dossier of european competences for the veterinary nurse ... · dossier of european competences for...

DOSSIER OF EUROPEAN COMPETENCES FOR THE VETERINARY NURSE created by the

ACCREDITATION COMMITTEE FOR VETERINARY NURSE EDUCAT ION

(ACOVENE) Second edition, September 2007

Accreditation of European veterinary nurse programm es by ACOVENE is conducted under the supervision of the Federation of Companion Animal V eterinary Associations (FECAVA) and the

Veterinary European Transnational Network for Nursi ng Education and Training (Vetnnet)

This material has been provided by the publisher for your convenience. No part of this publication may

be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without permission in writing from the publisher.

Acovene has been established through the DASVENT project, which has been funded with support

from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be bade of the information contained

herein.

Background......................................... ..............................................................................................4 Prerequisites...................................... ...............................................................................................5 General “scope” .................................... ...........................................................................................6 European competence 1: Monitor and maintain health and safety ......................................... .......7

EC 1A Monitor and maintain health, safety and security in the workplace ..................................8 EC 1B Maintain good standards of health and safety for yourself and others .............................9

European Competence 2: Develop personal performance and maintain working relationships10 EC 2A Maintain and develop personal performance ................................................................11 EC 2B Establish and maintain working relationships with others ..............................................12

European competence 3: Carry out veterinary recepti on duties.......................................... ........13 EC 3A Make appointments, receive clients and process payments ..........................................14 EC 3B Admit animals for care..................................................................................................16

European competence 4: Manage clinical environments for procedures and investigations ....17 EC 4A Maintain examination rooms for use and manages clinical environments, equipment and materials 18 EC 4B Assist in the preparation of patients for medical procedures and investigations.............19 EC 4C Assist veterinary staff during medical procedures and investigations............................20

European competence 5: Providing emergency first ai d to animals....................................... .....21 EC 5 Administer emergency first aid to animals and assist with the provision of emergency treatment to animals......................................................................................................................22

European competence 6: Provide and administer nursi ng care ............................................ ......23 EC 6A Manage accommodation for patients............................................................................24 EC 6B Monitor and care for patients, including specialised nursing care, treatments to patients and fluid therapy............................................................................................................................25

European competence 7: Support clients in caring fo r animals .......................................... ........27 EC 7A Supports and offers advice to clients during the provision of veterinary services and demonstrates the care of animals..................................................................................................28 EC 7B Provide veterinary materials to clients ..........................................................................29 EC 7C Discharge animals from care........................................................................................30

European competence 8: Perform laboratory diagnosti c tests............................................ ........31 EC 8 Carrying out diagnostic tests, including the preparation and sampling and the maintenance of equipment and materials ...........................................................................................................32

European competence 9: Prepare for diagnostic imagi ng techniques and conduct radiography on animals......................................... ..............................................................................................34

EC 9A Prepare diagnostic imaging equipment and materials and prepare the animal for diagnostic imaging.........................................................................................................................35 EC 9B Conduct radiography on animals ..................................................................................37

European competence 10: Prepare for veterinary surg ical procedures .................................... ..38 EC 10A Select, maintain and prepare surgical environments, equipment and materials for veterinary surgical procedures.......................................................................................................39 EC 10B Prepare animals for veterinary surgical procedures ......................................................41

European competence 11: Assist the veterinary surge on during surgical procedures..............42 EC 11A Assist the veterinary surgeon during surgical procedures..............................................43 EC 11B Provide post operative care for animals........................................................................44

European competence 12: Assist the provision of ana esthetics to animals ............................... 45 EC 12A Prepare anaesthetic equipment and materials ..............................................................46 EC 12B Prepare animals for anaesthesia ..................................................................................47 EC 12C Assist in administering and maintaining anaesthetics to animals...................................48

European competence 13: Dispense and administer med ication ............................................ ....50 EC 13A Dispense medication for animals to clients ...................................................................51 EC 13B Administer medication to animals .................................................................................52

Second edition, September 2007 of 52

Copies of this document are available from ACOVENE: Email: [email protected] Website: www.acovene.com

Secretariat:

Royal College of Veterinary Surgeons Veterinary Nursing Department (ACOVENE) 62/64 Horseferry Road London SW1P 2AF UK


Background These European competences for the veterinary nurse have been produced as a result of the DASVENT project, a project under the Leonardo da Vinci programme. We sincerely thank the Royal College of Veterinary Surgeons for letting us use their National Occupational Standards as a basis for this dossier. The project partners who have contributed to this dossier are: • Katholieke Hogeschool Kempen, Belgium • CEU (Centre of Business and Training) Kolding, Denmark • ESAV Institut Bonaparte, France • Federation of European Companion Animal Veterinary Associations, EU • University College Dublin, Ireland • Abivet SRL, Italy • Aequor, the Netherlands • Kwaliteits Centrum Examinering, the Netherlands • AOC Groenhorst College Barneveld, the Netherlands • Norwegian School of Veterinary Sciences, Norway • SLU, Swedish University of Agricultural Sciences, Sweden • Warwickshire College, UK • Royal College of Veterinary Surgeons, UK

The definition of a European competence: A competence is successful behaviour in all possible professional situations (*) Acting or not acting = Knowing + Able + Willing Behaviour = knowledge & understanding + skills + norms & values + personality Effect = insight + experience + attitude + character (*) all possible professional situations imply routine and complicated situations The units are introduced using a section called “About this unit”. This section describes the unit in brief and simple terms for the benefit of the end user. The performance criteria simply describe ‘what you must be able to do’. When you are competent to do things, you also need sufficient knowledge and understanding. The “scope” outlines the requirements of the performance criterion to which it refers and describes the range of applications and contents over which the competence applies.


This dossier contains the professional competences that a Veterinary Nurse needs to function adequately at a veterinary practice in Europe. However it must be clearly understood that a student can only fully master these competences with sufficient underlying knowledge and skills in the fields of: • Biology • Veterinary anatomy and physiology • Animal reproduction • Veterinary pathology • Animal behaviour • Taking care of healthy animals (feeding, animal care, animal handling, animal husbandry,

housing, hygiene, knowledge of the sector, knowledge of species and breeds) • General social skills

These necessary theoretical and practical modules are not described in this dossier, but a programme seeking ACOVENE accreditation must show sufficient evidence of teaching and assessing them.

Prerequisites


All the European competences should be covered in relation to the following animal species: • Dogs • Cats • Exotics (exotics are small pets other than cats and dogs, and may include: birds, rabbits,

reptiles, amphibians, rodents and other small mammals) • Horses and / or farm animals can be included where appropriate.

Also, each European competence includes the following performance criteria if applicable: • keeps any necessary records accurate, legible and complete • disposes of waste safely and correctly • practices effective infection control measures • keeps animal calm • treats the animal and its owner with respect

Use of the Syllabus of European competences This syllabus was mainly constructed as a tool for the accreditation process of veterinary nurse education, as used by ACOVENE. The student needs adequate knowledge and understanding in order to meet each performance criteria. Note: In this dossier we refer to the veterinary nurse as a “she/he” because throughout Europe >90% of the veterinary nurses are female.

General “scope”


European competence 1: Monitor and maintain health and safety

EC 1A Monitor and maintain health, safety and security in the workplace EC 1B Maintain good standards of health and safety for yourself and others

About this Unit To maintain a healthy and safe work environment, you are required to take reasonable care for the health and safety of yourself and others who may be affected by your work. You are also required to co-operate with your employer to help them comply with their duties under health and safety legislation, and not interfere with or misuse anything provided for your health, safety and welfare. Despite following the correct health and safety procedures, accidents and emergencies may still happen because of circumstances beyond your control or that of your organization. You must be able to deal with such situations and follow the appropriate procedures. It is important that in all your activities you recognize the limit of your own competence and ask for help and advice when it is needed.


EC 1A Monitor and maintain health, safety and secur ity in the workplace Description of competence The veterinary nurse is constantly aware of health, safety and security issues in the work place. She/he applies existing rules and regulations and makes sure others do as well. If necessary she/he proposes improvements on the protocols. Result A workplace and work environment that is pleasant and safe to work in. Existing protocols, rules and regulations are applied. Performance Criteria 1 identifies health and safety risks in relation

to the workplace

2 keeps to existing protocols relating to health, safety, security, waste disposal and use of equipment

3 seeks guidance on measures to control unfamiliar risks arising from non-routine work situations

4 takes the appropriate action without delay as soon as an emergency is suspected

Scope A. identifies health and safety risks in relation

to: (i) people (ii) equipment and materials (iii) the work area B. disposes of the following types of waste: (i) hazardous (ii) non-hazardous


EC 1B Maintain good standards of health and safety for yourself and others Description of competence The veterinary nurse takes good care of her own health and safety and that of others. She/he applies existing rules and regulations and makes sure others do as well. If necessary she/he proposes improvements on the protocols. Result Minimal risk of health & safety incidents. Performance Criteria 1 uses and cares for the correct personal

protective equipment and clothing

2 uses approved methods and handling equipment when moving and lifting items

3 maintains the necessary personal and workplace hygiene at all times

4 gives health and safety information to others in a manner likely to be understood

5 behaves in a way which minimizes risks to herself and others

6 performs work in a manner which minimises environmental damage

7 takes appropriate action where incidents affect the health and safety of yourself and others

8 reports incidents without delay and fills out records accurately, legibly and completely

Scope A. deals with the following incidents: (i) accidents which cause personal injury (ii) adverse changes in an individual's health

which puts them at risk


European Competence 2: Develop personal performance and

maintain working relationships

EC 2A Maintain and develop personal performance EC 2B Establish and maintain working relationships with others

About this Unit This unit sets the standard for maintaining working relationships. The first element is about your personal performance within the workplace. This relates to achieving certain targets and finishing specific tasks. It also relates to the quality of your work. You will need to discuss your work with your supervisor. The second element is about working effectively with other people. This includes communicating clearly, co-operating with others, and helping to improve working practices. You may work closely within a team, or spend a significant amount of time working alone.


EC 2A Maintain and develop personal performance Description of competence The veterinary nurse is capable of developing professional competences to be able to keep functioning within the job. Result Constant development of own professional competences. Performance Criteria 1 carries out work in accordance with own

responsibilities and organisational requirements

2 seeks advice if clarification is required concerning specific tasks

3 agrees to personal performance targets and development needs with supervisor

4 develops own personal performance

5 reviews personal performance with the supervisor at suitable intervals

Scope A. maintains and develops personal

performance with regard to: (i) working to targets and completing specific

tasks (ii) quality of work


EC 2B Establish and maintain working relationships with others Description of competence The veterinary nurse is able to develop and maintain effective working relationships. Result Pleasant and effective working relationships within the veterinary practice. Performance Criteria 1 establishes and maintains effective working

relationships with others

2 discusses opportunities to improve working practices with the supervisor

3 carries out activities requiring co-operation with others

4 deals with any disagreements effectively

5 communicates with others in a way which promotes effective working relationships

Scope A. establishes and maintains effective working

relationships with the following others: (i) colleagues (ii) supervisors and managers (iii) persons external to the team, department

or organization


European competence 3: Carry out veterinary recepti on duties

EC 3A Make appointments, receive clients and process payments EC 3B Admit animals for care

About this Unit This unit is about carrying out general veterinary reception duties. It covers making appointments for clients and their animals, receiving clients and their animals for appointments, processing payments for veterinary services and admitting animals for care. This is an important part of your role because it helps to maintain good relationships with clients so they continue to have confidence in the services of the practice.


EC 3A Make appointments, receive clients and proces s payments Description of competence The veterinary nurse is capable of making appointments adequately in such a way that the client and the veterinary practice are satisfied. She/he deals with telephone consultations and is capable of giving advice to clients and to decide if an appointment is necessary and also how urgent the situation is. The veterinary nurse receives clients and their animals friendly and efficiently. She/he deals with the financial transactions after consultation or treatment. She/he also sells appropriate products. Result Correct appointments and satisfied clients. The financial transactions are dealt with correctly. Performance Criteria 1 confirms the clients and animals for

appointments and obtains the necessary information for the appointment

2 makes appointments which are convenient to clients and the working arrangements of the practice

3 takes the appropriate action if suspected that an urgent appointment is required

4 asks clients to explain the apparent symptoms or needs of their animals and confirms the need for veterinary services

5 accesses existing records or prepare new records according to practice procedures and provides veterinary staff with the appropriate case details

6 encourages clients and their animals to feel at ease and treats them courteously

7 supports clients who are distressed, or have difficulty providing clear details

8 gives clear and appropriate advice to clients about practice procedures and the costs of the veterinary services

9 provides clients with details on the veterinary procedures to be carried out or refer them to the appropriate person

Scope A. obtains the following information: (i) clients details (ii) animals details (iii) history of veterinary care B. makes appointments for the following

veterinary services: (i) consultation (ii) procedures (iii) visits (iv) medication C. explains practice requirements for: (i) making appointments (ii) controlling animals (iii) waiting areas (iv) transporting animals to/from the practice (v) infection control measurements D. provides details on common veterinary

procedures E. processes payments for the following

veterinary services: (i) veterinary procedures (surgical or

consultation) (ii) advice (iii) visits (iv) medication (v) over the counter sales (vi) hospitalization


Performance Criteria 10 informs clients of the approximate waiting

time and the reasons for any delay

11 accepts payment from clients and processes payments correctly

12 deals with any difficulties in processing payments according to veterinary practice procedures

Scope F. deals with one of the following difficulties in

processing payments: (i) disagreement over price (ii) inability to pay (iii) credit requirement


EC 3B Admit animals for care Description of competence The veterinary nurse is capable of admitting animals to the practice (for surgical or medical procedures or observation) in a way that ensures that the animal will receive the appropriate care. Result Animals are admitted and records are adequately kept. Satisfied clients. Performance Criteria 1 checks the details of the owner and the

animal for which admission is required and makes the records available at the time of admission

2 confirms the procedure for which the animal is to be admitted

3 completes the admission form and if required checks the owner reads, understands and signs the consent form

4 consults veterinary staff if necessary

Scope A. records the following details: (i) client details (ii) animal details (iii) reason for hospitalisation (iv) any relevant history (v) any special care requirements (vi) food and fluid intake (vii) weight (viii) planned medications as prescribed by vet


European competence 4: Manage clinical environments for

procedures and investigations

EC 4A Maintain examination rooms for use and manage clinical environments, equipment and materials

EC 4B Assist in the preparation of patients for medical procedures and investigations

EC 4C Assist veterinary staff during medical procedures and investigations

About this Unit This unit is about preparing for, and assisting with, medical procedures and investigations. It covers preparing clinical environments, equipment, materials and animals. It also covers assisting veterinary staff during medical procedures and investigations. Common medical procedures may include, for example, ophthalmology, rectal examination, catheterisation of a male animal, collection of samples (e.g. blood, urine, faeces, skin, bacteriology), administration of oral medication, administration of parenteral fluid therapy.


EC 4A Maintain examination rooms for use and manage clinical

environments, equipment and materials Description of competence The veterinary nurse takes care of the examination room in such a way, that the room is ready to use and to receive clients. She/he manages the clinical environments, equipment and materials in such a way, that medical procedures or investigations can be carried out efficiently and responsibly. The veterinary nurse manages the supply of veterinary materials in such a way, that there is no shortage or surplus of necessary materials. Result A clean, well organised examination room with adequate supplies and equipment. Environment, equipment and materials are well prepared for medical procedures and / or investigations. There is an adequate amount of veterinary materials available for use at all times. Performance Criteria 1 makes sure the examination rooms are as

clean as practicable 2 disposes of surplus and waste materials 3 positions equipment and materials in the

correct location for ease of use and ensures the function of them

4 obtains veterinary materials from

authorised suppliers and maintains stock at the correct level

5 stores veterinary materials securely according to regulations and guidelines

6 checks the condition of veterinary materials regularly

7 ensures records of supplies are accurate and accessible to authorised people

8 obtains and prepares the equipment, materials and medication for use

9 checks the animal's condition and that the environmental conditions are suitable for the medical procedure or investigation

10 observes good aseptic technique and infection control procedures where appropriate

Scope A. manages the following veterinary

materials: (i) medications (ii) sterile supplies (iii) consumables B. manages veterinary materials in terms of: (i) expiry dates (ii) level of deterioration (iii) damage (iv) storage requirements C. checks the suitability of the following

environmental conditions: (i) light (ii) temperature (iii) ventilation (iv) noise D. prepares for the following medical

procedures and investigations: (i) examination (ii) sample collection (iii) fluid therapy (iv) medication (v) applying dressings and bandages (vi) diagnostic procedures E. prepares the following materials: (i) drugs (ii) sterile supplies (iii) consumables


EC 4B Assist in the preparation of patients for med ical procedures and

investigations

Description of competence The veterinary nurse is capable of preparing the patients for medical procedures and investigations in cooperation with the veterinarian. Result Patients are adequately prepared in order for the veterinarian to perform a medical procedure or investigation. Performance Criteria 1 obtains the necessary information on

patients and identifies the medical procedure or investigation to be performed and the patient preparation required

2 transports and handles the patient safely and correctly

3 restrains the patient sufficiently

Scope A. obtains information on patients: (i) species (ii) age/gender (iii) weight/size (iv) behaviour (v) general symptoms B. prepares patients for the following medical

procedures and investigations: (i) examination (ii) sample collection (iii) fluid therapy (iv) medication (v) applying dressings and bandages (vi) diagnostic procedures C. maintains safety where the following

handling equipment and methods are used:

(i) physical restraints (ii) chemical restraints (iii) manual positioning


EC 4C Assist veterinary staff during medical proced ures and investigations

Description of competence The veterinary nurse is capable of assisting the veterinarian during medical procedures and investigations in such a way, that the veterinarian can do his/her job effectively and the animal is kept as calm and comfortable as possible. Result Medical procedure or investigation is carried out efficiently and with a minimum amount of stress. Performance Criteria 1 establishes the assistance that is required

and provides this assistance adequately

2 monitors the animal during the medical procedure or investigation and brings any problems to the attention of the appropriate person

3 obtains information that is required by the veterinary staff promptly and effectively

4 provides equipment and materials to the veterinary staff at the appropriate times

5 carries out the necessary actions after the medical procedure or investigation is complete

Scope A. assists with the following medical

procedures and investigations: (i) examination (ii) sample collection (iii) fluid therapy (iv) medication (v) applying dressings and bandages (vi) diagnostic procedures B. provides the following materials: (i) drugs (ii) sterile supplies (iii) consumables C. recognizes the following indications of

problems: (i) distress (ii) pain


European competence 5: Providing emergency first ai d to animals

EC 5 Administer emergency first aid to animals and assist with the provision of

emergency treatment to animals

About this Unit This unit covers emergency first aid to animals.


EC 5 Administer emergency first aid to animals and assist with the provision

of emergency treatment to animals Description of competence The veterinary nurse is capable of giving first aid to animals adequately in such a way that the animal receives emergency care, taking into consideration laws and regulations. Result First aid is administered correctly and the correct people are informed. Performance Criteria 1 assesses the animal's condition quickly

and accurately

2 informs the veterinary staff as soon as possible about the animal's condition

3 prioritises first aid actions to stabilise the animal and prevent further deterioration and pain

4 administers first aid to the animal

5 monitors the outcomes of your first aid and takes the appropriate action if the first aid is not having the desired result

6 obtains any necessary additional information on the animal

7 assists the veterinary staff in the provision of emergency treatment

Scope A. obtains information on: (i) the animal's behaviour and condition (ii) the client (iii) history of veterinary care B. assists with the following emergency

treatment (i) cleaning and wound management (ii) immobilising limbs (iii) resuscitation procedures (iv) airway management (v) haemorrhage control (vi) prevention/treatment of shock


European competence 6: Provide and administer nursi ng care

EU 6A Manage accommodation for patients EU 6B Monitor and care for patients, including specialised nursing care, treatments to patients and fluid therapy

About this Unit This unit covers providing nursing care to animals. It includes basic nursing care and administering veterinary medical nursing to patients with complex medical conditions. It covers fluid therapy, specialized medical nursing and treatments. This unit is also about caring for animals in accommodation. It covers preparing the accommodation to suit the condition of the animal, monitoring the condition of animals in the accommodation and cleaning the accommodation. In carrying out this work you will be caring for animals during illness, recovery from surgical procedures and hospitalisation. The work covered in this unit contributes to infection control and the prevention of transfer of infectious diseases to future occupants of the accommodation.


EC 6A Manage accommodation for patients

Description of competence The veterinary nurse is capable of managing the accommodation for patients in such a way, that the wellbeing of the animals is ensured. She/he keeps the accommodation clean and hygienic. Result Clean and well organised accommodation, suitable for animals with different conditions and with minimal health risks for the accommodated animals. Performance Criteria 1 selects, prepares and cleans the

accommodation in accordance with the needs of the patient

2 adjusts the environmental conditions in the accommodation to suit the condition and species of the patient

3 makes sure that the accommodation is safe, secure and clean and disinfects the accommodation when necessary

4 uses cleaning methods and materials which are suitable for the accommodation, the patients and the cases involved

Scope A. prepares accommodation suitable for the

following requirements of animals: (i) condition of animal (ii) isolation (iii) treatment regime (iv) temperament (v) appropriate bedding and materials B. adjusts the following environmental

conditions: (i) light (ii) temperature (iii) humidity (iv) ventilation (v) noise C. uses the following cleaning methods: (i) disinfection (ii) steam or pressure washing (iii) removal of waste products (iv) washing and drying of bedding and/or

disposing of bedding


EC 6B Monitor and care for patients, including spec ialised nursing care,

treatments to patients and fluid therapy Description of competence The veterinary nurse is capable of planning and carrying out nursing schemes for patients (together with the veterinary staff) with a range of medical and post-surgical conditions. She/he monitors the patients during their stay at the hospital and alerts the veterinarian if any problems or complications arise. She/he is able to prepare for, administer and monitor fluid therapy in a correct and safe way following instructions from the veterinarian. Result Purposeful, high quality nursing care and technically well performed treatment of patients in hospital. Performance Criteria 1 assesses the patient’s nursing

requirements and formulates a nursing plan in consultation with veterinary staff.

2 monitors and provides appropriate care and treatments to patients according to their conditions and instructions of veterinary staff

3 ensures the animal is handled correctly and keep it as calm and comfortable as possible

4 evaluates the effectiveness of the nursing care and review the nursing plan together with the veterinarian

5 identifies any problems with patients, including emergency situations, and takes the appropriate action

6 alerts the veterinary staff to any problems or complications that may arise concerning the care of the patient

7 obtains suitable supplies of equipment and materials to carry out nursing care

8 performs correct fluid therapy to patients, including calculating the fluid requirements and assembling equipment and materials correctly

Scope A. Monitoring (i) body temperature, mucous membranes &

vital signs (ii) circulatory and respiratory functions (iii) neurological function (iv) nutritional status (v) fluid balance (vi) bowel and urinary function (vii) behaviour (viii) operation site status (ix) pain and distress (x) checking sites of “intervention”, e.g. cannula site, bandages, indwelling catheters. B. administers the following nursing care: (i) food and drink intake (ii) nutritional support/intake, dietary plans,

assisted feeding (iii) general observation and monitoring (iv) replacing dressings and bandages (v) wound management (vi) caring for distressed animals (vii) medication management (with regard to

timing, frequency and date) (viii) monitoring and managing gastro-intestinal

and urinary function (ix) patient hygiene, grooming (x) care of pressure areas/physiotherapy (xi) maintaining mobility (xii) contact and mental stimulation (xiii) prevention of pain and stress


Performance Criteria 9 provides clients with the correct information

on the condition of their patients in accordance with practice policy

10 practices effective infection control measures

11 provides patients with stimulation and affection wherever practicable

Scope C. Treatments (i) Topical, per oral, subcutaneous, intramuscular, intravenous and per

rectum administration of medicines (ii) wound management (iii) applying dressings and bandages D. Provide nursing care and treatments to the following patients: (i) hospitalized animals (ii) animals in consultation E. Uses the following equipment and materials

for nursing care: (i) drugs (ii) sterile supplies (iii) consumables F. Correct fluid therapy (i) different types of fluid and indications

hereof (ii) routes of administration and indications

hereof G Calculation of fluid requirements (i) quantity (ii) flow rate H. Correct and safe administration of fluid

therapy (i) ensures that the patient is safely positioned

and restrained during the procedures (ii) monitors the patient carefully (iii) identifies indications of problems arising

from the fluid therapy

I. Infection control (i) personal hygiene (including use of protective clothing) (ii) patient hygiene (iii) handling and disposal of materials (iv) isolation nursing (v) towards infective and zoonotic disease


European competence 7: Support clients in caring fo r animals

EC 7A Support and advice clients during the provision of veterinary services and demonstrate the care of animals EC 7B Provide veterinary materials to clients EC 7C Discharge animals from care

About this Unit This unit is about supporting clients in caring for animals. It covers supporting clients during the provision of veterinary services, advising clients on the care of animals, showing clients how to care for animals, providing veterinary materials to clients and discharging animals from care.


EC 7A Support and offer advice to clients during th e provision of veterinary

services and demonstrate the care of animals Description of competence The veterinary nurse can inform clients of what veterinary services that can be needed for the animal, and what services are available. The veterinary nurse deals with the client in a respectful and supportive way. The nurse can offer qualified advice for various areas and situations and is capable of demonstrating the necessary care of animals in a pedagogical way. Result The client is given qualified and trustworthy instructions on the care of animals. The instructions are given out of knowledge of the condition of the animal and the competence of the client. Performance Criteria 1 informs the client of the veterinary services

that are available to meet their needs

2 informs the client of any problems that might occur during the provision of veterinary services

3 offers physical and emotional assistance to the client during difficult situations

4 provides accurate and relevant advice which is based on suitable sources of information

5 explains the condition of the animal

6 offers advice and demonstrates the correct methods of providing care to the animal and informs the client about the expected effects

7 checks the client's understanding and provides additional clarification and advice where necessary

8 gives advice on when to consult a veterinarian and informs the client of methods for contacting the veterinary practice if future assistance is required

9 informs the client of the correct methods for disposing of waste materials and medications

Scope A. supports clients during the provision of the

following veterinary services: (i) veterinary procedures (ii) medication (iii) counter sales (iv) hospitalisation (v) euthanasia B. provides advice to clients on: (i) preventative health care (ii) caring for ill animals (iii) reproduction and care of neonates (iv) care of young animals (v) post-operative recovery (vi) nutrition (vii) first aid (viii) animal behaviour and behavioural problems C. demonstrates the care of animals during: (i) good health (ii) illness (iii) recovery D. demonstrates the care of animals for: (i) administration of medicines (ii) wound care (iii) inspection of bandages (ii) nutrition (iii) grooming (iv) handling


EC 7B Provide veterinary materials to clients Description of competence The veterinary nurse provides veterinary materials in an efficient and professional manner. Result A well functioning stock of veterinary materials. Qualified advice of the use of materials provided to clients. Performance Criteria 1 confirms the client's requirements for

veterinary materials with the veterinary staff and provides them

2 advises the client on the safe and correct use and disposal of veterinary materials

3 clearly explains health and safety implications to the client

4 obtains veterinary materials from authorised suppliers according to veterinary practice procedures

5 maintains stock levels of veterinary materials at the correct level according to veterinary practice procedures

6 complies with regulations and guidelines relating to the provision of veterinary materials at all times

7 keeps records of supplies which are accurate and accessible to authorised people

Scope A. provides the following veterinary materials: (ii) sterile supplies (iii) consumables (iv) literature


EC 7C Discharge animals from care Description of competence The veterinary nurse is capable of discharging animals from in hospital surgical or medical care. Result Qualified and correct advice to the client when the animal is discharged from hospital. Performance Criteria 1 identifies the owner and the animal they

have come to collect

2 explains the after care that the animal requires at home and gives information on checking-up appointments, if needed

3 checks that the owner understands what is required and feels able to carry out aftercare

4 checks that the owner knows when to report progress or return for follow up appointments

5 if unable to answer questions the nurse refers them to the veterinary surgeon

Scope A. discharge the following cases: (i) surgical cases (ii) medical cases


European competence 8: Perform laboratory diagnosti c tests

EC 8 Carry out diagnostic tests, including the preparation and sampling and the maintenance of equipment and materials.

About this Unit This unit is about performing diagnostic tests. The nurse needs to know about the maintenance of equipment and materials for diagnostic testing. The nurse prepares animals for collecting samples, collects and preserves samples for diagnostic tests. The nurse also carries out the diagnostic tests and communicates the results.


EC 8 Carry out diagnostic tests, including the prep aration and sampling and

the maintenance of equipment and materials Description of competence The veterinary nurse is capable of collecting samples for diagnostic tests. She/he prepares the animal for the procedures and preserves the samples adequately. She/he is capable of performing commonly occurring diagnostic tests, records the results and communicates them to the veterinarian. She/he maintains the necessary equipment and materials according to existing maintenance schedules. Result Efficient and safe collecting of samples for diagnostic tests with as little stress as possible for the animal and minimal influence on the sample. Reliable test results and well kept test result records. Performance Criteria 1 maintains equipment and materials

2 identify faults that can occur due to equipment, materials and procedures and knows how to deal with this.

3 complies with regulations and guidelines related to the use of diagnostic tests and materials.

4 prepares the animal for sampling in an appropriate way, including: - identification of the animal - confirming of the required diagnostic test -using suitable restraint methods, making the animal as comfortable as possible

5 collects or assists with collecting samples for analysis as requested by the veterinary staff.

6 handles the samples in a hygienic manner, applying infection-control procedures

7 labels, preserves and stores and/or forwards the samples according to the practice policy.

8 performs commonly occurring diagnostic tests, using analysis equipment in a safe and correct way

9 records and communicates results of tests according to the practice policy.

Scope A. maintains equipment in the following ways: (i) cleaning (ii) replacement of consumables (iii) arranges for servicing (iv) arranges for repairs B. identifies faults: (i) faults that can affect the accuracy, reliability and safe usage of equipment (ii) faults that can occur with materials, including out of date materials, damage and contamination C. collects or assists with collecting the

following samples: (i) blood (to include serum and plasma) (ii) urine (iii) skin/hair (iv) biopsies (v) other body fluids (vi) faeces D. applies infection-control procedures in

relation to: (i) patient hygiene (ii) equipment (iii) work surfaces (iv) hand hygiene


Performance Criteria

Scope E uses the following analysis equipment: (i) laboratory analysers (biochemistry and

haematology) (ii) refractometer (iii) microscope (iv) centrifuge (v) commercial test kits F. communicates the results of tests that have

been carried out: (i) in the veterinary practice (ii) by external laboratories


European competence 9: Prepare for diagnostic imagi ng techniques

and conduct radiography on animals

EC 9A Prepare diagnostic imaging equipment and materials and prepare the animals for diagnostic imaging techniques

EC 9B Conduct radiography on animals

About this Unit This unit is about preparing for a variety of diagnostic imaging techniques. Diagnostic imaging techniques include; radiography, ultrasound and endoscope. The unit also covers carrying out radiography, but does not cover carrying out ultrasound and endoscope. It involves preparing equipment, materials and animals for diagnostic imaging techniques. It also involves carrying out radiography, processing radiography images and providing the results for decision making. Processing materials could be either chemicals for conventional radiography or digital processing equipment for digital processing


EC 9A Prepare diagnostic imaging equipment and mate rials and prepare the

animal for diagnostic imaging Description of competence The veterinary nurse is able to prepare equipment and materials for diagnostic imaging including radiography, ultrasound and endoscope. She/he also maintains the equipment and identifies faults. She/he is capable of preparing the animal for diagnostic imaging efficiently and with minimal stress to the animal. Result Preparations for performing diagnostic imaging are made efficiently. Well kept equipment and materials. Animals are well prepared and not stressed during diagnostic imaging. Performance Criteria 1 Prepares and maintains equipment and

materials used for all common diagnostic imaging techniques

2 Identifies faults in diagnostic imaging

equipment and materials and takes appropriate action

3 Carries out infection-control procedures

according to the requirements of the diagnostic imaging technique

4 Comply with health and safety regulations

relevant to the techniques and the management of equipment used in diagnostic imaging

5 Confirms the animal’s condition and identity

as well as the diagnostic technique and the area to be imaged

6 Undertakes appropriate prediagnostic

procedures (when compatible with national laws and regulations)

7 Positions and restrains the animal in a

suitable and correct way 8 Monitors the animal during the imaging

process, in order to detect difficulties

Scope A. Maintains equipment in the following ways: (i) cleaning (ii) replacement of consumables (iii) arrange for servicing (iv) arrange for repairs B. Common faults in equipment that affect: (i) diagnostic quality and reliability (ii) safety (iii) effectiveness And can include - damaged packaging - deterioration - contamination C. Applies infection-control procedures in

relation to: (i) equipment (ii) work surfaces (iii) personal and patient hygiene D. Prediagnostic procedures (i) administration of contrast material (ii) administration of sedatives or anaesthesia (iii) sheering (iv) fasting (v) enemas/colonic lavage E. Uses appropriate restraining methods. (i) physical (ii) sedation and anaesthesia (if compatible with

national laws and regulations)



Scope F Potential difficulties: (i) injury (ii) distress (iii) clinical deterioration (iv) loss of diagnostic quality


EC 9B Conduct radiography on animals Description of competence The veterinary nurse is capable of producing radiographic images of high diagnostic quality, ensuring the comfort of the animal during the process and the safety of animal & people at all times. Result High quality radiographic images produced with high safety measures taken. Performance Criteria 1 Confirms the animal’s condition and

identity as well as the diagnostic technique and the area to be imaged

2 Uses the radiographic equipment correctly

concerning radiation safety, thus minimising radiation exposure

3 Produces radiographic images of good

diagnostic quality 4 Processes the radiographic image correctly 5 Checks the quality of the images and

confirms the identity of the animal 6 Prevents contamination and errors in

results. Identifies invalid results and ensures remedial action is taken

7 Documents the results according to

veterinary practice procedures

Scope A. Uses the following radiographic equipment: (i) x-ray machine (ii) radiation monitoring equipment (iii) cassettes (iv) positioning aids B. Produces images of radiographic views that

are common in practice. C. Identifies the following indications of invalid

results: (i) inconsistency with expected or previous

results (ii) positioning errors (iii) processing faults (iv) exposure faults


European competence 10: Prepare for veterinary surg ical procedures

EC 10A Select, maintain and prepare surgical environments, equipment and materials for veterinary surgical procedures

EC 10B Prepare animals for veterinary surgical procedures

About this Unit This unit covers preparing for veterinary surgical procedures. You will need to be able to prepare surgical environments, including preparation rooms and operation theatres, prepare equipment and materials, and prepare animals for veterinary surgical procedures.


EC 10A Select, maintain and prepare surgical enviro nments, equipment and

materials for veterinary surgical procedures Description of competence The veterinary nurse is capable of preparing the surgical environment for surgical procedures and maintaining the environment correctly. She/he is capable of selecting and preparing the right surgical equipment and materials for surgical procedures. Result The surgical theatre and preparation room are adequately prepared and maintained for surgical procedures. The right equipment and materials are selected and adequately prepared to support a successful operation. Performance Criteria 1 keeps the surgical environment as clean as

practicable within the limits of the premises and the surgical procedure to take place

2 maintains, stores, cleans and sterilizes

surgical equipment and materials correctly 3 uses autoclave safely and effectively 4 provides people using the surgical

environment with relevant information on the surgical procedure

5 controls the environmental conditions to suit

the condition and the type of surgical procedure being undertaken, and the animal’s requirements

6 confirms the animal’s condition and the

surgical procedure against available information

7 obtains advice on the most suitable surgical

equipment and materials from the veterinary surgeon and prepares these

8 places surgical equipment and materials in

the correct position to support the surgical procedure

9 counts all surgical equipment and materials

accurately to track their use during and after surgery

Scope A. prepares the following surgical

environments: (i) operating theatre (ii) preparation room B. controls the following environmental

conditions according to species requirements:

(i) light (ii) temperature (iii) noise C. stores and maintains the following surgical equipment and materials: (i) instruments (ii) powered equipment (iii) medications/antiseptics (iv) sterile supplies (v) sutures (vi) implants (vii) wound drains D. applies infection-control procedures in

relation to: (i) equipment (ii) surgical instruments (iii) work surfaces (iv) environment (v) contact with humans


Performance Criteria 10 complies with regulations and guidelines

relating to the use of surgical equipment and materials at all times

11 correctly identifies faults in surgical equipment and materials and takes the appropriate action to rectify them

12 undertakes infection-control procedures according to the requirements of the surgical procedure

Scope


EC 10B Prepare animals for veterinary surgical proc edures Description of competence The veterinary nurse is capable of preparing patients for surgical procedures. Result The animal patient is adequately prepared for surgical procedure Performance Criteria 1 confirms the animal’s condition and the

surgical procedure being undertaken against available information

2 positions and restrains the animal carefully using suitable restraining equipment and methods

3 identifies surgical sites correctly and ensures the appropriate pre-surgical procedures are undertaken

4 undertakes infection-control procedures according to the requirements of the surgical procedure

Scope A. carries out the following pre-surgical

procedures: (i) correct positioning (ii) correct use of aseptic skin preparation B. applies infection-control procedures in

relation to: (i) equipment (ii) work surfaces (iii) environment (iv) contact with humans (v) contact with other animals


European competence 11: Assist the veterinary surge on during

surgical procedures

EC 11A Assist the veterinary surgeon during surgical procedures EC 11B Provide post operative care for animals

About this Unit This unit is about the duties and conduct of veterinary nurses while assisting the veterinary surgeon during surgical procedures. It covers the provision of equipment and materials during surgical procedures, assisting with the surgical procedure itself, and monitoring and assisting the recovery of animals after such procedures.


EC 11A Assist the veterinary surgeon during surgica l procedures. Description of competence The veterinary nurse is capable of providing the correct equipment and materials for the surgical procedures and of assisting the veterinary surgeon during these surgical procedures. Result A successful surgical procedure. Performance Criteria 1 ensures to be fully scrubbed up to meet

the needs of the surgical procedure

2 provides the appropriate equipment and materials for performing surgical procedures on the animal and maintains the sterility of all equipment during the procedure

3 positions surgical instruments in the correct orientation for immediate use

4 identifies faults in equipment and materials correctly, informs colleagues of any difficulties and ensures appropriate action is taken to rectify them

5 assists with surgical procedures promptly and effectively according to the requirements of the veterinary surgeon and the condition of the animal

6 applies surgical materials at the correct location and in the correct manner

9 attaches surgical equipment to the animal at the correct location and with minimal effect on tissue

10 operates surgical equipment correctly and apply it at the correct time

11 removes and disconnects surgical equipment and materials not required for recovery from the animal on completion of the surgical procedure

Scope A. assists with the most common surgical

procedures B. provides and assists with the use of the

following equipment: (i) instruments (ii) powered equipment C. provides the following surgical materials

and at the correct location: (i) sterile supplies (ii) sutures (iii) implants (iv) wound drains (v) medications/antiseptics


EC 11B Provide post operative care for animals Description of competence The veterinary nurse monitors the recovery of the patient carefully. She/he is capable of giving the necessary post operative care for the patient. Result A successful recovery from anaesthesia and post operative history. A satisfied and well informed owner. Performance Criteria

1 places the animal in an environment and recovery position suitable for its species and the surgical procedure that has been undertaken

2 monitors and records the animal’s recovery carefully and brings any indications of problems to the attention of the veterinarian

3 minimises pain and distress to the animal through the provision of appropriate nursing care and treatment as requested by the veterinarian

4 applies methods correctly to prevent the animal interfering with surgical wounds

5 obtains and records monitoring information required by the veterinarian correctly and promptly

6 informs the client of the condition of the animal as soon as is practicable, and informs the client over the care needed during the recovery period.

Scope A. assists the recovery of animals after the

most common surgical procedures B. monitors the following: (i) observations (ii) measurements of vital signs C. and monitors the animal for the following

problems: (i) pain and distress (ii) vomiting or gastric reflux (iii) haemorrhaging (iv) interference with wounds (v) inability to perform body functions (vi) circulatory status D. uses and interprets the following

monitoring information: (i) observations (ii) measurements of vital signs


European competence 12: Assist the provision of ana esthetics to

animals

EC 12A Prepare anaesthetic equipment and materials EC 12B Prepare animals for anaesthesia EC 12C Assist in administering and maintaining anaesthetics to animals

About this Unit This unit covers assisting with the provision of anaesthetics to animals and with monitoring progress of anaesthetised animals. Monitoring is a vital part of the veterinary nurses role in anaesthesia. National regulations on the use of anaesthetics have to be taken into consideration.


EC 12A Prepare anaesthetic equipment and materials Description of competence The veterinary nurse is capable of preparing the correct anaesthetic equipment and materials for the anaesthetic procedure in question. Result The most suitable anaesthetic equipment and materials are prepared to ensure an efficient and safe anaesthetic procedure. Performance Criteria 1 confirms the animal’s condition and the

anaesthetic procedure to be administered against available information from the responsible veterinarian.

2 obtains guidance from the veterinary staff on the most suitable anaesthetic equipment, materials and gases

3 prepares and positions anaesthetic equipment, materials and gases according to the anaesthetic and veterinary procedures required and in the correct location to support the procedure

4 complies with regulations and guidelines relating to the use and disposal of anaesthetic equipment, materials and gases at all times

5 maintains anaesthetic equipment and materials according to specified schedules and procedures

6 undertakes infection control procedures

according to the requirements of the anaesthetic procedure

Scope A. prepares anaesthetic equipment and

materials for the following anaesthetic procedures:

(i) pre-medication (ii) oral intubation (iii) inhalation techniques (iv) intravenous techniques B. prepares the following anaesthetic

equipment: (i) anaesthetic delivery machines (ii) breathing circuits (iii) pollution control systems (iv) endotracheal tubes (v) intravenous catheters (vi) monitoring systems (vii) anaesthetic emergency box C. prepares the following materials and

gases: (i) anaesthetic drugs (ii) anaesthetic gases (iii) sterile supplies (iv) consumables (v) intubation aids and/or laryngoscope D. applies infection control procedures in

relation to: (i) equipment (ii) work surfaces (iii) contact with humans E. maintains equipment in the following ways: (i) cleaning (ii) replacement of consumables (iii) arrange for servicing (iv) arrange for repairs


EC 12B Prepare animals for anaesthesia Description of competence The veterinary nurse is capable of preparing the animal for anaesthesia Result Minimal anaesthetic risks for the patient Performance Criteria 1 confirms the animal’s condition and the

anaesthetic procedure being administered against available information

2 positions and restrains the animal carefully using suitable handling equipment and methods

3 performs pre-anaesthetic checks and procedures necessary to achieve premedication and induction

4 monitors the animal carefully to detect potential difficulties

5 encourages the animal to feel at ease in the clinical environment

6 adjusts the environment conditions to suit the needs of the animal

Scope A. uses the following handling equipment and

methods: (i) physical restraint (ii) manual positioning B. performs pre-anaesthetic checks of the

following vital signs: (i) temperature (ii) pulse (iii) respiration (iv) hydration status C. monitors the animal to detect the following

potential difficulties and understands the consequences of such difficulties:

(i) injury (ii) distress (iii) clinical deterioration D. adjusts the following environmental

conditions according to species requirements understanding the importance of these:

(i) light (ii) temperature (iii) ventilation (iv) noise


EC 12C Assist in administering and maintaining anae sthetics to animals Description of competence The veterinary nurse is capable of administering and maintaining anaesthetics to the animal hereby assisting the veterinary surgeon during surgery and other procedures. She/he is capable of assisting in reducing and stopping the anaesthetic procedure Result A successful anaesthetic course and a successful recovery from anaesthesia. Performance Criteria 1 confirms the requirements of the

veterinary staff of anaesthetising the animal

2 assists with and undertakes anaesthetic procedures correctly according to the requirements of the veterinary staff and the animal’s condition

3 administers anaesthesia (according to national regulations) under supervision at the correct stages of the veterinary procedure

4 complies with requests for assistance from the veterinary staff and other colleagues promptly and effectively

5 provides anaesthetic equipment, materials and gases to the veterinary staff at the right time

6 monitors and records the animal carefully and bring any indications of problems to the attention of the veterinary surgeon

7 reduces and stops the anaesthetic procedure at the correct stages of the surgical procedure

8 disconnects the animal carefully from anaesthetic equipment, materials and gases

Scope A. undertakes the following anaesthetic

procedures (if compatible with national regulations):

(i) premedication (ii) endotracheal intubation (iii) intramuscular administration B. assists with the following anaesthetic

procedures (if compatible with national regulations) :

(i) inhalation techniques (ii) intravenous administration (iii) local or regional anaesthesia C. monitors the use of the following: (i) observations (ii) measurements of vital signs (iii) information from monitoring equipment D. provides the following equipment and

ensures proper usage of such equipment during anaesthesia:

(i) anaesthetic delivery machines (ii) breathing circuits (iii) pollution control systems (iv) endotracheal tubes (v) intravenous catheters (vi) monitoring systems E. provides the following materials and gases: (i) anaesthetic drugs (ii) anaesthetic gases (iii) sterile supplies (iv) consumables (v) intubation aids and/or laryngoscope



Scope F. assists with the termination of anaesthesia

in animals after the following anaesthetic procedures:

(i) oral intubation (ii) inhalation techniques (iii) intravenous administration (iv) intramuscular administration


European competence 13: Dispense and administer med ication EC 13A Dispense medication for animals to clients EC 13B Administer medication to animals

About this Unit This unit is about dispensing and administer the correct drugs and dosage to the animal. The veterinary nurse will need to be able to calculate the correct dosage and dispense with instruction and advice to clients and to administer the drugs to the animal. National regulations on dispensing and administering medication to animals have to be taken into consideration.


EC 13A Dispense medication for animals to clients

Description of competence The veterinary nurse is capable of dispensing medication for animals to the clients and also explaining the use and safety in handling the medication. Result The client is able to use the medication for the animal in a correct and safe way.

Performance criteria 1 confirms the requirement for medication by

the animal with veterinary staff 2 calculates and dispenses the required

dosage, quantity and frequency of administration of medication

3 locates and prepares the appropriate

preparation and strength 4 dispenses the medication into an

appropriate container and with appropriate labelling

5 complies with national regulation and

legislation relating to the provision of medication

6 advises the client on the safe and correct

route of administration, storage and disposal of medication

7 clearly explains the health and safety

implications to the client when supplying the medication

Scope A. dispenses different groups of veterinary

medications B. dispenses medication from different

categories according to national legislation.


EC 13B Administer medication to animals

Description of competence The veterinary nurse has the competence of calculating the correct dosage of medication and of administering it to the patient. Result Correctly medicated patient.

Performance criteria 1 confirms the treatment required by the

animal with veterinary staff 2 obtains the correct preparation of

medication and calculates the correct dosage required by the animal

4 correctly prepares the medication for

administration using the appropriate equipment

5 ensures appropriate restraint of the animal 6 assesses the patients condition prior to

administration of the medication 7 administers the medication via the correct

route 8 assesses and monitors the animal after

administration of medication

Scope A. administers medication from different

categories according to national legislation