Can a practice fail practice standards for failing to label Librela box with broach date?

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Lucy Fleming — Mon, 19 Feb 2024 18:19:06 GMT

Yeah because the black batch number box is on the top! The name is on the bottom... we actually keep them upside down (they live in a basket in the bottom of the fridge so we can't see the sides and this is the easier way to see what size it is)

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Anthony Dennison — Mon, 19 Feb 2024 13:42:49 GMT

That's not the worst part. I always bloody open them upside down. Every. Single Time.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Clive Ansell — Mon, 12 Feb 2024 20:24:36 GMT

[quote userid="7530" url="~/f/non-clinical-questions/30883/can-a-practice-fail-practice-standards-for-failing-to-label-librela-box-with-broach-date/243692#243692"]We joined the PSS in the early days, left about 5yrs later because of nonsense like this. Why anyone stays in it is a mystery to me. [/quote]

The PSS is completely meaningless.

I have never had a single client enquire or ask about it at all.

The 2 best practices I have worked in by a long way, a real pleasure to work for, are both small independents, not in the PSS. Best, both in terms of high standards of veterinary care and client care. Staff and many clients have been there for decades, books are full with awaiting list for new clients, no need to advertise PSS or not.

On the other side of the coin, I have worked in some very mediocre PSS practices, that I am at a loss how they managed to be able to join at all.

From my experience as a locum of 23 years this year, and having worked in many diffferent practices, the PSS does not deliver or guarantee a good or better standard of care at all. Box ticking jumping through hoops exercise, nothing more.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Evelyn Barbour-Hill — Mon, 12 Feb 2024 19:36:40 GMT

[quote userid="7530" url="~/f/non-clinical-questions/30883/can-a-practice-fail-practice-standards-for-failing-to-label-librela-box-with-broach-date/243692#243692"] Why anyone stays in it is a mystery to me. [/quote]

So that they can put it on their big advertisements and websites

I've always put a felt tip mark – not a date or anything, just a mark – on a cardboard box or whatever that had been opened. Just to show anyone checking stock that "this one's been opened". Entirely our own internal measure. Any prodnose telling us that we must do it would receive a politely chilly answer.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Gerry Henry — Sun, 11 Feb 2024 20:26:17 GMT

We joined the PSS in the early days, left about 5yrs later because of nonsense like this. Why anyone stays in it is a mystery to me.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Clive Ansell — Thu, 08 Feb 2024 12:44:16 GMT

We don't see many in the Midlands and the Black Country, but for coastal locations it may be possible I suppose. Loads on the North Cornish coast in some of the coves.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Rob Loxley — Wed, 07 Feb 2024 22:45:04 GMT

[quote userid="10320" url="~/f/non-clinical-questions/30883/can-a-practice-fail-practice-standards-for-failing-to-label-librela-box-with-broach-date/243662#243662"]Might be better if they were, we have ongoing issues with people forgetting to mark the boxes when they have used a vial and then the team not knowing to order more. A seal would probably improve our stock control![/quote]

Nah, there’s better ways of managing stock control!

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Lucy Fleming — Wed, 07 Feb 2024 11:22:22 GMT

As an aside to all the rest of this, the cardboard boxes librela comes in aren't even sealed.

Might be better if they were, we have ongoing issues with people forgetting to mark the boxes when they have used a vial and then the team not knowing to order more. A seal would probably improve our stock control!

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Arlo Guthrie — Thu, 01 Feb 2024 23:02:48 GMT

bob lehner Oh my god - you HAVE been through the mill. So pleased you’ve made it out the other side and very much hope things are OK.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Joyce Whitehead — Thu, 01 Feb 2024 13:45:19 GMT

Very glad to hear you’re recovering Bob, best wishes from me and Malcolm.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Lucy Fleming — Thu, 01 Feb 2024 11:08:54 GMT

Good heavens, Bob! Sounds like a tough road to walk, glad to hear you're recovering well

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Kate Richardson — Thu, 01 Feb 2024 11:02:17 GMT

Jeez. Glad you are doing well!

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

bob lehner — Thu, 01 Feb 2024 10:37:44 GMT

Thanks for your good wishes Arlo. It is a year since I suffered an overwhelming stroke, which put me in hospital for three months (for two of which I was unconscious). Then home, to learn how to eat, walk and talk etc. Anyway, so much for the unexpected.... I am doing OK now!

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Arlo Guthrie — Wed, 31 Jan 2024 15:40:32 GMT

Hey bob lehner, good to see you back. You've been missed. Hope all OK.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

bob lehner — Wed, 31 Jan 2024 11:04:56 GMT

The PSS Rules provide a robust process for an appeal by the practice against an assessor's judgement. The Review Group (made up of 5 senior assessors) will examine the evidence given and reach a decision. This should be the path chosen by the practice in this case.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Joyce Whitehead — Sun, 28 Jan 2024 18:13:08 GMT

It won’t let me edit that should say it’s not an a fail.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Joyce Whitehead — Sun, 28 Jan 2024 18:12:04 GMT

Yes so this is standard, to get a list of requirements. Ours on this year’s inspection included such things as to get our pat testing up to date as it was due ( our electicriab had been too busy before the PSS visit to fit it in) and checking the controlled drug cupboard more often (one out of date box of drugs found in there that we had missed). Very few practices won’t have a list of requirements, some long, some short. It’s not a fail, just things to sort and send evidence to the inspector. I still think that advice is wrong, but it’s bit a fail (I’m married to a retired PSS inspector).

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Clive Ansell — Sun, 28 Jan 2024 12:38:48 GMT

This whole thing is Horsesh1t, and certainly needs challenging.

The box of 2 vials comes from the manufacturer sealed and with a shelf life use by date of 2 years post manufacture. This date is not changed by opening the cardboad box. Any so called broach date is therefore not relevant.

All of the contents of a vial are administered in one injection, and the empty vial discarded. It is not stored for future use, so therefore again no broach date is relevant.

Utter nonsense, and doesn't contribute one bit to improving veterinary care in any way.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Richard Carter — Sat, 27 Jan 2024 19:43:23 GMT

But this ruling is bullsh*t. So ignore and suggest the ruling may have been mistaken and if not, start a court case against the inspector and the practice standards scheme. We really cannot accommodate ridiculous rulings and perhaps these people need a bit of resistance

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Neil Wheadon — Sat, 27 Jan 2024 18:54:55 GMT

[quote userid="5012" url="~/f/non-clinical-questions/30883/can-a-practice-fail-practice-standards-for-failing-to-label-librela-box-with-broach-date/243502#243502"]Did the practice fail on this alone, or were there other issues too? [/quote]

OK, so this may show my lack of understanding in pass / fail

It was pointed out as thing to improve on.

The implications are that the inspector will check that behaviour is rectified at the next years inspection

As a result, the practice now have to write a broach date on the cardboard box every time a vial is taken out, so that they get in the habit for next time.

My point is that, all this adds to the day is another thing to think about, and that for an inspector to point it out may not be correct.

Inspections are tough for everyone, but it is up to the inspector to at least get it right and be reasonable? It's a culminative thing in my opinion.

Neil

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Clive Ansell — Sat, 27 Jan 2024 10:31:55 GMT

[quote userid="3169" url="~/f/non-clinical-questions/30883/can-a-practice-fail-practice-standards-for-failing-to-label-librela-box-with-broach-date/243498#243498"]but every inspection we have had, we have had the opportunity to put minor things right at the time. I never really saw it as a pass or fail thing, they just ask for missing things to be addressed.[/quote]

That's what I have found when I have been present during inspections; they seem to want to pass and not fail the practice, and any minor issues can be rectified at the time, or suitable advise given.

In one instance, there were a pair of clippers and their holder on the wall in the so called sterile operating theatre/area. Inspector said cannot be clippers in here as all preping has to be done in prep area - we removed them there and then, everyone was happy.

I used to know a PSS scheme inspector fairly well, he always stated that a practice would have to be pretty awful to fail.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Clive Ansell — Sat, 27 Jan 2024 10:26:01 GMT

[quote userid="8958" url="~/f/non-clinical-questions/30883/can-a-practice-fail-practice-standards-for-failing-to-label-librela-box-with-broach-date/243492#243492"]So one bottle was removed and used, the other vial in the fridge and unused, yet the practice standards inspector failed the practice on this point as the broach date of the cardboard box wasn't recorded.[/quote]

Did the practice fail on this alone, or were there other issues too?

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Beats — Fri, 26 Jan 2024 19:09:21 GMT

[quote userid="8958" url="~/f/non-clinical-questions/30883/can-a-practice-fail-practice-standards-for-failing-to-label-librela-box-with-broach-date/243492#243492"]yet the practice standards inspector failed the practice on this point as the broach date of the cardboard box wasn't recorded.[/quote]

I'm not one to leap to the defence of the PSS usually, but I do feel that this is a one-sided "heresay" story and unlikely to be accurate.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Glenn Hodgson — Fri, 26 Jan 2024 15:02:17 GMT

I'd ignore that and challenge if raised.

Was.not.a problem for us last inspection.

RE: Can a practice fail practice standards for failing to label Librela box with broach date?

Joyce Whitehead — Fri, 26 Jan 2024 14:00:08 GMT

Yes agree with Michael, it’s not generally a pass or fail, just some things that need correcting and recording/updating. But that seems just plain wrong and I would definitely ask for further clarification from a more senior inspector.