dossier of european competencies for the veterinary...

Dossier of European Competencies

for the Veterinary Nurse

created by the

ACCREDITATION COMMITTEE OF VETERINARY

NURSE EDUCATION (ACOVENE)

Second edition, November 2012

ACOVENE

Secretariat:

c/o RCVS

Belgravia House

62-4 Horseferry Road

London

SW1P2AF

UK

Internet: www.acovene.org

©ACOVENE 2007

2nd

edition 2012

No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any

form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without

permission in writing from the publisher.

Accreditation of European veterinary nurse programmes by ACOVENE is conducted under the

supervision of the Federation of Companion Animal Veterinary Associations (FECAVA) and the

Veterinary European Transnational Network for Nursing Education and Training (Vetnnet)

Acovene was established in 2007 through the DASVENT project, funded with

support from the European Commission. This publication reflects the views only

of the author, and the Commission cannot be held responsible for any use which

may be made of the information contained herein.

Table of contents

I. Background 7

II. Prerequisits 8

III. General “scope” 9

European Competencies

European competence 1: Monitor and maintain health and safety 10

EC 1A Monitor and maintain health and safety in the workplace 11

EC 1B Maintain good standards of health and safety for yourself and others 12

European Competence 2: Develop personal performance and maintain

working relationships 13

EC 2A Maintain and develop personal performance 14 14

EC 2B Establish and maintain working relationships with others 15

European competence 3: Carry out veterinary reception duties 16

EC 3A Make appointments, receive clients and process payments 17

EC 3B Admit animals for care 19

European competence 4: Manage clinical environments for procedures

and investigations 20

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

equipment and materials 21

EC 4B Assist in the preparation of patients for medical procedures and investigations 22

EC 4C Assist veterinary staff during medical procedures and investigations 22 23

European competence 5: Providing emergency first aid to animals 24

EC 5A Administer emergency first aid and critical care to animals and assist with the

provision of emergency treatment to animals 25

European competence 6: Provide and administer nursing care 26

EC 6A Manage accommodation for patients 27

EC 6B Monitor and care for patients including specialised nursing care 28

EC 6C Treat patients and administer fluid therapy 30

European competence 7: Support clients in caring for animals 31

EC 7A Support and offer advice to clients during the provision of veterinary services

and demonstrate the care of animals 32

EC 7B Provide veterinary materials to clients 34

EC 7C Discharge animals from care 35

European competence 8: Perform laboratory diagnostic tests 36

EC 8A Carry out diagnostic tests, including the preparation and sampling and the

maintenance of equipment and materials 37

European competence 9: Prepare for diagnostic imaging techniques and

conduct radiography on animals 39

EC 9A

Prepare diagnostic imaging equipment and materials and prepare the animal

for diagnostic imaging 40

EC 9B Conduct radiography on animals 42

European competence 10: Prepare for veterinary surgical procedures 43

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

for veterinary surgical procedures 44

EC 10B Prepare animals for veterinary surgical procedures 46

European competence 11: Assist the veterinary surgeon during surgical

procedures 47

EC 11A Assist the veterinary surgeon during surgical procedures. 48

EC 11B Provide post operative care for animals 49

European competence 12: Assist the provision of anaesthetics to animals 51

EC 12A Prepare anaesthetic equipment and materials 52

EC 12B Prepare animals for anaesthesia 53

EC 12C Assist in administering and maintaining anaesthetics to animals 54

European competence 13: Dispense and administer medication 56

EC 13A Dispense medication for animals to clients 57

EC 13B Administer medication to animals 58

Copies of this document are available from ACOVENE:

Email: [email protected]

Website: www.acovene.com

Secretariat:

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

mailto:[email protected]

http://www.acovene.com/

Second edition, November 2012 of 57


I

Background

These European competences for the veterinary nurse have been produced as a result of the DASVENT project, a project under the Leonardo da Vinci programme. We acknowledge the value of the UK Veterinary Nursing National Occupational Standards, used as a basis for this dossier. The project partners who have contributed to this dossier are:

Katholieke Hogeschool Kempen, Belgium

CEU (Centre of Business and Training) Kolding, Denmark

ESAV Institut Bonaparte, France

Federation of European Companion Animal Veterinary Associations, EU

University College Dublin, Ireland

Abivet SRL, Italy

Aequor, the Netherlands

Kwaliteits Centrum Examinering, the Netherlands

AOC Groenhorst College Barneveld, the Netherlands

Norwegian School of Veterinary Sciences, Norway

SLU, Swedish University of Agricultural Sciences, Sweden

Warwickshire College, UK

Royal College of Veterinary Surgeons, UK The definition of a European competence:

A competence is a cluster of related skills, knowledge and attitudes that enable an individual to carry out a function in a range of situations and/or contexts. Competence is related to a given level of responsibility in a range from inexperienced beginner to expert, and experienced, practitioner. The competencies identified in this dossier relate to the level and range expected of a newly qualified veterinary nurse – “Day One” competencies.

The units are introduced using a section called “About this unit”. This section describes the unit in brief and simple terms for the benefit of the end user. The performance criteria simply describe ‘what you must be able to do’. When you are competent to do things, you also need sufficient knowledge and understanding. The “scope” outlines the requirements of the performance criterion to which it refers and describes the range of applications and contents over which the competence applies.


II

Prerequisites

This dossier contains the professional competences that a Veterinary Nurse needs to function adequately at a veterinary practice in Europe. However it must be clearly understood that a student can only fully master these competences with sufficient underlying knowledge and skills in the fields of:

Biology

Veterinary anatomy and physiology

Animal reproduction

Veterinary pathology

Animal behaviour

Taking care of healthy animals (feeding, animal care, animal handling, animal husbandry, housing, hygiene, knowledge of the sector, knowledge of species and breeds)

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


III

General “scope”

All the European competences should be covered in relation to the following animal species:

Dogs

Cats

Exotics (exotics are small pets other than cats and dogs, and may include: birds, rabbits, reptiles, amphibians, rodents and other small mammals)

Horses and / or farm animals can be included where appropriate.

Also, each European competence includes the following performance criteria if applicable:

keeps any necessary records accurate, legible and complete

disposes of waste safely and correctly

practices effective infection control measures

keeps animal calm

treats the animal and its owner with respect

Use of the Dossier of European competences ACOVENE expects clinical veterinary nursing to be evidence-based” This syllabus was mainly constructed as a tool for the accreditation process of veterinary nurse education, as used by ACOVENE. The student needs adequate knowledge and understanding in order to meet each performance criteria.


European competence 1: Monitor and maintain health and safety EC 1A Monitor and maintain health and safety in the workplace EC 1B Maintain good standards of health and safety for yourself and others About this Unit To maintain a healthy and safe work environment, you are required to take reasonable care for the health and safety of yourself and others who may be affected by your work. You are also required to co-operate with your employer to help them comply with their duties under health and safety legislation, and not interfere with or misuse anything provided for your health, safety and welfare. Despite following the correct health and safety procedures, accidents and emergencies may still happen because of circumstances beyond your control or that of your organisation. You must be able to deal with such situations and follow the appropriate procedures. It is important that in all your activities you recognise the limit of your own competence and ask for help and advice when it is needed.


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

Performance Criteria 1 identify health and safety risks in relation to

the workplace

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

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

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

Scope A. identify health and safety risks in relation to: (i) people (ii) equipment and materials (iii) the work area B. dispose of the following types of waste: (i) hazardous (ii) non-hazardous


EC 1B Maintain good standards of health and safety for yourself and others

Description of competence The veterinary nurse takes good care of her own health and safety and that of others. She/he applies existing rules and regulations and makes sure others do as well. If necessary she/he proposes improvements on the protocols. Result Minimal risk of health & safety incidents.

Performance Criteria 1 use and care for the correct personal

protective equipment and clothing

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

3 maintain the necessary personal and workplace hygiene at all times

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

5 behave in a way which minimises risks to yourself and others

6 perform work in a manner which minimises environmental damage

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

8 report incidents without delay and complete records accurately, legibly and completely

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

which puts them at risk B. maintain personal hygiene, to include: (i) hand washing (ii) uniform maintenance (iii) consideration of piercings (according to

practice policy) (iv) hair clean, tidy and removed from face


European Competence 2: Develop personal performance and maintain working relationships

EC 2A Maintain and develop personal performance EC 2B Establish and maintain working relationships with others About this Unit This unit sets the standard for maintaining working relationships. The first element is about your personal performance within the workplace. This relates to achieving certain targets and finishing specific tasks. It also relates to the quality of your work. You will need to discuss your work with your supervisor. The second element is about working effectively with other people. This includes communicating clearly, co-operating with others, and helping to improve working practices. You may work closely within a team, or spend a significant amount of time working alone.


EC 2A Maintain and develop personal performance

Description of competence The veterinary nurse is capable of developing professional competence to be able to keep functioning within the job. Result Constant development of own professional competence.

Performance Criteria 1 carry out work in accordance with your own

responsibilities and organisational requirements

2 seek advice if clarification is required concerning specific tasks

3 agree personal performance targets and development needs with your supervisor

4 develop your own personal performance

5 review personal performance with the supervisor at suitable intervals

Scope A. maintain and develop personal

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

tasks (ii) quality of work


EC 2B Establish and maintain working relationships with others

Description of competence The veterinary nurse is able to develop and maintain effective working relationships.

Result Pleasant and effective working relationships within the veterinary practice.

Performance Criteria 1 establish and maintain effective working

relationships with others

2 discuss opportunities to improve working practices with your supervisor

3 carry out activities requiring co-operation with others

4 deal with any disagreements effectively

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

Scope A. establish and maintain effective working

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

or organization


European competence 3: Carry out veterinary reception duties

EC 3A Make appointments, receive clients and process payments EC 3B Admit animals for care About this Unit This unit is about carrying out general veterinary reception duties. It covers making appointments for clients and their animals, receiving clients and their animals for appointments, processing payments for veterinary services and admitting animals for care. This is an important part of your role because it helps to maintain good relationships with clients so they continue to have confidence in the services of the practice.


EC 3A Make appointments, receive clients and process payments

Description of competence The veterinary nurse is capable of making appointments adequately in such a way that the client and the veterinary practice are satisfied. She/he deals with telephone consultations and is capable of giving advice to clients and to decide if an appointment is necessary and also how urgent the situation is. The veterinary nurse receives clients and their animals efficiently and effectively. The veterinary nurse deals with the financial transactions after consultation or treatment. She/he also sells appropriate products. Result Correct appointments and satisfied clients. The financial transactions are dealt with correctly.

Performance Criteria 1 confirm the clients and animals for

appointments and obtain the necessary information for the appointment

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

3 take the appropriate action if you suspect that an urgent appointment is required

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

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

6 encourage clients and their animals to feel at ease and treat them courteously

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

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

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

Scope

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

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

procedures E. process payments for the following veterinary

services: (i) veterinary procedures (surgical or

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


EC 3B Admit animals for care

Description of competence The veterinary nurse is capable of admitting animals to the practice (for surgical or medical procedures or observation) in a way that ensures that the animal will receive the appropriate care.

Result Animals are admitted and records are adequately kept. Satisfied clients.

Performance Criteria 1 check the details of the owner and the

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

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

3 complete the admission form and if required check the owner reads, understands and signs the consent form

4 consult veterinary staff if necessary

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


European competence 4: Manage clinical environments for procedures and investigations

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

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

investigations EC 4C Assist veterinary staff during medical procedures and investigations About this Unit This unit is about preparing for, and assisting with, medical procedures and investigations. It covers preparing clinical environments, equipment, materials and animals. It also covers assisting veterinary staff during medical procedures and investigations. Common medical procedures may include, for example, ophthalmology, rectal examination, catheterisation of a male animal, collection of samples (e.g. blood, urine, faeces, skin, bacteriology), administration of oral medication, administration of parenteral fluid therapy.


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

Description of competence The veterinary nurse takes care of the examination room in such a way, that the room is ready to use and to receive clients. She/he manages the clinical environments, equipment and materials in such a way, that medical procedures or investigations can be carried out efficiently and responsibly. The veterinary nurse manages the supply of veterinary materials in such a way, that there is no shortage or surplus of necessary materials.

Result A clean, well organised examination room with adequate supplies and equipment. Environment, equipment and materials are well prepared for medical procedures and / or investigations. There is an adequate amount of veterinary materials available for use at all times.

Performance Criteria 1 make sure the examination rooms are as

clean as practicable 2 dispose of surplus and waste materials 3 position equipment and materials in the

correct location for ease of use and ensure they function appropriately

4 obtain veterinary materials from authorised

suppliers and maintain stock at the correct level

5 store veterinary materials securely according to regulations and guidelines

6 check the condition of veterinary materials regularly

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

8 obtain and prepare the equipment, materials and medication for use

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

10 observe good aseptic technique and infection control procedures where appropriate

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

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

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


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

Description of competence The veterinary nurse is capable of preparing the patients for medical procedures and investigations in cooperation with the veterinarian.

Result Patients are adequately prepared in order for the veterinarian to perform a medical procedure or investigation.

Performance Criteria 1 obtain the necessary information on

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

2 transport and handle the patient safely and correctly

3 Demonstrate appropriate techniques for the restraint and handling of patients

Scope A. obtain the following information on

patients: (i) species (ii) age/gender (iii) weight/size (iv) behaviour (v) general symptoms B. prepare patients for the following medical

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

handling equipment and methods are used:

(i) physical restraints (ii) chemical restraints (iii) manual positioning D. demonstrate techniques for: (i) handling (II) holding (iii) restraining (iv) approaching (v) catching animals


EC 4C Assist veterinary staff during medical procedures and investigations

Description of competence The veterinary nurse is capable of assisting the veterinarian during medical procedures and investigations in such a way, that the veterinarian can do his/her job effectively and the animal is kept as calm and comfortable as possible.

Result Medical procedure or investigation is carried out efficiently and with a minimum amount of stress. Performance Criteria 1 establish the assistance that is required

and provide this assistance effectively

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

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

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

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

Scope A. assist with the following medical

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

problems: (i) distress (ii) pain


European competence 5: Providing emergency first aid to animals

EC 5A Administer emergency first aid and critical care to animals and assist with

the provision of emergency treatment to animals About this Unit This unit covers emergency first aid to animals.


EC 5A Administer emergency first aid and critical care to animals and assist with the provision of emergency treatment to animals

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

Performance Criteria 1 assess the animal's condition quickly and

accurately applying the principles of triage

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

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

4 administer first aid to the animal

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

6 obtain any necessary additional information on the animal

7 assist the veterinary staff in the provision of emergency treatment

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

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


European competence 6: Provide and administer nursing care EU 6A Manage accommodation for patients EU 6B Monitor and care for patients, including specialised nursing care EU 6C Treat patients and fluid therapy About this Unit This unit covers providing nursing care to animals. It includes basic nursing care and administering veterinary medical nursing to patients with complex medical conditions. It covers fluid therapy, specialized medical nursing and treatments. This unit is also about caring for animals in accommodation. It covers preparing the accommodation to suit the condition of the animal, monitoring the condition of animals in the accommodation and cleaning the accommodation. In carrying out this work you will be caring for animals during illness, recovery from surgical procedures and hospitalisation. The work covered in this unit contributes to infection control and the prevention of transfer of infectious diseases to future occupants of the accommodation.


EC 6A Manage accommodation for patients Description of competence The veterinary nurse is capable of managing the accommodation for patients in such a way, that the wellbeing of the animals is ensured. She/he keeps the accommodation clean and hygienic. Result

Clean and well organised accommodation, suitable for animals with different conditions and with minimal health risks for the accommodated animals. Performance Criteria 1 select, prepare and clean the

accommodation in accordance with the needs of the patient

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

3 make sure that the accommodation is safe, secure and clean and disinfect the accommodation when necessary

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

Scope A. prepare accommodation suitable for the

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

conditions: (i) light (ii) temperature (iii) humidity (iv) ventilation (v) noise

C. use the following cleaning methods: (i) disinfection (ii) steam or pressure washing (iii) removal of waste products (iv) washing and drying of bedding and/or

disposing of bedding


EC 6B Monitor and care for patients including specialised nursing care.

Description of competence

The veterinary nurse is capable of planning and carrying out nursing schemes for patients (together with the veterinary staff) with a range of medical and post-surgical conditions. She/he monitors the patients during their stay at the hospital and alerts the veterinarian if any problems or complications arise. Result Purposeful, high quality nursing care.

Performance Criteria 1 assess the patient’s nursing requirements

and formulate a nursing plan in consultation with veterinary staff.

2 monitor and provide appropriate nursing care to patients according to their conditions and instructions of veterinary staff

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

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

5 identify any problems with patients, including emergency situations, and take the appropriate action

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

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

8 provide clients with the correct information on the condition of their patients in accordance with practice policy

9 practice effective infection control measures

10 provide patients with stimulation and affection wherever practicable

Scope A. create a nursing plan, to include: (i) fluid intake and nutritional balance (II) urination and defecation (iii) mobility and exercise (iV) pain management and alleviation of stress B. Monitoring to include: (i) body temperature, mucous membranes &

vital signs (ii) circulatory and respiratory functions (iii) neurological function (iv) nutritional status (v) fluid balance (vi) bowel and urinary function (vii) behaviour (viii) operation site status (ix) pain and distress (x) checking sites of “intervention”, e.g. cannula site, bandages, indwelling catheters. B. Infection control to include: (i) personal hygiene (including use of protective clothing) (ii) patient hygiene (iii) handling and disposal of materials (iv) isolation nursing

(v) towards infective and zoonotic disease


Scope C. administer the following nursing care: (i) food and drink intake (ii) nutritional support/intake, dietary plans,

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

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

and urinary function (x) patient hygiene, grooming (xi) care of pressure areas and physical

therapy (xii) maintaining mobility (xiii) contact and mental stimulation (xiv) prevention of pain and stress


EC 6C Treat patients and administer fluid therapy Description of competence

The veterinary nurse is capable of preparing, administering and monitoring fluid therapy and medications in a correct and safe way following instructions from the veterinarian. Result Technically well performed treatment of patients in hospital.

Performance Criteria 1 Calculate and administer safely fluid

therapy to patients, including assembling equipment and materials correctly

2 monitor and provide appropriate treatment to patients according to their conditions and instructions of veterinary staff

Scope A. Treatment to include: (i) Topical, per oral, subcutaneous, intramuscular, intravenous and per

rectum administration of medicines (ii) wound management (iii) applying dressings and bandages (iv) applying devices to prevent patient

interference (Elizabethan collars etc.) B. Provide treatments to the following patients: (i) hospitalized animals (ii) animals in consultation C. Use the following equipment and materials

in order to provide optimal treatment: (i) drugs (ii) sterile supplies (iii) consumables D. Administer the following fluid therapy (i) different types of fluid and indications

hereof (ii) routes of administration and indications

hereof E Calculate fluid requirements to include: (i) quantity (ii) flow rate F. administer fluid therapy safely by (i) ensuring that the patient is safely positioned

and restrained during the procedures (ii) monitoring the patient carefully (iii) identifying indications of problems arising

from the fluid therapy


European competence 7: Support clients in caring for animals

EC 7A Support and advice clients during the provision of veterinary services and demonstrate the care of animals EC 7B Provide veterinary materials to clients EC 7C Discharge animals from care About this Unit This unit is about supporting clients in caring for animals. It covers supporting clients during the provision of veterinary services, advising clients on the care of animals, showing clients how to care for animals, providing veterinary materials to clients and discharging animals from care.


EC 7A Support and offer advice to clients during the provision of veterinary services and demonstrate the care of animals

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

Performance Criteria 1 inform the client of the veterinary services

that are available to meet their needs

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

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

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

5 explain the condition of the animal

6 offer advice and demonstrate the correct methods of providing care to the animal informing the client about the expected effects

7 check the client's understanding and provide additional clarification and advice where necessary

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

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

10 carry out nursing consultations

Scope A. support clients during the provision of the

following veterinary services: (i) veterinary procedures (ii) medication (iii) counter sales (iv) hospitalisation (v) euthanasia B. provide advice to clients on: (i) preventative health care (ii) caring for ill animals (iii) reproduction and care of neonates (iv) care of young animals (v) post-operative recovery (vi) nutrition (vii) first aid (viii) animal behaviour and behavioural problems

C. demonstrate the care of animals during: (i) good health (ii) illness (iii) recovery D. demonstrate the care of animals for: (i) administration of medicines (ii) wound care (iii) inspection of bandages (ii) nutrition (iii) grooming (iv) oral health care (v) handling

E. conduct effective nursing consultations to include: (i) history taking (II) appropriate examination


(iii) identifying cases for referral to a veterinary surgeon

(iv) provision of treatments (v) communication with clients (vi) record keeping


EC 7B Provide veterinary materials to clients

Description of competence

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

veterinary materials with the veterinary staff and provide them

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

3 clearly explain health and safety implications to the client

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

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

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

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

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


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

Performance Criteria 1 determine necessary home care in

consultation with the veterinary surgeon

2 identify the owner and the animal they have come to collect

3 Discharge the patient and explain the after care that the animal requires at home and give information on check-up appointments, if needed

4 check that the owner understands what is required and feels able to carry out aftercare

5 check that the owner knows when to report progress or return for follow up appointments

6 if unable to answer questions refer them to the veterinary surgeon

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


European competence 8: Perform laboratory diagnostic tests

EC 8A Carry out diagnostic tests, including the preparation and sampling and the

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


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

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

Performance Criteria 1 maintain equipment and materials

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

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

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

5 collect or assist with collection of samples for analysis as requested by the veterinary staff.

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

7 label, preserve and store and/or forward the samples according to the practice policy.

8 perform commonly occurring diagnostic tests, using analysis equipment when appropriate in a safe and correct way

9 record and communicate results of tests according to the practice policy.

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

C. collect or assist with collecting the following samples:

(i) blood (to include serum and plasma)

(ii) urine

(iii) skin/hair

(iv) biopsies

(v) other body fluids

(vi) faeces

D. apply infection-control procedures in relation to:

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


Scope

E use the following analysis equipment:

(i) laboratory analysers (biochemistry and haematology)

(ii) refractometer

(iii) microscope

(iv) centrifuge

(v) commercial test kits

F. communicate the results of tests that have been carried out:

(i) in the veterinary practice

(ii) by external laboratories


European competence 9: Prepare for diagnostic imaging techniques and conduct radiography on animals EC 9A Prepare diagnostic imaging equipment and materials and prepare the animals for

diagnostic imaging techniques EC 9B Conduct radiography on animals About this Unit This unit is about preparing for a variety of diagnostic imaging techniques. Diagnostic imaging techniques include; radiography, ultrasound and endoscope. The unit also covers carrying out radiography, but does not cover carrying out ultrasound and endoscope. It involves preparing equipment, materials and animals for diagnostic imaging techniques. It also involves carrying out radiography, processing radiography images and providing the results for decision making. Processing materials could be either chemicals for conventional radiography or digital processing equipment for digital processing


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

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

Performance Criteria 1 Prepare and maintain equipment and

materials used for all common diagnostic imaging techniques

2 Identify faults in diagnostic imaging

equipment and materials and take appropriate action

3 Carry out infection-control procedures

according to the requirements of the diagnostic imaging technique

4 Comply with health and safety regulations

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

5 Confirm the animal’s condition and identity

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

6 Undertake appropriate pre-diagnostic

procedures (when compatible with national laws and regulations)

7 Position and restrain the animal in a

suitable and correct way 8 Monitor the animal during the imaging

process, in order to detect difficulties

Scope A. Maintain equipment and materials in the

following ways: (i) cleaning (ii) replacement of consumables (iii) arrange for servicing (iv) arrange for repairs B. Identify common faults in equipment that

affect: (i) diagnostic quality and reliability (ii) safety (iii) effectiveness And can include - damaged packaging - deterioration - contamination

C. Apply infection-control procedures in

relation to: (i) equipment (ii) work surfaces (iii) personal and patient hygiene

D. Pre-diagnostic procedures to include: (i) administration of contrast material (ii) administration of sedatives or anaesthesia (iii) sheering (iv) fasting (v) enemas/colonic lavage E. Use appropriate restraining methods. (i) physical (ii) sedation and anaesthesia (if compatible with

national laws and regulations)


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


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

Performance Criteria 1 Confirm the animal’s condition and identity

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

2 Use the radiographic equipment correctly

concerning radiation safety, thus minimising radiation exposure

3 Produce radiographic images of good

diagnostic quality 4 Process the radiographic image correctly 5 Check the quality of the images and

confirm the identity of the animal 6 Prevent contamination and errors in

results. Identify invalid results and ensure remedial action is taken

7 Document the results according to

veterinary practice procedures

Scope A. Use the following radiographic equipment: (i) x-ray machine (ii) radiation monitoring equipment (iii) cassettes (iv) positioning aids B. Produce radiographic images that are

common in practice.

C. Identify the following indications of invalid

results: (i) inconsistency with expected or previous

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


European competence 10: Prepare for veterinary surgical procedures

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

EC 10B Prepare animals for veterinary surgical procedures About this Unit This unit covers preparing for veterinary surgical procedures. You will need to be able to prepare surgical environments, including preparation rooms and operation theatres, prepare equipment and materials, and prepare animals for veterinary surgical procedures.


EC 10A Select, maintain and prepare surgical environments,

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

Performance Criteria

1 keep the surgical environment as clean as practicable within the limits of the premises and the surgical procedure to take place

2 maintain, store, clean and sterilise surgical

equipment and materials correctly 3 use the autoclave safely and effectively 4 provide people using the surgical

environment with relevant information on the surgical procedure

5 control the environmental conditions to suit

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

6 confirm the animal’s condition and the

surgical procedure against available information

7 obtain advice on the most suitable surgical

equipment and materials from the veterinary surgeon and prepare these

8 place surgical equipment and materials in

the correct position to support the surgical procedure

9 count all surgical equipment and materials

accurately to track their use during and after surgery

Scope A. prepare the following surgical

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

conditions according to species requirements:

(i) light (ii) temperature (iii) noise C. store and maintain the following surgical equipment and materials: (i) instruments (ii) powered equipment (iii) medications/antiseptics (iv) sterile supplies (v) sutures

(vi) implants

(vii) wound drains D. apply infection-control procedures in

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


Performance criteria

10 comply with regulations and guidelines relating to the use of surgical equipment and materials at all times

11 correctly identify faults in surgical equipment and materials and take the appropriate action to rectify them

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


EC 10B Prepare animals for veterinary surgical procedures Description of competence The veterinary nurse is capable of preparing patients for surgical procedures. Result The animal patient is adequately prepared for surgical procedure

Performance Criteria 1 confirm the animal’s condition and the

surgical procedure being undertaken against available information

2 position and restrain the animal carefully using suitable restraining equipment and methods

3 identify surgical sites correctly and ensure the appropriate pre-surgical procedures are undertaken

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

Scope A. carry out the following pre-surgical

procedures: (i) correct positioning (ii) correct preparation of skin to ensure

asepsis (iii) foot bandaging B. apply infection-control procedures in

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

(v) contact with other animals


European competence 11: Assist the veterinary surgeon during surgical procedures

EC 11A Assist the veterinary surgeon during surgical procedures EC 11B Provide post operative care for animals About this Unit This unit is about the duties and conduct of veterinary nurses while assisting the veterinary surgeon during surgical procedures. It covers the provision of equipment and materials during surgical procedures, assisting with the surgical procedure itself, and monitoring and assisting the recovery of animals after such procedures.


EC 11A Assist the veterinary surgeon during surgical procedures. Description of competence The veterinary nurse is capable of providing the appropriate equipment and materials for the surgical procedures and of assisting the veterinary surgeon during these surgical procedures. Surgical procedures include oral and dental procedures. Result A successful surgical procedure. Performance Criteria 1 behave appropriately in the operating

theatre and ensure you are fully scrubbed up to meet the needs of the surgical procedure

3 provide the appropriate equipment and materials for performing surgical procedures on the animal and maintain the sterility of all equipment during the procedure

4 position surgical instruments in the correct orientation for immediate use

5 identify faults in equipment and materials correctly, inform colleagues of any difficulties and ensure appropriate action is taken to rectify them

6 assist with surgical procedures promptly and effectively according to the requirements of the veterinary surgeon and the condition of the animal

7 apply surgical materials at the correct location and in the correct manner

8 attach surgical equipment to the animal at the correct location and with minimal effect on tissue

9 operate surgical equipment correctly and apply it at the correct time

10 disconnect and remove surgical equipment and materials not required for recovery from the animal on completion of the surgical procedure

Scope A. behave appropriately in relation to:: (i) general cleanliness (ii) removal of jewellery (iii) hair tidied back and covered (iv) absence of nail varnish (v) avoidance of droplet aerosol

contamination during speech (vi) use of masks A. assist with the most common surgical

procedures B. provide and assist with the use of the

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

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


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

Performance Criteria 1 provide a suitable nursing environment for

post operative care. Place the animal in an environment and recovery position suitable for its species and the surgical procedure that has been undertaken

3 monitor and record the animal’s recovery carefully bringing any indications of problems to the attention of the veterinarian

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

5 apply methods correctly to prevent the animal interfering with surgical wounds

6 obtain and record monitoring information required by the veterinarian correctly and promptly

7 inform the client of the animal’s condition as soon as is practicable, and inform the client over the care needed during the recovery period.

8 implement and evaluate a nursing care

plan 9 deliver species specific peri-operative

nursing care to patients

Scope A. suitable nursing environment to include: (i) access for observation and nursing (ii) bedding (iii) proximity of electrical supplies (iv) proximity of oxygen supplies (v) presence of observation charts (v) heat source (vi) fluid and nutritional needs B. assist the recovery of animals after the

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

problems: (i) pain and distress (ii) vomiting or gastric reflux (iii) haemorrhaging (iv) interference with wounds (v) inability to perform body functions (vi) circulatory status (vii) urine output (viii) hyperthermia (ix) hypothermia E. provide appropriate nursing care (i) administer analgesia and relieve stress (ii) position animals to alleviate pain and

discomfort (iii) adapt the environment to ensure optimal

patient comfort (iv) encourage mobility and exercise the

patients (v) allow for patients urination and defecation

needs


Scope

F. implement and evaluate a nursing care plan to include:

(i) fluid intake and nutritional balance

(II) urination and defecation

(iii) mobility and exercise

(iV) pain management and alleviation of stress

G. use and interpret the following monitoring

information: (i) observations (ii) measurements of vital signs H provides species specific peri-operative

nursing care following: (i) elective surgery (ii) emergency surgery (iii) minor procedures (iv) major procedures (v) orthopaedic procedures


European competence 12: Assist the provision of anaesthetics to animals

EC 12A Prepare anaesthetic equipment and materials EC 12B Prepare animals for anaesthesia EC 12C Assist in administering and maintaining anaesthetics to animals About this Unit This unit covers assisting with the provision of anaesthetics to animals and with monitoring progress of anaesthetised animals. Monitoring is a vital part of the veterinary nurses role in anaesthesia. National regulations on the use of anaesthetics have to be taken into consideration.


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

1 confirm the animal’s condition and the anaesthetic procedure to be administered against available information from the responsible veterinarian.

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

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

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

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

6 undertake infection control procedures

according to the requirements of the anaesthetic procedure

Scope

A. prepare anaesthetic equipment and

materials for the following anaesthetic procedures:

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

equipment: (i) anaesthetic delivery machines (ii) breathing circuits (iii) pollution control systems (iv) endotracheal tubes (v) intravenous catheters (vi) monitoring systems (vii) anaesthetic emergency box C. prepare the following materials and gases: (i) anaesthetic drugs (ii) anaesthetic gases (iii) sterile supplies (iv) consumables (v) intubation aids and/or laryngoscope (vi) pharyngeal packs D. apply infection control procedures in

relation to: (i) equipment (ii) work surfaces (iii) contact with humans

E. maintain equipment in the following ways: (i) cleaning (ii) replacement of consumables (iii) arrange for servicing (iv) arrange for repairs


EC 12B Prepare animals for anaesthesia Description of competence The veterinary nurse is capable of preparing the animal for anaesthesia Result Minimal anaesthetic risks for the patient

Performance Criteria 1 confirm the animal’s condition and the

anaesthetic procedure being administered against available information

2 position and restrain the animal carefully using suitable handling equipment and methods

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

4 monitor the animal carefully to detect potential difficulties

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

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

7 handle and transfer the anaesthetised patient safely into the operating theatre

Scope A. use the following handling equipment and

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

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

potential difficulties and understand the consequences of such difficulties:

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

conditions according to species requirements understanding the importance of these:

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


EC 12C Assist in administering and maintaining anaesthetics to animals

Description of competence The veterinary nurse is capable of administering and maintaining anaesthetics to the animal hereby assisting the veterinary surgeon during surgery and other procedures. She/he is capable of assisting in reducing and stopping the anaesthetic procedure Result A successful anaesthetic course and a successful recovery from anaesthesia.

Performance Criteria 1 confirm the requirements of the veterinary

staff of anaesthetising the animal

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

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

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

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

6 monitor and record the animal carefully and bring any indications of problems to the attention of the veterinary surgeon

7 reduce and stop the anaesthetic procedure at the correct stages of the surgical procedure

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

Scope A. undertake the following anaesthetic

procedures (if compatible with national regulations):

(i) premedication (ii) endotracheal intubation (iii) intramuscular administration B. administer anaesthetic procedures (if

compatible with national regulations) : (i) inhalation techniques (ii) intravenous administration (iii) local or regional anaesthesia C. monitor the use of the following: (i) observations (ii) measurements of vital signs (iii) information from monitoring equipment D. provide the following equipment and

ensure proper usage of such equipment during anaesthesia:

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


Scope F. assist with the termination of anaesthesia

in animals after the following anaesthetic procedures:

(i) extubation (ii) inhalation techniques (iii) intravenous administration (iv) intramuscular administration


European competence 13: Dispense and administer medication

EC 13A Dispense medication for animals to clients EC 13B Administer medication to animals

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


EC 13A Dispense medication for animals to clients

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

Performance criteria 1 confirm the requirement for medication by

the animal with veterinary staff 2 calculate and dispense the required

dosage, quantity and frequency of administration of medication

3 locate and prepare the appropriate

preparation and strength 4 dispense the medication into an

appropriate container and with appropriate labelling

5 comply with national regulation and

legislation relating to the provision of medication

6 advise the client on the safe and correct

route of administration, storage and disposal of medication

7 clearly explain the health and safety

implications to the client when supplying the medication

Scope A. dispense different groups of veterinary

medications B. dispense medication from different

categories according to national legislation.


EC 13B Administer medication to animals

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

Performance criteria 1 confirm the treatment required by the

animal with veterinary staff 2 obtain the correct preparation of

medication and calculate the correct dosage required by the animal

4 correctly prepare the medication for

administration using the appropriate equipment

5 ensure appropriate restraint of the animal 6 assess the patient’s condition prior to

administration of the medication 7 administer the medication via the correct

route 8 assess and monitor the animal after

administration of medication

Scope A. administer medication from different

categories according to national legislation

dossier of european competencies for the veterinary...

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