The winners were the first veterinary nursing students to place in the awards, which were launched by RCVS Knowledge last year to recognise and support students’ engagement with evidence-based veterinary medicine (EBVM) and its application into practice.
The winning Knowledge Summary was written by Carla Husband, Abbie McMillan and Lauren Sweeney (pictured right), all studying veterinary nursing at the University of Bristol.
The team highlighted the paucity of evidence regarding the impact of educational interventions on hand hygiene compliance in small animal environments, a highly relevant topic during the COVID-19 pandemic, and called for more research to be carried out to support hand hygiene compliance in the veterinary professions.
Carla said: “I feel so proud of myself and my co-authors for winning this competition. We worked very hard on making this Knowledge Summary the best it could be and can’t believe our hard work has paid off. I also feel very proud to represent the vet nursing profession and to come out of university with a published paper.
"To any vet nursing or vet students out there who are thinking of submitting to Veterinary Evidence, I say go for it! The more evidence we can contribute to our knowledge base, the better our profession can become.”
Lauren said, “It was really exciting as a Student Veterinary Nurse to be able to submit our work into this competition. I truly believe that the Veterinary Science evidence base should be continually built upon and I am so glad this competition allowed our Knowledge Summary to do so!
Second and third place awards went to vet students Laura Pratley at the University of Liverpool and Lesca Sofyan at the University of Sydney in Australia, respectively.
RCVS Knowledge says the vet nurses' win underscores how an evidence-based approach can be embedded by all veterinary professionals. Peter Cockroft, Editor-in-chief of Veterinary Evidence, said: “I would like to congratulate the award winners on their outstanding achievements. We hope the student authors who have either won or been accepted for publication will feel encouraged to continue to practise EBVM in their future careers.”
The winning paper is available to read on the Veterinary Evidence website at: https://bit.ly/SAKSHandHygiene. The second and third place papers, along with the other submissions, will be published at a later date. The awards will be presented at the RCVS Day Honours and Awards virtual event in September. The Veterinary Evidence Student Awards 2021 are now open to submissions. All undergraduates studying veterinary medicine, veterinary nursing, veterinary bioscience or bioveterinary science are eligible to apply.
Further information is available on the RCVS Knowledge website: http://bit.ly/VEstudentawards.
Ciar, who works at Davies Veterinary Specialists, says her driving aim was to help acknowledge and understand why the veterinary sector is the least diverse profession in the UK (Gyles, 2018), with veterinary nursing being worse than veterinary medicine, and her article also considered possible solutions.
Ciar first studied animal management at Shuttleworth College, before completing a bachelor’s degree in veterinary nursing at Middlesex University.
She then participated in Linnaeus’s post registration programme (PRP) at Davies Veterinary Specialists and is now a permanent member of the team.
Davies Hospital Director Ben Orton said: “Many congratulations to Ciar on her impressive achievement.
“We are extremely proud that she is a member of our nursing team here at Davies.
"Her drive, focus and commitment strongly reflect our hospital ethos and her article pertinently and comprehensively tackles the very important subject of BAME representation within the veterinary sector.”
PawSquad, which was founded in 2015 by Diwaker Singh and Radu Georgescu, offers veterinary consultations by video and live text chat in the United Kingdom. IVC says it continue to operate as an autonomous entity within the IVC group.
PawSquad CEO, Dr Mark Boddy MRCVS (pictured right) said: “Our network of experienced veterinarians has already helped many thousands of pets in the UK, providing medical advice, emergency triage and preventive health plans. Being part of IVC will allow us to help even more pets and to continue to work positively and collaboratively with the veterinary profession, as well as expand geographically.”
Stuart Caton, Chief Commercial Officer at IVC Evidensia said: "Telemedicine will support the efforts of the group to make high quality veterinary care more accessible to pet owners, lowering the barriers to engagement with the veterinary profession. It’s an excellent acquisition that will further complement the group as pet services grow and evolve in the future. We are delighted the entire PawSquad team will continue with the business supporting their corporate and private clients as before.”
IVC says the accessibility of the PawSquad service encourages pet owners to seek professional advice earlier and more frequently, with around half of all queries being referred for necessary in-clinic follow-up and otherwise providing much valued reassurance and peace of mind.
The company also says telemedicine is particularly appreciated by cat owners or those with nervous dogs, where the stress of a clinic visit can sometimes result in those pets missing out on veterinary care.
PawSquad Chairman and Founder, Diwaker Singh said: “We are pet lovers and launched PawSquad with the objective of making sure that pet owners have instant 24/7 access to quality pet care, accessible from their homes. Towards this end, PawSquad is a great success. The service has grown significantly, confirming there is a clear need for this service. IVC Evidensia’s extensive network will help the business strengthen and grow to even greater heights.”
The researchers hope that the study will help to increase a veterinary surgeon’s index of suspicion of a particular liver disease, particularly if a biopsy-confirmed diagnosis is not possible.
In the study titled “Histopathological frequency of canine hepatobiliary disease in the United Kingdom”, histopathology reports from canine liver tissues submitted to a commercial veterinary laboratory by UK first and second opinion practices were retrospectively reviewed.
Data collected included breed, age, sex, gross and histological descriptions, diagnosis and additional comments.
Data were then grouped into 23 categories according to WSAVA histological criteria for canine hepatobiliary diseases using the four main morphological groups of vascular, biliary, parenchymal and neoplastic disorders. Breed analysis was then performed on the top five ranking breeds within each individual category.
A total of 4584 histopathology reports of canine liver tissue were included in the analysis.
The most common histopathological diagnoses were reactive hepatitis (16.8%), chronic hepatitis (16.0%) and reversible hepatocellular injury (RHI) (12.9%).
Labrador retrievers were found to have increased odds for reactive hepatitis (OR 1.57, 95%CI 1.23-1.99), whilst crossbreeds demonstrated reduced odds (OR 0.65, 95%CI 0.54-0.79).
Breeds with increased odds of chronic hepatitis included the Labrador retriever (OR 4.14, 95%CI 3.47-4.93), springer spaniel (OR 6.30, 95%CI 5.10-7.79), cocker spaniel (OR 2.78 95%CI 2.20-3.53) and West Highland White Terrier (OR 3.23, 95%CI 2.24-4.65).
Within the RHI group, the schnauzer (OR 8.06, 95%CI 5.77-11.26) and Bichon Frise (OR 5.19, 95%CI 3.63-7.42) had increased odds of disease.
Dr Yuvani Bandara, corresponding author for the paper, said: “This is the first study to report the histopathological frequency of hepatobiliary diseases and to identify possible breed predispositions in a large cohort of dogs in the UK.
“Despite multivariable analysis not being performed to account for confounding factors, we hope that this information informs and supports future investigations for hepatic disease in particular breeds and potential predispositions.”
The full article can be found in the September issue of the Journal of Small Animal Practice and can be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13354.
Reference
Speakers include Prof. Jo Dukes McEwan, Head of Service, Professor in Small Animal Cardiology (University of Liverpool), Doctor Jennifer Schissler, Veterinary Dermatologist, Best Friends Animal Hospital & Urgent Care Unit (US), and Doctor Pascal Prélaud, Dermatologist, CEO ADVETIA Vet Hospital Center (France).
Participants will also be able to access to an immersive experience, the Vet Symposium Village, which includes the Live Stage, Vet Lab, Clinic Lounge, and Innovation Hub, all offering exclusive videos and lectures.
The event will be translated into Chinese, French, Spanish, Italian, Portuguese, Russian, and German, and a replay of the event will be available until the end of the year.
Dr. Jennifer Welser, Chief Medical Officer, Mars Veterinary Health, said: “It’s more critical than ever for pet professionals from various countries, fields, and perspectives to meet and share their knowledge.
"I look forward to participating in the Vet Symposium and speaking with my peers on topics ranging from mental health to advancements in quality medical care and retaining veterinary talent.”
https://digital-vetsymposium2022.com/
Ronnie (pictured right) will look at quality control and artefacts of sample quality and review the effects of different pathologies.
By examining analyser output, he'll demonstrate how abnormalities of cells and plasma may affect measured parameters and their indices.
Using images, photomicrographs and video links, he'll move onto explain the techniques and equipment needed to complement analytical automation in order to confirm results quality.
Ronnie said: “We now have more near patient testing in veterinary haematology than ever before. Quality is key to best practice and ultimately superior patient care.
"Sod’s Law states that ‘if something can go wrong, it will!’, so along the way to your generating a Complete Blood Count, it pays to be aware of some of the pitfalls that you may encounter.
“One should never underestimate the value of gross exam and simple methods that can be used to ensure sample quality and results accuracy. Seeing is believing after all!”
There will also be an open Q&A session with Ronnie after the presentation, so attendees are invited to bring any questions on all things haematology.
To register for the webinar, visit: https://register.gotowebinar.com/register/2458623866746094093
Mr Eccles had first appeared before the Disciplinary Committee in November 2018 where he admitted a number of clinical failings regarding his diagnosis of a cat, the keeping of accurate and detailed clinical records, giving the animal appropriate treatment, surgery and care, and failing to provide the cat’s owners with adequate information on the cat’s care upon discharge.
After Mr Eccles admitted the two charges against him, and the Committee found him guilty of serious professional misconduct, the Committee then postponed its decision on sanction on the condition that Mr Eccles agreed to abide by a set of undertakings in the interim. They included: the preparation of a personal development plan, the enrolment of his practice in the RCVS Practice Standards Scheme, the appointment of a veterinary mentor, the completion of additional training and CPD, and his agreement to pay any costs of complying with the undertakings, including the appointment of and work undertaken by the appointed mentor.
At the resumed hearing last week, the Committee received evidence from Mr Eccles confirming that he had complied with all the original undertakings agreed to in 2018. It also considered some further undertakings that Mr Eccles had agreed to in October 2020 when his reconvened hearing was postponed due to the coronavirus pandemic. They included: confirming his compliance with the personal development plan he had drawn up in 2019, his practice achieving the Core Standards accreditation level within the Practice Standards Scheme, continuing to meet with his veterinary mentor, and undertaking additional CPD – all of which were found to be completed.
The Committee also heard evidence from both the veterinary mentor and Mr Eccles himself. In his evidence, Mr Eccles apologised to the owners of the cat for the care he had provided, admitting that he had let them and himself down by not having sufficient knowledge to recognise the cat’s needs and to provide him with a sufficient level of care. He also confirmed he was continuing to make improvements to his practice and that he had enjoyed the process of being mentored.
Dr Martin Whiting, chairing the Committee and speaking on its behalf, said: “In November 2018, Mr Eccles practice had fallen significantly short of an acceptable and adequate standard. He was a sole practitioner who had drifted away from professional standards.”
“The Committee today considers that Mr Eccles has met the undertakings which he accepted in November 2018 and again in October 2020 when the resumed hearing was adjourned owing to Covid-19. It accepts the College’s analysis as to how those standards have been met. It notes that Mr Eccles’ practice has achieved accreditation in Core Standards under the Practice Standard Scheme, something which is voluntary in ordinary practice. That is an exacting scheme. He has engaged with his mentor and had indicated that he will continue to do so as the need arises in order to maintain his development.”
Dr Whiting added: “The Committee also recognises that this was a single incident in a long career. It accepts that he has shown insight into his shortcomings. He understands what went wrong and why. The Committee was impressed with Mr Eccles’ statement of apology in his oral evidence today.”
“The Committee found the language which he used in answering its questions, as to the effect compliance with the undertakings has had upon him professionally, reassuring. He said he had been rejuvenated and stimulated; he had renewed enthusiasm for the profession. The Committee commends him for exceeding the minimum requirement of the undertakings, despite the stressful context of the Covid-19 pandemic.”
In considering its sanction for the original admitted charges from November 2018, the Committee considered that a reprimand and warning as to future conduct was the most appropriate and proportionate sanction.
The full findings for the case can be found at: www.rcvs.org.uk/disciplinary
NDSR’s director of neurology Rodolfo Capello said: "This technology is one of the most advanced in medicine and helps to surgically remove tumours while also reducing the tissue damage to vital structures.
"The accuracy and control of the system offers us greater versatility and precision, and minimises invasive manoeuvres during both soft and hard tissue dissections.
"Surgeons can therefore be extremely confident of accurate tumour excision with reduced blood vessel and tissue damage which will all help increase and improve the outcome of our surgeries.
"We’ll be using the ultrasonic surgical aspirator for the removal of tumours in the brain, liver and to cut through bone where necessary. It will be a great asset."
For more information, visit: www.ndsr.co.uk
The nurses have coordinated a donation of unwanted scrubs, tops and other surgical clothing to Leicester-based charity Inter Care, which supports health clinics in countries such as Ghana, Tanzania, Sierra Leone, Malawi and Zambia.
Harriet said: “It all came about because we were about to dispose of some surgical wear, including scrub tops and trousers.
“We thought it a waste to throw them away so got in touch with Inter Care via email and they were very quick to come back to us.
“They said they frequently ship containers full of medical supplied to Africa and one was being sent this summer so we quickly sent them our supplies to be included in the next shipment.”
Bianca added: “We initially looked at this as just a one-off donation but now we’ve learned all about Inter Care we’ll be looking into sending more things in the future.
“I think it’s a great idea and a great cause because the charity supports more than 100 health units in some of the poorest parts of Africa, sending much-needed medical supplies and aid to rural clinics.”
People are invited to organise or join a walk to raise money for Canine Arthritis Management and its work to educate both dog owners and veterinary professionals about how even the smallest of changes can help to enhance the life of a dog with arthritis.
CAM highlights recent work from the Royal Veterinary College and University of Sydney through VetCompass, which highlighted some of the biggest welfare challenges facing our pet population including obesity, dental disease and osteoarthritis, with osteoarthritis identified as one of the most severe conditions.
Hannah said: "We need to start more conversations about arthritis; both dog owners and vets need to be more aware of the steps we can take to help prevent arthritis, and where dogs are affected, how we can take positive action to help them live fulfilled and comfortable lives."
Hannah says that arthritis is currently one of the biggest causes of owners choosing to euthanise their dogs, and she hopes that owners taking part in the walks will help spread the word that arthritis can be managed.
To find out more about the Big September Walks visit www.facebook.com/CAMBigSeptemberWalks
The Weight Management range offers nutritional solutions to support healthy weight and the management of cats and dogs with diabetes mellitus.
Caroline Burke, Weight Management Specialist at Royal Canin, said: "Obesity is a growing problem and puts pets at risk of developing further conditions. Now recognised as a chronic incurable disease, we are passionate about tackling this problem with science. The Weight Management products are the gold standard in nutritional support for weight management."
Royal Canin Satiety Weight Management has high levels of fibre to make pets feel fuller for longer. It also comes in a new kibble shape which Royal Canin says increases chewing and meal duration by 57% and decreases begging significantly in 15 days.
Royal Canin Diabetic is formulated to help with the management of glycaemia and the wet pouch now comes in a new size, moving from 100g to 85g, for better portion control. Both diets have been launched with a new premium pack design.
Caroline added: "We know studies show that obese cats and dogs may live shorter lives and can be more susceptible to skin diseases, diabetes mellitus, urinary disease and cardio-respiratory dysfunction. In addition to a reduced life expectancy, owners of obese pets spend more on average; from diagnostics to surgical procedures and medication. Our new Weight Management range will help veterinary professionals support owners in creating healthier habits and work towards better management of overweight pets."
For more information on the new Weight Management range, visit https://vetportal.royalcanin.co.uk/vhn/veterinary-health-nutrition-weight-management/
Kate, who has worked in practice for 30 years, said: "Pilates does more than just give you a strong core. By tapping into your mental wellbeing even for a short period, it allows that disconnection from the pressures of the day, and encourages the mind to press that reset button. We draw attention to our breathing, our physical well-being, and our mental health.
"By introducing practice pilates once or twice a week, you will find your staff will feel relaxed, mentally calm and engaged. You will also begin to find that they will suffer less and less with those aches and pains brought on by sitting for long periods, and so will suffer less with, and even eradicate lower back pain."
"By helping you practice pilates together as a team, I aim to nurture friendships, allay any clustering of personalities and provide a stable platform for all to be equal."
Practice Pilates has a network of instructors which are allocated to certain regions around the country, and Kate says the aim is to roll out the service, and cluster visits in each area, to keep costs low.
Sessions typically last 45 minutes to one hour, so they can fit into a lunch break.
The company offers a monthly subscription which provides slightly lower per class rates, or a Pay As You Go option. The service is being launched with reduced rate taster sessions.
For information, telephone Kate on 07780 603534 or email: practicepilates@outlook.com.
Looking at the imagery on the company's website, I'm not altogether sure I'll be able to resist it either.
The new range, which comes in chicken or tuna flavour with vegetables and rice, includes:
Urinary Care - to help dissolve struvite uroliths
Derm Defense - to support skin health
Digestive Care - for pets with gastrointestinal disorders and pets in recovery
Metabolic - a weight management diet for pets
Kidney Care - to support pets with kidney conditions
For more information, visit: https://www.hillspet.co.uk/prescription-diet/stew.
Aimed at all members of the veterinary team across Europe, the webinar is moderated by veterinary nutrition expert Dottie Laflamme.
The webinar, which will also be available on demand after the event, follows others in the series that allow conversations about nutrition to be integrated into everyday consultations.
Speakers Shoshanah Verton Shaw, RVT, VTS (nutrition) (pictured right), and Marge Chandler (a diplomate of the American College of Veterinary Internal Medicine, the European College of Veterinary Internal Medicine and the American College of Veterinary Nutrition) will be sharing their tips for handling nutrition discussions in a non-confrontational way that preserves the client bond with the vet and the practice.
Registration for this and another three free webinars is available at https://bit.ly/purinawebinars2022.
532 veterinary practices responded to the survey, which was sent to 3,096 veterinary practices for which the RCVS had a unique email address, on 3rd April.
The survey found that:
Three-quarters of those who responded to the survey answered a question on how the RCVS could better support veterinary practices through the crisis. The most frequent response (27%) was that the RCVS needed to provide clearer guidance, in particular as to what services it was permissible for veterinary practices to provide [the College published its updated guidance and flowchart on 9 April].
Of those who responded to the question, 15% felt that the RCVS was doing a good job or that there was nothing more it should do, while just 2% of responses expressed negative sentiment towards the RCVS.
Lizzie Lockett, RCVS Chief Executive, said: “I would like to thank all those practices who took the time in what is already a very fraught situation to respond to our survey and provide the evidence we need to gain a holistic picture of coronavirus’ impact on the business and economics of veterinary practices. We plan to continue running these surveys on a regular basis in order to gauge impact over time and the findings will feed into our policy and decision-making.
"This ongoing research will also be a vital tool when we are talking to Government and other bodies about the impact of policy on the veterinary sector. On this note, we are aware of the challenges of a minimum furlough period of three weeks given the need for practices to take steps to offer 24/7 emergency and critical care, and have written to government on this with some case studies around the impact this is having.
"To those on the ground it won’t come as too much of a surprise that the impact of the coronavirus has been profound in areas such as practice turnover and staffing, with many vets, veterinary nurses and other support staff being furloughed with the aim of signing them up to the Government’s Coronavirus Job Retention Scheme.
"There are some bright spots in the data we’ve gathered – very few practices reported that they had made or were planning to make staff redundant, and many practices reported mitigating the challenge of social distancing by carrying out consultations with new and existing clients remotely.
"Since the survey took place we have also taken steps to meet some of the requests for greater clarity and guidance from the RCVS with the publication of our flowchart helping practices to decide what treatments it is appropriate to carry out safely amidst the COVID-19 pandemic."
The survey results can be read in full at www.rcvs.org.uk/publications.
The next practice impact survey is planned for early May.
Julie won the award for her dedication to progressing veterinary nurse education, both in the UK and abroad.
Julie is Chair of the Accreditation Committee for Veterinary Nurse Education (ACOVENE) and a Board member of the Veterinary European Transnational Network for Nursing Education and Training (VETNNET).
Over the past ten years, she has been involved with several Leonardo da Vinci European funded projects developing veterinary nurse training across the European Union.
Other winners of this year's awards included Laurent Garosi (The Bourgelat Award for outstanding international contributions to the field of small animal practice), Sarah Girling (The Simon Award for outstanding contributions in the field of veterinary surgery), Kit Sturgess (The Woodrow Award for contributions to the advancement of small animal medicine), Martin Hawes (The Amoroso Award for outstanding contributions to small animal studies), Daniella Dos Santos (The J.A. Wight Memorial Award for an outstanding contribution to the welfare of companion animals) and Claire Bessant (The Ray Butcher Award for an individual who has made a significant contribution to animal welfare in the community).
BSAVA Honorary Secretary, Krista Arnold said: “Congratulations to all those that are receiving an accolade.
“All the nominations were exceptional, making judging particularly difficult this year.”
The collection includes articles from BSAVA’s Companion magazine, webinars, and Congress lectures, covering topics such as ‘What does environmentally-friendly look like in practice?’, ‘20x20 visions of a greener future now’, and ‘One Health, One Planet: Why sustainability is a necessity’.
The collection builds on the work of the BSAVA Sustainability Working Group (SWG), which was formed to help small animal practices on their sustainability journey.
Carl Gorman, Junior Vice President of the BSAVA and Chair of the SWG said: “We are pleased to have created this collection of resources for veterinary professionals.
"It is increasingly important that we ensure sustainable working in small animal practice, and we hope that this collection highlights some of the ways in which staff can really make a difference in their practice”.
The collection is freely available in the BSAVA Library throughout December from: https://www.bsavalibrary.com/content/sustainability-in-practice
To find out more about the BSAVA SWG’s work, visit: https://www.bsava.com/aboutus/sustainability
Julie Dugmore, RCVS Director of Veterinary Nursing, said: "We have been in discussion with veterinary nursing education providers regarding a number of concerns they have raised regarding the support for student veterinary nurses and the progression with their licence to practise qualifications.
"These include concerns that, under the current circumstances, student veterinary nurses would not be able to fulfil their clinical placement requirements, as well as not being able to undertake the required assessments. Furthermore, institutions offering veterinary nurse education would not be able to continue their programme of approving and quality monitoring Training Practices.
"Therefore the following temporary arrangements and guidance have been approved by both the Veterinary Nurses (VN) Education Committee and VN Council. We ask that all student veterinary nurses, veterinary nursing education centres and Training Practices read the guidance.`'
The temporary arrangements and guidance are as follows:
Clinical placements
Several universities have expressed concerns regarding student veterinary nurses’ attendance in clinical placement over the coming weeks, due to the precautions around transmission of Coronavirus. This applies, in the main, to full-time students in all years of a programme, although there are particular concerns as to the impact this will have on final-year students being unable to complete the required number of hours in order to complete their programme and graduate.
Universities and awarding organisations have requested a degree of flexibility around the RCVS VN Registration Rules and completion of the RCVS Day One Skills, in light of the Covid-19 situation. The following therefore applies:
We recognise that it should not be compulsory for students to complete clinical placements within the next eight weeks, after which the situation will be reviewed. This will apply to students in any year of their studies.
We recognise that for students in their final year of study, it may be difficult for them to make up the hours of clinical placement missed prior to graduation. Universities and colleges should continue to support students and explore alternatives, however any shortfall relative to the requirements should not be a barrier to completion of the programme.
For BSc students in years 1 to 3 of their studies and FdSc students in years 1 and 2 of their studies, we would expect that there will be sufficient time for them to make up the number of hours prior to completing the programme. However we will review this as the Covid-19 pandemic progresses.
Student veterinary nurses will still be required to complete the Day One Skills for Veterinary Nurses in their totality as these seek to assure competency at the point of registration. Where a student has completed the Day One Skills in less than the 1,800 hours, this will be assessed on a case by case basis on application to register.
Assessments
We note that accreditation standards require veterinary nursing programmes to include an OSCE or similarly robust, objective and evidence-based form of practical examination to test safe and effective acquisition of a broad range of skills and competences as outlined in the RCVS Day One Competences and Skills for Veterinary Nurses.
There has been some concern regarding the number of examiners required for OSCE assessments in light of announcements from some organisations that are not allowing staff members to attend large gatherings.
Universities and awarding organisations may need to explore alternatives to the current delivery of the unseen and Objective Structured Clinical Examination (OSCE) used for assessment of the RCVS Day One Competences and Skills for Veterinary Nurses, as a result of measures to protect students and staff and reduce the risk of Coronavirus transmission. In this respect, the RCVS Examinations Manager and Chair of VN Education Committee will review proposals for changes to the assessment.
As universities and awarding organisation explore alternative methods, they should continue to consider the robustness of their processes in assessing practical skills.
Universities and awarding organisations will still be required to assure us, through subsequent analysis and evaluation, that all their assessments were sufficiently met Day One Competences and Skills.
Training Practice Approval and Quality Monitoring activities
Time spent discussing the articles can be claimed towards the annual CPD requirement by pressing the ‘Claim CPD’ link at the top of the forum discussion thread.
The first article up for discussion is "Newborn resuscitation following dystocia or caesarean section", by Tom Towey MRCVS who will be joining us in the forum this week.
Tom is an RCVS Advanced Practitioner in Emergency & Critical Care working at Vets Now in Manchester.
He graduated from the University of Glasgow in 2011, before spending 7 years at Petmedics Emergency Hospital in Manchester.
He gained his Advanced Practitioner status in Emergency and Critical Care in 2016 and joined Vets Now in 2018.
He now lectures on a wide variety of aspects of emergency care .
VetNurse.co.uk Clinical Editor Alasdair Hotston Moore said: “For veterinary nurses, I think this adds a really valuable extra dimension to your clinical reading. “It’s not just the opportunity to ask questions of the author, but also to discuss the implications and practicalities of the article amongst yourselves. VetNurse.co.uk Editor, Arlo Guthrie said: “More than that, it’s also in a closed professional community where you can be 100% confident of a friendly atmosphere and authoritative opinions with provenance. “And more even than that, the questions you ask and the discussion you have are then available as a useful, searchable resource for everyone in the profession.” So do come and join in. First read the article here: https://www.veterinary-practice.com/article/newborn-resuscitation Then come and join the discussion here: https://www.vetnurse.co.uk/001/veterinary-nurse-clinical/small-animal/f/misc-clinical-discussions/32369/new-clinical-article-club-newborn-resuscitation-following-dystocia-or-caesarean-section-with-tom-towey
The review started with a series of focus groups amongst veterinary professionals across multiple sectors.
This was followed by an analysis of the information gleaned from the focus groups, additional stakeholder submissions, data from the College's Covid surveys, independent research studies and formal legal advice to formulate an online qualitative survey to gain the views and feedback of UK-based veterinary professionals.
In this final stage, the public consultation, all veterinary professionals, vet and vet nurse students, practice managers and all those who work in the veterinary practice team are invited to share the extent to which they agree (or disagree) with each element of the proposed new guidance on ‘under care’, their views on the requirements for a 24/7 follow-up service following a remote prescription and other safeguards, and their feedback on the proposed definition of limited-service providers.
There will also be a consultation with members of the animal-owning public, which will likely include questions asking for information about animal owner experiences with remote prescriptions, the perceived advantages and/or disadvantages of remote prescribing, and views on 24/7 care and how important a service this is to respondents.
Dr Melissa Donald MRCVS, RCVS President and former Chair of the Standards Committee, said: “The past two years have shown us that the veterinary professions are highly capable of adopting new ways of working.
"It also revealed that we can adapt our established ways of practice to better respond to shifts in public expectations and advancements in technology.
"However, it is our collective responsibility to ensure that any changes continue to allow us to provide safe and effective care for our patients, and meet the appropriate expectations of our clients.
“Whilst we recognise and reflect on the need for change, the proposed guidance seeks to protect animal health and welfare and maintain public trust by ensuring that decision-making remains firmly in the hands of individual veterinary surgeons, as to what they, in their professional judgement, consider appropriate in a specific situation.
“This consultation, then, while not a referendum on whether RCVS guidance on ‘under care’ and 24-hour emergency first-aid and pain relief should change – that decision having been made by Standards Committee and approved by Council based on the evidence gathered, including the views of the profession and objective evidence, and legal advice – is a crucial opportunity for veterinary colleagues to tell us whether we have got the draft guidance right, whether the proposed safeguards are sufficient, and whether there is anything we might have missed or should amend.”
www.rcvs.org.uk/undercare.
Everyone taking part in the survey will receive a fob watch to thank them for their participation.
Sarah is leading the project, which is supported by Ceva Animal Health, alongside Professor Danièlle Gunn-Moore, fellow RCVS Feline Medicine Specialist and Professor in Feline Medicine at The University of Edinburgh.
Suzanne Page MRCVS, Amodip Product Manager at Ceva, said: “There are many barriers to ensuring that all older cats and those with relevant concurrent diseases receive screening for hypertension.
"The survey will help us better understand what those barriers are and how these challenges can be addressed positively to improve animal welfare.
"It is also an issue that requires the whole practice team to come together to deliver a better outcome for their patients.
"We are therefore very keen to find out how all members of the practice team view these important issues and want to encourage all vets and veterinary nurses to share their perspective on the challenges they face in carrying out blood pressure measurements.”
Sarah is emphasising the importance of keeping feline patients calm and relaxed during blood pressure assessments: “The so-called ‘white coat effect’ or situational hypertension, has been observed in both people and animals.
"The survey will also explore the tools and techniques veterinary professionals use to minimise the impact of blood pressure assessments on their patients and will help us to develop some best practice approaches.”
The survey can be found at https://bit.ly/FelineHypertensionSurvey.
To claim the free product, visit www.daxocox.co.uk/trial and use the stock selector to pick the dose sizes to suit the patients you think Daxocox could help.
Animalcare Marketing Manager James Beaumont explained: “When you consider that recent data shows that up to 20% of dogs over one year of age could have some form of OA1, the scale of problem becomes clear – as does the threat to the welfare of our canine companions from OA pain.
“Owners already giving Daxocox to their OA-affected pets, have seen first-hand how it can significantly improve their quality of life.
"90% said that their dog’s osteoarthritis improved, with 84% reporting that their dog’s quality of life improved from “poor or fair” to “good, very good or excellent.”2
James added: “In a study carried out by Animalare, 88% of owners said that weekly NSAID dosing would be easier to remember, or mean they were less likely to miss a dose or that it would control their dog’s pain more effectively.3
“Used as a first line treatment for OA, Daxocox can provide a solid foundation to long-term pain management that suits vets, dogs and their owners.
"As such, we’re confident that once practices have tried it, it will become their canine OA NSAID of choice.”
For more information, visit www.daxocox.co.uk
References
Earlier this year, the company called on veterinary team members to nominate nurse colleagues who had gone beyond the call of duty, particularly since the outbreak of the COVID-19 pandemic.
And the winners are:
Claire Defries, VN Programme Leader at the College of Animal Welfare, who was instrumental in developing online training virtually overnight when the national lockdown was announced in order to support vet nurses in training and to enable third year students to sit their finals. She was also commended for the pastoral support she has provided to students during lockdown.
Ellie Tappenden from Albyn Veterinary Centre in Broxburn, was nominated for the long shifts she has been working before delivering regular medicines and ensuring that self-isolating clients are coping. She also created a local support network with other vets and organised a collection of spare PPE for the local hospital. She achieved this while managing her pain from Ehlers Danlos, a degenerative disease which she fights every day.
Tammy Jarvis from the RSPCA Block Fen Animal Centre in March was nominated for the exceptional support she has provided to all 105 patients at the RSPCA centre and the veterinary surgeon. With other staff furloughed, she has also taken on additional duties, including maintenance and grounds management, and has recently started sewing facemasks for the team.
Bethany Lavill (pictured right) from Etwall Vets in Derby was nominated for the wide range of additional duties she has taken on, including collecting animals from owners who are self-isolating; coming in after hours to check up on in-patients and supporting bereaved clients. She has gone over and above the call of duty on many occasions and still asks what more she can do to help.
Student vet nurse Shannon Mills from Leeds Colton Vets4Pets was nominated for being a major asset to the team over the last few months, despite a recent diagnosis of epilepsy. She has willingly covered a range of roles and recently nursed a critical care rabbit throughout the day, whilst manning reception. She even managed to pass her mock exam with flying colours during lockdown with little time to study.
Each of the five winners was rewarded with a Betty’s Gift Box, brimming with treats, including Betty’s champagne truffles, chocolate desires, Yorkshire tea and shortbread.
Animalcare Product Manager James Beaumont said: “We wanted our competition to highlight the fantastic contribution vet nurses around the country are making to their colleagues, clients and patients – but the number and quality of entries hugely exceeded our expectations.
"At such a difficult time, the positivity, passion and care that each nomination exuded made reading them a moving experience and selecting only five as winners was no easy task. We thank all those who took the time to nominate their amazing colleagues and thank every vet nurse who was nominated for their extraordinary commitment and dedication."
In mid-September, the Association wrote to the RCVS expressing concern about the August extension to the temporary guidance.
In the latest update from the RCVS, the temporary measure has now been extended to 31 October but the flowchart and guidance have been updated to add some additional steps before a POM-V product can be prescribed remotely.
The BVA says that while it supported the original decision in March as a pragmatic solution and direct response to government restrictions surrounding Covid-19, it is now questioning the ongoing need for such a relaxation in the rules.
In the letter to the RCVS, the BVA also asked for a timeframe for the publication of the results of the RCVS survey of practices’ experiences of remote consulting and prescribing. The Association's own under care working group, chaired by Nigel Gibbens, has been developing a position to respond to the RCVS review.
BVA President James Russell (pictured right) said: "We understand that allowing remote prescription of POM-Vs was a necessary measure at the height of the lockdown, as practices struggled to assess patients in person.
"However, the veterinary professions have done a fantastic job in adapting to the restrictions and are now able to work safely and see patients.
"Whilst we recognise the RCVS has provided additional guidance for the remote prescribing of POM-V, we cannot currently see any reason why a new client would be unable to access in-person veterinary care in the first instance and we are asking RCVS Council to reconsider this measure when it meets in Oct.
"It makes sense to continue allowing vets to remotely prescribe for existing patients, for example if an owner is shielding, but we feel it is no longer appropriate to be remotely prescribing to animals that have never been physically examined by the vet.
“The question of whether we should be able to remotely prescribe POM-V products without first seeing an animal is an important and live debate, and we welcome the resumption of the College’s review. But the longer that temporary measures are in place, the greater the expectation from animal owners that they will always be in place, and the harder it will be to have the discussion about the best way forward.
“As a profession, we are rightly concerned about antimicrobial resistance and we pride ourselves on the responsible use of medicines. Continually extending the temporary measures without a full analysis would risk undermining our position.”
So far this year the charity says it has received 144 requests from people asking for it to take in or help rehome their horse or pony through the Blue Cross Home Direct service.
More than 70% cited personal or financial circumstances as the reason.
In comparison for the full year of 2021, 43 (or around 15%) of a total of 277 intake and rehoming requests specified financial reasons.
In 2020 a total of 32 (around 14%) out of 231 requests stated financial reasons.
Annabelle Taylor, Rehoming Coordinator at Blue Cross, said: “It is distressing to see that the number of people seeking rehoming support because of financial reasons is already more than double last year’s annual total and we still have a third of the year to go.