Duncan, an 85kg miniature horse, was first admitted to the Philip Leverhulme Equine Hospital in July this year for investigation of severe hind limb lameness. A CT scan revealed that Duncan had dislocated the left hip joint and damaged it irreparably.
Equine surgical specialist Dave Stack said: "Treatment options for this problem are very limited, especially with extensive damage to the head of the femur.
"I discussed Duncan’s predicament with two small animal surgical specialists, Professor Rob Pettitt and Andy Tomlinson, who agreed that performing a total hip replacement offered Duncan the best chance for recovery."
The procedure had been attempted in small ponies before, however, all known previous attempts had failed. The surgery required careful preparation and the combined knowledge of specialists in both small animal and equine surgery, as well as colleagues from the anaesthesia and internal medicine departments.
Working together, the teams were able to replace Duncan's left hip using implants designed for use in large dogs.
Equine Surgical Resident, Matthew Cullen said: “Although always complex, hip replacements are relatively common in dogs, so the experience of the small animal surgeons was absolutely vital as Duncan presented a highly unique challenge.
"Despite that he has made an excellent recovery and was able to walk and trot almost normally at his last check up!”
Duncan was hospitalised for over three weeks and required round-the-clock supervision in the first few days after surgery. As he grew stronger, physiotherapy formed a large part of the postoperative care to help him get back on his feet.
Rob Pettitt, Professor of Small Animal Orthopaedics at the University’s Small Animal Teaching Hospital, said: "The opportunity to provide Duncan with a normal life using a procedure that we perform regularly in dogs but that has never been successful longer term in equids was a unique experience. Our role as surgeons was just a small part of the huge teamwork that has resulted in this successful outcome."
Dave Stack added: “I would like to express my gratitude to all who contributed to the success of Duncan’s recovery, not least Rob Michael of Thompson House Equine Clinic, Duncan’s vet at home, whose care of him has been invaluable. I am thrilled that Duncan will live a comfortable life and delighted that Duncan’s owners have the opportunity to continue to spoil him for many years to come."
The course covers wound management, making decisions on dressings, drain management, how to complete biopsies and fine needle samples, how to complete a number of suture patterns and how to remove cutaneous masses and complete other surgeries under Schedule 3 legislation.
The course includes eight hours of practical skills training on cadavers as well as 2 hours online training, covering suture selection and legislation.
On completion of the course, CVS nurses are able to recognise what nurses can complete under Schedule 3 legislation, identify the correct dressing for each stage of wound healing, identify the equipment and correct technique for a range of biopsies, complete a number of different suture patterns, and remove cutaneous masses and complete other surgeries under Schedule 3 legislation.
Each nurse has a skills checklist to inform their ongoing training needs and is encouraged to have regular, informal meetings with a local mentor – who is able to support their learning.
The next Surgical Schedule 3 Course is scheduled for 21st March 2024.
Karen Learmonth, LED Nursing Lead at CVS said: “I am excited about the opportunity that Surgical Schedule 3 provides for nurses within CVS to further their skills and knowledge.
"Advocating nurses’ involvement in Schedule 3 procedures supports improved patient care and provides nurses with rewarding careers.
“It’s fantastic to see so many nurses completing the course to date and we’ll further develop nurse utilisation in 2024 where we’ll rollout both ultrasound and lab skills training.
"We hope this will encourage nurses to utilise all aspects of their role in line with Schedule 3 guidelines.”
Fran Wood, an RVN at Albavet - Rogers, Brock & Barker said: “I have been loving doing surgery and felt the course was the best CPD I have ever been on!
"It has given me the confidence to complete stitch ups, tail amputations and many other procedures.”
One of the critical factors in allowing vet nurses to use all their skills is having vets who are comfortable delegating.
To that end, CVS has vets who have pledged to support nurses to achieve this work.
The group has also published guidelines for its vets to provide clarity around effective delegation under Schedule 3.
Frontline wormer for cats contains praziquantel and pyrantel embonate, and for dogs it also contains febantel.
According to the company, Frontline Wormer is effective agains all types of intestinal worms found in the UK: roundworms, tapeworms, hookworms and whipworms.
It is presented as a palatable tablet which can be given as a treat without food, or mixed with food.
The press release from the company says the new product "gives pet parents an easy way to worm their cats and dogs".
"Pet parents?"
Someone please pass me the sick bag.
If I get one more press release describing cat or dog owners as 'pet parents", so help me god I will turn up at the press office and chain myself - naked - to the photocopying machine in protest.
It's a ghastly, patronising, cloying way to refer to people who own an animal, besides which, if I really was the parent of a pet, I would expect to be serving time at His Majesty's pleasure.
Frontline Wormer is available in packs of two tablets for 3 pet sizes.
As an AVM-GSL-licensed product, it can be sold off the shelf.
Dan, who is a novice runner, will be running the 13.1 miles between Newcastle and South Shields on Sunday 12 September. He said: “You’d think that lockdown would be the perfect opportunity to train hard and then breeze through the ‘world’s biggest and best half marathon’ but, perhaps like many others, I ate cheese and drank wine for 18 months, so the challenge is now really on.
“I’m raising funds to help save the rhino because the conservation of these magnificent animals is so important and I hope the added pressure of supporting the charity will propel me across the finish line. I’m also excited to be running in Newcastle at a time when Medivet is growing its presence in the North-East of England.
“Running in the rhino suit will be tough but it has an internal fan which I hope will keep me cool on the day. Let’s hope the weather will be kind!”
Donations to support Dan's fundraising can be made at https://uk.virginmoneygiving.com/DanSutcliffe1
The full eligibility criteria, including FAQs and guidance notes, for veterinary nurses who wish to stand for VN Council can be found at: www.rcvs.org.uk/vncouncil21. The deadline for nominations is 5pm on Sunday 31 January 2021.
Due to the ongoing postal problems caused by the coronavirus pandemic, RCVS Council has approved a temporary change to the RCVS Election Scheme this year to allow nominations to be submitted electronically, rather than in hard copy. This temporary change is currently before the Privy Council for final approval.
Eleanor Ferguson, RCVS Registrar and Returning Officer for the elections, said: "For prospective RCVS and VN Councils election candidates this will mean that, rather than having to send us hard copies of your nomination documents in the post, these can simply be emailed to the College along with the relevant digital photographs and electronic signatures."
The College has also updated its information and guidance for prospective candidates, including an informal ‘job description’, to help them better understand what it means to be members of VN Council, their responsibilities, commitments and how they help the College meet its strategic goals, as well as the principles and rules governing their conduct.
Prospective candidates for VN Council can contact Matthew Rendle, VN Council Chair, for an informal conversation on what it means to be a Council member on vncchair@rcvs.org.uk.
Matthew said: “I was very proud to recently be appointed as Chair of VN Council with responsibility for overseeing it and its role in important decision-making on some of the big issues for veterinary nursing around training and education, post-registration qualifications and registration.
“Over the past years, the role, responsibility and stature of VN Council has really grown. Its members have been at the forefront of important projects such as VN Futures, which is helping the profession identify and plan for its future, and have been ambassadors for the profession at events such as our recent VN Evening.
“Last year we had a record number of veterinary nurses standing for election to VN Council, a fantastic development that I hope will be repeated this year as you really can make a difference on VN Council and play a role in speaking up for and promoting our profession. Please do get in touch with me if you wish to find out more.”
There is one more RCVS Council meeting before the nomination period ends. It will take place online on Thursday 21st January 2021 and prospective candidates who would like to get a feel for it are welcome to attend as observers: contact Dawn Wiggins, RCVS Council Secretary, on d.wiggins@rcvs.org.uk.
The company says Locox TT has been developed to have high levels of EPA and DHA Omega-3, with independent lab analysis showing it contains over four times more Omega-3s than the market leading supplement.
The new product also chondroprotective ingredients and antioxidants.
Locox TT comes in tablet form: 1-2 tabs per day, with no loading phase required.
Will Peel, TVM UK’s product manager said: "Locox TT has undergone extensive independent testing so vets can be assured that the information they give to pet owners is verified and can be trusted.
"With an abundance of joint supplements on the market, we believe it is important that vets are able to make informed decisions when selecting their chosen brand, by providing clear, trustworthy information, alongside a high-quality product.’
TVM says it will be making client leaflets and waiting room questionnaires to help pet owners identify the symptoms of osteoarthritis in dogs.
For more information, visit www.tvm-uk.com/locoxtt or contact your local TVM territory manager.
Under the direction of Hilary Jackson and Rosanna Marsella, the manual has been revised and updated to provide a resource focused on the clinically relevant aspects of dermatological diseases. It also includes several new chapters and various sections have been expanded.
This new edition keeps the same format as the third edition. The initial chapters review the basic structure and function of the skin, discuss a logical approach to history-taking and outline the core investigative tests that can be performed. A separate chapter on skin cytology has been added to this edition, providing information on common skin diseases which the association says should be useful to all practitioners.
The introductory section is followed by chapters taking a problem-oriented approach to common dermatological conditions, including papules and pustules, scaling, and erosions and ulcerations. The chapters on pyoderma, ear disease and atopic dermatitis have been expanded and there are two new chapters dedicated to feline dermatological conditions.
A chapter covering the indications for allergy testing and the use of allergen-specific immunotherapy is also new to this edition. The main purpose of an allergy test is to confirm the clinical diagnosis of atopic disease and to identify the relevant allergens, which can then be selected for allergen-specific immunotherapy.
The final section of the manual focuses on the major skin diseases encountered in dogs and cats, and includes a chapter on topical treatments, which have an increasingly important role in the management of small animal dermatology patients, either as a sole therapy or as part of a multimodal treatment regime.
The BSAVA Manual of Canine and Feline Dermatology is available as a print edition (£90; £60 to BSAVA members), which can be bought at the BSAVA online shop, and a digital edition (£90; £60 to BSAVA members), accessible via the BSAVA Library.
The ISFM says Congress will offer veterinary professionals an extensive scientific programme designed to support a multi-modal and cat friendly approach to caring for feline patients with acute upper urinary tract disease and other emergencies.
Speakers will include Søren Boysen (Emergency & Critical Care), Serge Chalhoub (Internal Medicine), Laura Owen (Soft Tissue Surgery) and special guest Allyson Berent (Non-Invasive Surgery).
Sam Taylor MRCVS, ISFM Veterinary Specialist Lead (pictured right) said: "We seem to be seeing more and more feline urinary cases, urolithiasis and acute kidney injury - and of course the familiar blocked cats!
"In Dublin, I can’t wait to hear how to approach these cases as well as look more in-depth at ECC and discuss cat friendly critical care amongst many other topics from all angles – surgery, medicine, behaviour, imaging and more!’
The 2023 ISFM Feline Congress Dublin is open to veterinary surgeons and nurses of all experience levels.
https://icatcare.org/congress-2023-dublin/
There’s no filming skill required. Just get someone to point the phone so that the subject fills the screen. Make sure they hold the camera in landscape orientation, and hold it still. And speak clearly. That’s all there is to it. Then upload your film to a file sharing site like Dropbox or wetransfer, and send a link to your film to support@vetnurse.co.uk.
All films will then be subject to peer-approval, and those that pass will be shared on Brains and Drains, the new YouTube channel for the veterinary profession, where they will join a growing free resource designed to help veterinary nurses, technicians and veterinary nursing assistants around the world.
Ideas for things you might like to film a demonstration of include:
The best five films will win £100 each from VetNurse.co.uk. The overall winner will also get a £50 high street voucher from Training Progress, which is also providing another 4 runner up £20 voucher prizes.
Aside from the chance to win, there are lots of other reasons for making movies. First, it's an achievement to have a film published on our peer-reviewed channel, which can be a nice addition to your CV.
Secondly, it’s a great opportunity to showcase veterinary nursing skills as an example to those practices which don’t make the most of their nursing team.
Lastly, you may have something else you’d like to promote, such as a training organisation or educational establishment. If that is the case, we’ll happily include a big plug for it!
If you have any questions, or need any help or advice, making a film, contact me (Arlo) at support@vetnurse.co.uk
The competition closes at the end of July 2021.
Mary (or, to give her her full title, Dr Mary Fraser BVMS PhD CertVD PGCHE FHEA MAcadMEd CBiol FRSB FRSPH FRCVS) focussed on decision-making in practice while studying for her MRes in Clinical Veterinary Research, looking at how vets and owners influence the decision making process. This led her to consider how decision making is taught to students.
As part of the initiative, Mary has launched a new website: www.clinicaldecisions.org, which, together with a supporting blog, is designed to help nurses, students and recent graduates examine their decision making in practice, consider how owners influence it, and take forward shared decision making for the benefit of all.
Mary said: "As a student decision making can seem difficult. Working with owners, all of whom have different expectations, can add to those challenges.
"I hope that by bringing that discussion to the fore we can support each other and allow future vets and veterinary nurses to identify their own strengths in supporting owners to make the best decisions for their animals."
Find out more and contribute to the discussion at www.clinicaldecisions.org
Reporting into Chief Veterinary Officer Paul Higgs, Tara will focus on the development of the role of veterinary nurses in CVS.
The role of CVNO at CVS was previously held for a two year term.
CVS says this appointment of a permanent CVNO is to ensure greater continuity in veterinary nurse representation during an important phase of the company's development.
Paul said: “I am excited to welcome Tara into this role to ensure we continue to champion the role of veterinary nurses in CVS and in the profession as a whole.
“Those that know Tara will recognise she is passionate about the role of RVNs and is well positioned to support and influence the importance of the work they do across our company.”
“I am excited to be working alongside Tara as we engage with our teams and continue to foster the right environment to empower nurses and deliver fantastic clinical care in our practices.”
Tara began veterinary work in Norfolk 23 years ago and she joined CVS Group in 2008 as Head Nurse at a practice in Oxford.
She was one of the first CVS Clinical Directors to come from a nursing background and has since moved on to become Regional Director of practices in Norfolk and Suffolk.
The new facility will have 9 consultation rooms and 4 theatres, and is expected to open in early 2022.
It will be Animal Trust’s 10th veterinary hospital – with existing locations in Wrexham, Yorkshire and North England.
Animal Trust now employs more than 300 vets and veterinary care staff.
A further 15 jobs will be created in Rhyl when the new hospital opens.
Owen said: “Our ethos has always been that every animal deserves access to experienced and professional veterinary care as soon as they become ill.
"That’s why we offer free consultations for sick and injured animals brought to our surgeries.
"Our clients are from all walks of life and they come to us because of what we stand for and in some cases, for the prices we offer.
“As a CIC, we try and make sure that a comprehensive veterinary service is within reach of as many pet owners as possible.
"We build large veterinary hospitals that will serve the needs of the local pet-owning community and make a positive impact on their lives.
"Our new surgery will allow us to extend our services to the residents of the North Wales coastline, many of whom currently have to travel to one of our other existing surgeries.”
Funding for Animal Trust was provided by the £500 million Wales Flexible Investment Fund.
Propomitor can be used for the induction and maintenance of general anaesthesia for procedures lasting up to five minutes by the administration of incremental doses or as a constant rate infusion (CRI).
It can also be used for the induction of general anaesthesia where maintenance is provided by the inhalation of anaesthetic agents.
Animalcare Product Manager Kai Crawshaw said: "Propofol is the ‘go to’ solution for short-acting anaesthesia in many practices so we are delighted to add Propomitor, our new affordable propofol solution, to our range. It complements our already extensive anaesthetic toolkit, which offers options for analgesia, sedation, gaseous anaesthesia and recovery."
Propomitor is available in boxes of 5 x 20 ml bottles.
For more information, contact your Animalcare Territory Manager or Animalcare’s head office on 01904 487687.
The event offers over 80 hours of CPD across seven streams – with everything from hypotension and sepsis to breaking bad news to clients – as well as world-renowned speakers and networking opportunities.
Søren Boysen from the University of Calgary in Canada and Sophie Adamantos from Paragon Referrals in Wakefield, are among several high-profile speakers at this year’s Congress.
Chief Executive for GB Snowsport, Victoria Gosling OBE, will open Congress as keynote speaker where she’ll focus on perseverance, resilience and teamwork.
Also speaking are Prof. John Williams, Richard Casey, executive director at the World Small Animal Veterinary Association and VDS trainer Elly Russell.
Arlene Connor, an RVN and head of clinical operations at Vets Now and IVC Evidensia has planned the programme alongside national ECC lead Dan Lewis (pictured right).
She said: “We’re so excited to be returning to the Royal Armouries for our 19th Vets Now ECC Congress – around a theme which celebrates us all being together again.
"The past two years have been a challenge for all of us in the veterinary professions and we hope to mitigate that with a return to face-to-face learning and networking, as well as the chance to have some fun.
"Events like this can be hugely inspirational — for the organisers as well as the attendees — and we truly can’t wait to welcome everyone through the doors like old times.”
Dan added: “There’s a brilliant line-up of live speakers, workshops, a packed exhibition hall and more opportunities than ever for delegates to meet old friends and make new ones, as well as to learn from some of the world’s leading veterinary experts discussing emergency and critical care.
“Our programme again this year has been carefully tailored to provide an inclusive learning experience for vets and vet nurses no matter what stage they’re at in their career, from students through to specialists.
Tickets range in price from £45 + VAT for exhibition-only tickets, up to £470 + VAT for a vet to attend for 2 days plus the gala dinner.
To book your ticket, go to www.vets-now.com/congress2022
A similar scheme will also be run for Australian colleagues wanting to spend time in the UK.
The programme will allow the company's vet nurses to enhance their role internationally and to explore other parts of the world whilst furthering their career.
The programme is open to nurses with over two year's experience, who want to work overseas and then return to their current practice afterwards.
Secondments are also available for staff in support office roles.
Staff will be able to return to their existing roles for up to 12 months, and thereafter a similar role will be made available to them in their region.
Graeme Cramb, Managing Director for CVS Australia, said: “Our vision is to be the veterinary company that most people want to work for and we believe this UK-Australia secondment scheme represents an attractive option for colleagues.
“As the first vet company to offer a UK-Australia secondment scheme, we hope that it enables our colleagues to learn from colleagues in a new territory, further their career and to lead to some exciting cross-pollination of ideas.”
When colleagues express an interest, they will be contacted by CVS recruitment team member to discuss potential opportunities that they can apply for.
They must meet the criteria required to be able to obtain a visa to work in Australia.
Successful applicants will be offered a relocation package and continue to be paid their salary in the UK.
They may also be eligible for the cost of living allowance, paid in Australia.
https://www.careerswithcvs.co.uk/intranet/vacancy/uk-to-australia-secondment-program-4472/18753/description/
It's believed that VetNurse.co.uk and VetSurgeon.org, which run on a platform that predates Facebook, may be the first online communities to require good manners.
Under the new policy, anyone who posts anything in the forums which is sarcastic, belittling, snide, rude or unkind towards another member will face immediate removal from the website.
This marks a very radical change to the previous policy in which members were free to say pretty much what they wanted.
VetNurse.co.uk Publisher Arlo Guthrie said: "For years, I felt the right to free speech trumped all, and would rarely intervene.
"When I did, the worst anyone faced was a temporary suspension.
"As time has passed, I've realised the limitations of the written word, especially the short-form, hastily-written word, which can cause real distress.
"We all moderate our language offline, it's just a question of realising that we need a different set of standards online, to account for the lack of facial expression and immediacy of reply, and the public nature of the discussion.
Some people have questioned the new policy, and whether it will stifle proper debate.
Arlo added: "I believe not. It is perfectly possible and OK to disagree with someone, and express that disagreement forcefully, without being sarcastic.
"On the contrary, I think that allowing bad manners has a far more chilling effect on free speech, because it scares off opinions from the majority of more moderate members"
Others have asked whether this new policy is the consequence of the new partnership with Improve International, or proposed new laws surrounding social media.
Arlo said: "Again, no. It was a very personal decision I reached after years of wrestling with the problem. It was precipitated by a series of unkind posts and I just thought 'enough's enough'.
"That said, I am really excited about the prospect of working with Improve to grow the community as somewhere its members can come for high quality clinical content and authoritative opinion, which for sure would be hard to achieve if we don't have a friendly, collaborative atmosphere."
Another issue raised about zero tolerance is whether it is fair that there may be no second chance.
Arlo said: "I've tried loads of things over the years. Warnings. Red cards. Suspensions. None of them work. People just push the boundaries.
"But the moment I said 'zero tolerance', it seems people get the message and moderate themselves accordingly."
"I'm delighted. I want people to think of VetNurse.co.uk as somewhere everyone can come for authoritative advice and support, confident of a friendly welcome and the highest standards of online behaviour."
Firstly, pets that haven’t received primary vaccinations due to the coronavirus outbreak and develop an issue that would have been prevented by a vaccination they were unable to access, will now have that condition covered under their Agria policy.
Secondly, the company has now made it possible for owners of cats and dogs under the age of five to set up a 'Four Weeks Free' policy - which would ordinarily be set up in practice - themselves.
Simon Wheeler, Managing Director of Agria Pet Insurance (pictured right), said: "We have introduced these additional products during the pandemic to ensure that pets remain covered despite new and significant challenges faced by vets and owners. We hope that they alleviate a little of the pressure faced by veterinary staff and worry felt by owners."
Robin Hargreaves, who is Agria's Vet Lead and helped develop the solutions said: "Times are pretty tough in practice right now, and operating on a restricted basis isn’t ideal for us or the pets registered with us. One thing that would make life even harder would be if the percentage of uninsured pets was to rise.
"With Agria making it possible for owners to activate their own 4 Weeks Free policies at this time, even owners that can’t see vets as usual can still protect their pets with insurance.
“Relaxing restrictions around cover for unvaccinated pets will come as a huge relief in some cases, enabling any pets that have missed primary vaccinations or gone past their booster date due to current restrictions to still be insured."
For more information, visit: agriapet.co.uk/guide
This is the first time Linnaeus has appointed PCAs to its 68-strong clinical board, which aims to make it more inclusive by including a wider range of experience and expertise from every level in clinical practice.
The appointment of Alice Boyle from Maven Veterinary Care in Sutton, and Lily Barnes from Paragon Veterinary Referrals in Wakefield (pictured L-R), means PCAs are represented at a national senior level within Linnaeus.
Professor Séverine Tasker, Chief Medical Officer at Linnaeus and Chair of the clinical board said: “When it comes to clinical excellence, a broad range of perspectives will strengthen our ability to explore and follow best practice.
"Everyone’s views and experiences are important.
"Our nursing teams are critical to the care of our patients, but until recently we only had RVN representation on the clinical board and wanted to involve our excellent team of PCAs as well."
www.linnaeusgroup.co.uk/medical-and-nursing/clinical-board
Dr Mostert admitted to his conviction but denied that it rendered him unfit to practise as a veterinary surgeon.
He also admitted not disclosing his conviction to the RCVS but denied that it amounted to dishonesty or was misleading and that failing to do so amounted to disgraceful conduct in a professional respect.
The Committee first considered whether Dr Mostert’s conviction affected the public interest, which included the need to maintain public confidence in the profession by upholding proper standards of conduct and behaviour for members of the profession.
The Committee noted that the conviction involved dishonesty relating to false statements about the value of goods sent to the USA.
The Committee felt that a conviction for a serious offence involving dishonesty would have a negative impact on public confidence in the profession, and that its reputation would be damaged if proper standards of conduct and behaviour were not upheld.
The Committee also noted that as the products that Dr Mostert imported into the USA were not labelled as coming from a foreign market and were not labelled as needing to be administered by a vet, his conviction also related to animal safety, as anyone who accessed the medications could believe that it was safe for them to be given to an animal.
The Committee then considered Dr Mostert’s failure to declare the conviction to the College on three separate occasions.
Dr Mostert testified that, at the time, he did not believe he had to disclose his conviction as it occurred in a country where he had not practised as a veterinary surgeon.
He also said he had not taken the time to read and interpret the application form accurately.
However, the Committee considered that the wording around convictions on the application and annual renewal forms is very clear and that, as a veterinary surgeon, Dr Mostert would be familiar with such documents.
The Committee considered that it was inconceivable that an experienced veterinary surgeon, making a declaration of this kind to his regulator, would not have understood that a serious conviction in the USA, dating from June 2017, was a conviction that he was obliged to disclose.
The Committee therefore found Dr Mostert’s failures to declare his conviction dishonest.
Judith Way, Chairing the Committee and speaking on its behalf, noted that in deciding upon the appropriate sanction, the case did not involve any actual harm to an animal or human and that Dr Mostert had had a long and otherwise unblemished career.
However, a key aggravating factor was that the action that led to the conviction resulted in financial gain through the creation of a business enterprise and that Dr Mostert falsely declared the value of goods.
The extent of any financial gain was not known to the Committee, but the business operated on the basis that false declarations were repeatedly made.
Judith said: “After careful consideration the Committee has concluded that in all the circumstances, a lengthy period of suspension would properly reflect the gravity of the case and satisfy the public interest. The Committee has decided that the appropriate length of suspension is one of 18 months.”
The Committee’s full findings can be viewed at www.rcvs.org.uk/disciplinary
The initiative is called Project NURSE, which stands for Nurturing and Using REVN Skills and Experience.
The first stage of Project NURSE is to survey horse owners to find out what they understand about the role of REVNs and if they would be receptive to nurses visiting yards to carry out certain procedures, under the direction of a vet and within the scope of what is permissible by the RCVS.
Phillippa Pritchard (pictured right), an equine veterinary nurse and training manager at Liphook Equine Hospital, one of VetPartners’ practices, has been awarded a £1,000 grant by MSD Animal Health to promote the survey and is helping lead Project NURSE on behalf of VetPartners.
Phillippa said: “REVNs have an important role to play in equine practices and hospitals, but many nurses would welcome the opportunity to be more involved in yard visits and put their skills to the best possible use.
“There are many procedures we are qualified to do, including changing wound dressings, taking blood samples and administering prescribed doses of sedation, and by making more use of these skills we feel we would be able to help our practices provide an even better service to patients and clients.
“I also believe that having more interaction with owners and their horses would have a positive impact on job retention because equine nurses would be more fulfilled in their role and feel they have opportunities to develop their careers.”
VetPartners equine director Julian Rishworth added: “Our central ethos revolves around practices being a great place to work and striving for clinical excellence. Equine veterinary nurses are such an integral part of practice teams and if we don’t allow them to fully use their skills and fulfil their potential we are failing the team, our clients, their horses and our own group aspirations.”
The coils need to be cooled to -460 °F in order to get good quality images.
To achieve the same result without helium, Hallmarq’s new MRI uses a conduction-based cooling system in a strong vacuum, which eliminates the need for helium, a quench pipe, oxygen monitor, or any additional power.
This, Hallmarq says, makes the new system more environmentally friendly than its helium-based counterparts and reduces the upfront and ongoing costs of offering a veterinary MRI service to patients.
The new technology comes in response to growing concerns over helium supply.
Extraction and usage of helium is quickly outpacing its natural synthesis, as a result of which, Hallmarq says helium prices have soared from £12.75 per litre in December of 2017 to between £50 and £55 per litre in June 2022.
For veterinary hospitals already using high-field MRI machines, or for those considering them in the future, reliance on the 1,500-2,200 litres of helium required to keep a standard MRI functioning may not be sustainable.
Hallmarq’s Chief Technology Officer Dr. Steve Roberts said: “Hallmarq’s Zero-Helium Small Animal 1.5T MRI system increases access to diagnostic care for small animal patients, while lessening the financial, environmental and supply chain risks associated with traditional helium-based MRI systems."
www.hallmarq.net.
The trial, which was launched last November, will now continue until May, when Council will decide whether to provide e-certificates to new registrants as a standard practice.
Newly qualified nurses who have been taking part in the trial have been able to download their e-certificate from the RCVS website, although they are also able to request a printed hard copy.
Robert Hewes, RCVS Head of Insight and Engagement, said: “Thank you to all those newly-qualified veterinary nurses who took part in the trial and especially to those who provided their feedback and thoughts on the e-certificate.
“From those that have completed the survey, it is clear that there is still a great deal of pride and meaning attached to having a hard copy certificate which is why we will continue to offer these to all our newly-qualified veterinary nurses.
"However, the feedback from the vet nurses overall regarding the e-certificates were that they appreciated that there was a benefit from an environment and sustainability point of view, as well as the practicalities of having immediate and easy access to their proof-of-registration.”
E-certificates for newly-qualified veterinary surgeons was trialled in early 2021 and rolled out as standard practice to all new veterinary registrants from summer 2021.
Robert added: “We would like to take this opportunity to make clear to prospective employers of both newly-qualified veterinary surgeons and veterinary nurses involved in the trial, that the e-certificates are now a legitimate form of identification of registration and that they no longer require a hard copy.
"However, if they are in any doubt about an individual’s registration status, they shouldn’t hesitate to contact the Registration Team on registration@rcvs.org.uk or 020 7202 0707.”
Expanding on the training available in autumn 2022, which was launched based on the results of an extensive training pilot, MMI is offering a total of 14 sessions taking place both online and in person over the next few months. Sessions will be running from January to April 2023. The courses will cover areas that have been identified as priority topics from previous MMI surveys, feedback from the professions, and evaluation of the training pilots.
Mind Matters Initiative Manager, Lisa Quigley, said: “Mental health and wellbeing are impacted by a whole host of structural and societal factors and maintaining a healthy workforce goes far beyond supporting people on an individual level.
"Whilst it is undoubtedly important to provide people with the skills they need to look after themselves, we are aiming to expand on this by providing individuals with the skills and knowledge needed to recognise and address wider collective issues. For example, the importance of creating and maintaining a positive workplace culture.
Session dates and specific topics are as follows:
Mental Health First Aid (£30 in-person)
9am – 5pm
Psychological Safety and Civility (£20 in-person, £15 online)
In-person – 9am – 4pm
Online – 9am – 1pm
Sustaining Your Emotional Health (£15 in-person)
2pm – 5pm
For more information on the training courses, visit: https://vetmindmatters.org/training/
Melissa, who was invested at the RCVS AGM last week, graduated from the University of Glasgow School of Veterinary Medicine in 1987, starting her career as a food animal intern at Iowa State University in the United States before moving into mixed veterinary practice in Ayrshire in 1990.
Over the next 25 years, she and her husband Kenny developed Oaks Veterinary Centre into a small animal practice with a focus on dentistry.
Melissa was first elected to Council in 2016, was re-elected in 2020 and has served on a number of committees including the Education Committee and Finance & Resources Committee.
Since 2019, she has served as Chair of the Standards Committee, leading the development of proposed new guidance on under care and out-of-hours emergency care and pain relief.
Melissa has also been President of the British Veterinary Association’s Scottish branch and the Ayrshire Veterinary Association and, outside of work, enjoys running, and caring for her dogs, cats and sheep.
In her opening speech as RCVS President, Melissa outlined her sense of community with her fellow vets, as a relatively small but prominent profession that punches above its weight, and how she intended to strengthen this as President.
Melissa said: “When I looked this up in June, there were over 300,000 doctors registered with the General Medical Council.
"We, the veterinary profession, have around 30,000 registered with the RCVS to look after farmed, pet, lab animal, exotic, zoo and wildlife species.
"In other words, all animals EXCEPT the human, and we protect humans too, with public health work!
“Even excluding farmed fish, over 300 million animals are being cared for by 30,000 professional veterinary surgeons and their teams.
"That is the scale of our small but mighty community.
"Being part of a community doesn’t mean we all have to be clones of each other, but a group that can agree to disagree, and is there for each other in times of need.
“With this close proximity to each other, communication is key.
"My mother has offered me many wise words over the years, most frequently being ‘engage brain before opening mouth’ but just as important as speaking is listening and actually hearing what is being said.
"So, over this year I will try to get out and about as much as possible, focus on hearing what our community is saying and engage in many conversations as we work together."
Two equine journals have joined forces to create a free online collection of their recent articles on endocrinology to raise awareness of these common disorders and to provide veterinary surgeons with what they say is a definitive source of references all in one place.
The collection of references published by Equine Veterinary Education (EVE) and Equine Veterinary Journal (EVJ) covers a range of topics within the field of endocrinology and includes authoritative review articles on insulin dysregulation2, glucocorticoids and laminitis3 and paraneoplastic syndromes4.
The initiative has been made possible with the support of British Equine Veterinary Association Trust and has been compiled by leading international authorities on equine endocrinology, Professor Philip Johnson, of University of Missouri and Professor Nicholas Frank of Tufts University, Boston and the University of Nottingham.
They say that equine endocrine disorders, such as Pituitary pars intermedia dysfunction (PPID), are becoming more promptly identified and treated, thanks to ongoing research and advances in diagnosis, pharmacokinetics and management protocols.
PPID, or Cushing's, is a progressive neurodegenerative condition that is more easily recognised in its advanced form in older horses. Surveys show a PPID prevalence rate of up to 22% in horses over the age of 155, with the odds of developing clinical signs associated with PPID increasing by approximately 20% per year after this age.
Insulin dysregulation (ID), characterised by increased insulin response to oral sugars, hyperinsulinaemia and insulin resistance, is identified in both PPID and equine metabolic syndrome (EMS)2. Both PPID and EMS have been linked to the development of recurrent laminitis with subsequent high risk of mortality6. The exact mechanisms which link insulin to laminitis remain to be clarified1 but this online collection highlights several studies, which partially address this important jigsaw7-12.
Best practice for the management of EMS is outlined by Professors Nick Frank and Ray Geor in the December issue of EVE13. The first goal is to induce weight loss, and guidelines for designing diets for obese equids are provided. Exercise and dietary management14 have been shown to reduce the clinical signs and indices of inflammation in equine metabolic syndrome13 - 15, however, further studies are needed to quantify the efficacy of these management changes on long-term outcomes.
The online collection also includes several studies addressing the diagnosis of PPID. The value of plasma adrenocorticotropin hormone (ACTH), when interpreted with seasonally adjusted reference ranges, is discussed by several authors18-20. Professors Frank and Geor advocate it as the most readily accessible test for monitoring PPID cases in a field setting, although they maintain that the thyrotropin- releasing hormone (TRH) stimulation test is more sensitive and therefore has advantages when diagnosing PPID in its early stages13.
Pergolide has emerged as the drug of first choice for treatment of PPID13. While many vets recommend the early introduction of medication in the hope that it may avert the specter of laminitis, at present, there are no trials comparing pergolide with alternatives. Furthermore, there have been no long-term studies to show that horses treated with pergolide before the onset of clinical signs of PPID have better outcomes, including a reduced incidence of developing laminitis, than horses in which treatment is delayed until clinical signs become apparent.
Professor Celia Marr, Editor of Equine Veterinary Journal said: "Better control of PPID and insulin dysregulation should lower the risk of laminitis to help improve the health and longevity of many predisposed horses and ponies.
"Raising awareness of the benefits of early diagnosis and sharing the latest research on these and other associated conditions are imperative to provide horse owners with the best diagnostic and treatment programmes for their horses. However, it is easy to under-estimate obesity: horse owners need to think about improving management of their horses' feeding and exercise in order to avert problems before they become a veterinary issue."
References