$1$*$/$*$2 8ade out of stainless steel

    "elded iron fiber glass

    cement or combination or other

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    acceptable materials$ ainting

    should be chromatone$

    *$1$*$/$*$* emovable flooring or

    permanent flooring "ith

    appropriate drainage$

    *$1$*$/$*$/ All cages and #ennels shall

    be secured$

    *$1$*$/$/ Eaterer and feeder shall be made of

    durable materials$

    *$1$*$/$ ?loors and "alls shall be concrete or

    e+uivalent for easy cleaning and

    disinfecting$

    *$1$*$ %he rest room shall be #ept clean$

    /,2 Surgical Clinic D re+uirements are the same as those of non!surgical

    clinic "ith the addition of the follo"ing&

    *$2$1 ,urgery oom

    *$2$1$1 %he room shall be "ell lighted "ith good ventilation or

    air conditioning$ In the absence ho"ever of an airconditioning unit an ehaust fan shall be provided and

    "indo"s screened$ %he "alls and floors shall besmooth for easy cleaning and disinfection$

    *$2$1$2 %here shall be at least one operating table "ith top made

    of stainless steel aluminum formica or porcelain$ %here

    shall be one metal pail$

    *$2$1$*$ etrose stand or "all or ceiling attachment for

    detrose$

    *$2$1$/ ,urgical lamp or e+uivalent$

    *$2$1$ 5abinet for surgical paraphernalia$

    *$2$1$6 Instruments and ,upplies

    *$2$1$6$1 Instrument tray

    *$2$1$6$2 One surgical pac# shall contain thefollo"ing&

    a) * mos+uito curve forceps

    b) * mos+uito straight forcepsc) * elly curve forceps

    d) * elly straight forcepse) 2 5armalt forceps straight

    f) 1 pair of abdominal retractor

    g) 1 pair 8ayo-8et4enbaum scissors

    h) 2 scalpel handle "ith correspondingblades @/

    i) 1 thumb forceps plain

    C) 1 thumb forceps rat!toothed#) 1 pair of sharp and blunt forceps

    6

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    l) 1 needle holder 6F

    m) / to"el clamps

    n) 2 Aliss tissue forceps

    o) 1 spay hoo#-or e+uivalent

    *$2$1$6$* ,urgical needles

    a) * pcs traumatic (cutting curved)

    b) * pcs atraumatic (non!cutting for dogscurved)

    c) 2 pcs straight

    *$2$1$6$/ rapes (reusable or disposable) ; pcs

    *$2$1$6$ Gau4e pac#s /F/F 1 pcs

    *$2$1$6$6 =aparotomy sheets * si4es (small

    medium and large)

    *$2$1$6$: 5otton Cars

    *$2$1$6$; ,urgical gloves 6 pairs

    *$2$1$6$< 8as#s 6 pcs$

    *$2$1$6$10 5aps 6 pcs

    *$2$1$6$11 Go"ns 2pcs

    *$2$1$6$12 ,urgical threads absorbable and non!

    absorbable @00! 000 1 do4en each

    *$2$1$: rovisions for proper disposal of unclaimed dead

    patients (on or off sites)$

    /,/ (ospital

    *$2$1 ersonnel

    *$2$1$1 2 licensed veterinarians

    *$2$1$2 1 receptionist-secretary-medical technologist*$2$1$* 2 veterinary aides

    *$2$2 hysical lant ?acilities

    *$2$2$1 'ssentially similar to the re+uirements for a surgical

    clinic "ith the addition of the follo"ing&

    *$2$2$1$1 eception room shall accommodate atleast clients "ith their animal at any

    given time$

    *$2$2$1$2 5age room shall have at least 6 (si)

    cages$

    *$2$2$2 =aboratory room shall be capable of doing the follo"ing

    eaminations&

    *$2$2$2$1 >ematology and blood chemistry

    :

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    *$2$2$2$2 rinalysis

    *$2$2$2$* ?ecalysis

    *$2$2$* Instruments and supplies shall be the same as that for the

    surgical clinic but shall have 2 or more surgical pac#s$

    *$2$2$/ 8edicines shall have t"ice the clinic re+uirements$

    *$2$2$ ,hall provide personnel to attend to emergency cases

    outside of the regular hospital hours$

    Section 4, )E"A' )#O$%S%O"S

    7iolation of any of the provisions of this ules and egulations shall be

    penali4ed in accordance "ith the la"$

    Section 5, SE)A#A%'%!& C'A.SE

    In case any provision of this ules and egulations is declared

    unconstitutional and-or contrary to la" other provisions "hich are not affected

    thereby shall continue to be enforced and in effect$

    Section 3, #E)EA'%"- C'A.SE

    All Administrative Orders ules and egulations and otheradministrative issuance or parts thereof inconsistent "ith the provisions of thisegulation are hereby repealed or modified accordingly$

    Section , EEC!%$%!&

    %his egulation shall ta#e effect fifteen (1) days after its publication in

    a ne"spaper of general circulation$

    ED-A#DO , A"-A#A

    Secretar6

    ;

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    5ode on 7et$ 5linics H >osp$