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WorksheetsVeterinary Hospitalisation Overview
Total questions: 129
Worksheet time: 5hrs 22mins
What are the advantages of hospitalisation regarding monitoring?
Pulse
Vital signs
Body temperature
Respiration
Monitor regularly
What are the advantages of hospitalisation regarding regular attention?
Bandages and wound dressings
Administration of medication
Correct medication, interval (od, bd, tid) and routes (s/c, i/m/, i/v, id etc.)
What are the advantages of hospitalisation regarding diets?
Special diets and routes
Sample collection
What are the disadvantages of hospitalisation?
Nosocomial infections
Old animals confused by change of management and environment
Changes in excretory habits of house trained animals
Separation anxiety
High cost
What are the requirements for the reception and waiting area?
Separate entrance for dog and cat patients
Separate area with sight barrier
Dogs on leashes & cats in carriers
Noisy & potentially aggressive dogs
Anxious cats
What should be included in the general history of anamnesis?
Species (canine, feline, equine, bovine, ovine)
Utilisation
Breed
Name
Signalment
What are the identification methods in anamnesis?
Brand mark
Freeze brand mark
Tattoo
Ear tag
Microchip number
What are the primary complaints to consider in anamnesis?
Reason for seeking veterinary care
Time and onset of problem
Duration of clinical signs
Chronological development
Deterioration of condition noted
What are the clinical signs of anxiety in dogs?
Hiding
Trembling
Tucked tail
Panting
What are the clinical signs of anxiety in cats?
Excessive grooming & pacing
Open mouthed breathing
Increased submission or aggression
Hiding
Urinating & defecating
What are the requirements for the ward environment?
Low stress environment
Separate wards for dogs and cats some distance apart
Gentle treatment
Meet individual needs
Separate noisy and nervous patients
What are the ideal cage requirements for dogs?
Stand up and lay down in lateral recumbency
Secure and escape proof
Ideal size for giant breeds
What are the ideal cage requirements for cats?
Ideal size 70 x 90 x 55 cm
Litter tray distance from food, water, igloo and bedding
Cover front with towel/blanket if scared/stressed
What are the advantages of different bedding types?
Easy to clean
Dries quickly
Can be sterilised
Liquid absorbed to underside
What are the disadvantages of using newspaper as bedding?
No padding
Ink stains pale coated animals
Cold when wet
What are the requirements for managing the litter tray?
Select appropriate cat litter
Add litter to tray 5 –7 cm deep
Scoop to remove urine balls & faeces 2 x / day
Clean and disinfect tray & replace litter every 3-4 days
What are the daily routine tasks for the basic care of hospitalised patients?
Air, clean & disinfect cages / stables
Provide clean bedding
Feed patients (adults 2 x / day) unless other instructions given
Fresh water 2 x /day, but ad lib
Early morning inspection / observation
What should be monitored as part of the vital signs for hospitalised patients?
Temperature
Pulse
Respiration
Mucous membranes
Hydration status
What are the advantages of using stainless steel food and water bowls?
Durable
Pore-free material prevents bacterial growth
Easily washed in dishwasher
Contact dermatitis
What are the disadvantages of using plastic food and water bowls?
Cheap
Easily knocked over
Cannot be autoclaved
Contact dermatitis
What are the hygienic steps for cleaning food and water bowls?
Rinse in hot water
Wash with dishwashing liquid
Rinse
Trigger spray with disinfectant
Dishwasher
What is the purpose of exercise for hospitalised patients?
General health & mental well-being
Reduces oedema
Improves muscle tone & strength
Excretory habits house trained dogs
What grooming equipment is used for brushing short haired breeds?
Bristle brush
Pin brush
Slicker brush
Metal comb
What is the purpose of using a slicker brush?
Remove dead undercoat
Brush short haired breeds
Polish smooth coats
Break up knots
What should be done to ensure hygiene & disinfection of grooming apparatus?
Remove organic matter
Wash with soap / or detergent
Rinse
Autoclave metal equipment
What is the importance of accurate clinical records in hospital management?
Good patient care
Legal protection
Veterinary team responsible to keep up to date
Secrecy clause (Vet & Paravet Act)
cords stored securely & made available
Posting patient information on social media
Your defence
Basic care of hospitalised patients
Hospital management
Clinical records
Accurate clinical records
Clear, legible & black ink
Timely & no back dating
Non-compliance also recorded
Avoid terms ‘heavy’, ‘moderate’, ‘occasional’
Everything related to patient care included (advice etc.)
Draw diagonal lines through open spaces
Don’t erase, no correction fluid
For corrections correctionstime, date initials
Images https://www.google.com/
Patient info on all pages
Entries: initialled, date & time
Standard medical abbreviations
Discussion with owner
Face-to-face
Electronic
Telephonic
Objections regarding patient care & case management
Retain records
Clinical records 5 years
Schedule 5 & 6 medicine registers 5 years
Destroy records shredding / burning
If it is not in the record, it did not happen !!!!!
AdvantagesDisadvantages
Simplify the sharing of information among members of the veterinary team
Misinformed veterinary team and patients
Aid coordination of patient care Increased medico-legal risks
Assist with continuity of patient care Increased complaints lodged at South African Veterinary Council
Aid informed decision making for patient management
Unnecessary repeat of tests or investigations
Increase the availability of data for risk assessment
Poor patient care
Increase the availability of data for route cause analysis in inquiry of serious incidents
Can cause serious incidents
Increase audit capabilities
Provide evidence in a court of law
Improve time management
Recording of patient monitoring
Subjective = (not measured) behaviour, appetite
Objective = (measured) temperature, pulse
Assessment = assessment of progress
Plan = treatment, procedures
One nurse to observe a specific patient
Subjective assessment (urine output based on observation) can become objective if actually measured after catheter placed
For correct assessment & progress
Normal / abnormal
Normal ranges of clinical parameters
Care of electric clippers and blades
Inspect plug, cord, blades & casing
Don’t use blades with missing teeth
Prevent friction
Clipper oil
Overheating
Cooling solution
After use
Remove hair
Wash blades sebaceous secretions
Disinfect & spray with anti-parasitic solution
Dry before re-assembling
Environmental parasite & fly control
Flies
Management
Fly catchers & fly bait
Insecticide in drains & on walls (1 meter) & surfaces
Fly repellent to patient
Any other suggestions?
Environmental parasites
Products effective against adult & larval stages
After cleaning & disinfecting stables and cages
Spray walls & bedding lightly with anti-parasitic solution
Dry before patient is placed back
Wards
Walls 1 meter
Drains
Monthly
Daily
Disposal of clinical waste
Clinical waste
Body tissue
Body fluids
Excretions / discharges
Drugs
Products hazardous to health
Cultures
Toxic materials
Low-grade radioactive materials
Sharps
Scalpel & razor blades
Glass
Needles
Special waste
Pharmaceutical containers & products
Sharps disposal container ¾ full, seal and follow SOP
Carcasses & body parts
Double bagged (50 micron)
Disinfectant between bags
Sealed
