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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Dog Bites: What Would OSHA Do?

May 26, 2010 / (11) comments


A dog bit me last Saturday. It had been a pretty long time since my last tooth (years?), so I guess I was due one. Luckily, this one was more of a deep scrape than a puncture. Not too bad, really. But since it still smarts three days later (and I’m no wimp to pain), I’ve got to assume it wasn’t a throwaway fang-bang.

No, he was working to hurt me … for which I would not blame him. Actually, he was being a little curmudgeon, so maybe I would. After all, I was just cleaning his ears. And they weren’t even infected or painful or anything. What a wimp! But I’ll readily concede that he was acting the part of a perfectly normal dog.

I’ve known this muttly dude for well over half a decade — maybe a full ten years. And while this terrier-ish twelve-year-old has always been a placid sort, it’s clear he’s getting a little crotchety in his older years (aren’t we all?). Which is why I’ll be wearing an attractive, The Little Mermaid-themed Band-Aid for the next few days on the underside of my left ring finger.

All of which got me to thinking … maybe I should have muzzled him. River (that's his name) is a good dog, really. (Yes, he is.) There's no need to stress him out with the muzzle, right? Wrong on that count. I clearly made the incorrect choice, and bled copiously for my mistake. It happens. Occupational hazards and all that.

Which got me to thinking some more … perhaps OSHA, the Occupational Safety and Health Administration, would have had a thing or two to say about how I handled myself last Saturday morning. And I wouldn’t blame them.

After all, it’s OSHA’s job to ensure that work environments are as safe as possible for those who participate in daily tasks that inevitably involve some kind of risk or another.

From their website:

“Every day in this country, more than 14 workers lose their lives in preventable workplace tragedies — close to 100 deaths every week.”

While I’ve never heard of a veterinary hospital worker's death due to pet bite, I’ve no doubt it can happen. More likely is the loss of productivity when we’ve got to take off a couple of days to sit in the hospital with a Timentin drip, or reschedule surgeries until our hand fully recovers. That’s how it goes.

Which is why it shocks me that OSHA doesn’t get more involved in telling me how it is I’ve got to treat my patients. You’d think an organization that requires me to pick up pet blood spills with a special biohazard kit, label each and every single cleaning product with a color-coded sticker, and demands I wear closed-toed shoes at work would also require that  I muzzle all of my patients. But it doesn’t.

And thank God for that. Because not every patient does well with a muzzle. Cats, especially, tend to stress with the face mask. While dogs tend to take the muzzle pretty much in stride, some cope much better with alternative forms of restraint. Towels, head locks, gauze muzzles vs. cage muzzles … the options are endless. And how am I supposed to evaluate my patients’ eyes, skin folds, mouths, etc. with a muzzle over their faces?

The only way to make my job really safe would be to sedate each and every patient. And that’s not happening.

Yeah, I’d hate for OSHA to start telling me how I should manage my patients’ behavioral peccadilloes. Luckily, even OSHA appreciates that safety in veterinary settings is more about sound decision making than muzzling and sedating, and that the art of the judgment call will occasionally fall prey to a little bit of Saturday morning sluggishness.

 

Dr. Patty Khuly

 

 

Art of the day: "A Mad Dog's Tooth" by blurredfoto

 

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COMMENTS (11)
1
Safety overkill
by on 05/26/2010 09:52am

OSHA has absolutely NOTHING on the military.

One of the scenes in the Top Gun spoof "Hot Shots" is a guy dressed in every conceivable piece of safety gear to change a light bulb. Many people missed it, but to those of us that were in the military, we got the joke.

See, when I was in the military, we had maintenance cards that told us exactly (and I do mean EXACTLY) how to perform a given maintenance action on a piece of equipment. The one that stands out was cleaning tape heads on a computer's tape drive. Now, back in the days of cassettes, we all did this. Take rubbing alcohol, a cotton swab, and rub the oxide off of the heads and capstans.

In the US Navy, the maintenance card required the user to utilize chemical protective gloves, a safety apron, and "splashproof goggles." These were much like the workshop goggles but had absolutely no ventilation holes. And such was the overkill of US Navy safety.

Of course, not all was common sense. We were issued five daily work uniforms, two of which were fireproof. I guess one had to examine their aura to see if they felt they might be endangered by flame on a given day, and dress accordingly.

2
Areas of expertise
by on 05/26/2010 10:08am

OSHA understands things like biohazards and chemical spills. They even understand puncture wounds (like from used needles). They don't understand the actual practice of medicine nor the diagnosis and treatment process. It's not their job. Hence the disparity in regulation. Contrary to popular opinion about regulatory agencies, OSHA, at least, is staying away from what they don't study. That's as it should be.

That said, I try to warn my vet and vet techs about my animals - up-front and honestly. My sister is a vet (Vet on the Edge), and she's been presented with supposedly 'safe' animals far too many times for me to be complacent about the office staff's safety. So I warn them - "Suka's submissve and friendly to people, but if you're going to do something that hurts, she'll come around faster than a snake. Use a muzzle band." Nine times out of ten, people think I've been too restrictive. But that tenth time, they thank me.

3
BTW...
by on 05/26/2010 10:13am

EAB - You wouldn't have been a submariner, by chance..?

4
by on 05/26/2010 10:49am

OSHA does have some very good regulations, but some silly ones too. In my dad's shop, according to OSHA he is supposed to use a six foot tether whenever he climbs a three foot ladder. I know it had something to do with the particular set-up and equipment, but there is still no logic in a 6 foot tether on a three foot ladder.

5
OSHA
by on 05/26/2010 11:30am

We've had our run-ins with OSHA. I suppose they exist for good reason, but the silly side of them is too much...

Never any safety violations (a employee that was fired called them to say we were doing something we weren't). 3-weeks of these nerds at work found nothing.

Except a $50 fine for not having a label saying, "Do Not Swallow" on an old bottle of white-out.

Geez Louise...

6
No submariner
by on 05/26/2010 12:49pm

No, I was on an amphibious ship (USS Whidbey Island) as part of the LCAC hovercraft detachment. Also worked on the tender USS Sierra.

In keeping with the "pet" side of things, there was one time our ship had to do an unscheduled deployment because of Hurricane Andrew in Florida. I was under medical supervision (not mental, honest!!) so I couldn't go. All of the single folks that had pets asked if I could watch them while they were gone. With that, I ended up with an additional cat and a ferret in addition to the dog and two cats I already had. Oh, and I got to make housecalls to a buddy's house to ensure his snake was still alive.

7
Forgot...
by on 05/26/2010 12:51pm

I had to wear a harness to do antenna maintenance on top of the hovercraft's cabins. The harness had a "block" of fabric packaged in such a way that it would unravel in the event of someone falling, to cushion the tightening of the harness, if that makes any sense. According to our figures, once completely stretched, the strap holding the harness was approx 15 feet long.

This was 3 feet too much as the cabins were only 12 feet off the ground. Just brilliant.

8
OSHA
by on 05/26/2010 12:54pm

That they don't get involved in what they know nothing about is a small miracle given it's a gov't agency. Just don't give them an excuse...

My 2 year old Corgi girl is a whiny-butt, and I know that if something serious ever happens to her, she's going to need to be muzzled. My old Collie is very trusting, and she's never been a problem, even when something was very painful. My herding dogs are typical of their breeds.

My Dobie takes the cake, however. He is Mr. Stoic and our vet and vet techs can do pretty much anything to him, up to and including shave, clean and stitch his face without knocking him out. Just a local, and he's fine. (He was nailed by a crazed Aussie at the water bucket at the dog park) He's been stapled, stitched and purged few times and he's always an angel. He's quite the favorite at our hospital. Just be sure he gets his cookie afterward or he'll feel gypped.

9
for Dr. Khuly
by on 05/26/2010 05:22pm

Please check this out for your practice. And for anyone else interested in animal welfare.

http://www.morrisanimalfoundation.org/vet-teams/support-health-research/

10
osha
by on 05/26/2010 07:22pm

I'd love to put a muzzle on some of the kids I deal with, or the parents that bring them in.. It's a real trip to give vaccines to a fighting 4 yo.. or take their blood.. After that age they know we mean business.. I have to admit to being bitten a couple of times, and it smarts for days, even though they aren't usually as deep as a dog bite..
I must be lucky that my dogs sit and shake while at the vet..

11
Death is possible indeed
by on 06/02/2010 04:53pm

Although I wasn't a witness to the incident, I have heard of a veterinarian almost dying and the story was corroborated by many people. The doctor was doing an eye exam and the dog lunged and bit his nose and the corner of his eye. This lacerated a large blood vessel below the medial aspect of his eye and he started bleeding profusely. So much that he would have died before he got to the hospital. Luckily, there was another veterinarian who was able, after much difficulty, to clamp the vessel with a mosquito hemostat.

I am a big fan of muzzling for eye exams. I have had several patients that were previously non-aggressive become aggressive during eye exams.

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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