Placement Location Approval

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Placement Location Approval Diploma in Veterinary Nursing - Small Animal Diploma in Veterinary Nursing - Equine Practice address and details Name of practice Address (Including postcode) Telephone number Name of Practice Principal Is the practice a member of the RCVS Practice Standards Scheme? (PSS) Level approved Core General practice Hospital RCVS Training Practice registration number CQ office use only Date received Checked and approved by EQA Date approved Added to CQ database Actions? Actions complete

Guidance tes: 1. Placement Locations for equine approval must have all sections completed 2. Placement Locations for small animal approval must have all sections completed except the equine sections 3. Practices must be visited by an appropriate person from the Centre prior to the PL form being submitted to CQ 4. The declaration must be signed and dated by the Practice Principal who must be an MRCVS 5. Where indicated, select or 6. CQ requires completed Placement Location forms for all practices where learners are training for the CQ L3 VN Diploma 7. All Placement Locations must be an approved Training Practice (TP) with the RCVS V 2.0 2015 Copyright Central Qualifications Page 2 of 14

2. Clinical Facilities 1. Staffing There must be suitably qualified and experienced staff to provide adequate training and supervision for veterinary nurse students 1.1 Name (as registered with RCVS if applicable) Position Qualifications including RCVS registration. Level of involvement with training 1.2 Are current CPD records of MRCVS and RVNs available for inspection? V 2.0 2015 Copyright Central Qualifications Page 3 of 14

2. Clinical Facilities Health & Safety- Practices must demonstrate a safe and healthy working environment 2.1 Do you have up to date health and safety policies and procedures? 2.2 Are your records compliant with the Data Protection Act? In-patient facilities - must be secure, in good condition and sufficient for the workload of the practice and veterinary nurse training 2.3 Does your practice normally see more than 100 small animal cases per week? If, please indicate average number: 2.4 How many animals do you hospitalise per week, on average? 2.5 Will students have access to nursing of hospitalised cases to gain significance experience of nursing mid and long term patients? If, please provide a proposal for student experience in the nursing of mid and long term patients: The Centre is required to document any proposal and secondment agreement made with another institution. 2.6 Does your Practice regularly deal with a range of species: Dogs Cats Exotic species Horses Other species regularly treated: 2.7 2.8 How many kennels do you have? Do you have hospitalisation facilities for small animals: Same day Overnight? If, please provide details of small animal overnight care: 2.9 Do you have an isolation facility? V 2.0 2015 Copyright Central Qualifications Page 4 of 14

2.10 Do you have a Standard Operating Procedure (SOP) detailing the procedure for isolation and care of infectious cases? 2.11 Do you have equipment for the administration of intravenous fluids? Anaesthesia facilities 2.12 Do you anaesthetise more than 10 cases, on average, per week? If no, please indicate average number: 2.13 2.14 2.15 Do you have both injectable and inhalation anaesthetics? Do you have a range of endotracheal tube sizes? Anaesthetic circuits: Please list anaesthetic circuits routinely used: Please list others circuits held, but not frequently used: Where a single type of anaesthetic breathing system, such as the Humphrey ADE, is the only anaesthetic breathing system routinely used in practice, please provide details of how the student will have the opportunity to familiarise themselves, and work, with other anaesthetic breathing systems: 2.16 Please indicate the scavenging method used: 2.17 2.18 Are records of the monitoring of anaesthetic pollutants available? Do you routinely keep anaesthetic record charts? Operating theatre facilities 2.19 Do you have an operating theatre set aside exclusively for aseptic surgical procedures which is available at all times? 2.20 Do you have: A written procedure for the maintenance for a surgically clean environment? A preparation area, for the clipping of patients and non-sterile surgical procedures, separate from the operating theatre? Are sterile gloves and gowns routinely used? 2.21 Will students regularly have the opportunity to assist in the operating theatre as a scrubbed nurse? V 2.0 2015 Copyright Central Qualifications Page 5 of 14

2.22 2.23 Approximately how often will students have the opportunity to 'scrub' to assist a surgeon and manage instrumentation during procedures? of times Per month Do you use Endoscopes? Please state type(s) of endoscope used: Sterilisation facilities 2.24 Do you have an autoclave? If you use any other method of sterilisation please give details: Radiography facilities must comply with the requirements of Ionising Radiation Regulations 1999 2.25 Does the practice have radiography facilities? 2.26 Indicate your method of radiographic processing: Digital Automatic 2.27 Do you take more than 20 radiographic exposures, on average, per week? If no, please indicate average number: 2.28 Do you use ultrasound equipment? 2.29 Is a copy of ' Guidance tes for the Protection of Persons Against Ionising Radiation Arising from Veterinary Use (IRR1999)' available to all members of practice staff, including student veterinary nurses? 2.30 Are written Local Rules and an exposure chart clearly displayed in the 2.31 2.32 2.33 X-Ray room? Is the annual servicing record of the X-ray machine available for inspection? Do you have at least one protective lead apron, and is the protective equipment in good repair? Is a range of positioning aids available? 2.34 Is personal dose monitoring applied to all staff that enters the controlled area? V 2.0 2015 Copyright Central Qualifications Page 6 of 14

If no, please provide details of monitoring of radiographic exposure: 2.35 Is a recorded log of all X-ray exposures maintained? Laboratory facilities 2.36 Please indicate % of your laboratory work carried out in-house: If the practice sends the majority of their laboratory work to external commercial laboratories, provide a proposal as to how students will gain the necessary experience, training and assessment. The Centre is required to document any proposal and secondment agreement made with another institution. 2.37 2.38 Do you have a clinical microscope with a working Vernier scale? Do you have facilities to: Assess packed cell volume? Prepare blood smears? Measure blood glucose? Test urine and estimate specific gravity (refractometer)? 2.39 Do you have the following equipment: Biochemistry analysers? Haematology analysers? Centrifuge? Commercial test strips/kits? Dispensing facilities 2.40 Are all medicinal products stored in accordance with legal requirements 2.41 and manufacturers requirements? Are appropriate records kept in relation to: V 2.0 2015 Copyright Central Qualifications Page 7 of 14

Controlled drugs? POM-V and POM-VPS? Disposal of drugs? 2.42 Is effective stock control and rotation practised? 2.43 Will all students training for the Dip VN/EVN be able to gain regular experience in the use of the following under veterinary supervision: Dispensing veterinary medicinal products? Management of the dispensary? Supply of veterinary medicines to clients? 3. For Equine PL applications please also complete the following: 3.1 Do you see at least 10 equine cases per week? 3.2 Do you have suitable overnight stabling? 3.3 3.4 Do you have a large box for foaling/colic cases? Do you have facilities for neo-natal care? If, please provide a proposal of how students will gain the necessary experience, training and assessment. The Centre is required to document any proposal and secondment agreement made with any other institution. 3.5 3.6 3.7 Do you have dedicated riding, trotting and lunging spaces? Do you have stocks for examination and standing surgery? Do you have an overhead hoist? If not, what do you use? 3.8 Do you have a range of Nasotracheal tubes? 3.9 Will all students training for the DipEVN be able to gain regular experience in the use of a blood gas analyser? V 2.0 2015 Copyright Central Qualifications Page 8 of 14

3.10 Are cassette holding devices available? 3.11 Do you have thyroid and other protective equipment? please specify 3.12 How many hospitalisation boxes do you have? 3.13 How many horses do you hospitalise overnight on average? 3.14 Do you have: Arthroscope? Laparoscope? Orthopaedic equipment? 4. Delivery, management, monitoring and review of training Employment all employees must be provided with written terms and conditions of employment. 4.1 Please indicate the number of student veterinary nurses you intend to 4.2 engage: Will student veterinary nurses be working solely at the placement location address for which this application is made? If no: 4.3 4.4 a) please attach a copy of the student nurses proposed rota at each practice b) indicate at which other addresses students will be working c) provide RCVS Training Practice: TP registration (for each practice) d) provide CQ with a completed PL form for each practice where the student will be working and training Is at least 70% of each student veterinary nurse s daily time spent on nursing? Will all student veterinary nurses be provided with a minimum of three hours per week of active practical teaching, supervision and assessment? Student support 4.5 Will you provide student veterinary nurses with an induction into their role as a student veterinary nurse in this practice? 4.6 Explain how you will enable students to plan and regularly review their progress, and how will you document these reviews? V 2.0 2015 Copyright Central Qualifications Page 9 of 14

4.7 If required, how will you provide assistance for students with special needs? (e.g. dyslexia or other disability) Documentation 4.8 Do you have current editions of the following that are readily available to all staff involved in veterinary nurse training? Veterinary Nursing Day One Skills & Competencies CQ Dip VN/EVN Qualification Handbook Publications and IT 4.9 Do you have a range of publications, covering course subject areas, freely available to student veterinary nurses? 4.10 4.11 Do you have a range of up-to-date reference texts freely available to student veterinary nurses? Do students have access to IT facilities? Management & monitoring 4.12 Do you have clearly defined roles and responsibilities for all staff involved in veterinary nurse training? 4.13 Will each student have access to a clinical coach on at least two days during each working week? 4.14 Explain measures in place to ensure that Placement Location staff are kept up to date with veterinary nurse training issues: V 2.0 2015 Copyright Central Qualifications Page 10 of 14

7. Declaration I recognise my obligation to students training in my practice and declare that: I will provide staff involved in veterinary nurse training with a clear, written, indication of their responsibilities I will ensure that staff are kept up to date with training issues I will ensure that effective lines of communication are maintained with the training Centre I will ensure that student veterinary nurse records are maintained I will ensure that veterinary nursing students have fair access to assessment I will ensure that staff involved in the assessment of veterinary nursing students attend meetings and/or training events as required by the training Centre I will provide staff involved in assessment with reasonable time in which to carry out their duties I will ensure that veterinary nursing students are given day to day supervision by a MRCVS or a RVN at all times of their training and assessment in accordance with Schedule 3 of the Veterinary Surgeons Act. I undertake to ensure that continuity of the management and supervision of training is provided by a suitably qualified person should any staff involved with the training programme leave the practice. I will provide the Awarding Organisation and the Regulatory Authorities, on reasonable notice, access to premises, people and records as required, and fully cooperate with their monitoring activities, including but not limited to providing access to any premises used. I will take all reasonable steps to ensure that the Awarding Organisation is able to comply with the requirements of the General Conditions of Recognition in relation to the activity undertaken in the Placement Location on behalf of the Awarding Organisation. In particular, those requirements specified in Condition C1 and C2 will be observed. Conditions C1 and C2 are provided in Annex 1. Signature of Placement Location Principal Print Name Date V 2.0 2015 Copyright Central Qualifications Page 11 of 14

Centre use only Date received: Date practice visited: Date approved: Copy sent to CQ: V 2.0 2015 Copyright Central Qualifications Page 12 of 14

Annex 1 Condition C1 and C2 - extract from the General Conditions of Recognition, Ofqual 2014. Condition C1 Arrangements with third parties C1.1 Where an awarding organisation arranges for a third party to undertake, on its behalf, any part of the development, delivery or award of qualifications which the awarding organisation makes available, or proposes to make available, the awarding organisation must: (a) ensure that the arrangements which it establishes with that third party enable the awarding organisation to develop, deliver and award qualifications in accordance with its Conditions of Recognition, and (b) monitor and, where appropriate, enforce such arrangements so as to ensure that it is able to develop, deliver and award qualifications in accordance with its Conditions of Recognition. C1.2 An awarding organisation must take all reasonable steps to ensure that, in making any such arrangements, it does not impose unnecessary or unduly burdensome requirements on third parties. Condition C2 Arrangements with Centres C2.1 Where a Centre undertakes any part of the delivery of a qualification on behalf of an awarding organisation, this condition applies in addition to the requirements in Condition C1. C2.2 Where this condition applies, an awarding organisation must ensure that arrangements between it and the Centre include a written and enforceable agreement. C2.3 That agreement must in particular include provisions which: (a) require the Centre to take all reasonable steps to ensure that the awarding organisation is able to comply with its Conditions of Recognition, (b) require the Centre to take all reasonable steps to comply with requests for information or documents made by the awarding organisation or Ofqual as soon as practicable, (c) require the Centre to assist the awarding organisation in carrying out any reasonable monitoring activities and to assist Ofqual in any investigations made for the purposes of performing its functions, (d) set out all the requirements with which the Centre must comply in order to continue to deliver the qualification, (e) establish a sanctions policy to be applied in the event that the Centre fails to comply with these requirements, (f) require the Centre to retain a Workforce of appropriate size and competence to undertake the delivery of the qualification as required by the awarding organisation, (g) require the Centre to have available sufficient managerial and other resources to enable it effectively and efficiently to undertake the delivery of the qualification as required by the awarding organisation, (h) require the Centre to undertake the delivery of the qualification required by the awarding organisation in accordance with Equalities Law, (i) require the Centre to operate a complaints handling procedure or appeals process for the benefit of Learners, V 2.0 2015 Copyright Central Qualifications Page 13 of 14

(j) set out any Moderation processes that the awarding organisation will undertake or that will be undertaken on its behalf, (k) specify a process to be followed in any withdrawal of the Centre (whether voluntary or not) from its role in delivering a qualification, and (l) require the Centre to take all reasonable steps to protect the interests of Learners in the case of such a withdrawal. C2.4 In the event that the Centre withdraws from its role in delivering a qualification, the awarding organisation must take all reasonable steps to protect the interests of Learners. C2.5 The awarding organisation must, in respect of the parts of the delivery of qualifications which the Centre undertakes: (a) provide effective guidance to the Centre, and (b) make available to the Centre any information which, for the purposes of that delivery, the Centre may reasonably require to be provided by the awarding organisation. V 2.0 2015 Copyright Central Qualifications Page 14 of 14