STATE OF NEVADA BOARD OF VETERINARY MEDICAL EXAMINERS BOARD MEETING At Hyatt Place 1790 East Plumb Lane Reno, Nevada 89502 MINUTES January 29, 2015 BOARD MEMBERS PRESENT William Taylor, DVM – President Ronald Sandoval, DVM - Vice-President Steve Damonte, DVM Scott Bradley, DVM Kevin Collins, DVM Melissa Schalles, LVT Davyd Pelsue, DVM Sherita Rogers, Public Member BOARD STAFF PRESENT Debbie Machen - Executive Director Tracie Estep – Administrative Asst. Louis Ling, Esq. – Board Counsel Christina Johnson, LVT – Inspector Patricia Handal, DVM-Investigator 1 Dr. Taylor called the meeting to order and called roll at 9:00 a.m. 1. Public Comment None 2. Approval of Board Minutes A. October 30, 2014 Board Meeting Motion: Dr. Pelsue moved to accept the minutes with corrections. Second: Dr. Bradley Passed: Unanimous 3. Review & Determination of Complaints/Disciplinary Action & Disciplinary Hearings A. 2014LVT-026; Joanne Light, LVT, License #LVT230: Letter of Reprimand Discussion: Mr. Ling provided the Board with an overview of the proposed stipulated agreement. Motion: Dr. Bradley moved to accept the Letter of Reprimand as written. Second: Ms. Schalles Passed: Unanimous; Dr. Sandoval abstained B. 2014DVM-027; Eleanor St. John, DVM, License #1523: Letter of Reprimand Discussion: Mr. Ling provided the Board with an overview of the proposed stipulated agreement. Motion: Ms. Rogers moved to accept the Letter of Reprimand as written. Second: Dr. Sandoval Passed: Unanimous; Dr. Pelsue abstained C. 2014LVT-020; License #LVT716, Crystal Barker, LVT: Administrative Hearing An Accusation was presented to the Board on Crystal Barker, LVT. Dr. Taylor called the hearing to order at 9:15 a.m. and asked if the Respondent, Crystal Barker or legal counsel for Ms. Barker was present. The record showed that Ms. Barker or legal counsel was not present. Mr. Ling introduced himself as board counsel and stated that since Ms. Barker was not present pursuant to NAC 638.280 the Board could hear the evidence of witnesses and the Board could proceed to consider the matter. Ms. Machen, Executive Director, was sworn in and Mr. Ling provided the following documents as exhibits and Dr. Taylor admitted them into evidence: 1) 2) 3) 4) 5) Ms. Barker’ renewal application Correspondence between the Board and Ms. Barker Notification of the Board Complaint The attempt to serve Ms. Barker with the Accusation and the USPS tracking Ms. Barker’s continuing education certificates of attendance for 2012 2 Mr. Ling presented explanation of each exhibit supporting the violations in the first and second cause of action. The recommendation by Mr. Ling was to revoke Ms. Barker’s veterinary technician license #LVT716. Dr. Taylor closed the hearing. Discussion: None Motion: Dr. Pelsue moved to find Ms. Barker guilty of the first and second cause of action. Second: Dr. Collins Passed: Unanimous; Ms. Schalles abstained. Motion: Dr. Pelsue moved to revoke Ms. Barker’s license. Second: Dr. Collins Passed: Unanimous; Ms. Schalles abstained D. 2014DVM-033 Discussion: After discussion of the complaint assessment with the review panel the Board dismissed the complaint due to the fact that there was not sufficient evidence to believe that the licensee had committed an act which constitutes a cause for disciplinary action. Motion: Ms. Schalles moved to dismiss the complaint. Second: Dr. Damonte Passed: Unanimous; Dr. Sandoval abstained E. 2014DVM-034 Discussion: After discussion of the complaint assessment with the review panel the Board dismissed the complaint due to the fact that there was not sufficient evidence to believe that the licensee had committed an act which constitutes a cause for disciplinary action. Motion: Dr. Pelsue moved to dismiss the complaint. Second: Dr. Collins Passed: Unanimous; Dr. Sandoval and Dr. Bradley abstained F. 2014DVM-035A and 2014DVM-035B Discussion: 2014DVM-035A - After discussion of the complaint assessment with the review panel the Board dismissed the complaint due to the fact that there was not sufficient evidence to believe that the licensee had committed an act which constitutes a cause for disciplinary action and directed staff to send a letter of concern to the licensee regarding: 1) Anytime a procedure becomes more involved or extensive than originally anticipated, consider contacting the owner to discuss findings before proceeding despite a signed authorization. 2) If contacting the owner during a procedure is not possible, consider attempting to contact them prior to pickup to apprise of what to expect. Discussion: 2014DVM-035B - After discussion of the complaint assessment with the review panel the Board dismissed the complaint due to the fact that there was not sufficient evidence to believe that the licensee had committed an act which constitutes a cause for disciplinary action. 3 Motion: Dr. Damonte moved to dismiss the complaint 2014DVM-035A and send a letter of concern; and dismiss the complaint 2014DVM-035B. Second: Dr. Sandoval Passed: Unanimous. Dr. Pelsue abstained G. 2014DVM-036 Discussion: After discussion of the complaint assessment with the review panel the Board recommended that disciplinary action be initiated against the licensee. Motion: Dr. Sandoval moved to have staff and Mr. Ling initiate action against the licensee due to there being sufficient evidence to proceed with disciplinary action. Second: Ms. Schalles Passed: Unanimous. Dr. Pelsue abstained H. 2014DVM-037 Discussion: After discussion of the complaint assessment with the review panel the Board recommended that disciplinary action be initiated against the licensee. Motion: Dr. Bradley moved to have staff and Mr. Ling initiate action against the licensee due to there being sufficient evidence to proceed with disciplinary action. Second: Ms. Schalles Passed: Unanimous. Dr. Pelsue abstained I. 2014DVM-038 and 2014DVM-039 Discussion: 2014DVM-038 - After discussion of the complaint assessment with the review panel the Board recommended that disciplinary action be initiated against the licensee. Motion: Dr. Pelsue moved to have staff and Mr. Ling initiate action against the licensee due to there being sufficient evidence to proceed with disciplinary action. Second: Dr. Sandoval Passed: Unanimous. Dr. Collins abstained Discussion: 2014DVM-039 - After discussion of the complaint assessment with the review panel the Board dismissed the complaint due to the fact that there was not sufficient evidence to believe that the licensee had committed an act which constitutes a cause for disciplinary action and directed staff to send a letter of concern to the licensee regarding: The physical examination findings and assessment of a patient must be documented in the patient’s medical record, specifically when the patient’s medical condition has changed. Motion: Dr. Sandoval moved to dismiss the complaint with a letter of concern. Second: Ms. Schalles Passed: Unanimous. Dr. Collins abstained 4 J. 2014DVM-040 Discussion: After discussion of the complaint assessment with the review panel the Board recommended that disciplinary action be initiated against the licensee. Motion: Dr. Bradley moved to have staff and Mr. Ling initiate action against the licensee due to there being sufficient evidence to proceed with disciplinary action. Second: Dr. Sandoval Passed: Unanimous. Dr. Pelsue abstained K. 2014DVM-041A and 2014DVM-041B Discussion: 2014DVM-041A - After discussion of the complaint assessment with the review panel the Board dismissed the complaint due to the fact that there was not sufficient evidence to believe that the licensee had committed an act which constitutes a cause for disciplinary action and directed staff to send a letter of concern to the licensee regarding: 1) Consider a policy to always offer a post-mortem exam to the owner. 2) Surgical reports should contain detailed information for the procedure performed including which salivary gland(s) was/were involved and excised. 3) Consider submitting tissue for histopath regardless of the outcome for the patient. Motion: Dr. Pelsue moved to dismiss the complaint with a letter of concern. Second: Dr. Bradley Passed: Unanimous. Dr. Sandoval abstained Discussion: 2014DVM-041B - After discussion of the complaint assessment with the review panel the Board dismissed the complaint due to the fact that there was not sufficient evidence to believe that the licensee had committed an act which constitutes a cause for disciplinary action. Motion: Ms. Schalles moved to dismiss the complaint. Second: Dr. Pelsue Passed: Unanimous. Dr. Sandoval abstained A. Discussion and Determination Discussion with representatives from the Nevada Pharmacy Board on destruction of drugs and compounding. (Larry Pinson, R.Ph, Executive Secretary; David Wuest, R.Ph, Deputy Executive Secretary; Paul Edwards, Legal Counsel) Discussion: Mr. Pinson, Mr. Wuest, and Mr. Edwards were present from the Nevada Pharmacy Board and discussed the challenges of adapting the current pharmacy dispensing laws to veterinary medicine, the restrictions of veterinary compounding, and the new DEA requirements on the destruction of pharmaceutical drugs. B. 2015 Legislative Update-Neena Laxalt Discussion: Ms. Laxalt, lobbyist for the Board, presented the Board with an overview of approximately 75 Bills that the Board is currently following at the 2015 Legislative session which begins on Monday, February 2, 2015. 5 C. Review and discussion of the current definitions of vaccination clinic, veterinary facility, and mobile clinic. (NAC 638.017;NAC 638.018;NAC 638.013) Discussion: Ms. Machen presented the Board with the laws regarding vaccinations clinics vs. mobile wellness clinics and discussed the implementation of registering mobile practices. The Board started licensing all facilities in 1998 and never included mobile practices. The consensus of Board is that a mobile practice should be licensed and self-inspections should be incorporated into the licensing process to ensure compliance with medical records, drug security, etc. D. Board Member Appointments Discussion: Ms. Machen stated that Dr. Taylor, Dr. Collins, and Dr. Damonte have been reappointed and Ms. Rogers’ re-appointment was pending due to her name change. A. Staff Reports Financial Report -Debbie Machen Discussion: The financial report was presented to the Board’s satisfaction. B. Licensing Report-Tracie Estep Discussion: The licensing report was presented to the Board’s satisfaction. C. Hospital Inspection Report-Christina Johnson, LVT Discussion: Hospital Inspection report was presented to the Board’s satisfaction. D. Complaint Report-Patricia Handal, DVM Discussion: Dr. Handal asked the Board for their input on what information they wanted to see on this new report which will be provided to the Board at the April 2015 meeting. Dr. Handal provided the Board with a current power point presentation on Anatomy of a Complaint. E. Legal Report, Louis Ling, Esq. Discussion: Mr. Ling reported that Hope Hawkinson’s sentencing hearing was a few weeks ago and we were advised by the Nevada Attorney General’s Office, who prosecuted the case, that she did pay the first payment to the Board of $1000.00 for the investigative fees. The Judge reduced the conviction from a felony to a gross misdemeanor contingent on her satisfying the terms of the three year Probation. Mr. Ling discussed the recent request by Dr. Carl Kelly to meet with him regarding the Board action that was taken in July of 2012. Mr. Ling agreed to the meeting hoping to understand his concerns. After meeting with him and knowing that Dr. Kelly had met with several past and present board members he advised the current board to decline any further communication regarding these matters. 4. Requests for Licensure/Reinstatement A. Katryna Fleer, DVM; Veterinary application Discussion: Dr. Katryna Fleer submitted an application for licensure and requested that the Board waive the species specific examination requirement because she would not be performing the duties of a clinician in the State of Nevada. The Board reviewed her application and all supplemental documentation. 6 Motion: Ms. Schalles moved to deny waiving the requirement of taking the Species Specific Examination. Second: Dr. Damonte Passed: Unanimous B. Jani Johnston, LVT, Veterinary Technician application Discussion: Ms. Johnston submitted an application for licensed veterinary technician based on her education background, practical experience, and references. The Board reviewed her application and all supplemental documentation. Motion: Ms. Schalles moved to deny Ms. Johnston’s application. Second: Dr. Bradley Motion Failed Motion: Dr. Pelsue moved to approve Ms. Johnston’s application. Second: Dr. Sandoval Passed: 4-yes, 3- no C. Stephanie Estrada, VTIT application Discussion: Ms. Estrada submitted an application for veterinary technician-in-training and answered the question “yes” that she had a prior felony conviction. She is currently completing her Associates of Science degree in Veterinary Technology at Penn Foster. The Board reviewed her application and all supplemental documentation. Motion: Ms. Schalles moved to approve Ms. Estrada’s application for VTIT/LVT. Second: Ms. Rogers Passed: Unanimous 5. Continuing Education Approval A. Introduction to Veterinary Dentistry and Dental Radiography; 5 hours for veterinarians and 5 hours for veterinary technicians Discussion: Dr. Collins reviewed the above noted course and recommended approval for the requested hours of continuing education. Motion: Ms. Schalles moved to approve the above noted course and hours. Second: Dr. Sandoval Passed: Unanimous. Dr. Pelsue abstained B. Extractions; 8 hours for veterinarians Discussion: Dr. Collins reviewed the above noted course and recommended approval for the requested hours of continuing education. Motion: Dr. Bradley moved to approve the above noted course and hours. Second: Ms. Schalles Passed: Unanimous. Dr. Pelsue abstained 7 6. Agenda items for next meeting. 1) Comparison of other veterinary boards fees 2) Possible increase of the number of licensees that the Board audits for continuing education 3) Costs of inspection vs. revenue from facilities 4) Update on the NVMA mentoring program 7. Adjournment for Possible Action The meeting was adjourned at 4:34 p.m. 8
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