VETERINARY SPECIALIST EXAMINATION
Washington State University Veterinary Teaching Hospital
Name:____________________
Date:_____________________
This examination is required as part of your application for a Veterinary Specialist position
at Washington State University’s Veterinary Teaching Hospital. In order to fully consider
your application, we would like to learn specific information regarding your level of
experience and qualifications for the position. Your experience and training may be paid
or unpaid, full-time or part-time and gained in any veterinary setting, including previous
employment, schooling or on a personal/volunteer basis. Please submit this examination
with your application.
VETERINARY TECHNICIAN LICENSURE
Are you currently a licensed veterinary technician (LVT) with the State of Washington?
Yes_____
License #_______________________
No______
If No: will you be license eligible as a veterinary technician in the State of Washington at
time of hire? You must meet the criteria veterinary technicians as per WAC 246-935-060
on the website:
http://www.doh.wa.gov/LicensesPermitsandCertificates/ProfessionsNewReneworUpdate/Veterinari
an.aspx
Yes_____
No_____
Please select the area(s) in which you would prefer to work.
____Any _____Agricultural Animal _____ Anesthesia ____Equine ____Exotics
____Small Animal ______ Theriogenology
Please use the rating scale below. For each procedure, indicate the level of proficiency at
which you are capable of performing, or have the knowledge to perform, in a working
environment. Leave blank if you are not capable of performing or lack the knowledge to
perform a procedure. Also include where you obtained this experience (such as school,
internship, or specific employer) and your length of experience (such as number of
months, years, and/or quarter/semester hours).
1.
2.
3.
Highly skilled - have very recent experience.
Well skilled - have performed within two years.
Some skill - need retraining
1
4.
In-depth knowledge, but lack skill to perform- need training.
1. SPECIES HANDLED/RESTRAINED:
Species
Experience Duration of
level
Experience
Where experience obtained
Avian
Bovine
Canine
Camelids
Caprine
Equine
Exotics
(multispecies)
Feline
Ovine
Reptiles
Rodents
Porcine
Wildlife
(multispecies)
Other
2. STERILIZE EQUIPMENT
Method
Experience
level
Duration
of
Experience
Cold
Ethylene Oxide
(EO)
Plasma
2
Where experience obtained
Steam
Other
3. ADMINISTRATION OF ANESTHETICS
Technique
Experience Duration of
level
Experience
Where experience obtained
Injectable
Experience Duration of
Anesthetics
level
Experience
Intramuscular
Where experience obtained
Local
Regional
General
Other:
Subcutaneous
Intravenous
Other:
Inhalant
Anesthetics
Isoflurane
Experience Duration of
level
Experience
Where experience obtained
Sevoflurane
Desflurane
Other:
Endotracheal intubation:
□ Yes □ No
If Yes, list species and experience level.
____________________________________________________________________
3
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4.
CLINICAL LABORATORY ANALYSIS
Diagnostic
Procedure
Blood Gas
Experience Duration of
Level
Experience
Where experience obtained
Complete
blood count
Ear Swab
Fecal
Gram Stain
Serum
Chemistries
Skin Scraping
Urinalysis
5.
CARDIOLOGY
Equipment
Experience Duration of
operation
Level
Experience
Electrocardiography
Where experience
obtained
Cardiac Monitors
Other
6.
RADIOLOGY
Diagnostic
Procedure
CAT Scan
Experience Duration of
Level
Experience
Contrast
Studies
4
Where experience obtained
Digital
Radiology
Linear
Accelerator
MRI
Nuclear
Imaging
Ultrasound
7.
SURGERY
Nursing
Experience Duration of
Level
Experience
Where experience obtained
Circulating
Nurse
Monitoring
Patient
Pre-op
nursing
Post-op
nursing
Surgical
Assisting
Surgical
room prep
Surgical
room tear
down
Other:
8.
VASCULAR CATHETERIZATION
Vascular
Catheterization
Arterial:
Location:
Cephalic
Experience Duration of
Level
Experience
Jugular
Lateral Thoracic
5
Where experience
obtained
Saphenous
Other:
Other:
9.
COMPUTER EXPERIENCE
□ Yes □ No
Computer
Experience
Program:
Experience Duration of
Level
Experience
Where experience obtained
Program:
Program:
Program:
Program:
Program:
Program:
Program:
10.
TEACHING EXPERIENCE
□ Yes □ No
Experience
with Post
Secondary
Instruction
Program:
Experience Duration of
Level
Experience
Program:
Program:
Program:
6
Where experience obtained
7