dr. laura bruner - what will guidance 213 mean to veterinarians in consulting role

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VFDs and Practice Dr. Laura Bruner Swine Vet Center St Peter, MN

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Page 1: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

VFDs and Practice

Dr. Laura BrunerSwine Vet Center

St Peter, MN

Page 2: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

VFDs in Practice

Page 3: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Scenario

Page 4: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Need a VFD

• Linco 100g for 3 weeks• What do I do next?

Page 5: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Issue a VFD for Linco in the Feed

Page 6: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Internal VFD

Page 7: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Grow Finish Software

Page 8: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

What’s next?

• Must provide the distributor with a copy of the VFD order.

• Must provide the client with a copy of the VFD order.

• Must retain the original VFD for 2 years.• Must provide VFD orders for inspection and

copying by FDA upon request.

Page 9: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

What if we wanted to treat through the water?

• 200 miles away from office• Mobile application?• Email to office staff?• Approval over the phone?

Page 10: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

What will it mean to Swine veterinarian?

1. Different client structures2. Time3. Communication4. Good records5. Challenges

Page 11: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

1) Client Structure2400 Farrow to Finish

VFD for the nursery • Same flow• 1 nursery• Multiple diets

Page 12: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

2400 Farrow to Finish

VFD per diet• Same flow of pigs• Multiple sites listed• Multiple diets

Page 13: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Multiple flows

Page 14: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Multiple flows

• VFD per Flow• List the sites the flow fills

Page 15: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Multiple flows

Page 16: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Multiple flows

VFD/site• Generated with feed budget?• Generated by office staff for

Veterinary signature?

Page 17: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Multiple flows

VFD/System• 1 VFD for all animals• Can you prove veterinary

Oversite?

Page 18: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

2) Time

• 10 minutes per VFD• Maintaining records• High Volume- 90% + nursery diets will need 1

to 3 VFDs• Every client in our system did 2 VFDs per year– 312 hours

Page 19: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

2400 Farrow to Finish

Client Type 2400 Farrow to finish

#Time/

6 months

1 VFD for all nurseries 1 10

Every 2 months 3 30

Page 20: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Multiple flows

Weaning 12,000 pigs/week ~ 5 nurseries per week

1 Diet

Multiple flows #Time in hours/

6 months1 VFD per nursery 120 20

VFD per flow ( 3 flows) 40 71 VFD for all Nurseries 1 0.17

Page 21: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

3) Communication- With Clients

• Communication with Clients– What barns are filling?– Diet Changes?– Different VFD systems

Page 22: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

• Communication with Staff and Veterinarian– Prescription changes– Emergency orders– New prescriptions– VFD signatures

3) Communication- With Staff

Page 23: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Water medications

• Prescription by order?– Traveling– Timeliness for pigs and producer– Mobile App?

• Prescription by client?– Set number of refills for prescription?– Set time for which the prescription is valid?

Page 24: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

4. Good Records

• VCPR– Herd letters– Medication plans

• Veterinary Oversite– Diagnostics– Medication plans

• Prevention vs Treatment vs Control

Page 25: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

Prevention vs Control vs Treatment

• Prevention example– Timed pulses of antibiotic in the finisher for the

prevention of ileitis– Diagnostics to justify use

Page 26: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

5. Challenges

• Up to veterinarian to prove veterinary oversite• Traveling veterinarian• Multiple states• Emergency scripts• Veterinarian and Nutritionist communication• Balancing Veterinary oversite with logistics of

getting it done.

Page 27: Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role

QUESTIONS?