Full Nursing Progress Log

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Nursing log

Transcript of Full Nursing Progress Log

Page 1: Full Nursing Progress Log

Name: …………………………………………………………………………………………..

Page 2: Full Nursing Progress Log

Overview

VN1-Understanding the operational requirements of a veterinary practiceNumber: 1 2 3 4 5 6 7 8

Done:VN2 -Professional relationships and communication for veterinary nursing practice

Number: 1 2 3 4 5 6 7 8 9 10 11Done:

VN3- Comparative functional anatomy for veterinary nursesNumber: 1a 1b 1c 1d

Done:VN4- Applied animal welfare, health and husbandry for veterinary nurses

Number: 1a 1b 1c 1d 2a 2b 2c 2d 3a 3b 3cDone:

Number: 3d 4a 4b 4c 4d 5 6Done:

VN5- Infection control in veterinary practiceNumber: 1 2 3 4 5a 5b 5c 5d 6 7 8

Done:VN7- Essentials of practical veterinary nursing care for hospitalised animals

Number: 1 2 3 4 5a 5b 6 7a 7b 7c 8Done:

Number: 9 10 11 12 13 14a 14b 15 16 17a 17bDone:

Number: 17c 18 19 20 21 22 23a 23b 24a 24b 24cDone:

Number: 25 26a 26b 27Done:

VN8- Supporting the supply of veterinary medicinesNumber: 1 2 3 4 5 6a 6b 6c 7 8 9

Done:VN9- Veterinary Nursing Support of Diagnostic Imaging

Number: 1a 1b 1c 1d 2a 2b 2c 2d 3 4 5Done:

Number: 6 7 8 9 10 11a 11b 11c 11d 11e 11fDone:

Number: 11g 11h 11i 11j 11k 12a 12b 12c 12d 12e 12fDone:

Number: 12g 12hDone:

VN10- Veterinary nursing support of laboratory diagnostics Number: 1a 1b 1c 1d 1e 1f 2a 2b 2c 2d 2e

Done:Number: 2f 3a 3b 3c 3d 3e 3f 4a 4b 4c 4d

Done:Number: 4e 4f 4g 5 6a 6b 7a 7b 7c 7d 7e

Done:Number: 8a 8b 8c 8d 9a 9b 9c 10 11 12

Done:VN11- Supporting veterinary operating theatre practice

Number: 1a 1b 1c 1d 2a 2b 2c 3a 3b 4a 4bDone:

Number: 4c 5 6 7a 7b 8a 8b 8c 9a 9b 10aDone:

Number: 10b 10c 10d 11 12a 12b 12c 13a 13b 13c 13dDone:

Number: 14a 14b 15a 15b 15c 15d 16 17 18a 18b 18cDone:

Number: 19Done:

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SAVN13- Practical monitoring of small animal anaesthesia Number: 1 2 3 4 5 6 7 8 9a 9b 9c

Done:Number: 10a 10b 11a 11b 12a 12b 12c 13 14 15 16

Done:Number: 17 18 19 20

Done:SAVN15 - Practical peri-operative veterinary nursing support

Number: 1a 1b 1c 1d 2a 2b 3a 3b 4a 4b 4cDone:

Number: 5a 5b 5c 6a 6b 6c 6d 7a 7b 8a 8bDone:

Number: 8c 9a 9b 9c 9d 10a 10b 10c 10d 10e 11aDone:

Number: 11b 11c 11d 11e 12a 12b 13a 13b 13cDone:

SAVN17- Practical veterinary nursing support of small animal patients Number: 1a 1b 1c 1d 1e 1f 1g 2a 2b 2c 2d

Done:Number: 2e 3 4a 4b 4c 4d 4e 4f 5a 5b 5c

Done:Number: 5d 5e 5f 6a 6b 7a 7b 8a 8b 9a 9b

Done:Number: 10a 10b 10c 11a 11b 11c 12a 12b 12c 12d 13a

Done:Number: 13b 13c 13d 13e 13f

Done:SAVN18- Principle of small animal nursing emergency and critical care

Number: 1a 1b 1c 1d 2a 2b 2c 2d 3a 3b 3cDone:

Number: 4a 4b 5a 5b 5c 6a 6b 6c 6d 6e 7aDone:

Number: 7b 7c 7e 7f 8a 8b 8c 9Done:

Percentage= add the , /371 & X100

Date Percentage Date Percentage Date Percentage

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VN1 - Understanding the operational requirements of a veterinary practice

Number To Do Guidance Note Done1 Manually handle and move materials and

equipment loads safely

Ability to move a variety of loads demonstrating safe technique. Taking into account positioning of load, weight,

stability and handler factors.2 Store equipment and materials in a way

that enables safe manual handling Taking into account accessibility, use of aids

3 Complete a risk assessment for one area of the practice and instigate appropriate

action

No guidance notes

4 Maintain stock in the examination room Keep stock in optimum condition for use taking in to account stock rotation, expiry sates and storage

5 Follow practice procedure for ordering supplies

No guidance notes

6 Identify and dispose of surplus and outdated stock

No guidance notes

7 Follow practice protocol to report damage to and malfunction of accommodation

and/or equipment

No guidance notes

8 Arrange a maintenance visit for practice equipment (one piece only)

One piece of equipment only

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VN2-Professional relationships and communication for veterinary nursing practice

Number To Do Guidance Note Done1

Make appointments for consultation Use a variety of means (face-to-face, telephone) Reasons for appointment must include first opinion, emergency

and follow up.2 Make appointments for surgical

proceduresUse a variety of means (face-to-face, telephone).

3 Register new clients Use a variety of means (face-to-face, telephone).4 Register new patients Use a variety of means (face-to-face, telephone).5 Process clients on arrival in the practice No guidance notes6 Take and recorded payments accurately To include credit card, cheque and insurance claims.7 Provide estimates of costs to clients Follow practice protocol.8 Maintain client record and

documentation appropriatelyFollowing practice protocol, to include dealing with

insurance forms.9 Exhibit client-focussed behaviour and

personal presentation No guidance notes

10 Communicate over the telephone, using practice telephone protocols

No guidance notes

11 Produce clear written clinical records (observations, nursing reports and client

instructions)

No guidance notes

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VN3- Comparative functional anatomy for veterinary nurses

Number To Do Guidance Note1a Demonstrate the position of anatomical

landmarks in intact animals :- cat Experience of this can be gained throughout

1b Demonstrate the position of anatomical landmarks in intact animals :- dog

Experience of this can be gained throughout

1c Demonstrate the position of anatomical landmarks in intact animals :- exotics

Experience of this can be gained throughout

1d Demonstrate the position of anatomical landmarks in intact animals :- Horse

Experience of this can be gained throughout

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VN4- Applied animal welfare, health and husbandry for veterinary nurses

Number To Do Guidance Note Done1a Demonstrate correct techniques for

handling, holding and restraining animals for examination: cat

No guidance notes

1b Demonstrate correct techniques for handling, holding and restraining animals

for examination: dog

No guidance notes

1c Demonstrate correct techniques for handling, holding and restraining animals

for examination: exotics

Exotics to include rabbits, birds, rodents and reptiles.

1d Demonstrate correct techniques for handling, holding and restraining animals

for examination: horse

Basics of horse restraint

2a Demonstrate techniques for approaching and catching animals: cat

No guidance notes

2b Demonstrate techniques for approaching and catching animals: dog

No guidance notes

2c Demonstrate techniques for approaching and catching animals: exotics

Exotics to include rabbits, birds, rodents and reptiles.

2d Demonstrate techniques for approaching and catching animals: horse

No guidance notes

3a Move animals around the establishment with due regard to health and safety and

animal welfare: cat

No guidance notes

3b Move animals around the establishment with due regard to health and safety and

animal welfare: dog

No guidance notes

3c Move animals around the establishment with due regard to health and safety and

animal welfare: exotics

No guidance notes

3d Move animals around the establishment with due regard to health and safety and

animal welfare: horse

Leading a horse, to include application of head collar

4a Clean and maintain accommodation for: cat

No guidance notes

4b Clean and maintain accommodation for: dog

No guidance notes

4c Clean and maintain accommodation for: exotics

No guidance notes

4d Clean and maintain accommodation for: horse

No guidance notes

5 Demonstrate basic groom practices No guidance notes

6 Examine hooves and carry out basic equine foot care

To include use of hoof pick

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VN5- Infection control in veterinary practice

Number To Do Guidance Note1 Select and constitute appropriate cleaning

and disinfectant solutions Taking into account safe and effective use, susceptibility of different classes of organisms such as viruses and bacteria

2 Demonstrate methodical and effective cleaning technique

To include consulting rooms, kennel accommodation, stabling, laboratory and operating theatre

3 Maintain hygiene in examination rooms No guidance notes4 Clean general in-patient accommodation To include cleaning isolation accommodation (daily

cleaning regime and terminal disinfection)5a Handle and dispose of hazardous or

offensive biological materials: body fluidsNo guidance notes

5b Handle and dispose of hazardous or offensive biological materials: faeces

No guidance notes

5c Handle and dispose of hazardous or offensive biological materials: tissue

No guidance notes

5d Handle and dispose of hazardous or offensive biological materials: cadavers

No guidance notes

6 Demonstrate methodical and effective hand hygiene

Using the World Health Organisation method

7 Use appropriate disposable proactive clothing

No guidance notes

8 Exhibit personal hygiene and dress commensurate with infection control

Taking into account personal hygiene, personal protective equipment, infection risks of jewellery, nail varnish, hair

sleeves and footwear

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VN7- Essentials of practical veterinary nursing care for hospitalised animals

Number To Do Guidance Note Done1 Prepare and maintain accommodation for

in-patients taking into account species and clinical condition

To include substrates and bedding materials

2 Assess and record overall animal condition and demeanour

To include appearance and behaviour

3 Assess and record temperature, pulse, respiration and colour of mucous

membranes

No guidance notes

4 Assess and record levels of consciousness To include assisting with recovery from anaesthesia5a Observe and monitor excretion To include urine, faeces, vomitus/gastric reflux5b Assess and monitor for signs of pain and/or

anxiety No guidance notes

6 Groom and bathe patients appropriately according to species

To include cleansing of orifices

7a Provide food and fluids to patients taking into account: medical dietary

requirements

No guidance notes

7b Provide food and fluids to patients taking into account: species and size of animal

No guidance notes

7c Provide food and fluids to patients taking into account: normal feeding regimes

No guidance notes

8 Hand feed patients No guidance notes9 Administer tube feeds No guidance notes

10 Administer solutions for oral re-hydration No guidance notes11 Assemble fluid therapy equipment and

materialsNo guidance notes

12 Monitor the administration of fluid therapy and recognise problems with flow rate or

catheter site should these arise

No guidance notes

13 Apply simple wound dressings using aseptic technique

No guidance notes

14a Apply simple bandages that: retain dressings effectively

No guidance notes

14b Apply simple bandages that: support limbs No guidance notes15 Observe and report the condition of

wounds Written and Oral communication

16 Use strategies and devices to prevent patient interference with wounds

Bandages, Elizabethan collars, Bitter sprays and/or Equine cradles, rugs bibs, cribbox application

17a Interpret prescriptions and prepare medicines for administration: oral

No guidance notes

17b Interpret prescriptions and prepare medicines for administration: topical

No guidance notes

17c Interpret prescriptions and prepare medicines for administration: parenteral

No guidance notes

18 Administer oral medications No guidance notes19 Administer rectal medication or enemata No guidance notes20 Apply topical medications No guidance notes21 Correctly reconstitute medicines according

to manufacturer’s instructionsNo guidance notes

22 Draw up medicines for parenteral administration with regard to safety,

accuracy and asepsis

No guidance notes

23a Administer medications by injection: subcutaneous

No guidance notes

23b Administer medications by injection: intramuscular

No guidance notes

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24a Dispose of used materials: ampoules No guidance notes24b Dispose of used materials: syringes No guidance notes24c Dispose of used materials: needles No guidance notes25 Communicate effectively on in-patient

progressReport observations of animals effectively to colleagues

to include oral and written communication26a Interpret care plans and deliver prescribed

nursing care: perioperative nursingUse a care plan to inform delivery of nursing care for

medical and surgical related problems26b Interpret care plans and deliver prescribed

nursing care: medical nursingUse a care plan to inform delivery of nursing care for

medical and surgical related problems27 Complete records of clinical nursing care

clearly and accuratelyNo guidance notes

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VN8- Supporting the supply of veterinary medicines

Number To Do Guidance Note Done1 Interpret prescriptions and prepare

medicines for dispensing

Calculate and dispense the required dosage, quantity and frequency of administration of medication taking into

account safe handling of medicines.2 Handle medicines taking into account

health and safetyTo include appropriate use of PPE

3 Dispense medications into appropriate containers

No guidance notes

4 Label medicines in accordance with legal requirements and practice protocols

No guidance notes

5 Advise clients on safe and correct routes of administration and potential side

effects

To include safe handling and PPE requirements

6a Demonstrate to clients suitable techniques for administering medicine to

include:- instruction

Must include pitching level of instruction and guidance, checking owner understanding, appropriate follow up

6b Demonstrate to clients suitable techniques for administering medicine to

include:- demonstration

Must include pitching level of instruction and guidance, checking owner understanding, appropriate follow up

6c Demonstrate to clients suitable techniques for administering medicine to

include:- written guidance

Must include pitching level of instruction and guidance, checking owner understanding, appropriate follow up

7 Advise clients on storage and disposal of medication

No guidance notes

8 Maintain records of Schedule 2 medications (Controlled Drugs) in

accordance with legal requirements and practice policy

No guidance notes

9 Dispose of unused pharmaceuticals No guidance notes

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VN9- Veterinary Nursing Support of Diagnostic Imaging

Number To Do Guidance Note Done1a Maintain personal safety and that of others

when working with ionising radiation:- wear/place film badges appropriately

No guidance notes

1b Maintain personal safety and that of others when working with ionising radiation:- use

and observe warning lights/signs

No guidance notes

1c Maintain personal safety and that of others when working with ionising radiation:- use

screens/safe distance

No guidance notes

1d Maintain personal safety and that of others when working with ionising radiation:- wear

PPE

No guidance notes

2a Prepare diagnostic imaging equipment for radiography to include: X-ray machine

No guidance notes

2b Prepare diagnostic imaging equipment for radiography to include: cassette +/- grid

No guidance notes

2c Prepare diagnostic imaging equipment for radiography to include: positing aids

No guidance notes

2d Prepare diagnostic imaging equipment for radiography to include: markers

No guidance notes

3 Care for and check individual personal protective equipment (PPE)

To include Dose Meters, Lead aprons, Lead gloves, Thyroid Protectors for equine only

4 Process radiography according to practice policy

No guidance notes

5 Evaluate the quality of radiography and identify faults

No guidance notes

6 Prepare and maintain ultrasound equipment To include scanner, probes and transducers7 Prepare, maintain and store endoscopes Care of fibre optics8 Clean endoscope after use Care of fibre optics, PPE9 Prepare and support animals during

endoscopy or ultrasound investigationsNo guidance notes

10 Record results of radiographs according to practice procedure

No guidance notes

11aPosition patient for the following small

animal views:- carpus (dorsopalmar and mediolateral)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11b

Position patient for the following small animal views:- elbow (cranio-craudal and

lateral)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11c

Position patient for the following small animal views:- shoulder (cranio-craudal)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11d

Position patient for the following small animal views:- cervical spine (lateral)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11e Position patient for the following small

animal views:- thorax-lumbar spine (lateral)Mandatory for students undertaking small animal

pathway and optional for other students. To include correct use of positioning aids and markers along with

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correct collimation and centring should include a range of species.

11f

Position patient for the following small animal views:- lumber-sacral spine (lateral)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11g

Position patient for the following small animal views:- hips/pelvis (ventrodorsal)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11h

Position patient for the following small animal views:- stifle (caudio-cranial and

mediolateral)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11i

Position patient for the following small animal views:- hock (dorsoplantar and

mediolateral)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11j

Position patient for the following small animal views:- Abdomen (ventrodorsal and

lateral)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.11k

Position patient for the following small animal views:-thorax (dorsoventral or

ventrodorsal and lateral)

Mandatory for students undertaking small animal pathway and optional for other students. To include

correct use of positioning aids and markers along with correct collimation and centring should include a range

of species.12a

Position patient for the following equine views:-foot

Mandatory for students undertaking equine pathway and optional for other students. To include correct use of PPE, positioning aids and markers along with correct

collimation and centring12b Position patient for the following equine

views:- fetlock/pastern (dorsopalmar and lateralmedial)

Mandatory for students undertaking equine pathway and optional for other students. To include correct use of PPE, positioning aids and markers along with correct

collimation and centring12c Position patient for the following equine

views:- splint bones (dorsopalmar and lateromedial)

Mandatory for students undertaking equine pathway and optional for other students. To include correct use of PPE, positioning aids and markers along with correct

collimation and centring12d Position patient for the following equine

views:-carpus (dorsopalmar and lateralmedial)

Mandatory for students undertaking equine pathway and optional for other students. To include correct use of PPE, positioning aids and markers along with correct

collimation and centring12e

Position patient for the following equine views:- tarsus (dorsoplantar)

Mandatory for students undertaking equine pathway and optional for other students. To include correct use of PPE, positioning aids and markers along with correct

collimation and centring12f Position patient for the following equine

views:- stifle (lateromedial and caudio-cranial)

Mandatory for students undertaking equine pathway and optional for other students. To include correct use of PPE, positioning aids and markers along with correct

collimation and centring12g

Position patient for the following equine views:- sinus/teeth (lateromedial)

Mandatory for students undertaking equine pathway and optional for other students. To include correct use of PPE, positioning aids and markers along with correct

collimation and centring12h Assist the veterinary surgeon with endoscopy

procedures (equine)Mandatory for students undertaking equine pathway

and optional for other students. To include correct use

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of PPE, positioning aids and markers along with correct collimation and centring

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VN10- Veterinary nursing support of laboratory diagnostics

Number Guidance Note Guidance Note Done1a Prepare animal for collection of the following

sample:- bloodTo include patient checks, safe handling and moving

and appropriate positing and restraint 1b Prepare animal for collection of the following

sample:- urineTo include patient checks, safe handling and moving

and appropriate positing and restraint1c Prepare animal for collection of the following

sample:- hair/skinTo include patient checks, safe handling and moving

and appropriate positing and restraint1d Prepare animal for collection of the following

sample:- tissue biopsiesTo include patient checks, safe handling and moving

and appropriate positing and restraint1e

Prepare animal for collection of the following sample:- joint fluid

Mandatory for students undertaking equine pathway and optional for other students. To include patient checks, safe handling and moving and appropriate

positing and restraint. Sterile skin preparation , safe positioning of personal.

1f

Prepare animal for collection of the following sample:- peritoneal fluid

Mandatory for students undertaking equine pathway and optional for other students. To include patient checks, safe handling and moving and appropriate

positing and restraint. Sterile skin preparation , safe positioning of personal.

2a Take the following samples:- urine No guidance notes2b Take the following samples:- faeces No guidance notes2c Take the following samples:- hair/skin No guidance notes2d Take the following samples:- blood No guidance notes

2e Assist with the collection of:- joint fluid Mandatory for students undertaking equine pathway and optional for other students.

2f Assist with the collection of:- peritoneal fluid Mandatory for students undertaking equine pathway and optional for other students.

3a Prepare diagnostic test equipment and materials for the following sample:- blood

To include haematology and biochemistry

3b Prepare diagnostic test equipment and materials for the following sample:- urine

No guidance notes

3c Prepare diagnostic test equipment and materials for the following sample:- hair/skin

No guidance notes

3dPrepare diagnostic test equipment and

materials for the following sample:- tissue biopsies

No guidance notes

3e Prepare diagnostic test equipment and materials for the following sample:- joint fluid

Mandatory for students undertaking equine pathway and optional for other students.

3fPrepare diagnostic test equipment and

materials for the following sample:- peritoneal

Mandatory for students undertaking equine pathway and optional for other students.

4a Package and label the following sample:- blood

No guidance notes

4b Package and label the following sample:- urine

No guidance notes

4c Package and label the following sample:- skin/hair

No guidance notes

4d Package and label the following sample:- tissue biopsies

No guidance notes

4e Package and label the following sample:- microscope slides

Mandatory for students undertaking small animal pathway and optional for other students.

4f Package and label the following sample:- joint fluids

Mandatory for students undertaking equine pathway and optional for other students.

4g Package and label the following sample:- Mandatory for students undertaking equine pathway

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peritoneal fluid and optional for other students.5 Store specimens correctly prior to despatch No guidance notes

6a Complete the following laboratory documentation:- internal practice records

No guidance notes

6bComplete the following laboratory

documentation:- external laboratory request forms and documentation

No guidance notes

7a Prepare the following sample for evaluation:- blood smear

No guidance notes

7b Prepare the following sample for evaluation:- skin scrape

No guidance notes

7c Prepare the following sample for evaluation:- PCV

No guidance notes

7d Prepare the following sample for evaluation:- urine sediment

Mandatory for students undertaking small animal pathway and optional for other students.

7e Prepare the following sample for evaluation:- total protein

Mandatory for students undertaking equine pathway and optional for other students.

8a Use the following laboratory equipment:- analyser

Analysers to include biochemistry and haematology

8b Use the following laboratory equipment:- refractometer

No guidance notes

8c Use the following laboratory equipment:- commercial test kit

Commercial test kits could be snap?? Or reagent test strips.

8d Use the following laboratory equipment:- centrifuge

No guidance notes

9a Use a microscope:- low magnification No guidance notes9b Use a microscope:- high magnification No guidance notes

9c Use a microscope:- record vernier scale reading

No guidance notes

10Identify damage to laboratory testing

equipment and materials and follow practice reporting protocol

No guidance notes

11 Identify inconsistencies and/or inaccuracies in test results

No guidance notes

12Record laboratory test results and

communicate accurately to the appropriate clinician

No guidance notes

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VN11- Supporting veterinary operating theatre practice

Number Guidance Note Guidance Note Done

1a Behave appropriately in the operating theatre:- personal hygiene

Personal hygiene includes general cleanliness, jewellery, hair, nail varnish.

1b Behave appropriately in the operating theatre:- theatre clothing

Theatre clothing? Use of swabs

1c Behave appropriately in the operating theatre:- movement and speech

Movement in relation to the sterile field and scrubbed personnel. Speech in relation to droplet aerosol

contamination and use of masks.

1d Behave appropriately in the operating theatre:- personal safety and safety of others

No guidance notes

2a Clean the operating theatre:- daily damp dusting

No guidance notes

2b Clean the operating theatre:- periodic deep clean

No guidance notes

2c Clean the operating theatre:- after infected case

No guidance notes

3a Prepare the theatre for use:- equipment No guidance notes3b Prepare the theatre for use:- materials No guidance notes

4aPosition animals on the operating table and

make adjustments to: positioning aids in accordance with the planned procedure

No guidance notes

4bPosition animals on the operating table and

make adjustments to: table position in accordance with the planned procedure

No guidance notes

4cPosition animals on the operating table and make adjustments to: lighting in accordance

with the planned procedure

No guidance notes

5 Carry out final skin preparation According to practice protocol

6 Assist the surgeon to don sterile gown and gloves

Maintain asepsis

7a Open and pass sterile materials:- directly to a scrubbed operator

Avoid leaning over sterile fields, dust aerosol and sliding packs contents over sterile edges.

7b Open and pass sterile materials:- onto a sterile field

Avoid leaning over sterile fields, dust aerosol and sliding packs contents over sterile edges.

8a Assist with the use of:- diathermy equipment No guidance notes8b Assist with the use of:- tourniquets No guidance notes

8c Assist with the use of:- ancillary surgical equipment

No guidance notes

9a Demonstrate methodical hand-hygiene:- hand-washing for theatre practice

No guidance notes

9b Demonstrate methodical hand-hygiene:- surgical scrubbing procedure

No guidance notes

10a Scrub up to assist with a surgical procedure:- wear sterile gown

No guidance notes

10b Scrub up to assist with a surgical procedure:- gloves

Competent in both open and closed gloving methods

10c Scrub up to assist with a surgical procedure:- caps and masks

No guidance notes

10dScrub up to assist with a surgical procedure:-

maintain sterility of self, other operator(s) and materials

No guidance notes

11 Place a routine instrument set according to No guidance notes

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practice protocol

12a Keep track of materials during surgery:- swab count

No guidance notes

12b Keep track of materials during surgery:- instrument count

No guidance notes

12c Keep track of materials during surgery:- blade and needle count

No guidance notes

13a Handle instruments and equipment:- passing items, including blades

No guidance notes

13b Handle instruments and equipment:- managing powered equipment

No guidance notes

13c Handle instruments and equipment:- mounting sutures

No guidance notes

13d Handle instruments and equipment:- mounting and dismounting blades

No guidance notes

14a Handle tissue:- retraction technique No guidance notes14b Handle tissue:- use of swabs and packs No guidance notes15a Dispose of used equipment:- sharps No guidance notes15b Dispose of used equipment:- swabs No guidance notes15c Dispose of used equipment:- tissue No guidance notes15d Dispose of used equipment:- body fluids No guidance notes

16 check and clean surgical instrumentsTaking into account working surfaces, care of hinges

and delicate items, to include hand cleaning and ultrasonic cleaning

17 Identify and report wear or damage to equipment and instruments

No guidance notes

18a Prepare and package instruments and materials for sterilisation:- drapes and gowns

No guidance notes

18b Prepare and package instruments and materials for sterilisation:- single instruments

No guidance notes

18c Prepare and package instruments and materials for sterilisation:- instruments

No guidance notes

19 Sterilise surgical equipment and instruments Operation of the autoclave to include safety, loading monitoring of effective sterilisation.

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SAVN13- Practical monitoring of small animal anaesthesia

Number Guidance Note Guidance Note Done

1Check and prepare anaesthetic machine and

breathing system according to practice protocol

To include cleaning and care

2 Check and set up pollution control system (scavenging)

No guidance notes

3 Locate and select the appropriate preparation and strength of pharmaceuticals

According to veterinary instruction to include consumables, drugs and intravenous fluids

4 Prepare materials and equipment needed for induction of anaesthesia

To include consumables, drugs and intravenous fluids, laryngoscope, endotracheal tubes.

5 Retrain an animal and present a suitable raised vein for cannulation or induction agent

Taking into account positioning.

6 Prepare and present the animal for intubation No guidance notes

7Introduce endotracheal tubes- check position

of tube. Inflate cuff, secure tube , attach to circuit

All points to be completed to achieve the skill

8 Transfer anaesthetised animals safely into the operating theatre

No guidance notes

9a Set up and use monitoring equipment:- pulse oximeter

No guidance notes

9b Set up and use monitoring equipment:- ECG No guidance notes

9c Set up and use monitoring equipment:- oesophageal stethoscope

No guidance notes

10aMonitor patients and accurately record

observations during the course of an anaesthetic:- TPR

Use of anaesthetic monitoring charts

10bMonitor patients and accurately record

observations during the course of an anaesthetic:- depth of anaesthesia

Use of anaesthetic monitoring charts, depth to include palpebral reflex, eye position muscle tone and pedal

reflex.

11a Interpret and record observations to the directing veterinary surgeon:- routinely

Use of anaesthetic monitoring charts, depth to include palpebral reflex, eye position muscle tone and pedal

reflex.

11b Interpret and record observations to the directing veterinary surgeon:- developing

Use of anaesthetic monitoring charts, depth to include palpebral reflex, eye position muscle tone and pedal

reflex.

12a Monitor equipment during anaesthetic procedure:- circuits and endotracheal tube

Power supply and connections supply of gases and volatile, to include agents and correlation of

equipment readouts with condition of patient

12b Monitor equipment during anaesthetic procedure:- gases and volatile agents

Power supply and connections supply of gases and volatile, to include agents and correlation of

equipment readouts with condition of patient

12c Monitor equipment during anaesthetic procedure:- patient monitors

Power supply and connections supply of gases and volatile, to include agents and correlation of

equipment readouts with condition of patient

13 Calculate and administer gases anaesthesia under veterinary direction

No guidance notes

14 Vary gases anaesthesia under veterinary direction

No guidance notes

15Disconnect patients from anaesthetic equipment and materials according to

practice protocol

No guidance notes

16 Set up suitable recovery environment for anaesthetic recovery

No guidance notes

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17 Position patients for recovery according to species and surgical procedure undertaken

No guidance notes

18 Extubate patients at appropriate of recovery Recognition of when to Extubate

19 Monitor and record animals recovery and identify abnormalities

Key observations and changes

20Communicate post-operative and/or anaesthetic recovery progress to the

supervising veterinary surgeon

No guidance notes

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SAVN15 - Practical peri-operative veterinary nursing support

Number Guidance Note Guidance Note Done

1aAdmit patients for surgical

procedures/investigations:- handover from owner

No guidance notes

1bAdmit patients for surgical

procedures/investigations:- recording contract details

No guidance notes

1cAdmit patients for surgical

procedures/investigations:-create nursing care plan

No guidance notes

1dAdmit patients for surgical

procedures/investigations:-check consent to surgery

No guidance notes

2aPrepare operation sites:- care and use of clippers, identification of sites, initial skin

scrub

No guidance notes

2b Prepare operation sites:- foot bandage No guidance notes

3a Hand patients over for anaesthesia:- information

No guidance notes

3b Hand patients over for anaesthesia:- calming patient

No guidance notes

4a Receive patients from the recovery area:- handover information

No guidance notes

4b Receive patients from the recovery area:- observation

No guidance notes

4c Receive patients from the recovery area:- handling of patients

No guidance notes

5a Prepare suitable post-operative nursing environments, taking into account:- species

No guidance notes

5bPrepare suitable post-operative nursing

environments, taking into account:- conditions

No guidance notes

5c Prepare suitable post-operative nursing environments, taking into account:-procedure

No guidance notes

6a Observe and monitor post-operative patients:-vital signs

No guidance notes

6b Observe and monitor post-operative patients:- wound appearance/drainage

No guidance notes

6c Observe and monitor post-operative patients:- pain

No guidance notes

6d Observe and monitor post-operative patients:- urine output

No guidance notes

7a Maintain and record fluid intake:-intravenous fluids

No guidance notes

7b Maintain and record fluid intake:-oral intake No guidance notes

8a Identify signs of pain and stress and take appropriate action:- environment

No guidance notes

8b Identify signs of pain and stress and take appropriate action:- position

No guidance notes

8c Identify signs of pain and stress and take appropriate action:- analgesics

No guidance notes

9a Plan, implement and evaluate nursing care No guidance notes

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plans to address needs if post-operative and convalescent patient:- fluid and nutrition

9b

Plan, implement and evaluate nursing care plans to address needs if post-operative and

convalescent patient:- urination and defaecation

No guidance notes

9cPlan, implement and evaluate nursing care

plans to address needs if post-operative and convalescent patient:- mobility, exercise

No guidance notes

9d

Plan, implement and evaluate nursing care plans to address needs if post-operative and convalescent patient:- pain relief, alleviation

of stress

No guidance notes

10aDeliver species specific peri-operative nursing

care to patients, including cats, dogs and exotics, to include:- elective surgery

Immediate post-operative care to include food and fluid intake, elimination pain management and wound

management.

10bDeliver species specific peri-operative nursing

care to patients, including cats, dogs and exotics, to include:- emergency surgery

Immediate post-operative care to include food and fluid intake, elimination pain management and wound

management.

10cDeliver species specific peri-operative nursing

care to patients, including cats, dogs and exotics, to include:- minor procedures

Immediate post-operative care to include food and fluid intake, elimination pain management and wound

management.

10dDeliver species specific peri-operative nursing

care to patients, including cats, dogs and exotics, to include:- major procedures

Immediate post-operative care to include food and fluid intake, elimination pain management and wound

management.

10eDeliver species specific peri-operative nursing

care to patients, including cats, dogs and exotics, to include:- orthopaedic procedures

Immediate post-operative care to include food and fluid intake, elimination pain management and wound

management.

11a Care for surgical wounds:- observations No guidance notes

11b Care for surgical wounds:- management of drainage

No guidance notes

11c Care for surgical wounds:- dressings and bandaging

No guidance notes

11d Care for surgical wounds:- removal of drains, closures

No guidance notes

11e Care for surgical wounds:- preventing interference

No guidance notes

12a Plan for discharge and home care, taking into account:- condition of patient

No guidance notes

12b Plan for discharge and home care, taking into account:- home circumstances

No guidance notes

13a Provide discharge information and guidance to owners:- oral

No guidance notes

13b Provide discharge information and guidance to owners:- written

No guidance notes

13cProvide discharge information and guidance to owners:- teaching of practical techniques

e.g. giving medication

No guidance notes

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SAVN17- Practical veterinary nursing support of small animal patients

Number Guidance Note Guidance Note Done

1a

Plan, deliver and evaluate care for animals with a range of conditions, using an

appropriate model and framework, could include:- circulatory or respiratory disorder

Include a range of species, age ranges and medical conditions to demonstrate overall competence. A minimum of four identified groups of pathologies

would be expected.

1b

Plan, deliver and evaluate care for animals with a range of conditions, u

sing an appropriate model and framework, could include:- urinary tract disorder

Include a range of species, age ranges and medical conditions to demonstrate overall competence. A minimum of four identified groups of pathologies

would be expected

1c

Plan, deliver and evaluate care for animals with a range of conditions, using an

appropriate model and framework, could include:- endocrine disorder

Include a range of species, age ranges and medical conditions to demonstrate overall competence. A minimum of four identified groups of pathologies

would be expected

1d

Plan, deliver and evaluate care for animals with a range of conditions, using an

appropriate model and framework, could include:- neurological disorder

Include a range of species, age ranges and medical conditions to demonstrate overall competence. A minimum of four identified groups of pathologies

would be expected

1e

Plan, deliver and evaluate care for animals with a range of conditions, using an

appropriate model and framework, could include:- alimentary tract disorder

Include a range of species, age ranges and medical conditions to demonstrate overall competence. A minimum of four identified groups of pathologies

would be expected

1f

Plan, deliver and evaluate care for animals with a range of conditions, using an

appropriate model and framework, could include:- reproductive tract disorder

Include a range of species, age ranges and medical conditions to demonstrate overall competence. A minimum of four identified groups of pathologies

would be expected

1g

Plan, deliver and evaluate care for animals with a range of conditions, using an

appropriate model and framework, could include:- disorder of sense organs

Include a range of species, age ranges and medical conditions to demonstrate overall competence. A minimum of four identified groups of pathologies

would be expected

2a Prepare and maintain a suitable environment for patients taking into account:- species

Include a range of species, age ranges and medical conditions to demonstrate overall competence.

2b Prepare and maintain a suitable environment for patients taking into account:- age

Include a range of species, age ranges and medical conditions to demonstrate overall competence.

2c Prepare and maintain a suitable environment for patients taking into account:- condition

Include a range of species, age ranges and medical conditions to demonstrate overall competence.

2dPrepare and maintain a suitable environment

for patients taking into account:- normal routines

Include a range of species, age ranges and medical conditions to demonstrate overall competence.

2ePrepare and maintain a suitable environment

for patients taking into account:- welfare considerations

Include a range of species, age ranges and medical conditions to demonstrate overall competence.

3Communicate with the veterinary team in relation to the evaluation and review of

nursing care

Written and oral

4a Carry out effective barrier nursing to include:- preparing accommodations

Barrier nursing and/or reverse barrier nursing.

4b Carry out effective barrier nursing to include:- protective clothing

Barrier nursing and/or reverse barrier nursing.

4c Carry out effective barrier nursing to include:- hand hygiene

Barrier nursing and/or reverse barrier nursing.

4d Carry out effective barrier nursing to include:- fomites

Barrier nursing and/or reverse barrier nursing.

4e Carry out effective barrier nursing to include:- Barrier nursing and/or reverse barrier nursing.

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cleaning and disinfections

4f Carry out effective barrier nursing to include:- caring for isolated patients

Barrier nursing and/or reverse barrier nursing.

5a Provide wound management to include:- accurate assessment

No guidance notes

5b Provide wound management to include:- taking swabs

No guidance notes

5c Provide wound management to include:- irrigation

No guidance notes

5d Provide wound management to include:- selection and application of dressing

No guidance notes

5e Provide wound management to include:- selection and application of retaining

No guidance notes

5f Provide wound management to include:- client education

No guidance notes

6a Administer complex medications to include:- infused medications

No guidance notes

6b Administer complex medications to include:- intravenous bolus medications

No guidance notes

7a Place or assist with placement of naso-gastric or oesophageal tubes

No guidance notes

7b Manage naso-gastric or oesophageal tubes No guidance notes

8a Manage indwelling urinary catheters to include:- placement of urinary catheters

No guidance notes

8b Manage indwelling urinary catheters to include:- catheter care

No guidance notes

9a Manage bowel function to include:- administration of laxatives

No guidance notes

9b Manage bowel function to include:- enemata No guidance notes

10a Provide physiotherapy to include:- thoracic coupage

No guidance notes

10b Provide physiotherapy to include:- passive limb exercises

No guidance notes

10c Provide physiotherapy to include:- active exercises

No guidance notes

11aDevise appropriate home-care plans for

animals with chronic illness:- in consultation with the owner and veterinary team

No guidance notes

11bDevise appropriate home-care plans for

animals with chronic illness:- including oral and written guidance

No guidance notes

11cDevise appropriate home-care plans for animals with chronic illness:- providing

information for emergency contact

No guidance notes

12a Provide care for terminally ill animals:- preparing the owner for loss

No guidance notes

12b Provide care for terminally ill animals:- caring for the animal sensitively

No guidance notes

12c Provide care for terminally ill animals:- supporting an owner through euthanasia

No guidance notes

12dProvide care for terminally ill animals:-

providing follow-up support for a bereaved owner

No guidance notes

13a Conduct effective nursing consultations to include:- history taking

No guidance notes

13b Conduct effective nursing consultations to include:- appropriate examination

No guidance notes

13cConduct effective nursing consultations to include:- identifying cases for referral to a

veterinary surgeon

No guidance notes

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13d Conduct effective nursing consultations to include:- conduct of treatments

No guidance notes

13e Conduct effective nursing consultations to include:- communication with clients

No guidance notes

13f Conduct effective nursing consultations to include:- record keeping

No guidance notes

Page 26: Full Nursing Progress Log

SAVN18- Principle of small animal nursing emergency and critical care

Number Guidance Note Guidance Note Done

1a Demonstrate first aid treatment, to include:- unconsciousness

Use simulation and first aid mannequins where appropriate in the interests of animal welfare.

1b Demonstrate first aid treatment, to include:- compromised airway

Use simulation and first aid mannequins where appropriate in the interests of animal welfare.

1c Demonstrate first aid treatment, to include:- haemorrhage and wounds

Use simulation and first aid mannequins where appropriate in the interests of animal welfare.

1d Demonstrate first aid treatment, to include:- fractures

Use simulation and first aid mannequins where appropriate in the interests of animal welfare.

2a Triage patients to include:- unconsciousness No guidance notes

2b Triage patients to include:- compromised airway

No guidance notes

2c Triage patients to include:- haemorrhage and wounds

No guidance notes

2d Triage patients to include:- fractures No guidance notes

3a Prepare for the admission of emergency patients, to include:- suitable environment

No guidance notes

3b Prepare for the admission of emergency patients, to include:- equipment

No guidance notes

3c Prepare for the admission of emergency patients, to include:- consumables

No guidance notes

4a Introduce peripheral intravenous catheters:- dog

No guidance notes

4b Introduce peripheral intravenous catheters:- cat

No guidance notes

5a Care for animals with situ intravenous catheter:- site observation and care

No guidance notes

5b Care for animals with situ intravenous catheter:- maintain patency

No guidance notes

5c Care for animals with situ intravenous catheter:- on-going fluid therapy

No guidance notes

6a Prepare accommodation for critically ill patients, to include:- type of accommodation

Include a range of species, age ranges and conditions to demonstrate overall competence.

6b Prepare accommodation for critically ill patients, to include:- environment

Include a range of species, age ranges and conditions to demonstrate overall competence.

6cPrepare accommodation for critically ill

patients, to include:- access for observation and monitoring

Include a range of species, age ranges and conditions to demonstrate overall competence.

6d Prepare accommodation for critically ill patients, to include:- bedding

Include a range of species, age ranges and conditions to demonstrate overall competence.

6e Prepare accommodation for critically ill patients, to include:- observation charts

Include a range of species, age ranges and conditions to demonstrate overall competence.

7aProvide care for a critically ill patient, to include:- breathing and cardiovascular

function

Include a range of species, age ranges and conditions to demonstrate overall competence.

7b Provide care for a critically ill patient, to include:- nutrition and fluid balance

Include a range of species, age ranges and conditions to demonstrate overall competence.

7c Provide care for a critically ill patient, to include:- mobility and positioning

Include a range of species, age ranges and conditions to demonstrate overall competence.

7d Provide care for a critically ill patient, to include:- hygiene

Include a range of species, age ranges and conditions to demonstrate overall competence.

7e Provide care for a critically ill patient, to include:- maintaining body temperature

Include a range of species, age ranges and conditions to demonstrate overall competence.

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7f Provide care for a critically ill patient, to include:- pain and stress

Include a range of species, age ranges and conditions to demonstrate overall competence.

8a Monitor critically ill patients, to include:- blood pressure monitoring

No guidance notes

8b Monitor critically ill patients, to include:- pulse oximetry

No guidance notes

8c Monitor critically ill patients, to include:- neurological observations

No guidance notes

9 Administer oxygen therapy No guidance notes