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Prepare surgical suite for surgical procedure
Assessment Strategies
Skill Sheet Check-Offs
laboratory exams
Criteria
you clean and disinfect the surgical suite
you inspect anesthetic machine and perform anesthetic machine leak check
you ensure there is adequate oxygen and anesthetic gas to complete the anesthetic procedure
you gather appropriate surgical attire, packs, suture, blades and other equipment as needed
you select and set-up the anesthetic machine correctly for the weight of the patient
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Assess surgical patient
Assessment Strategies
Skill sheet check-offs
Laboratory and lecture exams
Criteria
you peform physical exam prior to procedure
you gather and/or assess existing patient history from the medical record
you draw blood for preanesthetic diagnostic lab tests
you analyze diagnostic test results and inform the Veterinarian in charge of any abnormalities
you ensure food and water was withheld from the patient prior to anesthesia
you understand all aspects of patient pre-surgical evaluation including other diagnostic tests such as radiography, electrocardiography, etc...
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Insert IV catheter
Assessment Strategies
Skill sheet check-offs
Laboratory exams
Criteria
you gather all catheter supplies
you clip and prep the catheter site
you insert the IV catheter using proper technique
you tape the IV catheter in place using proper technique
you attach the IV fluids and set the drip rate
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Perform anesthetic induction
Assessment Strategies
Skill sheet check-offs
Laboratory and lecture exams/quizzes
Criteria
you calculate and aseptically draw into syringes the correct drug doses
you calculate the correct IV fluid drip rate
you administer the induction drug dose "to effect"
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Perform endotracheal intubation
Assessment Strategies
Skill sheet check-offs
Lecture and laboratory exams
Criteria
you gather all endotracheal intubation supplies
you perform leak checks on all endotracheal tubes selected and record amount of air to maximum cuff inflation
you use a laryngoscope to insert the endotracheal tube within the trachea
you use a minimum of two methods to assess whether endotracheal tube is correctly placed within the trachea
you secure the endotracheal tube to the patient and attach the patient to the anesthesia machine
you inflate the endotracheal tube cuff if needed using proper technique
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Prepare patient for surgical procedure
Assessment Strategies
Skill sheet check-offs
Laboratory and lecture exams
Criteria
you gather all patient prep supplies
you clip the surgical site of the patient using proper technique
you aseptically scrub the surgical site using the target method
you know the different scrub/rinse/paint combinations and how to prepare them for use on the patient
you understand the advantages and disadvantages of the various scrub/rinse/paint solutions
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Assist veterinary surgeon with surgical procedure
Assessment Strategies
Skill sheet check-offs
Laboratory exams
Criteria
you wear cap, mask and shoe covers
you aseptically put on surgical gown and gloves
you correctly identify all surgical instruments in the pack
you drape the patient and secure with clamps
you select and hand the requested instrument to the surgeon
you cut suture
you remove the drapes from the patient using proper technique and without contaminating the surgical site
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Monitor anesthesia
Assessment Strategies
Skill sheet check-offs
Laboratory and lecture exams/quizzes
Criteria
you correctly complete the anesthetic monitoring forms
you record heart rate, respiratory rate and anesthetic gas concentration every 5 minutes
you assess eyeball position, palpebral reflex, jaw tone, CRT, muscle relaxation, pulse pressure and temperature every 5 minutes
you select, set-up and use anesthetic monitoring equipment (pulse oximeter, ultrasonic doppler and esophageal stethoscope)
you understand the stages and planes of anesthesia
you understand how the anesthetic machine operates and can operate it correctly
you can troubleshoot faulty anesthetic machine operation
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Monitor anesthetic recovery
Assessment Strategies
Skill sheet check-offs
Laboratory and lecture exams/quizzes
Criteria
you correctly set the anesthesic gas rate and oxygen flow rate for recovery of the patient
you correctly assess when to extubate the patient
you extubate the patient using proper technique
you remove the IV fluid line and IV catheter after extubation
you complete the post-operative recovery form, including patient vital signs
you transfer patient to ready recovery cage (heating pad and towel if needed)
you evaluate patient for pain
you monitor surgical site for swelling, redness, hemorrhage, discharge and dehiscence
you evaluate patient for adequate nutrition
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Evaluate post-surgical patients
Assessment Strategies
Skill sheet check-offs
Laboratory and lecture exams/quizzes
Criteria
you perform a post-surgical physical exam day 1, day 3 and day 6 post-operatively
you assess the post-surgical patient for signs of pain
you monitor the surgical incision for heat, swelling, redness, discharge and dehiscence for 1 week post-operatively
you remove sutures or staples in 10-14 days
you record physical exam and suture line findings in the medical record
you report any abnormalities to the veterinarian-in-charge
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Make surgical packs
Assessment Strategies
Skill sheet check-offs
Laboratory and lecture exams
Criteria
you make an instrument pack
you make a drape pack
you make a gown pack
you correctly identify by name and in writing all surgical instruments
you correctly identify various types of suture
you know the advantages and disadvantages of various types of suture
you can identify absorbable and nonabsorbable types of suture
you correctly identify surgical blades
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Identify, clean and maintain surgical and anesthetic equipment
Assessment Strategies
Skill sheet check-offs
Laboratory and lecture exams/quizzes
Criteria
you clean and disinfect surgical suite post-operatively
you clean and sterilize instruments
you clean and disinfect endotracheal tubes, rebreathing bags and breathing hoses
you inspect equipment for defects/problems/malfunction
you understand autoclave machine operation
you package gauze and/or instruments in peel-packs for ethylene oxide sterilization
you understand the various methods of sterilization
you identify and understand the differences between the antiseptics and disinfectants used
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Describe common veterinary small animal surgical procedures
Assessment Strategies
Lecture exams
Criteria
you understand how canine ovariohysterectomy and castration are performed and the indications for each
you understand how feline ovariohysterectomy, castration and declaw are performed and the indications for each
you understand small animal cesarean section
you understand small animal cystotomy and feline perineal urethrostomy and the indications for each
you understand pyometra
you understand tail docking and puppy dewclaw removal