Alasdair Hotston Moore's Activities

Does anyone have a cheat sheet for the different types of suture material names?

Nicki Ridgway — Sun, 28 Jan 2024 15:09:42 GMT

Does anyone have a cheat sheet for all the different types of suture material names please? ie Clinisorb is Polysorb im trying to teach my student, thaanks in advance

Do your vets use ketamine for chronic pain?

Sammyannieantha — Thu, 16 Mar 2023 20:32:08 GMT

Just out of curiosity do any of your vets use ketamine for chronic pain given subcut at a consult??

Do your vets support the use of surgical check lists?

Alasdair Hotston Moore — Wed, 05 Apr 2023 08:56:24 GMT

Do you use surgical check lists at work (e.g. verify patient ID, swab count before and after surgery etc)?

If so, did you have vet resistance to them and how did you overcome it?

How would you justify investing in a Multiparameter?

bexxy123 — Fri, 16 Jun 2023 20:25:06 GMT

Hello,

A little of the branch practices I work in is asking for a mtiparameter. I have been tasked with putting forward the justifications for this. I can think of so many for the team and the benefit of the patient etc, however the leaders are looking for financial justifications, of which I have so far come up with - blood pressure is quicker costing less in time, but otherwise I'm not quite sure what to put.

Has aanyone got any ideas please?

Where I would find information on the ideal suture material to use in dental surgeries

karen webb — Fri, 02 Jun 2023 15:54:44 GMT

We currently use Vicryl in our dentals as we feel the recovery post op is better. But is this the best dental suture to use?

Can anyone explain breathing system paediatric circuits?

Kerry-Anne Hawkins — Thu, 20 Apr 2023 11:36:33 GMT

Hi, I hope someone can help. I’m 20 years qualified but I’ve come across a Q re circuits. We usually use a mini lack circuit (for use in cats / dogs under 10kg)

But, this circuit “tubing” has just been replaced with paediatric “tubing”

Q1 - Is this okay to do ?

Q2 - I know nothing about paediatric circuits, and Google isn’t helping me either

Fingers crossed someone can help

What's your opinion about using bleach in a rotation where infectious cases are very high?

Mafy ccr — Fri, 24 Mar 2023 08:51:58 GMT

Hi all

Making infection control protocol with chemicals rotation. we have high number of parvovirus and giardia in pippies here. I want to incorporate bleach but everybody is having ^a go^ at me. Whats your opinion about using bleach in a rotation where infectious cases are very high? and why all the sudden no one likes to use bleach? thank you all in advance

Pain Management in the Avian Patient

Arlo Guthrie — Tue, 07 Feb 2023 09:56:07 GMT

For our second Clinical Article Club discussion, we've got Adam Gregory RVN NCert (Anaesth) DMZAA DipVNZS APVN, Head Nurse at Great Western Exotics, here to answer your questions and discuss his article about Pain Management in the Avian Patient.

Here is a link to Adam's article: https://www.veterinary-practice.com/article/pain-management-in-the-avian-patient

Being HN at a leading referral centre, you can imagine Adam is a busy guy, so we're very lucky to have him joining us, but do bear in mind that he may not be able to reply immediately.

Nevertheless, he's looking forward to your questions, so fire away!

NB to post in this Clinical Article Club discussion YOU MUST FIRST JOIN THIS GROUP: https://www.vetnurse.co.uk/001/vetnurse-clinical-article-club

I also strongly recommend you subscribe to the daily or weekly digest in that group so you get a daily or weekly alert if there is new content specifically in the Clinical Article Club.

VetNurse Clinical Article Club

Arlo Guthrie — Wed, 08 Feb 2023 09:26:01 GMT

VetNurse Clinical Article Club

Arlo Guthrie — Mon, 23 Jan 2023 17:55:06 GMT

Do pet owners need or deserve confidentiality in their dealings with a vet?

Arlo Guthrie — Mon, 14 Mar 2022 18:09:11 GMT

The Code of Professional Conduct states that:

2.6 Veterinary surgeons must not disclose information about a client or the client’s animals to a third party, unless the client gives permission or animal welfare or the public interest may be compromised.

I'd like to open a debate about whether this part of the Code is fit for purpose in the world we live in today, and whether it is time to remove it.

From where I sit, one has to question whether confidentiality was ever necessary with regard to a domestic pet.

It's not like we're talking nuclear secrets, or even embarrassing secrets like, I dunno, STDs.

For most normal pet owners, there is nothing about anal glands or worming treatments, or spaying that demands confidentiality. Nothing.

I asked my mum, a dog owner for 40 years what she thought. She did not even know there was a pledge of confidentiality from vets, and thought it completely unnecessary. Slightly mad, actually.

Sure, there is a need for confidentiality regarding dealings with commercial clients, such as breeders and farms.

But there is simply no need for confidentiality about Fido's lump removal.

And why does the confidentiality clause need removing (or rather changing to cover only commercial clients).

Well, the issue is that consumers have become far more demanding, far more complaining and far more likely to make a vexatious complaint than ever. Not only that, everyone has got their own soapbox these days, in the form of social media.

That, combined with the consumer-centric regulator, has put all the power, unfairly so, in the hands of pet owners.

They can say or claim whatever they like on social media, whilst the veterinary surgeon or nurse can do little or nothing to defend themselves, for fear of breaching client confidentiality.

I'm not suggesting that the point of relaxing the rule is to allow vets to go out onto social media and start slagging off clients.

This is more about not feeling defenceless than anything else.

But actually there are times when it is perfectly right and proper to respond to clients who post inaccurate or false claims about their vet or practice, and I believe veterinary professionals should be empowered to do so without fear of breaching client confidentiality.

What do you think?

Gloving and Gowning

Alasdair Hotston Moore — Tue, 19 Apr 2022 07:25:48 GMT

Demonstrating gloving and gowning following the principles of aseptic technique

Report misinformation on social media or in the newspapers here

Arlo Guthrie — Thu, 20 Jan 2022 18:22:10 GMT

One of the things which fuels unfair criticism and abuse of veterinary professionals is misinformation shared on social media and via the newspapers.

Let's do something about it!

If you see any misinformation, report it here. Share a link.

First we'll discuss, then we can decide whether it is appropriate for any of us to comment beneath the story, or take any other action.

Lap Spay. Pros and Cons please

Calli D — Fri, 15 Oct 2021 21:59:10 GMT

Hello all. Not sure am on the right discussion forum but after some advice about Laparoscopic spays over routine surgical technique. Asking for a previous colleague who has been thinking a long time about booking her lively young bitch for a lap spay. She has found a practice in the area who perform the procedure and is due for a consultation with them to book her girl in. Since making the decision she has been receiving conflicting information and concerns (well more like grief) from colleagues and others close to her about the procedure and now is quite worried. I have only worked in one practice where a lap spay was performed but the vet was new to the procedure and I didn't participate in the surgery itself so can't help with advice - esp since it scared the bejeazers out of me but I am pretty sure that was more down to inexperienced surgical technique.

For those of you who work in practices where they perform both surgical and lap spays can you offer some advice that I can pass on please. Pros and Cons of a lap spay etc. One concern is about the air in the abdomen as has been told this can cause complications, nausea and vomiting on recovery and/or post op, pain due to bloat. If a bitch has cystic ovaries then she would have to have a surgical incision anyway resulting in more surgical wounds that would otherwise be necessary. I guess most nurses remember most the complications seen post op from lap spays performed elsewhere but percentage wise I am assuming this is very small when you think about the number of lap' surgeries performed.

Does anyone have any handouts or references for reading for myself and to pass on.

Thanks all

Removal of nasopharyngeal polyp in a cat

Alasdair Hotston Moore — Fri, 19 Nov 2021 15:07:56 GMT

In this film, I demonstrate how to remove a nasopharyngeal polyp in a cat.