Utilising Nurses - Independent Vetcare

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Utilising Nursing Staff under RCVS Legislation

RVNs – Registered Veterinary Nurse

Theatre/Surgical:

NB all meds doses per VS instruction

Organise theatres, equipment, ops lists

 TPR patients, administer pre-med, place cannulae

* Induce G.A (not incremental dosing)

 Clip/scrub surgical sites

 Maintain/monitor G.A

 Scrubbed assistance in theatre

Admin IV infusions

Wound care/bandaging

* Surgical Dip VNs or RVNs who have attended schedule 3 training and are deemed competent by the

VS and under their direction can for example carry out:

 Suture minor wounds

Remove small skin lumps

Aural haematoma correction

NB RVNs must not enter a body cavity i.e. cat castrate

Dentals: under VS instruction

Routine dental hygiene work

NB RVNs must not remove teeth

SVNs – Student Veterinary Nurse

Theatre/Surgical:

NB SVNs can perform all tasks listed in the

RVN column under supervision.

In the case of minor surgical procedures supervision must be direct, continuous and personal by a VS or RVN .

Dentals: as above

NQs – Non-Qualified

Theatre/Surgical:

Set up / clean theatre

 Assist with maintenance of G.As under direct and continuous supervision of a VS NB

RVNs/SVNs are most suitable

Cleaning and sterilisation of surgical instruments

 Monitor the recovery of animals from G.A

NB Maintaining anaesthesia is the responsibility of a VS, but a NQN with suitable training can assist by acting as the

VS hands e.g. by moving dials.

Dentals:

Set up equipment

Assist with G.As

under direct continuous supervision of a VS

NB RVNs/SVNs are most suitable

Radiography:

Set up equipment

 Assist with G.As

under continual direction of a VS NB RVNs/SVNs are most suitable

VN Clinics:

Must not run nurse clinics

Radiography:

Prep for x-rays

 Perform basic positioning & radiography

 Assist/perform contrast studies under VS direction

 Process x-rays

VN Clinics: Relevant training is required

 Bandage/dressing change

 2 nd vacs as directed by the vet NB RVN can

sign vac record card, it’s advised to use post nominal to include, 'Under the direction of….'

At the bottom)

 Wound checks

 Repeat blood tests as directed by the VS

Admit/discharge appointments on instruction of the VS

 Clubs – Obesity, Senior, Puppy, Behaviour

 Flea/worm/micro chipping NB for all POM-V meds a vet must have clinically assessed the patient within a reasonable amount of time

Preventative dental care checks

Clip nails

Inpatients:

 Oversee full nursing care of IPs

 Administer meds as directed by a VS

IV placement and maintenance of IVF

Pre, peri & postoperative obs & care to include full physical exam

 Nursing critical IPs

Physiotherapy

 Collect samples urine, faeces, blood

Medical:

 Blood pressure monitoring

 Perform blood transfusions/administer blood products under VS direction

 Set up/ run ECG

 Fit Holter monitors

Triage

Laboratory tests

Radiography: as above

VN Clinics:

Can only assist with Nurse clinics for training purposes and supervision must be direct and continuous at all times from either a Vet or RVN.

Inpatients:

NB SVNs can perform all tasks listed in the

RVN column under supervision.

Medical: as above

Inpatients:

 Feeding, walking, cleaning

 TPR

 Collect samples urine, faeces

NB Clients must not be mislead to believe they are being dealt with RVNs when dealing with NQNs

Medical:

Must not administer medications *

Laboratory tests

IVC Recommendations

*RVNs 'Theatre' – with regards to RVNs carrying out schedule 3 procedures IVC recommend that VS are most suitable to carry out FNAs and lump removals

*NQs 'Medicating Inpatients' – the clinical board have agreed that NQs can medicate animals if:

Clients are informed:

Consent forms are updated to say ‘from time to time it will be necessary for animal care assistants to medicate your pet, under the supervision of a veterinary surgeon.’

Plus care assistants have received appropriate training and documentation to prove competence

The nurse committee will be sending out a competence chart, covering all aspects, for use in practice.

General Note

RVN’s cannot diagnose or prescribe medication. SQPs can prescribe POM-VPS & NFA-VPS medications within the limitation of the scope of the qualifications they have obtained and the registration they hold.

RVN or SVN is not entitled independently to undertake either medical treatment or minor surgical procedures

Continuing Professional Development (CPD) is mandatory for RVNs, the required minimum CPD is 45 hours in any three-year period

'Supervision' means that the VS is present and on the premises and able to respond to a request for assistance if needed

*law regarding nurses and anaesthesia currently under review and may be subject to change

All procedures which can be legally delegated to veterinary nursing staff within veterinary practice are covered by:

Schedule 3 of the veterinary surgeons Act 1966

The Royal Charter and the VN Conduct & Discipline Rules 2014

These are to protect public interest and safeguard animal health & welfare

RCVS Code of Professional Conduct states:

18.1 RVNs are those whose names are recorded in the Register of Veterinary Nurses and maintained by the RCVS

SVNs are those enrolled with the RCVS for the purpose of training at an approved centre or practice

18.2 RVNs are subject to the RCVS Code of Professional Conduct for Veterinary Nurses and a similar regulatory jurisdiction as VS.

For further information please read:

Schedule 3 of the veterinary surgeons Act 1966

The Royal Charter and the VN Conduct & Discipline Rules 2014

RCVS Code of Professional Conduct for Veterinary Nurses

The Medicines Act 1968

The Medicines (restrictions on the administration of medical products) regulations 1994

The Retailers Records for Veterinary Medicinal Product Regulations 2000

The Misuse of Drugs Act 1971

The Misuse of Drugs Regulations 2001

The Health & Safety at Work Act 1974

The Control of Substances Hazardous to Health Regulations 1998

BSAVA Medicines Guidance

Nicola Monkman & Gemma Brudenell Amended – 01/02/16

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