Placement Location Application Form Diploma in Veterinary Nursing (DipVN)
Veterinary Nursing Small Animal 1. Location 1.1 Name of practice 1.2 Address Including postcode 1.3 Telephone number 1.4 Fax number 1.5 Email address 1.6 Practice Principal 1.7 Is the practice a member of the RCVS Practice Standards Scheme? Level of approval Core General Practice Hospital 2. Staffing 2.1 Name Position Qualifications Level of involvement with training 2.2 Are current CPD records of MsRCVS and Veterinary Nurses available for inspection? V 2.1 Copyright Central Qualifications Page 2 of 11
3. Clinical Facilities Safety and record keeping 3.1 Do you have up to date health and safety policies and procedures? 3.2 Are your records compliant with the Data Protection Act? 3.3 How do you maintain clinical records? In patient facilities 3.4 Do you have hospitalisation facilities for small animals: Overnight? Same day? 3.5 Do you have an isolation facility? 3.6 Do you have equipment for the administration of intravenous fluids? Operating theatre facilities 3.7 Do you have: An operating theatre set aside exclusively for aseptic surgical procedures which is available at all times? 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 regularly used? Adjustable height operating table(s)? Operating lamp(s)? If you have no operating lamps, please give details of alternative type of illumination used: Sterilisation facilities 3.8 Do you have an autoclave? If you use any other method of sterilisation please give details: 3.9 Are sterile packs for emergency surgery available at all times? V 2.1 Copyright Central Qualifications Page 3 of 11
Anaesthesia facilities 3.10 Endotracheal tubes: Do you have a complete range from 2.5 to 12mm? If not please specify tube sizes held: 3.11 Gases and vaporisers: Piped gases? Cylinders? Please specify gases for which cylinders are used: Vaporisers? Please specify types of vaporiser held: 3.12 Anaesthetic circuits: Please list anaesthetic circuits routinely used: Please list others circuits held, but not frequently used: 3.13 Is a scavenging system for anaesthetic gases in place? Please indicate the scavenging method used: 3.14 Are records of the monitoring of anaesthetic pollutants available? 3.15 Do you routinely keep anaesthetic record charts? Radiography facilities 3.16 Does the location have radiography facilities? 3.17 Is a copy of Guidance tes for the Protection of Persons Against Ionising Radiation Arising from Veterinary Use (IRR1999) available to all members of location staff, including student veterinary nurses? 3.18 Are written Local Rules and an exposure chart clearly displayed in the X-Ray room? 3.19 Is the annual servicing record of the X-ray machine available for inspection? Has the X-ray machine got a functional light beam diaphragm? V 2.1 Copyright Central Qualifications Page 4 of 11
Are cassettes with intensifying screens used? Is envelope packed, non-screen film used? 3.20 Is protective equipment available and in good repair? Do you have at least one protective lead apron? Do you have lead gloves or other protection for hands? Is a range of positioning aids available? 3.21 Is personal dose monitoring applied to all staff that enter the controlled area? 3.22 Is a recorded log of all X-ray exposures maintained? Laboratory facilities 3.23 Do you have a clinical microscope? 3.24 Do you have facilities to: Assess packed cell volume? Prepare blood smears? Measure blood glucose? Test urine and estimate specific gravity? Dispensing facilities 3.25 Are all medicinal products stored in accordance with legal requirements and manufacturers requirements? 3.26 Are appropriate records kept in relation to: Controlled drugs? POM-V and POM-VPS? 3.27 Is effective stock control and rotation practised? 4. Clinical training Caseload 4.1 Does your location normally see more than 100 small animal cases per week? If no, please indicate average number: 4.2 How many animals do you hospitalise per week, on average? 4.3 How many kennels do you have? Dog (large) Cat/small animal V 2.1 Copyright Central Qualifications Page 5 of 11
4.4 Does your location regularly deal with a range of species: Dogs Cats Exotic species Horses Other species regularly treated: 4.5 Will students be supervised by a MRCVS or a Listed/Registered VN at all times in accordance with Schedule 3 of the Veterinary Surgeons Act? Operating theatre 4.6 Please list surgical procedures for which sterile gloves and gowns are worn and how often they are undertaken: 4.7 Will students regularly have the opportunity to assist (unscrubbed) in the operating theatre? 4.8 Approximately how often will students have the opportunity to scrub to assist/manage instrumentation during procedures? of times per week per month Are instruments for operations laid out on an instrument trolley? 4.10 Do you use: Diathermy or a similar method of haemostasis? Suction apparatus? Cryosurgical apparatus? Endoscope(s)? V 2.1 Copyright Central Qualifications Page 6 of 11
Anaesthesia 4.11 Do you anaesthetise more than 20 small animal cases, on average, per week? If no, please indicate average number. Diagnostic imaging 4.12 Do you take more than 20 radiographic exposures, on average, per week? If no, please indicate average number. 4.13 Will all students training for the Dip VN be able to take a minimum of 2 exposures per week and process the results? 4.14 Indicate your method of radiographic processing: Digital Automatic Manual 4.15 How many film viewing boxes do you have? 4.16 Do you use ultrasound equipment? Laboratory 4.17 Is more than 50% of your laboratory work carried out: In the placement location? By an external laboratory? 4.18 Will all students training for the Dip VN be able to gain regular experience in the use of: Biochemistry and haematology analysers? Microscope? Centrifuge? Commercial test strips/kits? Dispensary 4.19 Will all students training for the Dip VN 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? V 2.1 Copyright Central Qualifications Page 7 of 11
5. Delivery of training Employment 5.1 Please indicate the number of student veterinary nurses you intend to engage 5.2 Will student veterinary nurses be working solely at the placement location address for which this application is made? If no, please attach a copy of the student nurses proposed rota and indicate at which other addresses they will work. 5.3 Is at least 70% of each student veterinary nurse s daily time spent on small animal nursing? 5.4 Please specify how the remainder of the student s time will be spent reception % administration cleaning other work (please specify) 5.5 Will all student veterinary nurses be provided with a minimum of three hours per week of active practical teaching, supervision and assessment? Student support 5.6 Will you provide student veterinary nurses with written guidance about the process of training and qualification? 5.7 Explain how you will enable students to plan and regularly review their progress. 5.8 Will you provide assistance for students with special needs? (e.g. dyslexia or other disability) By whom? How? V 2.1 Copyright Central Qualifications Page 8 of 11
Documentation 5.9 Do you have current copies of the following, that are readily available to all staff involved in veterinary nurse training? Veterinary Nursing Occupational Standards CQ Dip VN Qualification Handbook Student Handbook Centre Handbook Publications and IT 5.10 Do you have the following publications freely available to student veterinary nurses: Journal of Small Animal Practice? Veterinary Record? Veterinary Nursing Journal? Veterinary Times/Veterinary Nursing Times? 5.11 Do you have up-to-date reference texts on the following: General veterinary nursing? Veterinary nursing clinical procedures? Veterinary dictionary? Study and examination skills? Exotics and wildlife? Anaesthesia? Radiography? Veterinary/medical laboratory techniques? 6. Management, monitoring and review of training 6.1 Do you have clearly defined roles and responsibilities for all staff involved in veterinary nurse training? Please indicate how this is done: 6.2 Will each student have access to a clinical coach on at least two days V 2.1 Copyright Central Qualifications Page 9 of 11
during each working week? 6.3 Explain measures in place to ensure that Placement Location staff are kept up to date with veterinary nurse training issues. 6.4 Explain the mechanisms you have in place for the dissemination of Central Skills Log quality assurance reports and other information provided by you. 7. Declaration V 2.1 Copyright Central Qualifications Page 10 of 11
You are asked to declare that you recognise your obligation to students engaged by you That they spend the greater part of their time on varied small animal work directly relevant to the training and assessment. That they are provided with suitable instruction on matters related to the National Occupational Standards in Veterinary Nursing, CQ Professional Syllabus in the Qualification Handbook and Central Skills Log by veterinary surgeons and/or appropriately trained veterinary nurses or clinical coaches. That they are provided with time to attend a CQ approved course of instruction where applicable. That they receive adequate training to meet the requirements of CQ and that their work is assessed in accordance with CQ guidelines. That they are given day to day supervision of their training and assessment. 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 agree to my practice details being forwarded to the Royal College of Veterinary Surgeons Regulatory Body to be held on their files to comply with regulatory requirements Signature of Placement Location Principal Print Name Date......... Office use only Date received: Date practice visited: Date approved: Copy sent to CQ: V 2.1 Copyright Central Qualifications Page 11 of 11