x vns ‘vital’ to ensure and maintain high hygiene standards · day-to-day basis to check...

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Leading the way... Leading the way... he way.. VN Times average net circulation Jan-Dec 2014 13,597 Volume 15 X Number 5 X May 2015 WIN £150 for the most creative microchipping month display – page 3 VNs ‘vital’ to ensure and maintain high hygiene standards EILEEN GREEN reports exclusively on a self-audit tool to help practices implement effective infection control V ETERINARY nurses can play a vital role in achieving and maintaining high standards of infection control, say leading veterinary professionals. RVNs are now being urged to use a free self-audit practice hygiene tool launched by the Bella Moss Foundation (BMF) – a charity that promotes prudent antimicrobial use and hygiene in human and veterinary medicine. The tool allows a room-by-room assess- ment of cleanliness levels using tick sheets, helping practices to identify problems and instigate any staff training needed to ensure infection controls are in place in all areas. Taking a lead BMF clinical advisor Tim Nuttall, head of dermatology at the University of Edinburgh Hospital for Small Animals, said VNs were at the forefront of infection control. “The BMF infection control guidelines and audit tool allow them to take charge of infec- tion control,” Dr Nuttall said. “They can use the information to develop protocols ideally suited to their practice and take a lead in implementation, monitoring and compliance. “This nurse-led approach is likely to be much more effective than top-down meas- ures. The best infection control guidelines are useless if not effectively implemented.” The tool has been created by RVN Louise O’Dwyer and vet Pam Mosedale, who drew up the infection control guidelines last year. Miss O’Dwyer, clinical director at Pet Medics in Manchester, said it was important to raise awareness about infection control as she felt there were still some aspects misunderstood. “The purpose of the audit tool is to get people to think about things that may not always be considered,” she said. “It can be little things like making sure people use disinfectants at appropriate concentrations and simple procedures like emptying the bottle and cleaning it properly rather than topping it up. If you’re in a busy practice you might just top it up. “People have tubs of disinfectant they put thermometers or equipment in and think they are sterilising them. It would be quite interest- ing to see what can be cultured from those – it’s probably far worse then people think.” She said she hoped every practice team member would play a part in implementing infection control. “It needs to be embraced by all staff as every individual has the potential to make an impact within his or her practice.” Miss Mosedale said the audit tool would give practices a framework they could use on a day-to-day basis to check hygiene standards. “It is so easy to forget things,” she said. “The theatre, for example, is probably abso- lutely spotless, but other areas may not be as clean and cleaned as regularly. The head nurse would be a person who might do the audit, but it will be up to the practice; we don’t want to be prescriptive about it. “It’s just a matter of getting practices to think about biosecurity, hygiene and cleaning and also about how they are going to monitor it so those high standards they have at certain times are maintained all the time.” She said the tool would enable staff to go through every room and think about each situ- ation logically, be it toys in the waiting room or cleaning the end of a stethoscope. Miss Mosedale, who last month became veterinary advisor for the RCVS Practice Standards Scheme (PSS), added the new PSS scheme, taking effect in November, would include an infection control module so prac- tices using the audit tool would have a way of showing assessors what they were achieving. Useful resources BMF has also produced a Clean Hands Challenge video – on YouTube at http://bit. ly/1yqoZRG – which explains the importance of basic hand hygiene in stopping infections, before taking viewers through a step-by-step demonstration of good washing technique. The audit tool is available at http://bit. ly/1aqEbT8 and is one of a host of useful online resources by BMF, which relies entirely on donations and is staffed by volunteers. BMF founder Jill Moss thanked those who had supported its work and said she was grateful to Invicta Animal Health, suppliers of ChloraPrep, which printed audit tool informa- tion leaflets for BSAVA Congress. She appealed for further donations and said she hoped all practices would consider organising fund-raising events. “All money received would go back into raising awareness as nobody at BMF takes any money other than expenses for projects,” she said. “The team are so dedicated – all of our trustees and advisors give up their time freely.” THREE RVNs at White Cross Vets in Man- chester organised a hands-on suturing tutorial with one of the practice’s vets. Danielle Richardson, Stacey Law and Frances Laithwaite set aside an evening with vet Kelly Whitelaw for the mentoring session. Miss Richardson said: “We had an interest in Schedule 3 procedures and were pleased when Kelly offered to do a tutorial. She showed us first, while explaining each technique, then we all had a turn. “We learned how to complete a surgical knot, simple interrupted, simple continuous, ford interlocking, intradermal and cruciate mattress. We did this on suturing pads then raw turkey breasts. It was informative, we learned a lot and are very grateful to Kelly.” Three days later, Miss Richardson, who qualified in 2013, put her new skills to the test. “I assisted Kelly on a routine bitch spay,” she said. “She coached me while I performed intradermal sutures. She said I did an amazing job – I brought the edges together and had no bumps – and I felt so proud. I loved it and can’t wait to do more.” Miss Law said she found the tutorial “very exhilarating and rewarding”. RVN Danielle Richardson proudly displays her suture work on the spayed bitch. Nursing trio swot up on suturing 4th & 5th For more info or to book visit: June 2015 www.vets-now.com/brighton 01733 383534 [email protected] Diary 1-stop CPD shop D 1-st 1-st 1-st 1-st 1-st 1-st 1-st 1-st C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P C P C C P C P C C C P C C C P C P C P C C C P C C P C C C P C P C P C C C P C C P C C C P C P C P C C C P C C P C C C P C P C P C C C P C C P C C C P C P C P C C C P C C P C C P C P C C P P P C P C C C P C P C P C C C P C C P C C C P C P C P C C C P C C P C C C P C P C P C C C P C C P C C C P C P C P C C C P C C P C C C P C P C P C C C P C P P P C P C C C P C P C P C C C P C P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D P D P P P D P D P D P P P D P P D P P D P D P P P D P P D P D P P P D P P D P D P P P D P P D P D P P P D P P D P D P P P D P P D P D P P P D P P D P D P P P D P P D P D P P P D P P D P D P P P D P P D P D P P P D P P P D P D P D P P P D P D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D Go to page 27 for upcoming CPD courses State of the art Managing anorexia: nursing and appete smulaon A closer look at... Cat friendly restraint for blood sampling A day in the life... Nurses at The Oxford Cat Clinic Feline behaviour and stress Plus... Hyperthyroidism case study and our ‘how to’ guide on performing and interpreng urinalysis Preview issue October 2014 The ISFM Journal for Veterinary Nurses/Technicians full of top tips on being cat friendly Assessing and responding to different feline behaviour seen outside the ‘home’ environment icatcare.org/felinefocus Get your paws on FREE M E M B E R S H I P F O R N U R S E S A N D T E C H N I C I A N S Member benefits: Feline Focus Your very own monthly e-journal dedicated to feline nursing Online CPD Regular webinars brought to you by feline experts ISFM community Be part of an exciting and dynamic community sharing feline best practice and ideas www.icatcare.org/nurses Simply sign up for free at: FREE membership for nurses and technicians

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Leadingthe way...Leading

the way...Leading

the way...Leading

VN Times average net circulation Jan-Dec 201413,597

Volume 15 Number 5 May 2015

WIN £150 for the most creative microchipping month display – page 3

VNs ‘vital’ to ensure and maintain high hygiene standards

EILEEN GREEN reports exclusively on a self-audit tool to help practices implement effective infection control

VETERINARY nurses can play a vital role in achieving and maintaining high standards of infection control, say

leading veterinary professionals.RVNs are now being urged to use a free

self-audit practice hygiene tool launched by the Bella Moss Foundation (BMF) – a charity that promotes prudent antimicrobial use and hygiene in human and veterinary medicine.

The tool allows a room-by-room assess-ment of cleanliness levels using tick sheets, helping practices to identify problems and instigate any staff training needed to ensure infection controls are in place in all areas.

Taking a leadBMF clinical advisor Tim Nuttall, head of dermatology at the University of Edinburgh Hospital for Small Animals, said VNs were at the forefront of infection control.

“The BMF infection control guidelines and audit tool allow them to take charge of infec-tion control,” Dr Nuttall said. “They can use the information to develop protocols ideally suited to their practice and take a lead in implementation, monitoring and compliance.

“This nurse-led approach is likely to be much more effective than top-down meas-ures. The best infection control guidelines are useless if not effectively implemented.”

The tool has been created by RVN Louise O’Dwyer and vet Pam Mosedale, who drew up the infection control guidelines last year.

Miss O’Dwyer, clinical director at Pet Medics in Manchester, said it was important to raise awareness about infection control as she felt there were still some aspects misunderstood.

“The purpose of the audit tool is to get people to think about things that may not always be considered,” she said. “It can be little things like making sure people usedisinfectants at appropriate concentrations and simple procedures like emptying thebottle and cleaning it properly rather than topping it up. If you’re in a busy practice you might just top it up.

“People have tubs of disinfectant they put thermometers or equipment in and think they are sterilising them. It would be quite interest-ing to see what can be cultured from those – it’s probably far worse then people think.”

She said she hoped every practice team member would play a part in implementing infection control.

“It needs to be embraced by all staff as every individual has the potential to make an impact within his or her practice.”

Miss Mosedale said the audit tool would give practices a framework they could use on a day-to-day basis to check hygiene standards.

“It is so easy to forget things,” she said. “The theatre, for example, is probably abso-lutely spotless, but other areas may not be as clean and cleaned as regularly. The head nurse would be a person who might do the audit, but it will be up to the practice; we don’t want to be prescriptive about it.

“It’s just a matter of getting practices to think about biosecurity, hygiene and cleaning and also about how they are going to monitor it so those high standards they have at certain times are maintained all the time.”

She said the tool would enable staff to go through every room and think about each situ-ation logically, be it toys in the waiting room or cleaning the end of a stethoscope.

Miss Mosedale, who last month became veterinary advisor for the RCVS Practice Standards Scheme (PSS), added the new PSS scheme, taking effect in November, would include an infection control module so prac-tices using the audit tool would have a way of showing assessors what they were achieving.

Useful resourcesBMF has also produced a Clean Hands Challenge video – on YouTube at http://bit.ly/1yqoZRG – which explains the importance of basic hand hygiene in stopping infections, before taking viewers through a step-by-step demonstration of good washing technique.

The audit tool is available at http://bit.ly/1aqEbT8 and is one of a host of useful online resources by BMF, which relies entirely on donations and is staffed by volunteers.

BMF founder Jill Moss thanked those who had supported its work and said she was grateful to Invicta Animal Health, suppliers of ChloraPrep, which printed audit tool informa-tion leafl ets for BSAVA Congress.

She appealed for further donations and said she hoped all practices would consider organising fund-raising events.

“All money received would go back into raising awareness as nobody at BMF takes any money other than expenses for projects,” she said. “The team are so dedicated – all of our trustees and advisors give up their time freely.”

THREE RVNs at White Cross Vets in Man-chester organised a hands-on suturing tutorial with one of the practice’s vets.

Danielle Richardson, Stacey Law and Frances Laithwaite set aside an evening with vet Kelly Whitelaw for the mentoring session.

Miss Richardson said: “We had an interest in Schedule 3 procedures and were pleased when Kelly offered to do a tutorial. She showed us fi rst, while explaining each technique, then we all had a turn.

“We learned how to complete a surgical knot, simple interrupted, simple continuous, ford interlocking, intradermal and cruciate mattress. We did this on suturing pads then raw turkey breasts. It was informative, we learned a lot and are very grateful to Kelly.”

Three days later, Miss Richardson, who qualifi ed in 2013, put her new skills to the test. “I assisted Kelly on a routine bitch spay,” she said. “She coached me while I

performed intradermal sutures. She said I did an amazing job – I brought the edges together and had no bumps – and I felt so proud. I loved it and can’t wait to do more.”

Miss Law said she found the tutorial “very exhilarating and rewarding”.

RVN Danielle Richardson proudly displays her suture work on the spayed bitch.

Nursing trio swot up on suturing

4th & 5thFor more info or to book visit:

June 2015www.vets-now.com/brighton

01733 383534 [email protected]

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Go to page 27 for upcoming

CPD courses

State of the artManaging anorexia: nursing and appe!te s!mula!on

A closer look at...Cat friendly restraint for blood sampling

A day in the life... Nurses at The Oxford Cat Clinic

Feline behaviour and stress

Plus... Hyperthyroidism case study and our‘how to’ guide on performing andinterpre!ng urinalysis

Preview issue • October 2014

The ISFM Journal for Veterinary Nurses/Technicians

full of top tips onbeing cat friendly

Assessing and responding to di"erent feline behaviour seen outside the ‘home’ environment

icatcare.org/felinefocus

Get your paws on

FREE

MEMBERS

HIP

FORNURSE

SAND TECHN

ICIANS

Member benefits:

Feline FocusYour very own monthly e-journal dedicated to feline nursing

Online CPDRegular webinars brought to you by feline experts

ISFM communityBe part of an exciting and dynamic community sharing feline best practice and ideas

www.icatcare.org/nurses

Simply sign up for free at:

FREE membershipfor nursesand technicians

VNT15.05 Master.indd 1 23/04/2015 11:04

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Comments: Sara Standing

April 23, 20154 errors, all ok