Small Animal Practice – UVCS
Veterinary Anaesthesia
Unit of study coordinators: Dr Sanaa Zaki
Dr Kim Ticehurst
LEARNING OUTCOMES IN VETERINARY ANAESTHESIA
The principal learning outcomes for the Small Animal Intramural Veterinary
Anaesthesia Unit of Study are outlined below:
Satisfactory completion of VETS3027 and all 4th year Units of Study is a prerequisite
to enrolment in this unit of study.
On completing the units of study in Veterinary Anaesthesia and the UVCS anaesthesia
rotation students will be able to:
1. Assess an animal patient in terms of ‘anaesthetic risk’, based on the animal’s
history, pre-anaesthetic examination findings, and interpretation of laboratory
data and other diagnostic tests.
2. Plan appropriate anaesthetic regimens for both healthy patients and those
presenting with common disease conditions.
3. Induce and maintain anaesthesia in dogs, cats and common ‘pocket pets’ for
routine procedures, using a variety of injectable and inhalation agents.
4. Recognise problems and emergencies that may arise during the peri-operative
period, such as hypoventilation, hypotension, hypothermia, haemorrhage and
cardiac arrest, and take steps to resolve them.
5. Monitor and assess the ‘anaesthetic depth’ and physiological status of the
anaesthetised patient, and respond appropriately to any significant changes.
6. Record the anaesthetic accurately.
7. Recognise peri-operative pain in cats and dogs, and devise effective pain
management plans that utilise a number of pain control strategies.
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UVCS ANAESTHESIA ROTATION:
The primary aim of the UVCS Anaesthesia Rotation is for student interns to be able to safely
and humanely anaesthetise and recover an ASA health status ‘1’ or ‘2’ small animal patient
with a degree of proficiency acceptable for a new graduate (refer to the Veterinary
Graduate Attributes and the Competency Assessment sheets below).
The following Rotation Outcomes will ensure student interns achieve this aim:
1. To handle the patient in a safe and competent manner prior to the induction of anaesthesia
particularly in terms of minimising further pain and/or stress during the peri-anaesthetic period.
2. To perform a thorough pre-anaesthetic physical examination.
3. To review and interpret the patient’s file and any diagnostic data available.
4. To accurately use the ASA ‘physical status’ score system to assess a patient prior to
anaesthesia.
5. To place an intravenous catheter into a superficial vein and attach it securely to the limb.
6. To accurately calculate drug dosages for various routes and administer these drugs safely to
the patient.
7. To prime an intravenous fluid administration set and accurately calculate fluid administration
rates.
8. To select appropriate pharmacological agents to premedicate, induce and maintain anaesthesia
in the dog and cat, based on accurate patient assessment and an understanding of the
pharmacological effects of these agents.
9. To set up an anaesthetic machine with an out of circuit vaporiser and the appropriate breathing
system for a given sized patient.
10. To utilise different oxygen flow rates and vaporiser settings to alter the deliver of anaesthetic
vapour in response to the needs of the anaesthetised patient.
11. To intubate dogs and cats atraumatically with the aid of a laryngoscope.
12. To maintain a patient under anaesthesia and monitor changes in anaesthetic depth by
assessing physiological changes, using simple monitoring devices.
13. To recognise abnormalities in blood pressure, heart rate and rhythm, respiration rate and
depth, and changes in saturated oxyhaemoglobin concentration, and respond appropriately to
changes in any of these parameters.
14. To record the anaesthetic accurately.
15. To use both subjective and objective measurements to accurately assess pain in the recovering
patient.
16. To provide effective analgesia during the peri-operative and post operative period.
17. To identify the normal behaviours of dogs and cats during the anaesthesia recovery period.
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INTERN RESPONSIBILITIES:
Interns will be expected to take on the following responsibilities:
ATTENDANCE:
Clinical duties: Monday – Friday
8am – 5pm
*Interns may need to stay beyond 5pm if their case continues late.
Clinic rounds: Both Medicine and Surgery rounds occur on a weekly basis
Anaesthesia rounds: These are scheduled for Wednesday and Thursday mornings of each week of the
rotation.
Attendance is compulsory.
Interns are expected to present and discuss clinical cases, as well as critique
current literature with their peers and the supervising clinician.
CASE MANAGEMENT:
Each morning interns are expected to:
- Select a case from the schedule board, and locate the patient and it’s file.
- Read the history and interpret any diagnostic data relevant to the case.
- Perform a thorough pre anaesthetic examination.
- Evaluate the information they have collected and assign the patient a physical status score.
- Formulate an anaesethtic plan and discuss the plan with the anaesthetist on duty.
- Prepare for the anaesthetic (set up the equipment & anaesthetic machine, calculate & draw up
drugs that will be required)
- Premedicate (where appropriate), induce and maintain anaesthesia in their patient, under the
direct supervision of an anaesthetist.
On completion of the anaesthetic, interns will formulate a post operative plan for each patient in their
care based on the complexity of the case and the needs of the individual patient. This will always
include the management of hypothermia and pain based on the Anaesthesia Unit’s protocols and
procedures.
This process is followed throughout the day until all scheduled cases are completed.
The following day interns are expected to check on the previous day’s cases, review their files and
report back to the anaesthetist and their colleagues on their patient’s progress.
During the rotation interns will work in pairs (refer to roster). For each case there is a designated
primary and secondary intern. The primary intern has primary responsibility for the case and the
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secondary intern provides assistance and support. Both interns are expected to co operate and work as
a team, and be equally involved in the management of the case.
During periods of high clinic case loads, interns will be required to work individually.
PATIENT WELFARE:
Interns are responsible for the welfare of the patients assigned to them from the time of premedication
until the animals have recovered from anaesthesia and are reasonably free of pain. Patients must be
monitored continuously from the time of induction of anaesthesia until the animals are extubated and
able to lift their heads. In some cases the anaesthetist will instruct you to remain observing your
patient even when extubated until you are both convinced that the animal is sufficiently recovered to
be left unattended. Some seriously ill patients will require continuous monitoring during recovery.
DO NOT LEAVE YOUR PATIENT WITHOUT CHECKING WITH A STAFF ANAESTHETIST.
Induction of anaesthesia must always be under the direct supervision of a staff anaesthetist and must
not proceed until all the drugs and equipment likely to be needed have been prepared and checked.
RECORDS:
The anaesthetic record is a very important part of the patient’s file and must be filled in as
completely as possible. This includes documenting any complications and/or adverse drug reactions
that have occurred during the entire peri-operative period.
Doses of analgesic drugs given after the patient has been extubated should be recorded. The intern
should ensure that a post-operative analgesia plan has been filled in, printed out and placed on the
patient's cage with the appropriate drugs drawn up in a syringe and dosage instructions written in the
night treatment book.
The anaesthetic record must be placed in the patient’s file on completion of the record.
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ASSESSMENT:
Interns will be required to complete the follow assessment tasks
ASSESSMENT TASK
Due DATE
Written Reports:
Analgesia plan
Anaesthetic record
Complications report
Oral Communications:
Case presentation
Journal review
Complications report
Competency assessments
Clinical evaluation
Student self evaluation
Week 3
Week 2 & 3
By Week 3a
Continuousb
End of week 1, 2, 3
a. Check list of competencies will be reviewed at the end of week 2.
Interns must be competent in all skills by the end of the rotation.
Interns may attempt skills numerous times until they are competent.
b. Criteria 1 – 5 of the clinical evaluation will not be assessed in week 1
At the end of week 1 and week 2 interviews will be held with interns to discuss their progress. The
discussion will focus on the supervisor’s evaluation of the intern, the intern’s self evaluation and their
progress with the competency checklist.
Strategies will be discussed with interns that the supervisor feels are marginal and not on target to
achieving a satisfactory final assessment.
At the end of the rotation interviews will be held with interns to review the rotation and discuss their
final assessment.
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EVALUATION FORM for 5th YEAR VETERINARY ANAESTHESIA CLINICAL ROTATIONS
BASIC KNOWLEDGE AND UNDERSTANDING (anaesthetic theory & concepts)
Outstanding
Very Proficient
Broad knowledge
and understanding
of all aspects of
clinical anaesthesia.
Has an exceptional
ability to integrate
and apply it.
Comprehensive
formulation of
anaesthetic plan.
Generally strong to
excellent knowledge
of key aspects of
clinical anaesthesia.
Can readily integrate
and apply this in
most circumstances.
Comprehensive
formulation of
anaesthetic plan.
Solid Standard
Solid basic core of
knowledge of key
aspects of clinical
anaesthesia.
In most cases can
integrate and apply
this satisfactorily.
Good formulation of
anaesthetic plan.
Marginal
Unsatisfactory
Weak general
knowledge of basic
aspects of clinical
anaesthesia.
Not readily able to
integrate facts into
a consistent
pattern.
Has some difficulty
formulating a
coherent
anaesthetic plan.
Demonstrates
incomplete knowledge of
basic aspects of clinical
anaesthesia & does not
utilise basic principles of
clinical anaesthesia.
Understanding and
integration is poor even
when prompted. Often
generates poor or
inappropriate
anaesthetic plans.
Areas for improvement
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OBSERVATIONAL SKILLS (pre anaesthetic physical examination)
Outstanding
Very Proficient
Solid Standard
Marginal
Always demonstrates
a thorough, detailed
and logical approach
to patient
examination.
Excellent
observational skills.
Able to perform a
detailed pre
anaesthetic
examination.
Proficient at
auscultation of the
thoracic cavity. Able
to palpate a
peripheral pulse. Has
a clear understanding
of what ‘normal’
parameters are.
Appreciates the
important elements of
a pre anaesthetic
examination and very
adroit at recognising
key issues.
Demonstrates a
thorough and logical
approach to patient
examination. Good
observational skills.
Able to perform a
pre anaesthetic
examination. Able to
auscultate the
thoracic cavity and
palpate a peripheral
pulse. Has some
understanding of
what ‘normal’
parameters are. Is
able to identify many
of the important
elements of a pre
anaesthetic
examination.
Demonstrates an
acceptable approach
to patient
examination.
Generally good
observational skills.
Able to perform a
basic pre anaesthetic
examination. Able to
auscultate the
thoracic cavity. Able
to palpate a
peripheral pulse
some of the time. Is
unclear about what
‘normal’ parameters
are. Has a limited
understanding of the
important elements
of a pre anaesthetic
examination.
Demonstrates a
questionable
approach to
patient
examination.
Observational skills
are poorly
developed. Unable
to perform a basic
pre anaesthetic
examination
without assistance.
Is unclear about
what ‘normal’
parameters are.
Has a minimal
understanding of
the important
elements of a pre
anaesthetic
examination.
Unsatisfactory
Unable to formulate an
approach to patient
examination even with
prompting.
Demonstrates very
poor observational
skills. Unable to
perform a basic pre
anaesthetic
examination. Does not
refer to ‘normal’
parameters for
standard animals.
Does not utilise the
important elements of
a pre anaesthetic
examination to then
formulate an
anaesthetic regimen.
Areas for Improvement
PROCEDURAL SKILLS (setting up, catheterisation, intubation, venipuncture, injections etc)
Outstanding
Very Proficient
Solid Standard
Marginal
Unsatisfactory
Shows exemplary
skills and
procedural
knowledge. Works
confidently within
own limits.
Mindful of
personal safety.
Always treats
animals with care
and respect.
Demonstrates very
good procedural
skills. Generally
works safely and
well with animals.
Treats animals
with due respect.
Generally sound
and knowledgable
in procedural skills
and animal safety.
Animal handling is of
some concern at
times. Awkward and
tends to overlook
some safety issues.
Often may do things
without thinking
them through
carefully. Can be
self-conscious under
observation.
Competence level
well below
expectation. Poor
procedural
knowledge and
often takes
improper actions.
Doesn’t recognise
self-limitations.
Actions often show
no consideration
for animal welfare
and safety, or the
safety of the
handler.
Areas for Improvement
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CLINICAL PROBLEM SOLVING and CASE ASSESSMENT (patient assessment)
Outstanding
Very Proficient
Has superior
reasoning ability.
Demonstrates a
thorough, detailed &
logical approach to
patient assessment.
Identifies all major &
minor aspects of the
patient’s problems
clearly. Can inter
relate abnormal
findings. Reasons well
in ambiguous cases.
Puts data into proper
perspective and
develops logical &
appropriate
anaesthetic plans.
Excellent strategies
for case
management.
Very good
reasoning ability.
Able to prioritise
information
available,
identifying all
major aspects of
patient’s problems
clearly.
Very good
integration into
succinct statement
of issues, coupled
with well defined
set of
observations.
Solid Standard
Generally quite
good reasoning
ability.
Most often
integrates key
data into succinct
statement of
issues, coupled
with a basic set of
observations.
Strategies for case
management are
usually
appropriate, but
may be limited at
times.
Develops logical
and appropriate
anaesthetic plan.
Marginal
Reasoning skill
levels are of
concern. May fail
to make basic
observations.
Occasionally fails
to fully integrate
data or overlooks
key aspects of
the case.
Strategies for
case
management at
times
inappropriate,
many options
overlooked.
Unsatisfactory
Reasoning skill
levels are
deficient. Naïve list
of problem areas.
Cannot recognise
key aspects of the
case.
Fails to integrate
key data into
succinct statement
of issues.
Strategies for case
management are
inappropriate,
focusing on limited
aspects of the
case.
Good strategies for
case management.
Areas for improvement
RECORD KEEPING (anaesthetic record& AIS)
Outstanding
Very Proficient
Solid Standard
Marginal
Unsatisfactory
Skilfully structured and
polished records.
Anaesthetic presented
completely and
succinctly with all
observations recorded
in chronological order.
Clear outline of most
relevant incidences.
Very well organised,
clearly presented
records. Anaesthetic
most often presented
completely and well
summarised. Clear
outline of most
relevant incidences.
Records generally
well organised.
Anaesthetic most
often presented
completely but not
in a succinct style.
Most relevant
incidences not
always clearly
outlined.
Records are
inconsistent and
at times
incomplete.
Anaesthetic
poorly presented.
Records are
inconsistent and
frequently lack key
data.
Observations not
recorded in a
chronological
order. Relevant
incidences often
not recorded
Anaesthetic poorly
presented and
always incomplete.
Record shows little
understanding of
relevant incidences.
Areas for Improvement
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PROFESSIONAL ATTITUDES and INTEREST IN LEARNING
Outstanding
Very Proficient
Solid Standard
Marginal
Unsatisfactory
Behaviour epitomises
humane, responsible
care of animals.
Strong leadership
potential. Highly
responsive, energetic
and shows initiative.
Highly self-motivated
but unselfish learner.
Reads extensively and
is always wellprepared.
Clearly demonstrates
a very mature,
proficient approach
to the care of
animals.
Compassionate and
collaborative in
clinics. Shows
enthusiasm,
initiative. Reads up
well on clinical case
issues.
Compassionate
towards animals with
a good professional
manner. Generally
fulfils duties and
completes learning
tasks when expected
but this often
depends on
incentives or other
factors.
At times appears
irresponsible or
unresponsive and
struggles to follow
through on certain
tasks or learning
assignments.
Appears poorly
motivated to expand
knowledge base or
learn beyond what is
required.
Often irresponsible,
unprepared and
uncommitted.
Notable lack of
professional
demeanour. Shows
little to no respect
for learning.
Responds poorly to
constructive
criticism. Does little
reading outside the
topic, and generally
puts in minimal
effort.
Areas for improvement
RELIABILITY, WORK ETHIC and HUMANISTIC VALUES
Outstanding
Very Proficient
Very dependable,
reliable and
industrious Always
willing to exert extra
time and effort to
assist others in clinics.
Displays high ethical
standards and
integrity.
Demonstrates respect,
compassion, empathy
for patients.
Prompt and reliable.
Works hard in and out
of clinics. Can always
be depended on to
complete tasks. Well
prepared for clinical
responsibilities. Good
team member. Honest
and recognises selflimitations.
Solid Standard
Marginal
Unsatisfactory
Generally reliable and
will usually complete
tasks or assignments.
Overall level of work is
satisfactory but
motivation fluctuates.
Sometimes extends
him/herself. Basically
honest.
Cannot always be
relied on. Follow
through to
completion on
assignments is
often problematic.
Level of work is
often below par
and motivation is
questionable. No
clear evidence of
ethical values or
compassion.
Often unreliable or
sub-standard work.
Prominent absences.
Doesn’t readily
accept responsibility
or show much
evidence of ethical
values or
compassion for
animals. Very low
personal integrity.
Areas of Improvement
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OVERALL CLINICAL EVALUATION OF STUDENT
Your overall evaluation of the student should reflect the ratings given in each of the above areas, but
different dimensions will be weighted differently by different clinicians (or type of Rotation).
Outstanding (5)
Very Proficient (4)
Solid Standard (3)
Marginal (2)
Unsatisfactory (1)
Other comments
Do you consider the student already exhibits, or is on track to have acquired by the
time of graduation, those professional attributes that will make him/her a veterinarian
with the level of competency you would expect?
Definitely
Very Likely
Possibly of Concern
Of Definite Concern
Anaesthesia Competency Checklist
Students can expect to perform the following Anaesthesia Skills and Procedures during the
rotation.
At the end of each week indicate the frequency that each skill or procedure has been attempted below.
During week 2 and 3 of the rotation students will be assessed on their competency when performing
these skills (refer to the competency assessment sheets).
Skill
Wk 1 Wk 2 Wk 3 Minimum
1.1
Pre anaesthetic examination and evaluation in a cat
1.1
Pre anaesthetic examination and evaluation in a dog
2.1/2.2
Preparation of an anaesthetic machine for use
3.1
Collection and preparation of equipment required to
anaesthetise a dog/cat
4.1/4.2
Preparation of a fluid bag and giving set for use
Subcutaneous injection in a cat
Subcutaneous injection in a dog
Venipuncture in a cat
Venipuncture in a dog
6.1
Intravenous catheterisation of the cat
6.2
Intravenous catheterisation of the dog
7.1/8.1
Anaesthetic induction & maintenance in a cat
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3
5
5
5
3
3
3
3
3
1
2
1
2004/05
7.2/8.2
Anaesthetic induction & maintenance in a dog
7.3
Intubation of the cat
7.4
Intubation of the dog
8.3
Determination of blood pressure using a Doppler
10.1
Maintenance of an anaesthetic record
9.1
Assessment of pain using a pain score system
10.1
Formulation of an analgesia plan
10.2
Case presentation at clinical rounds
2
1
2
3
5
5
3
1
COMPETENCY ASSESSMENT COVER SHEET
ASSESSMENT DETAILS
Rotation
Anaesthesia
Dates of Assessment
Location
UVCS
ASSESSORS DETAILS
Name
Title
Kim Ticehurst (Unit of study coordinator)
Registrar in Veterinary Anaesthesia
Name
Title
Sanaa Zaki (Unit of study coordinator)
Lecturer in Veterinary Anaesthesia
Name
Title
Kieren Maddern
Registrar in Veterinary Anaesthesia
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Name
Kate Fahey
Melanie Askew
Anaesthesia Technicians
Title
INTERN DETAILS
Name
Student I.D.
Confirmation of assessment details
 The purpose of the assessment has been explained to me.
 The criteria against which I will be assessed have been given to me and I will
read them.
 The timetable in which assessment will take place has been explained to me.
 I am aware of how the assessment will be done.
Signed
Skill 1.1
Date
Pre anaesthetic examination and evaluation of a cat/dog
Expected Performance
Actual
Performance
Auscultation of the heart (R and L sides)
Auscultation of the lungs (R and L sides)
Palpation of the femoral pulse
Observe mucous membrane colour
Approximate capillary refill time (CRT)
Take rectal temperature if appropriate
Accurately assess temperament of the animal
View the patient’s record
Correctly interpret any laboratory data relevant to the patient (PCV,
TPP etc)
Correctly identify any abnormalities present
Assign an appropriate ASA physical status score
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
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Skill 2.1
Identify the components of an anesthetic machine
Expected Performance
Correctly
Correctly
Correctly
Correctly
Correctly
Correctly
Correctly
Correctly
Correctly
Correctly
Correctly
Correctly
Actual
Performance
identify the flow meters
identify the vapouriser
identify the fresh gas outlet
identify the soda lime canisters
identify the inspiratory limb
identify the expiratory limb
identify the unidirectional valves
identify the reservoir bag
identify the “pop-off” valve
identify the scavenger system
identify the emergency oxygen
outline the direction and path of gas flow
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Not Yet Competent
Skill 2.2
Date:
Date:
Preparation of an anaesthetic machine for use
Expected Performance
Actual
Performance
Oxygen and N2O supply connected
Bobbin on Flow meters checked
Emergency oxygen bypass checked
Vapouriser is filled in a manner which avoids environmental
contamination
Appropriate breathing system is selected for animal indicated by
assessor
BAIN
CIRCLE
Bain is correctly attached to
Y-piece and tubes are correctly
the anaesthetic machine
attached to anaesthetic machine
Reservoir bag is correctly attached
Soda lime is checked
Scavenger is connected
Scavenger is connected
System is checked for leaks
System is checked for leaks
“Pop-off” valve is opened
“Pop-off” valve is opened
Assessor’s comments:
Intern’s comments:
Assessment decision

Competent
UVCS Anaesthesia Unit
Date:
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
Not Yet Competent
Skill 3.1
Date:
Collect and prepare the equipment required to anaesthetise a dog/cat
Expected Performance
Actual
Performance
The following items are selected and placed on table in a neat and
methodical manner
1
Laryngoscope and appropriate size blade
3
Endotracheal (ET) tubes of an appropriate size
4-6
Swabs with appropriate lubricant placed on the top swab
1
10ml syringe for checking the ET tube cuff
1
Bandage material to tie the ET tube is placed on table
1
Appropriate size face mask
1
Appropriate size intravenous catheter
1
Plug for the intravenous catheter
1
Catheter tape
1
5ml syringe of heparinised saline
1
syringe of Xylocaine spray and Cass needle (cats only)
1
Appropriate intravenous fluids & administration set
1
Oesophageal stethoscope and ear piece
3
ECG pads
1
Appropriate size blood pressure cuff
1
Labeled syringe/s containing induction agent/s
The ET tube cuffs are inflated to check for leaks
Assessor’s comments:
Intern’s comments:
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Assessment decision


Competent
date:
Not Yet Competent
date:
Skill 4.1
Prepare a fluid bag & giving set for use
Expected Performance
Actual
Performance
Appropriate Fluid bag and giving set are acquired
Fluid bag is removed from packaging and placed on drip stand
Protective covering over port is removed
Giving set is removed from packaging
Flow control device is closed
Protective covering over spike is removed
Spike is inserted into port, preserving sterility
Chamber is squeezed in order to fill it to approximately ¼- ½
Flow control device is opened and giving set is filled, ensuring all air
is eliminated
Flow control device is closed
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
date:
Not Yet Competent
date:
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Skill 4.2
Calculate the drip rate for gravity fed fluids
Expected Performance
Actual
Performance
Surgical rate of fluids is correctly calculated
Number of drops per ml for chosen giving set is identified
Number of drops per second required to deliver surgical rate of
fluids is correctly calculated
Flow control device is adjusted to allow giving set to deliver the
calculated rate of fluids
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
date:
Not Yet Competent
date:
Skill 5.1
Calculate the total dose and volume of premedicant
Expected Performance
Actual
Performance
Appropriate dose rate is selected
Total milligrams (mg) required is correctly calculated
Number of milliliters (ml) required to deliver this dose is correctly
calculated
Correct volume (ml) is drawn up into appropriate sized syringe
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 5.2
Calculate total dose and volume of an anaesthetic agent
Expected Performance
Actual
Performance
Appropriate dose rate is selected
Total milligrams (mg) required is correctly calculated
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Number of milliliters (ml) required to deliver this dose is correctly
calculated
If entire amount is not required, actual number of mg delivered to
achieve induction of anaesthesia is correctly calculated
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 6.1
Placement of intravenous catheter in a cat
Expected Performance
Actual
Performance
An adequate amount of hair clipped
Appropriate antisepsis applied to the skin
The limb is held in a safe and effective manner
The catheter is introduced into the vein without compromising
sterility
Catheter is plugged securely without compromising sterility
Catheter is secured to the limb effectively
Sharps are disposed of safely
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 6.2
UVCS Anaesthesia Unit
Placement of intravenous catheter in a dog
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Expected Performance
Actual
Performance
An adequate amount of hair clipped
Appropriate antisepsis applied to the skin
The limb is held in a safe and effective manner
The catheter is introduced into the vein without compromising
sterility
Catheter is plugged securely without compromising sterility
Catheter is secured to the limb effectively
Sharps are disposed of safely
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 7.1
Induce anaesthesia in a cat
Expected Performance
Actual
Performance
Where possible, pre-oxygenation is performed
Anaesthetic drug is delivered at an appropriate (for individual
animal and particular drug) rate
Depth of anaesthesia is assessed during induction to determine
when intubation is possible
Delivery of anaesthetic agent is stopped at an appropriate depth of
anaesthetic and intubation attempted
Heart rate is assessed immediately following intubation
Depth of anaesthetic is assessed following intubation
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 7.2
UVCS Anaesthesia Unit
Induce anaesthesia in a dog
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Expected Performance
Actual
Performance
Where possible, pre-oxygenation is performed
Anaesthetic drug is delivered at an appropriate (for individual
animal and particular drug) rate
Depth of anaesthesia is assessed during induction to determine
when intubation is possible
Delivery of anaesthetic agent is stopped at an appropriate depth of
anaesthetic and intubation attempted
Heart rate is assessed immediately following intubation
Depth of anaesthetic is assessed following intubation
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 7.3
I ntubate a Cat
Expected Performance
Actual
Performance
Cuffs on selected tubes have been assessed for function
Correct size tube is selected
Correct amount of appropriate lubricant is applied
Larynx is visualised using laryngoscope
Lignocaine is applied to larynx
Tube is placed in trachea in atraumatic manner
Correct placement of tube is confirmed
Tube is connected to anaesthetic machine
Cuff is inflated using anaesthetic machine to determine necessary
amount of air
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
UVCS Anaesthesia Unit
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Skill 7.4
I ntubate a dog
Expected Performance
Actual
performance
Cuffs on selected tubes have been assessed for function
Correct size tube is selected
Correct amount of appropriate lubricant is applied
Larynx is visualised using laryngoscope
Tube is placed in trachea in atraumatic fashion
Correct placement of tube is confirmed
Tube is connected to anaesthetic machine
Cuff is inflated using anaesthetic machine to determine necessary
amount of air
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 8.1
Maintain anaesthesia in a Cat
Expected Performance
Actual
Performance
Flow rates appropriate for the breathing system are used
Heart rate, respiratory rate and other parameters such as blood
pressure, EtCO2, SpO2, etc are monitored and recorded
Plane of anaesthesia is continuously assessed
Alterations are made to the settings of the anaesthetic machine in
response to alterations in the plane of anaesthesia
Abnormal parameters are identified and appropriate action taken
The patient is not left unattended
Indicators of the return of protective reflexes are identified
The presence of these indicators in the animal is recognised
Endotracheal tube is removed atraumatically at an appropriate time
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
UVCS Anaesthesia Unit
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Skill 8.2
Maintain anaesthesia in a dog
Expected Performance
Actual
Performance
Flow rates appropriate for the breathing system are used
Heart rate, respiratory rate and other parameters such as blood
pressure, EtCO2, SpO2, etc are monitored and recorded
Plane of anaesthesia is continuously assessed
Alterations are made to the settings of the anaesthetic machine in
response to alterations in the plane of anaesthesia
Abnormal parameters are identified and appropriate action taken
The patient is not left unattended
Indicators of the return of protective reflexes are identified
The presence of these indicators in the animal is recognised
Endotracheal tube is removed atraumatically at an appropriate time
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 8.3
Determination of blood pressure using a Doppler
Expected Performance
Actual
Performance
Appropriate size cuff selected
Doppler probe placed correctly and secured with tape
Cuff is inflated to an appropriate pressure
Systolic blood pressure is correctly identified
Result is correctly recorded
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 9.1
Pain Score Asse ssment
Expected Performance
Actual
Performance
Indicators of pain are correctly identified
UVCS Anaesthesia Unit
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Applying the pain scoring system used at UVCS, the animal is given
an appropriate pain score
The indicated response is initiated
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
Skill 10.1
Reco rd keeping
Expected Performance
Actual
Performance
The pre anaesthetic findings are clearly recorded
All relevant details about premedication, induction and maintenance
of anaesthesia are accurately recorded
All measured physiological parameters are accurately recorded at 5
minute intervals
All complications and their management are recorded
All significant occurrences during the anaesthetic are recorded
Dose, route and time of administration of all medications given
during the anaesthetic period are recorded
All aspects of the recovery are recorded
The anaesthetic record is accurately transferred onto the computer
file
A post operative care form clearly documenting the post operative
care of the patient is completed
A concise and easy to understand analgesia plan form is completed
Assessor’s comments:
Intern’s comments:
Assessment decision

Competent
UVCS Anaesthesia Unit
Date:
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
Not Yet Competent
Date:
Skill 10.2
Presentation of a Case at Rounds
Expected Performance
Actual
Performance
Pertinent aspects of history are identified
Significant findings in physical examination are identified
Anaesthetic considerations are discussed
Drug choice is discussed and explained
Significant aspects of the maintenance of the anaesthetic are
discussed
Issues relating to the postoperative management of the case are
discussed
Complications and their management are discussed
Assessor’s comments:
Intern’s comments:
Assessment decision


Competent
Date:
Not Yet Competent
Date:
PERSONAL REFLECTION
Week 1
1. Skills and experiences that I bring to the UVCS anaesthesia rotation from my previous
placements include:
2. I feel confident in performing:
3. I need to gain more experience with:
UVCS Anaesthesia Unit
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4. Things I can contribute to the UVCS Anaesthesia Unit include:
5. Things I can contribute to my fellow Interns’ learning experience include:
SELF EVALUATION FORM
Week 1
1. I believe my understanding of anaesthetic theory and concepts to be:
Excellent
Very good
Good
Inadequate
Minimal
2. I believe my ability to assess my patients and formulate an appropriate anaesthetic plan to be:
Excellent
Very good
Good
Inadequate
Minimal
Good
Inadequate
Minimal
3. I believe my technical skills to be:
Excellent
Very good
4. I believe my anaesthetic record keeping to be:
UVCS Anaesthesia Unit
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Excellent
Very good
Good
Inadequate
Minimal
5. I believe my professional attitudes and care of my patients to be:
Excellent
Very good
Good
Inadequate
Minimal
In the remainder of the rotation, I will place emphasis on improving the following:
SELF EVALUATION FORM
Week 2
6. I believe my understanding of anaesthetic theory and concepts to be:
Excellent
Very good
Good
Inadequate
Minimal
7. I believe my ability to assess my patients and formulate an appropriate anaesthetic plan to be:
Excellent
Very good
Good
Inadequate
Minimal
Good
Inadequate
Minimal
8. I believe my technical skills to be:
Excellent
UVCS Anaesthesia Unit
Very good
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9. I believe my anaesthetic record keeping to be:
Excellent
Very good
Good
Inadequate
Minimal
10. I believe my professional attitudes and care of my patients to be:
Excellent
Very good
Good
Inadequate
Minimal
In the remainder of the rotation, I will place emphasis on improving the following:
SELF EVALUATION FORM
Week 3
11. I believe my understanding of anaesthetic theory and concepts to be:
Excellent
Very good
Good
Inadequate
Minimal
12. I believe my ability to assess my patients and formulate an appropriate anaesthetic plan to be:
Excellent
Very good
Good
Inadequate
Minimal
Good
Inadequate
Minimal
13. I believe my technical skills to be:
Excellent
UVCS Anaesthesia Unit
Very good
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14. I believe my anaesthetic record keeping to be:
Excellent
Very good
Good
Inadequate
Minimal
15. I believe my professional attitudes and care of my patients to be:
Excellent
Very good
Good
Inadequate
Minimal
In the remainder of the rotation, I will place emphasis on improving the following:
UVCS Anaesthesia Unit
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