portfolio 3.2 emergency first aid

Re: portfolio 3.2 emergency first aid

Jenny Cook RVN — Sat, 26 Jun 2010 13:05:48 GMT

I was doing ops yesterday, and ive been bugging vets to let me learn to place IV catheters as well, Just so i can learn. But this i said could she show me how to intubate. We asked another nurse to hold the dog (a cocker spaniel), while the vet leaned over my shoulder and guided my hand into the right place and moving the epiglottis, etc... She said the tube should slide down nicely, unfortunatly tube was too big, so we swwapped for smaller one and she said to try again unguided by her hand but leanin over me still... and i managed to get the epiglottis out the way after a while and slide the tube down nicely, in first time. I was well happy, lol.

I agree now, a skill to learn asap... that was a good dog to try on, i suppose now in future if we have a brachycephalic (sp?) dog in try on them, or a cat also.

It is abit all over place with what we need to do, but our vets are good, and let the trainees do things for training purposes and portfolio cases. I also agree that hopefully this new scheme of training will pinpoint exactly what needs to be done rather than different vnacs and iv's ideas.

Re: portfolio 3.2 emergency first aid

littlehays — Sat, 26 Jun 2010 11:21:10 GMT

[quote user="Juliet Drummond DAVN (med) RVN"]

[quote user="Jenny Cook SVN"]Been told by IV that i actually have to place an ET tube and get whoever with me to do witness statement for it.... [/quote]

each iv seem to have their own opinion on what to do, in the past i have done and observed assessment of my student assisting the vet. the wording of Vetn3.2 pc states 'assist the the qualified staff ' not do the procedure. however if that's what your iv wants , then that's what you should do. it's an essential skill to have.

[/quote]

there definitely seems to be a lot of variation between ivs and vnacs regarding what is actually required of the student...hopefully that will be one positive thing to come out of the new training, the progress log will state the exact skill we need to have and won't be signed off until we're competent. hopefully

Re: portfolio 3.2 emergency first aid

Juliet Drummond DAVN (med) RVN D32/33 — Sat, 26 Jun 2010 09:39:18 GMT

[quote user="Jenny Cook SVN"]Been told by IV that i actually have to place an ET tube and get whoever with me to do witness statement for it.... [/quote]

Re: portfolio 3.2 emergency first aid

Phrin Vernon RVN — Fri, 25 Jun 2010 21:52:57 GMT

One of our SVN's has just completed L2 portfolio, and thinking back, I am sure she had to place an ET tube too... in fact I am sure of it, as I gave her all my notes from college (tutor had found some AMAZING pics of how to intubate!)

Our vets are pretty good with training, and I think she has now placed a few ET tubes.

I always think its best to get those practical skills learnt ASAP! There is so much college work, that if you leave it till L3 to learn IVs, intubation, etc, you are gonna explode with the stress!

Re: portfolio 3.2 emergency first aid

Jenny Cook RVN — Fri, 25 Jun 2010 10:07:44 GMT

[quote user="Juliet Drummond DAVN (med) RVN"]

[quote user="Jenny Cook SVN"]I know how u feel, i have 5% left to do and i have airway management and shock left on vetn3.2[/quote]

you can use setting up for and assisting with routine intubation for airway management, and set-up and assist with fluid therapy for shock- does not have to be an actual emergency, as these skills are transferable evidence.

[/quote]

Been told by IV that i actually have to place an ET tube and get whoever with me to do witness statement for it.... I have spoken to our vets and they are more than happy to let me and tel me how to intubate when im next doing ops with them.

Thank you for the advice on the treatment and prevention of shock bit.

Re: portfolio 3.2 emergency first aid

Juliet Drummond DAVN (med) RVN D32/33 — Thu, 24 Jun 2010 22:02:10 GMT

[quote user="Jenny Cook SVN"]I know how u feel, i have 5% left to do and i have airway management and shock left on vetn3.2[/quote]

Re: portfolio 3.2 emergency first aid

Jenny Cook RVN — Thu, 24 Jun 2010 10:13:38 GMT

I know how u feel, i have 5% left to do and i have airway management and shock left on vetn3.2 and odd ones left on vetn5 as well. I have until end of july to complete it.

I would agree with everyone else, and try to do a simulation or discussion to cover this part. good luck

Re: portfolio 3.2 emergency first aid

shelly jefferies — Thu, 24 Jun 2010 09:36:59 GMT

You need to do some kind of simulation or questioning to cover the whole thing however can use the ippv part as demonstrating your knowledge and capability of performing ippv.

Re: portfolio 3.2 emergency first aid

Phrin Vernon RVN — Wed, 23 Jun 2010 22:48:13 GMT

[quote user="Juliet Drummond DAVN (med) RVN"]

as the previous post said- get your assessor to either discuss what happened, and include questions on actual rescus, or get her/him to do a mock rescus.

i usually run in to the prep room unannounced with the 'dying' stuffed dog in my arms.

[/quote]

Haha! I love that!

I had a dog come in after a fight with its innards on its outside for my L2 portfolio. No vet! Aghhh! So RVN and I did the O2, and sterile saline soaked swabs on the protruding insides for the 5 mins it took for the VS to arrive and euthanase. It was awful - a wee yorkie.. I can still see it now in my minds eye, the poor little thing

Anyway, not sure your case would be first aid. I agree to go with the mock - get your assessor to run in like a loon, with a stuffed dog, while you are cleaning theatre

Re: portfolio 3.2 emergency first aid

Juliet Drummond DAVN (med) RVN D32/33 — Wed, 23 Jun 2010 22:40:35 GMT

as the previous post said- get your assessor to either discuss what happened, and include questions on actual rescus, or get her/him to do a mock rescus.

i usually run in to the prep room unannounced with the 'dying' stuffed dog in my arms.

Re: portfolio 3.2 emergency first aid

littlehays — Wed, 23 Jun 2010 20:26:33 GMT

yeah was thinking it was a bit dodgy. just fed up of it now i want the bloody thing finished!

Re: portfolio 3.2 emergency first aid

Honeybadger — Wed, 23 Jun 2010 20:24:49 GMT

I wouldn't really say that it would be classed as resussitation. Perhaps you could have a professional discussion with your assessor and/or a simulation. Sometimes it is just impossible to find certain cases!