Supplement. Clinical Practicum 2

Transcription

1 Supplement Clinical Practicum 2

2 Clinical Practicum 2 The goal of this clinical practicum is to provide you with the hands-on experience necessary to develop the skills needed by veterinary technicians. You ll practice these skills under the direct supervision of a licensed veterinarian or credentialed veterinary technician. This practicum encompasses a minimum of 225 hours of clinical experience in a mixed-animal practice. Because of the range of skills required in this practicum, you may need to spend some time in a more specialized clinic as well. You re expected to complete the required hours within 16 weeks. A maximum of 24 weeks is allowed for completion of the practicum. The veterinary clinic must meet minimum criteria for quality. These criteria include, but aren t limited to Availability of clinical equipment required for completion of skills (See more information below.) Availability of a credentialed veterinary technician or licensed veterinarian with the time and expertise necessary to appropriately supervise and mentor you Before beginning the practicum, you must submit the following items to the clinical site supervisor of your chosen clinical site. Then mail the completed forms to the practicum coordinator at the school: Clinical Site Facility Criteria (see page 5) Clinical Mentorship Agreement (see page 9) Proof of student health insurance Proof of liability insurance where required by state law You ll be notified if your clinical site has been accepted. You ll be assigned a faculty advisor to assist you in completing the requirements of the practicum. You must consult with your personal physician and/or medical authorities to determine and procure whatever immunizations (for example, rabies, tetanus, and so on) and/or preventative health procedures (for example, TB testing, and so on) are advisable and prudent for your safety in performance of the skills in the clinical practicum. Should any required equipment item be unavailable at the clinical site, you must locate a secondary clinic at which to perform the required skill and then submit a blank copy of the Clinical Site Facility Criteria and Clinical Mentorship Agreement to the clinical site supervisor to complete. Then mail the forms to the practicum coordinator at the school. 1

3 If you have to complete your practicum at multiple clinics, you must provide a list of which skill numbers you intend to perform at which locations. During the clinical practicum, you re required to Maintain a record of hours worked (see Time Sheet on page 135) Complete the required skills and submit the documentation requested on the skills sheets Use proper spelling, grammar, and medical terminology in your reports at all times and ensure that the reports meet all legal requirements Submit your descriptions written in detailed narrative format Your submissions must verify that you ve met the stated criteria and description of the skill. If the coordinator requests additional information to verify that those criteria have been met, you re required to provide it. Send documentation to Penn Foster Student Service Center 925 Oak Street Scranton, PA The Penn Foster Student Service Center is under contract with Penn Foster College. You re required to submit the skills sheets and required documentation to the practicum coordinator at Penn Foster. Send in any skills sheets you ve completed on a weekly basis. You may submit more than the required documentation. Use the envelopes provided in your shipment. Write your name, student number, and skills sheet number on all the materials you send to the school (photos, log book, written descriptions, X-rays, and so on). If your materials aren t properly labeled, they won t be evaluated. Also, write on the back of the photo the procedure you re performing. Furthermore, all submitted photos, X-rays, and so on, become the property of Penn Foster. You ll receive either a pass or fail grade on each of the skills sheets. Please don t send a skills sheet to the practicum coordinator until you earn a passing grade from your clinical site supervisor. You must pass each skill to pass the clinical practicum. Practice each skill until you re able to perform it successfully. If you don t pass the clinical practicum, you ll be given the opportunity to repeat the practicum. You must pass Practicum 2 to graduate. Please give the letter from the following page to your clinical site supervisor. 2 Clinical Practicum 2

4 Dear Clinical Site Supervisor: Thank you for supervising the Veterinary Technician student. You re providing valuable practical experience. The student is expected to learn the skills needed by veterinary technicians under your tutelage. You ll find the skills listed in this Clinical Practicum supplement, which also contains skills sheets listing the clinical skills, a description of each skill, the criteria for completing the skill, the number of times the student should perform the skills, the materials the student should submit to the practicum coordinator, and a table listing the skills where you ll record either a passing or a failing grade for each skill. The student will send the completed skills sheet to the practicum coordinator at the school for review. We ve directed the student to send skills sheets on a weekly basis. CUT ALONG THIS LINE The student must earn a passing grade for each skills sheet before he or she sends it to the school. The student can practice each skill until he or she is able to perform it correctly. If the student continually fails any skills, mark the skills sheet with a failing grade and send it to the school for review. The student must pass each skill to pass the clinical practicum. The student can repeat the practicum if he or she fails it the first time around. Before you begin supervision, please complete the Clinical Site Facility Criteria form on page 5, the Equipment and Supplies Available to the Student form on page 7, and the Clinical Mentorship Agreement form on page 9 of the student s Clinical Practicum booklet. Then send them to Penn Foster Student Service Center 925 Oak Street Scranton, PA Thank you. Student name (PRINT) Student number REV1111

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6 CLINICAL SITE FACILITY CRITERIA The clinical site supervisor must complete the following. Name of clinic Clinical site supervisor name Address Clinic phone Fax address of supervisor: Clinical facility website address: Credential(s) of supervisor CUT ALONG THIS LINE Graduate of Number of veterinarians at clinic Number of credentialed veterinary technicians Number and titles of other staff members Clinic hours: Supervisor s hours: Species treated (average # per month) Canine Feline Equine Avian Ruminants: Cows Other Specify Lab animals: Mice/rats Guinea pigs Rabbits Average number of clients seen per day Student name (PRINT) Student number REV1111

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8 Equipment and Supplies Available to the Student Please place a checkmark next to each item that is present and available for use by you. All of the following equipment must be available to you at the clinic(s). Ambu bag Animal gurney or stretcher Autoclave Bandaging material/splints Blood collection/injection supplies Blood pressure monitor Blood typing agglutination tests C&S testing equipment and supplies Calipers Hematology analyzer Hemocytometer Hemostatic agent High speed/rare earth screen X-ray cassettes Hoof trimmers/picks Incubator IV catheters (peripheral and central lines) IV fluid infusion pump Laboratory animal feeding needle CUT ALONG THIS LINE Cattle chute Clinical centrifuge Clinical chemistry analyzer Dehorners Electric clippers Laboratory scales Large animal oral dosing equipment (balling gun and dose syringes) Large animal radiographic positioning aids Large animal restraint ropes and halter Laryngoscope Electrocardiograph ELISA tests (microwell format) Emasculator Endotracheal tubes Equine leg and tail wraps Esophageal stethoscope Eye protection goggles Examination gloves Fecal testing equipment and supplies File identification supplies Film filing folders Fluorescein stain/schirmer tear tests Hand tally cell counter Lead-lined aprons and gloves Lead thyroid collar Manual dental instruments Mastitis test kit (CMT) Microhematocrit centrifuge Microscope Nail trimmers Non-rebreathing anesthesia system Ophthalmoscope/otoscope Oral speculum - large animal Oral speculum - small animal Portable X-ray machine r digital r film based (Continued) REV1111

9 Equipment and Supplies Continued Pulse oximeter Radiation safety monitoring badge Refractometer Small animal anesthesia machine with Isoflurane Sterile surgical gloves Stethoscope Storage rack for gloves and aprons Surgical apparel (gown, mask, cap, and booties) Surgical instruments and orthopedic equipment Surgical lights Surgical pack wrap materials Surgical stapling equipment/staple removers Suture material Thermometer Tonometer Ultrasonic dental scaler and polisher Ultrasonic instrument cleaner Urinalysis test strips Urinary catheters UV light (Wood s lamp) Vaginal speculum (small animal) Warming blanket Waste anesthetic gas scavenging system X-ray cassette holders X-ray viewer Signature of clinical site supervisor Date Signature of student Date Student name (PRINT) Student number REV1111

10 Student name (PRINT) Student number CLINICAL MENTORSHIP AGREEMENT Clinical Practicum 2 The clinical site supervisor has a critical role in your education. The veterinary technician program has planned educational experiences designed to allow you to develop the skills required by practicing veterinary technicians. The clinical site supervisor agrees to assist you in achieving the learning objectives of the clinical practicum as designated by the Penn Foster Veterinary Technology Program. The clinical site supervisor will retain control over the course of your practicum. Certification by Clinical Site Supervisor CUT ALONG THIS LINE I agree to invest the time necessary to assist you in achieving the learning objectives of the clinical practicum. I agree to allow you to use equipment as required by the program and provide additional disposable supplies as needed. I agree to allow you the opportunity to practice skills in the clinic as needed to complete the requirements of this clinical practicum. I further certify that the veterinary facility has written policies on safety as required by the Occupational Safety and Health Act and that the student has been informed of these policies, which include information on required immunizations, potential zoonotic diseases, pregnancy, and personal protective equipment. The veterinary facility has written protocols in place describing the handling of bites, scratches, and/or other injuries. The veterinary facility will promptly report to the college any injury sustained by the student while performing clinical skills required of the practicum. This agreement terminates on the last day of your enrollment in this clinical practicum. Signature of clinical site supervisor Name (PRINT) Date signed REV1111

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12 STUDENT PRACTICUM AGREEMENT The Clinical Practicums are designed to allow us to document your acquisition of specific skills using criteria described in your practicum materials. You must strictly adhere to all practicum policies and procedures. ure to do so may result in disciplinary action, up to and including dismissal from the program. Also note that you must adhere to the following: CUT ALONG THIS LINE 1. Submit all required clinical facility documents, including this agreement, to the address provided. 2. Verify that all documents required are complete and accurate to the best of your ability. 3. Do not begin working on any part of the Clinical Practicum until approval is sent to you to do so. 4. Work closely with the faculty adviser assigned to you when your approval to begin is received to ensure that you re meeting the requirements of the practicum. 5. Carefully read the description and criteria for each skill and ensure that you re providing evidence that you ve met those criteria. 6. Ensure that your work meets all legal requirements for medical records. 7. Submit only your own work for evaluation and properly cite any specific reference material you use in any written descriptions you submit. Plagiarism is a serious offense that will likely result in dismissal from the program. 8. Submit skills sheets for evaluation each week as they re completed by you and signed by your supervisor. 9. Promptly provide any additional materials requested by your faculty advisor. 10. Continue to participate as required on the discussion forum for the entire length of the practicum 11. Use only the version of the practicum materials present on your course page on the date you are approved to begin the practicum. 12. Ensure that your clinical site supervisor reviews the entire skills sheet (all pages) and that you return the entire sheet with the signature page. My signature below certifies that I have read and agree to all the above: Signature of Student Date Student Name (PRINT) Student Number REV1111

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14 REQUIRED SKILLS You re required to perform certain essential skills during your clinical practicum. Following is a list of the required skills in the categories of examination procedures, surgical preparation and assisting, large animal, laboratory procedures, diagnostic imaging, and laboratory animal procedures. You must be able to demonstrate your ability to perform the skills to your clinical site supervisor, who will verify that you performed each skill satisfactorily by marking the skills sheet for that particular skill. The skills sheets begin on page 21. When you ve satisfactorily performed the skill(s) listed on each skills sheet, your clinical site supervisor will mark the appropriate box in the table at the bottom of the skills sheet. Your clinical site supervisor will sign and date the sheet when you complete all the required skills. You ll send the completed sheet and any other required documentation to the practicum coordinator at the school for evaluation and they ll be placed in your permanent records. You must type all required documentation that asks for a description on 8½ by 11 paper. Note: Please label any photo, CD, DVD, or extra paper accompanying a skill sheet. Include your name, student number, and the skill to which it applies. Also, write on the back of the photo the procedure you re performing. Each electronic file must have the skill number included in the file name. As mentioned previously, all material must be properly labeled and all submitted materials become the property of Penn Foster. Your practicum will encompass a minimum of 225 required hours in a maximum of 16 weeks. Your clinical site supervisor will verify the hours you complete using the Time Sheets on pages 135 and 137 of this booklet. When you complete the required hours, send the completed and signed time sheets to the practicum coordinator at the school. Also include the document regarding any injuries you received during the practicum that required medical attention. Also, all of the practicum skills must be submitted within this 16-week time frame. If any skills need to be resubmitted, you ll have an additional 8 weeks to accomplish this. Clinical Practicum 2 13

15 Examination Room Procedures Know normal values of temperature, pulse, and respiration for horse and cow Halter, tie, and lead horses and cattle Restrain birds Restrain cattle and horses Apply twitch (horses) Apply bovine tail restraint Apply bovine halter Auscultate heart and lungs using a stethoscope Surgical Preparation and Assisting Direct involvement with all procedures isn t required, but students should have experience with most of those listed. Demonstrate knowledge of surgical assisting for Ovariohysterectomy dogs and cats Caesarean section all common species Orthopedic procedures Castration all common species Tail docking Onchyectomy dogs and cats Laparotomies all common species Dystocias in common species Dehorning cattle and goats Prolapsed organs common types, species, and incidence Perform surgical preparations Prepare surgical equipment/supplies Sterilize instruments and supplies using appropriate methods Identify and know proper use for instruments 14 Clinical Practicum 2

16 Identify common suture materials, types, and sizes Place and remove sutures Prepare gowns, masks, gloves, and drapes Prepare surgical sites using aseptic techniques Operate and maintain autoclaves Provide operating room sanitation and care Position patients (common procedures) Secure catheters Perform as surgical assistant or circulating nurse Properly pass instruments and supplies Maintain proper operating room conduct and asepsis Assist with care of exposed tissues and organs Keep operative records Assist with anesthesia under supervision Calculate and administer preoperative medications Induce and maintain general anesthesia (considering species variations) using the following: IV anesthetics Inhalant anesthetics Induction Endotracheal intubation and extubation Properly operate anesthetic machines Rebreathing and non-rebreathing systems Induction chambers and masks Respirators Clinical Practicum 2 15

17 Calculate and administer injectable analgesics, sedatives, and anesthetics Monitor the anesthetized patient Use esophageal stethoscope Use an electrocardiogram machine and place EKG leads Recognize abnormal EKG and audible sounds Monitor signs of stages and planes of anesthesia Recognize and understand significance of clinical signs of stages and planes Use monitoring equipment (Doppler, and so on) Recognize anesthetic emergencies Resuscitate with anesthetic antagonists Calculate and administer anesthetic antagonists Care for anesthetic machines Properly scavenge waste anesthetic gas to protect staff Perform CPR on appropriate animal models Monitor anesthetic recovery, provide intensive postoperative care, and pain management Perform post-surgical cleanup Equipment Surgical room or area Instruments Patient 16 Clinical Practicum 2

18 Personnel Proper disposal of hazardous medical waste Remove sutures Animal Nursing Perform jugular venipuncture for treatment or blood sampling (horse, ruminant) Administer parenteral injections (horse, ruminant) Subcutaneous Intramuscular Place intravenous catheters Cephalic vein Saphenous vein (dog) Maintain fluid therapy (maintaining catheter placement, determining and maintaining correct rate) Medicate orally by means of Balling gun (ruminant) Dose syringe Perform small animal dental prophylaxis (manual and machine) Trim nails (birds) Apply equine leg and tail wraps Collect urine samples Clinical Practicum 2 17

19 Catheterize male and female dogs Collect voided urine sample Perform cystocentesis (small animal) Apply established emergency protocols Maintain emergency medical supplies Perform first aid and cardiopulmonary resuscitation (simulation acceptable) Use ambu bag Apply emergency splints and bandages Perform fluorescein staining and Schirmer tear test Laboratory Procedures Perform urinalysis Determine physical properties Color Clarity Specific gravity refractometer Test chemical properties using dipstick and/or tablet tests Examine and identify sediment Perform hematologic evaluations Collect samples for procedures Perform CBC Hemoglobin Hematocrit Total protein (refractometer) 18 Clinical Practicum 2

20 Automated cell counters PCV/total solids Microscopic exam Prepare blood film Stain using a variety of techniques Perform leukocyte differential normal/abnormal Perform erythrocyte morphologic evaluation normal/abnormal Estimate platelet count Calculate leukocyte absolute values Perform reticulocyte count Calculate hematologic indices Identify blood parasites Dirofilaria/Dipetalonema species Direct blood exam Hematocrit tube method Knott s test Antigen kit Haemobartonella spp Perform one of the following coagulation tests: Buccal mucosal test Clotting time and/or ACT (Activated Clotting Time) test Perform blood chemistry tests (BUN, glucose, common enzymes) Clinical Practicum 2 19

21 Perform serologic tests Collect and prepare serum sample Perform tests using ELISA methodology Perform various types of slide/card agglutinations Perform diagnostic procedures for parasites Collect samples Test for external parasites Prepare sample Identify Mites Lice Ticks Fleas Flies Test for internal parasites Prepare solutions and perform fecal flotations Perform fecal sedimentation Perform direct smears Identify common adult parasites and their ova and apply knowledge of common parasite life cycles Nematodes Trematodes Cestodes Protozoa 20 Clinical Practicum 2

22 Collect representative samples Perform bacteriologic procedures Culture bacteria and perform sensitivity tests Identify common animal pathogens using commercially available media and reagents Perform common biochemical tests Perform staining procedures Assist with collection of milk samples and performance of mastitis testing Culture and identify common dermatophytes Perform necropsy procedures Perform a postmortem examination or dissection on a nonpreserved animal Collect samples, store, and ship according to laboratory protocols Explain how to handle rabies suspects and samples safely Collect, prepare, and evaluate canine vaginal smears Prepare laboratory samples for shipment Maintain laboratory equipment Perform quality control procedures Explain basic principles of laboratory safety Clinical Practicum 2 21

23 Radiology and Ultrasound Imaging Take diagnostic radiographs Position large animal patients Laboratory Animal Procedures Explain basic principles of animal research Apply knowledge of state, federal, and local animal welfare regulations Rodents and rabbits Recognize and restrain Determine sex Perform and/or supervise basic care procedures, for example, feeding, watering, breeding, identification, and handling Administer drugs or medicaments, using appropriate sites and routes (all common species) Collect blood samples Perform oral dosing Know anesthetic and recovery procedures Explain common disease signs 22 Clinical Practicum 2

24 Skills Sheet #1 Student Name (PRINT) Student Number Clinical Skills Demonstrate knowledge of surgical assisting for the following: Ovariohysterectomy Caesarean section all common species Orthopedic procedures Orchiectomy all common species Tail docking Onychectomy Laparotomies all common species CUT ALONG THIS LINE Dystocias in common species Dehorning cattle and goats Prolapsed organs common types, species, and incidence Description You ll be a valuable member of the surgical team. For each particular surgery listed above, you ll show the ability to properly shave, prep, and position a patient for the surgical procedure. You ll prepare a surgical tray with the appropriate surgical instruments and assist the veterinarian in surgery, using good surgical and aseptic technique. Criteria You demonstrated the ability to prepare patients for a variety of surgical procedures. You assisted the veterinarian during surgical procedures. Number of Times Needed for Successful Performance: 10 REV1111

25 Materials Submitted for Evaluation Student log book with descriptions of positioning techniques for each of the procedures listed above and a list of any special equipment that may be required for the procedures. Student log book on participation in ovariohysterectomy and orchiectomy in dogs and cats (2 for each procedure and species) Skills Sheet #1 (to be completed and signed by clinical supervisor) Reminder: Write your name, student number, and skills sheet number on all the materials you send to the school (photos, log book, written descriptions, X-rays, and so on), or your materials will be returned to you incomplete. This goes for all skills. Note: All photos, X-rays, and so on, become the property of Penn Foster. Ability to shave, prep, and position a patient for a surgical procedure Ability to prepare a surgical tray for a surgical procedure Ability to assist the surgeon during a surgical procedure Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Ability to shave, prep, and position a patient for a surgical procedure Ability to prepare a surgical tray for a surgical procedure Ability to assist the surgeon during a surgical procedure Clinical Practicum 2

26 Skills Sheet #2 Student Name (PRINT) Student Number Clinical Skills Prepare surgical equipment/supplies Identify and know proper use for instruments Identify common suture materials, types, and sizes Prepare gowns, masks, gloves, and drapes Provide operating room sanitation and care Description You ll demonstrate familiarity with surgical instruments, including identification and knowledge of their uses. CUT ALONG THIS LINE You ll demonstrate familiarity with suture material, including knowledge of absorbency and sizes. You ll properly fold and wrap gowns and drapes for sterilization. You ll prepare and open gowns, gloves, and drapes in a sterile manner for the surgeon s use. Criteria You properly identified routine surgical instruments and suture materials. You properly folded gowns and drapes and maintained aseptic conditions in the operating rooms. You properly opened gowns, gloves, and drapes for the surgeon. REV1111

27 Number of Times Needed for Successful Performance: 3 Materials Submitted for Evaluation Digital video of student folding a gown and a drape Student log book with list of the types of packs maintained at the clinic and the instruments and supplies present in each pack Skills Sheet #2 (to be completed and signed by clinical supervisor) Ability to identify surgical instruments Ability to identify surgical suture Competency in preparing gowns, masks, gloves, and drapes Competency in providing operating room sanitation and care Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Ability to identify surgical instruments Ability to identify surgical suture Competency in preparing gowns, masks, gloves, and drapes Competency in providing operating room sanitation and care 26 Clinical Practicum 2

28 Skills Sheet #3 Student Name (PRINT) Student Number Clinical Skills Sterilize instruments and supplies using appropriate methods Operate and maintain autoclaves Description You ll properly clean surgical instruments using hand and ultrasonic cleaning methods. You ll prepare the instruments for sterilization with cloth wrapping or sterilization bags for autoclave use. You ll demonstrate the ability to use and maintain autoclave machines. CUT ALONG THIS LINE Criteria You effectively cleaned and sterilized instruments and supplies using appropriate methods. You operated autoclaves and performed routine autoclave maintenance. Number of Times Needed for Successful Performance: 5 Materials Submitted for Evaluation Photo of student cleaning instruments and operating autoclave Skills Sheet #3 (to be completed and signed by clinical supervisor) Competency in sterilization of instruments and supplies Competency in operation and maintenance of autoclave REV1111

29 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Competency in sterilization of instruments and supplies Competency in operation and maintenance of autoclave 28 Clinical Practicum 2

30 Skills Sheet #4 Student Name (PRINT) Student Number Clinical Skills Place and secure intravenous catheters Cephalic vein (dog and cat) Saphenous vein (dog only) Jugular vein central line (dog or cat) Description You ll demonstrate the ability to place intravenous catheters on small animal patients. CUT ALONG THIS LINE You ll be able to locate the blood vessel on the patient, shave and prepare the site with surgical scrub and alcohol, size an intravenous catheter for the patient, and place and secure the catheter. You ll also demonstrate knowledge of catheter patency and be able to troubleshoot nonpatent intravenous catheters. Criteria You clipped an area of appropriate size, leaving no hair at the site. You prepared the catheter site for an aseptic catheter placement and didn t contaminate the site once it was prepped. You flushed the catheter prior to placement. You placed the catheter into the skin with the needle bevel up. You verified correct location of the catheter within the vein. You moved the catheter off the stylet into the vein. You removed the stylet from the catheter and placed an injection cap on the catheter. You flushed the catheter. You secured the catheter to the patient s leg with tape without kinking the catheter. You disconnected and reconnected IV sets and/or syringes to the catheter. You removed the catheter and ensured hemostasis. REV1111

31 Number of Times Needed for Successful Performance: 6 Canine cephalic vein 2 Feline cephalic vein 2 Canine saphenous vein 2 Jugular vein central line (dog or cat) 1 Materials Submitted for Evaluation Digital video clip of student placing an intravenous catheter in the cephalic vein of a dog or cat and the jugular vein of a dog or cat. Skills Sheet #4 (to be completed and signed by clinical supervisor) Competency in placing intravenous catheters in cephalic vein (dog) Competency in placing intravenous catheters in saphenous vein (dog) Competency in placing intravenous catheters in cephalic vein (cat) Ability to troubleshoot nonpatent intravenous catheters Competency in placing intravenous catheters in jugular vein (dog or cat) 30 Clinical Practicum 2

32 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Skills Sheet #4 Competency in placing intravenous catheters in cephalic vein (dog) Competency in placing intravenous catheters in saphenous vein (dog) Competency in placing intravenous catheters in cephalic vein (cat) Ability to troubleshoot nonpatent intravenous catheters Competency in placing intravenous catheters in jugular vein (dog or cat) CUT ALONG THIS LINE REV1111

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34 Skills Sheet #5 Student Name (PRINT) Student Number Clinical Skills Perform as surgical assistant or circulating nurse Properly pass instruments and supplies Maintain proper operating room conduct and asepsis Assist with care of exposed tissues and organs Keep operative records Perform post-surgical cleanup Equipment CUT ALONG THIS LINE Surgical room or area Instruments Patient Personnel Proper disposal of hazardous medical waste Description You ll be a valuable member of the surgical team, performing as a surgical assistant or circulating nurse. You ll demonstrate knowledge of proper surgical room etiquette and be able to maintain proper surgical sterile technique. You ll dress properly in surgery and demonstrate the ability to pass surgical instruments and properly assist with the care of exposed tissues and organs during surgical procedures. You ll perform all required post-surgical cleanup. REV1111

35 Criteria You properly scrubbed in for surgery and wore appropriate surgical garb. You passed instruments correctly and cared for exposed tissues during surgery. You properly recorded operative detail in appropriate record books including patient preparation positioning, incision type, suture pattern, etc. You performed all required post-surgical cleanup. Number of Times Needed for Successful Performance: 3 Materials Submitted for Evaluation Digital video clip of student donning surgical apparel (mask, gown, sterile gloves) Copy of student-recorded operative records Skills Sheet #5 (to be completed and signed by clinical supervisor) Competency in passing instruments and supplies during a surgical procedure Competency in maintaining proper operating room sterility and conduct Ability to assist with care of exposed tissues and organs during a surgical procedure Ability to keep operative records 34 Clinical Practicum 2

36 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Skills Sheet #5 Competency in passing instruments and supplies during a surgical procedure Competency in maintaining proper operating room sterility and conduct Ability to assist with care of exposed tissues and organs during a surgical procedure Ability to keep operative records CUT ALONG THIS LINE REV1111

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38 Skills Sheet #6 Student Name (PRINT) Student Number Clinical Skills Assist with anesthesia under supervision Calculate and administer preoperative medications Calculate and administer injectable analgesics, sedatives, and anesthetics Description You ll calculate anesthetic medications according to the veterinarian s dosage and determine which route (IM, IV, SQ) certain drugs are administered. You ll demonstrate knowledge of potential side effects of these anesthetic drugs and recognize these side effects in patients under general anesthesia. CUT ALONG THIS LINE Criteria You properly calculated dosages of medications and chose correct equipment for administration. You prepared the injection site and successfully administered preoperative medications and injectable analgesics or sedatives using correct routes. Number of Times Needed for Successful Performance: 5 Materials Submitted for Evaluation Student log book with patient information showing weight of animal, dose of drug calculated, volume administered, and route of administration (include all calculations) Skills Sheet #6 (to be completed and signed by clinical supervisor) REV1111

39 Competency in calculating and administering preoperative medications Competency in calculating and administering injectable analgesics, sedatives, and anesthetics Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Competency in calculating and administering preoperative medications Competency in calculating and administering injectable analgesics, sedatives, and anesthetics 38 Clinical Practicum 2

40 Skills Sheet #7 Student Name (PRINT) Student Number Clinical Skill Induce and maintain general anesthesia (considering species variations) using inhalant anesthetics Induce anesthesia with chamber inhalation or masks Perform endotracheal intubation and extubation Maintain general anesthesia with inhalant anesthetics Operate anesthetic machines Use rebreathing and non-rebreathing systems Initiate recovery and monitor patient during recovery CUT ALONG THIS LINE Description You ll induce anesthesia by using inhalation induction agents. You ll properly size patients for an endotracheal tube, intubate patients, and check for endotracheal tube placement. You ll understand and operate both non-rebreathing and rebreathing anesthetic machines, including maintenance and overall checks. Criteria You properly evaluated the anesthesia machine for leaks, verified liquid anesthetic levels, and maintained oxygen supply. You chose an appropriately sized endotracheal tube and evaluated the cuff for leaks. You used a laryngoscope to visualize the tracheal opening and placed and secured the endotracheal tube. REV1111

41 You administered the induction agent using appropriate routes and rates. You attached the patient to the anesthesia machine and administered proper flow rates and oxygen percentages. You monitored vital signs during anesthesia. You initiated recovery procedures and removed the endotracheal tube at the proper time. Number of Times Needed for Successful Performance: Anesthesia machine 3 (1 use must be a non-rebreathing system) Induction chamber 2 Anesthetic mask 2 Materials Submitted for Evaluation Digital video clip of student placing endotracheal tube Skills Sheet #7 (to be completed and signed by clinical supervisor) Ability to induce anesthesia in small animal patients Competency in placing an endotracheal tube Ability to remove an endotracheal tube and initiate recovery Competency in operating an anesthetic machine Ability to anesthetize patient in induction chamber Competency in monitoring vital signs during anesthesia 40 Clinical Practicum 2

42 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Skills Sheet #7 Ability to induce anesthesia in small animal patients Competency in placing an endotracheal tube Ability to remove an endotracheal tube and initiate recovery Competency in operating an anesthetic machine Ability to anesthetize patient in induction chamber Competency in monitoring vital signs during anesthesia CUT ALONG THIS LINE REV1111

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44 Skills Sheet #8 Student Name (PRINT) Student Number Clinical Skill Monitor the anesthetized patient using an esophageal stethoscope Description You ll demonstrate the ability to properly identify and place an esophageal stethoscope. You ll demonstrate the ability to properly monitor anesthetized patients using the esophageal stethoscope. Criteria You used a laryngoscope to visualize the tracheal opening and placed and secured the esophageal stethoscope. CUT ALONG THIS LINE You determined heart and respiratory rates using the esophageal stethoscope. Number of Times Needed for Successful Performance: 2 Materials Submitted for Evaluation Digital video clip of student placing esophageal stethoscope Skills Sheet #8 (to be completed and signed by clinical supervisor) Ability to place an esophageal stethoscope Competency in using an esophageal stethoscope REV1111

45 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Ability to place an esophageal stethoscope Competency in using an esophageal stethoscope 44 Clinical Practicum 2

46 Skills Sheet #9 Student Name (PRINT) Student Number Clinical Skills Place EKG leads and record the EKG of anesthetized patients Recognize abnormal EKG Description You ll properly use an electrocardiogram machine and discern normal PQRS waves from pathologic forms, including sinus arrest, premature ventricular contractions, and ventricular tachycardia. Criteria You properly placed EKG leads and recorded the EKG. You demonstrated the ability to recognize normal and common abnormal waveforms. CUT ALONG THIS LINE Number of Times Needed for Successful Performance: 2 Materials Submitted for Evaluation Photo showing EKG leads correctly placed by student and copy of 2 EKGs obtained by the student with patient information Student description and labeled diagram of normal PQRS waves and two common abnormal waveforms Skills Sheet #9 (to be completed and signed by clinical supervisor) Competency in using an electrocardiogram machine Competency in placing EKG leads Ability to discern normal PQRS waves from pathologic waves or her own work for evaluation. REV1111

47 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Competency in using an electrocardiogram machine Competency in placing EKG leads Ability to discern normal PQRS waves from pathologic waves 46 Clinical Practicum 2

48 Skills Sheet #10 Student Name (PRINT) Student Number Clinical Skills Monitor the anesthetized patient Recognize and demonstrate understanding of clinical signs of stages and planes of anesthesia Properly use anesthetic monitoring equipment (Doppler, and so on) Recognize anesthetic emergencies Description You ll monitor patients under general anesthesia with the use of a stethoscope, pulses, electrocardiograms, Doppler, and pulse oximetry. CUT ALONG THIS LINE You ll recognize the stages and planes of anesthesia to ensure patient safety. Criteria You chose appropriate monitoring methods for the species and patient. You properly used monitoring equipment and recorded patient data in appropriate record books. You recognized and responded appropriately to anesthetic emergencies. Number of Times Needed for Successful Performance: 5 Materials Submitted for Evaluation Student log book of monitoring procedures performed and copy of patient anesthesia records showing student monitoring of clinical signs of the stages of anesthesia Student description of clinical signs of each of the stages and planes of anesthesia Skills Sheet #10 (to be completed and signed by clinical supervisor) REV1111

49 Competency in using anesthetic monitoring equipment Ability to recognize anesthetic emergencies Ability to recognize and understand the significance of clinical signs of stages and planes of patients under general anesthesia or her own work for evaluation. Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Competency in using anesthetic monitoring equipment Ability to recognize anesthetic emergencies Ability to recognize and understand the significance of clinical signs of stages and planes of patients under general anesthesia or her own work for evaluation. 48 Clinical Practicum 2

50 Skills Sheet #11 Student Name (PRINT) Student Number Clinical Skill Calculate and administer anesthetic antagonists Description You ll demonstrate understanding of antagonistic drugs (Yohimbine, Naloxone, Antisedan, and so on). You ll calculate dosages, understand routes of administration, and administer these antagonistic drugs. Criteria You properly calculated dosages of medications and chose correct equipment for administration. CUT ALONG THIS LINE You prepared the injection site and successfully administered anesthetic antagonists using correct routes. Number of Times Needed for Successful Performance: 1 Materials Submitted for Evaluation Copy of patient record showing administration of anesthetic antagonist Student log book with patient information showing weight of animal, dose of drug calculated, volume administered, and route of administration (include all calculations) Skills Sheet #11 (to be completed and signed by clinical supervisor) Ability to calculate and administer anesthetic antagonists REV1111

51 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Ability to calculate and administer anesthetic antagonists 50 Clinical Practicum 2

52 Skills Sheet #12 Student Name (PRINT) Student Number Clinical Skills Care for anesthetic machines Scavenge waste anesthetic gas to protect staff Description You ll care for rebreathing and non-rebreathing anesthetic machines. You ll check for anesthetic leaks, change soda lime, and use a scavenging system to ensure minimal risk of exposure to anesthetic gas. Criteria CUT ALONG THIS LINE You properly checked the anesthesia machine for leaks and performed routine maintenance on the machine. You correctly used the scavenging system to remove anesthetic waste gas. Number of Times Needed for Successful Performance: 5 Materials Submitted for Evaluation Student description of procedures used to maintain and verify correct operation of all components of the anesthesia machine Skills Sheet #12 (to be completed and signed by clinical supervisor) Competency in caring for anesthetic machines Ability to check for anesthetic leaks Ability to change soda lime Competency in using scavenging system to decrease risk of anesthetic gas exposure REV1111

53 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Competency in caring for anesthetic machines Ability to check for anesthetic leaks Ability to change soda lime Competency in using scavenging system to decrease risk of anesthetic gas exposure 52 Clinical Practicum 2

54 Skills Sheet #13 Student Name (PRINT) Student Number Clinical Skills Monitor anesthetic recovery Provide intensive postoperative care and pain management Description You ll extubate and properly monitor a patient recovering from general anesthesia and provide postoperative care. You ll assess and recognize pain and administer prescribed pain management drugs. Criteria CUT ALONG THIS LINE You extubated the patient at the appropriate time and monitored the patient until sternal. You ensured that the approved pain management protocol is administered to the appropriate patient. You evaluated the patient s response to the pain management protocol. Number of Times Needed for Successful Performance: 2 Materials Submitted for Evaluation Student log book showing parameters monitored during recovery, including assessment of pain for at least two patients Copy of patient record showing administration of pain management medications Skills Sheet #13 (to be completed and signed by clinical supervisor) REV1111

55 Ability to properly extubate patients Ability to monitor patients during anesthetic recovery Ability to recognize pain in patients Competency in administering prescribed pain management drugs Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Ability to properly extubate patients Ability to monitor patients during anesthetic recovery Ability to recognize pain in patients Competency in administering prescribed pain management drugs 54 Clinical Practicum 2

56 Skills Sheet #14 Student Name (PRINT) Student Number Clinical Skill Place sutures (can be simulated) Remove sutures Description You ll remove sutures and staples from post-surgical patients. You ll perform basic suturing techniques. Criteria You chose correct equipment for removal of surgical staples and sutures. You properly removed surgical staples and sutures. You properly performed basic suturing techniques. CUT ALONG THIS LINE Number of Times Needed for Successful Performance: 5 Remove staples 2 Remove sutures 2 Place sutures 1 Materials Submitted for Evaluation Photos of student removing sutures and surgical staples (1 of each) Photo of student placing sutures (1 photo) Skills Sheet #14 (to be completed and signed by clinical supervisor) Competency in removing staples Competency in placing sutures Competency in removing sutures REV1111

57 Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Competency in removing staples Competency in placing sutures Competency in removing sutures 56 Clinical Practicum 2

58 Skills Sheet #15 Student Name (PRINT) Student Number Clinical Skills Maintain catheter placement Determine and maintain correct rate for fluid therapy Use fluid therapy machines to administer fluid Description You ll maintain intravenous catheters, checking for patency, changing wraps, and troubleshooting nonpatent catheters. You ll calculate maintenance, shock, and anesthetic fluid therapy rates. You ll use a drip set and intravenous fluid pump. CUT ALONG THIS LINE Criteria You properly calculated rates of fluid administration and chose appropriate equipment. You monitored the patient for signs of overhydration. You maintained catheters correctly. You correctly used fluid therapy machines to administer fluid. Number of Times Needed for Successful Performance: 2 Intravenous drip set 1 Intravenous fluid pump 1 Materials Submitted for Evaluation Student log book providing detailed description of patients and cases where fluids were administered, including detailed description of procedures performed Skills Sheet #15 (to be completed and signed by clinical supervisor) REV1111

59 Ability to maintain catheter placement Competency in calculating intravenous fluid rates Competency in using an intravenous drip set and intravenous fluid pump Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Ability to maintain catheter placement Competency in calculating intravenous fluid rates Competency in using an intravenous drip set and intravenous fluid pump 58 Clinical Practicum 2

60 Skills Sheet #16 Student Name (PRINT) Student Number Clinical Skills Perform small animal dental prophylaxis (manual and machine) Description You ll demonstrate the knowledge of oral and dental cleaning on small animal patients. You ll evaluate and chart teeth. You ll demonstrate knowledge of various dental instruments. You ll properly use hand scalers, ultrasonic scalers, polishers, retractors, and extractors on the dental patient. CUT ALONG THIS LINE Criteria You wore personal protective equipment (mask, gown, gloves) during dental procedures. You identified the various tools and their related purposes associated with manual prophylaxis, including the sickle scaler, curette scaler, periodontal probe, and shepherd s hook/explorer. You handled and used manual dental tools to measure periodontal pockets and remove gross calculus from the teeth of a canine or feline patient. You cared for and sharpened manual dental tools. You inspected the ultrasonic scaler before use to ensure cleanliness, proper fluid levels, and proper functioning of all parts. You removed gross calculus from the teeth of a canine or feline patient with an ultrasonic scaler. You polished the teeth of a canine or feline patient. You flushed the patient s mouth with diluted chlorhexidine solution. You recorded dental information in the patient s record via an anatomical or Triadan system. REV1111

61 Number of Times Needed for Successful Performance: 2 Materials Submitted for Evaluation Digital video clip showing correct use of both manual and ultrasonic dental instruments on a canine or feline patient (close-up view required) Student log book of procedures performed, including dental chart for each patient Skills Sheet #16 (to be completed and signed by clinical supervisor) Competency in using manual dental instruments Competency in using ultrasonic dental scalers Competency in using dental polisher Ability to evaluate oral cavity and complete dental chart Clinical Site Supervisor: If the student is resubmitting this skills sheet, use the box below to mark the resubmission. Competency in using manual dental instruments Competency in using ultrasonic dental scalers Competency in using dental polisher Ability to evaluate oral cavity and complete dental chart 60 Clinical Practicum 2

62 Skills Sheet #17 Student Name (PRINT) Student Number Clinical Skills Collect urine samples using different techniques Catheterize male and female dogs Collect voided urine samples from different species Description You ll place urinary catheters in male and female canine patients. You ll collect urine from different species using catheterization and free-catch methods. CUT ALONG THIS LINE Criteria Catheterization: You chose the proper type and size urinary catheter for the dog. For female You clipped the area free of hair and prepared the site aseptically. You used a sterile vaginal speculum and didn t contaminate the speculum. For male You prepared the penis aseptically without touching the prepuce. You lubricated the distal end of the catheter and handled the catheter aseptically. You introduced and passed the catheter into the bladder without contamination. You emptied the bladder with a syringe or attached a collection system to the catheter. Collection of voided urine samples: You selected a clean container that was appropriate for the amount. You collected the urine after the initial stream. You avoided contaminating the collected urine by contact with the animal s hair, and so on. REV1111