이사회 구성원 여러분,

I am a veterinarian who has practiced small animal medicine for 15 years, all in the state of Virginia.  Please consider the following comments regarding proposed changes to Article 18VAC150-20-172, Delegation of Duties, of the Virginia Register of Regulations, Volume 33, Issue 9, pages 952-953:

 B. 마취제 또는 화학요법 약물을 포함하는 주사, 치은연하 스케일링 또는 정맥 카테터 삽입을 보조원에게 위임해서는 안 됩니다.  또한 보조원에게 어떠한 방법으로도 진정 또는 마취 유도를 위임해서는 안 됩니다. 진정 또는 마취된 환자의 모니터링은 환자가 더 이상 삽관을 하지 않고 수의사 또는 면허를 소지한 수의테크니션이 환자가 완전히 회복될 때까지 현장에 남아 있는 경우 보조원에게 위임할 수 있습니다.

The new provision in the above regulation that specifically prohibits a veterinarian from delegating anesthetic monitoring of an intubated patient to an unlicensed, trained assistant concerns me.

The proposed regulatory change, intended to protect patients and promote the LVT profession, will instead have negative consequences on the quality, availability, and cost of veterinary care in Virginia, due to the severe shortage of LVTs in the state.

Other solutions can still protect veterinary patients.  Detailed training for anesthetic assistants could be developed, and demonstrated by practices, or a standardized curriculum developed by the Board or professional organization such as AAHA. Prior to veterinary school, while working as a technician assistant, I received extremely thorough training in anesthetic monitoring, always under the supervision of an LVT and veterinarian. During anesthetic rotations in veterinary school, I found that the training I received as an assistant was more complete than that of certain classmates who had worked as LVTs. A rigorous training program would allow unlicensed technician assistants to responsibly monitor intubated anesthetized patients under appropriate supervision of Licensed Veterinarians or LVTs. 

시간을 내어 위의 의견을 검토하고 검토해 주셔서 감사합니다.

정중하게,

Shannon Talbott, DVM

VA License # 0301200547

Associate Veterinarian, VCA-Alexandria Animal Hospital

2660 듀크 스트리트

알렉산드리아, VA 22306

703-751-2022