Induction - Code of Professional Conduct

RE: Induction - Code of Professional Conduct

V E S — Tue, 10 Oct 2017 21:05:22 GMT

Thank you for all you replies and that clarification.

I've recently moved practice, didn't do anaesthesia in my previous job (first since qualifying) so not my area of expertise. Would be great if , as said above, the code of conduct was more clear cut!

RE: Induction - Code of Professional Conduct

Susanna Taylor — Tue, 10 Oct 2017 14:18:07 GMT

I agree with what has been said above. A nurse cannot leagally give prop/alfax etc on their own.

I know it has been got around by a vet being there 'directing' and therefore legally prescribing the 'dose' while the RVN injects. This doesn't help with time management but does allow the nurse the experience (and at least control over the speed of delivery )

I do think ga induction is somthing RVNs with the correct training should be allowed to do in the future though, Perhaps with a 'prescribed dose range'? but who knows?!? American Vet Techs do it I believe

RE: Induction - Code of Professional Conduct

Ben Ogden — Tue, 10 Oct 2017 11:53:38 GMT

[quote user="Alison Clare Hickman"]

Damn straight Ben Ogden - I have had this. erm, 'discussion', many times with VS who have tried (unsuccessfully) to get me to do this - usually because the practice is busy and it helps turn around the ops more quickly; plus they tell me I am experienced so have the wit and talents to do it, why not? I have always politely stated "please tell me what about this procedure is *not* to effect?" No-one can answer that as it is clearly ALWAYS to effect, as you outline.

I am very very happy to be corrected! Warning - no-one yet has managed to persuade me... . Any VS out there who can help with this please?

Ali h

[/quote]

Asking your nurse to break code and put their career at risk, just for 'efficiency' is not acceptable. If your not bashing through the ops quick enough, that's a symptom your op days/staff levels are planned badly and want reviewing.

Too many times in the past I've seen this 'efficient' practice carried out and the patient is induced, prepped and now sat under a Ga waiting for the Vet, who isn't even ready! , is this right for the patient? I don't think it is or appropriate.

I'm happy to be straight with the VS and make it clear I drive in my lane and my lane only, but I fear there are many who do not because they won't speak up (for various reasons), don't know they should or don't want to.

This little paragraph of CoC wants more clarification to make it BLACK and WHITE.

RE: Induction - Code of Professional Conduct

Alison Clare Hickman — Tue, 10 Oct 2017 10:31:04 GMT

I am very very happy to be corrected! Warning - no-one yet has managed to persuade me... . Any VS out there who can help with this please?

Ali h

RE: Induction - Code of Professional Conduct

Ben Ogden — Tue, 10 Oct 2017 09:44:18 GMT

I doubt that is correct or safe. If the VS authorises 10ml and you give 8ml (because you deem that enough), you have now given 'to effect'. If you give the 10ml authorised and it turns out that is too much, it will open up all those associated problems.

A calculated, authorised induction that is not to effect, would be the likes of a Triple or Quad Ga; you have a calculated, give full volume dose that requires no 'to effect' observations during administration.

Propofol (and the like), is always going to be 'to effect' whether a VS calculates it or not, there are no 'what ifs' around it.