Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role
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Transcript of Dr. Laura Bruner - What Will Guidance 213 Mean To Veterinarians In Consulting Role
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VFDs and Practice
Dr. Laura BrunerSwine Vet Center
St Peter, MN
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VFDs in Practice
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Scenario
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Need a VFD
• Linco 100g for 3 weeks• What do I do next?
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Issue a VFD for Linco in the Feed
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Internal VFD
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Grow Finish Software
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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.
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What if we wanted to treat through the water?
• 200 miles away from office• Mobile application?• Email to office staff?• Approval over the phone?
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What will it mean to Swine veterinarian?
1. Different client structures2. Time3. Communication4. Good records5. Challenges
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1) Client Structure2400 Farrow to Finish
VFD for the nursery • Same flow• 1 nursery• Multiple diets
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2400 Farrow to Finish
VFD per diet• Same flow of pigs• Multiple sites listed• Multiple diets
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Multiple flows
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Multiple flows
• VFD per Flow• List the sites the flow fills
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Multiple flows
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Multiple flows
VFD/site• Generated with feed budget?• Generated by office staff for
Veterinary signature?
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Multiple flows
VFD/System• 1 VFD for all animals• Can you prove veterinary
Oversite?
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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
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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
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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
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3) Communication- With Clients
• Communication with Clients– What barns are filling?– Diet Changes?– Different VFD systems
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• Communication with Staff and Veterinarian– Prescription changes– Emergency orders– New prescriptions– VFD signatures
3) Communication- With Staff
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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?
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4. Good Records
• VCPR– Herd letters– Medication plans
• Veterinary Oversite– Diagnostics– Medication plans
• Prevention vs Treatment vs Control
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Prevention vs Control vs Treatment
• Prevention example– Timed pulses of antibiotic in the finisher for the
prevention of ileitis– Diagnostics to justify use
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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.
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QUESTIONS?