AEVNT ADVANCED SKILLS LIST
AEVNT ADVANCED SKILLS LIST 2020All qualified candidates will have demonstrated advanced equine veterinary nursing skills. In their performance of their duties and responsibilities as an equine veterinary nurse technician, all candidates shall demonstrate expertise in the majority of the following areas of advanced skills. Advanced skills may only be performed on equid patients. Acceptable equine species are Equus caballus (horse), Equus asinus (donkey) and any hybrid thereof i.e. mule and hinny.All qualified candidates must show proficiency in 100% of skills in Category 1 and 75% of the skills in categories 2-13 listed.(which is equal to 145 skills out of the total remaining 193 skills)Advanced skills are expected to correlate to most case logs. Failure to show skill variety and competency in case logs can result in an application denial. Number references should not be used in the case logs (example skill 1.6, this should be spelled out instead as “Perform catheterization of a jugular vein”). In the performance of their duties and responsibilities as an equine veterinary nurse, an AEVNT shall show mastery in the following Advanced Skills:1. Basic Core SkillsSkillDVM or VTS-EVN SignatureDemonstrate proper and safe restraint of equine patients including the use of physical restraint devices, including but not limited to, shanks and twitchesPerform proper foal restraint techniquesLoad and unload injured, compromised or sick equine patient in a horse trailer using proper safety techniquesProperly use hoof picks, hoof rasps, hoof nippers, and hoof knifeAdminister parenteral medications intramuscularly, intravenously, & subcutaneouslyPerform catheterization of a jugular veinBe knowledgeable in the performance of a thorough dental examination, including aging of the horseApply & use mouth speculumsSet up and assist with a dental float procedurePerform a sheath cleaningDemonstrate working knowledge and administration of recommended vaccination & deworming schedules (as recommended by the AAEP)Demonstrate a working knowledge and understanding of equine terms and terminology through communication, application of skills and performance of dutiesDemonstrate a working knowledge and understanding of equine anatomy and physiology through communication, application of skills and performance of dutiesDemonstrate ability to identify an equine with nutrition concerns (body conditioning scoring)Demonstrate working knowledge of equine pharmacology2. Equine NutritionSkillDVM or VTS-EVN SignatureAssist with client education in equine nutritionDemonstrate total (& partial) parenteral nutrition administration techniquesDemonstrate a working knowledge of feeds ie. nutritional supplements etc.Recognize different types of hay and their nutritional differencesRecognize different types of grains including oats, sweet feeds, and other pellets and their nutritional differences3. Reproduction and GeneticsSkillDVM or VTS-EVN SignaturePrepare a mare for breeding exam (prep of the perineum…)Assist with artificial inseminationCalibrate & operate computerized sperm motility analyzerPerform semen collection using mount mare & or phantom marePrepare endometrial & testicular biopsies (for histological sectioning & staining)Prepare semen extender for cool shipmentPrepare semen for freezing semenPrepare solutions and transport media for flushing embryosSafely handle breeding stallions for natural cover, semen collection, etc.Safely handle mares (including ovariectomized mares) during semen collectionSet up and assist with standing flank oocyte aspirations and transferSet up and assist with uterine infusion & lavageStandardize & use pH meterStandardize & operate osmometersAssist & prep for normal foaling delivery, dystocia, or C-section delivery4. Foal CareSkillDVM or VTS-EVN SignaturePerform foal emergency set – up & receivingPerform foal feeding via nasogastric tubeDemonstrate foal foldingDemonstrate foal naval umbilicus care techniquesPerform milk collection on maresPerform nasogastric intubationPlace and maintain indwelling feeding tubesReposition recumbent foalPerform proper foal restraint techniquesDemonstrate knowledge & set up for ICU foal careDemonstrate knowledge of and recognition of signs of imminent foaling by mareAssist with foaling, both routine and dystocia5. PharmacologySkillDVM or VTS-EVN SignatureIdentify and maintain list and proper inventory control of all drugs, supplies, equipment needed for an equine practice (fixed as well as ambulatory)Demonstrate a working knowledge of race track and performance / sport horse drugs and supplies, including withdrawal times, rules regulations & resourcesDemonstrate knowledge of controlled substances, keeping a log and the rating system (Class I – V)6. Laboratory DiagnosisSkillDVM or VTS-EVN SignatureProperly collect diagnostic specimens for analysis (i.e. urine, blood, feces, cells, tissue, specimens for cytology)Perform an IgG assessmentPerform a blood gas analyzer quality controlDemonstrate adequate blood gas analyzer usage – obtain, measure & interpret (normal vs. abnormal)Perform arterial blood sample collection techniquesPerform blood culture techniquesBe knowledgeable regarding the regulations and proper procedure for a coggins (EIA) test & health certificate (proper collection & paperwork)Perform a CBC (manual/analyzer)Demonstrate knowledge in the evaluation of blood donor cross – match results & determination of the best donorPerform microbiology tests to include cultures & sensitivitiesPerform fecal examination using multiple methodsSafely package lab specimens for shipment to outside labs according to federal regulations7. AnesthesiaSkillDVM or VTS-EVN SignaturePerform endotracheal tube placement & managementPerform ventilator set – up & administration of anesthetic gases.Maintain & use equine specific diagnostic monitoring equipmentPerform set – up & interpretation (normal vs. abnormal) of capnographyDirect arterial blood pressure equipment set – up & blood gas interpretation (normal vs. abnormal)Perform an electrocardiogram – attach leads correctly, understand basic interpretation & advanced interpretation (normal vs. abnormal)Demonstrate re- breathing bag usageDemonstrate nursing anesthesia skills specific to equine including the following:------------------------------------------Demonstrate knowledge of analgesic drugs – dosages & usagesDemonstrate knowledge of anesthetic agents and induction drugsDemonstrate knowledge of CRI calculations & administrationDemonstrate knowledge of drugs for cardiac arrestDemonstrate knowledge of paralytic agentsDemonstrate knowledge of reversal agentsDemonstrate knowledge of synthetic colloids, hypertonic saline, blood, & their indications in the equineDemonstrate knowledge of the use of sodium bicarbonate and calicumDemonstrate knowledge of the use of anticholinergics and InotropesDemonstrate knowledge of the use of Guaifenesin (GG)Assist with local and regional anesthesiaPerform a mask induction of a foalPerform nasotracheal intubation8. Surgical AssistanceSkillDVM or VTS-EVN SignaturePerform suction set – up & usePerform pre – operative patient preparation and induction assistancePerform/assist with post operative patient recoveryProperly apply head & tail ropes for recoveriesProperly place recovery hoodPerform re –intubation (guide tube)Assist with an intercostal blockBe knowledgeable on sterile fields and how to assist in a sterile environmentBe knowledgeable on precautions to take with a contaminated surgery Demonstrate set up & use of electrocautery unitDemonstrate surgical laser set up & usageOperate hoist using safety techniques for both personnel & patientDemonstrate a knowledge of proper positioning & padding for proceduresSet up, operate, clean & troubleshoot laparoscopic equipmentSet up, operate, clean & troubleshoot arthroscopy equipmentSafely handle & assist with chemotherapy implants or injectionsProperly package instruments for cold, gas, & steam sterilization as well as troubleshoot sterilization units & be aware of shelf life of all methods of sterilization9. Nursing Care / Fluid TherapySkillDVM or VTS-EVN SignaturePlace a sterile urinary catheter in a stallion or geldingPlace a sterile urinary catheter in a marePerform blood collection for transfusions of a blood productAdminister whole blood to an equine patientDemonstrate adequate knowledge of cardio pulmonary resuscitation (CPR) techniquesPerform administration of oral medications & understand the pharmacokinetics of such Perform lateral thoracic vein catheterizationPerform IV fluid administration on both gravity dial system & pumpDemonstrate working knowledge of fluid doses & ability to calculate appropriate volumes of additives, fluid doses & drip ratesPerform oxygen cannula placementPerform oxygen set up & therapy as directedPerform “Piggy back” fluids administration & demonstrate knowledge regarding interactionsDemonstrate padding & positioning the recumbent horseHave a working knowledge of the set up and nursing care and safety of a horse in a sling.Reposition recumbent equine adultPlace nasogastric tube for the purpose of stomach lavage & refluxing of patient & perform reflux procedure / administration of medications or liquidsObtain venous blood – cephalic veinObtain venous blood – facial veinDemonstrate plasma selection & administration – set up, materials, monitoring (J_5 for endotoxemia, Hi-gamma IgG for FPT, botulism antitoxin, WNV…) Administer eye medication through sub –palpebral lavage systemApply fluorescein dye to eye for examination per DVM ordersAssist with an auriculopalpebral blockPerform proper eye examination using gross observation as well as ophthalmoscope examination for the purpose of data collection, not to diagnoseDemonstrate nebulizer (i.e. Aero Mask/flexineb) set up & usage and cleaningDemonstrate use of inhaler set up & usage Demonstrate equine patient euthanasia techniquesDemonstrate a working knowledge of advanced bandaging & wound management techniques including splints, casts, wound preps, & aseptic techniquesPerform central venous guide wire catheterization to include over the wire catheters being placed in the jugular, lateral thoracic or cephalic veinsRecognize signs of sepsis & demonstrate knowledge of managementDemonstrate a working knowledge of outpatient nursing, including client communications and status of patient. (medical facility & ambulatory)10. Diagnostics / Treatment ProceduresSkillDVM or VTS-EVN SignatureSet up, operate & clean endoscopic equipmentAssist with performing an endoscopic examinationPlace a nasogastric tube (adult horse)Set up & assist with a cerebral spinal tapAssist with a re-breathing examinationPrepare & assist with an abdominocentesisPrepare & assist with an arthrocentesis, thoracocentesis, or pericardiocentesisSet up, operate, position & mark correctly for distal limb radiographsSet up, operate, position & mark correctly for thoracic radiographsSet up, operate, position & mark correctly for abdominal radiographsSet up, operate, position & mark correctly for spinal radiographsPerform proper positioning & exposure of equine radiographs with a focus on those views normally taken for repository films or an extensive pre – purchase exam (multiple anatomical areas / multiple views) Demonstrate Doppler ultrasound set up & usagePrepare patient / assist with ultrasound exam of equine abdomenPrepare patient / assist with ultrasound examination of equine limbsSet up, operate & maintain ultrasound equipmentSet up, operate & perform Shockwave therapy per DVM orders (under DVM supervisionParticipate in neurological exam & provide assistanceAssist with lameness examinations on a variety of casesLunge horses using proper technique & safety measures Assist with round pen lameness examinationProperly remove horseshoesDemonstrate proper use of hoof testersTrot horse in hand for lameness examPerform flexion testsPerform musculoskeletal exam for the purposes of data collection (under DVM supervision)Prepare for / assist with regional limb Prepare for / assist with ultrasound guided injections or biopsiesPerform site prep for nerve block & sterile site prep for joint injectionPrepare for / assist with muscle biopsiesSafely handle & assist with chemotherapeutic agents administration Assist with collection and preparation of biologic therapies (IRAP, stem cells, PRP)Assist/perform Magnetic Resonance ImagingAssist/perform CTPerform proper CO2 handling & usage techniquesDemonstrate proper liquid nitrogen handling techniquesHave knowledge of nuclear scintigraphy & be able to assist in proceduresPrepare & assist with venogram / myelogram studiesBe familiar with the recommendations for the use of & patient preparation for a hyperbaric O2 chamberSet up, operate & perform or assist with therapeutic ultrasound therapy per DVM orders (under DVM supervision)Set up, operate & perform or assist in e-stim therapy per DVM orders Set up, operate & perform or assist in therapeutic laser treatment per DVM orders Assist with the usage of high speed land treadmill for diagnostic events or therapeutic modalitiesAssist with or perform usage of water treadmill for diagnostic events or therapeutic modalities11. Equine Medical EmergenciesSkillDVM or VTS-EVN SignatureRecognize & respond to equine specific veterinary medical emergenciesPerform emergency colic set up & receivingPerform emergency dystocia set up & receivingPerform receiving & set up for uterine prolapsePerform receiving & set up for a dummy / red bag foalAssist with & prepare for management of fracture patientsAssist with & prepare for management of lacerations / traumasAssist with & prepare for neurologic emergencies (i.e. WNV, Rabies, EPM, EHV-1)Assist with pneumothorax & hemothorax chest tube placement Perform proper catheter placement in an emergency situation Perform blood collection for the purpose of transfusionDemonstrate a knowledge of any forms required & client communication in an emergency situation (i.e. euthanasia /surgery)Demonstrates knowledge regarding the process involved in collection of organ harvest (i.e. corneal, testicular or ovarian)Demonstrate a knowledge of receiving & set up for eye emergencies Demonstrate a knowledge of upper airway obstruction & be able to assist with tracheotomy placement Demonstrate how to provide proper triage over the phone… recognizing an emergency from a regular visit12. Office Procedures / Basic Hospital PracticeSkillDVM or VTS-EVN SignatureDemonstrate a thorough knowledge of the complexities & differences involved in the management of an equine office, such as communication, ownership, scheduling, reports, ambulatory services, facilities and basic financial information such as budgetsDemonstrate a working knowledge of race track and performance / sport horse regulationsDemonstrate knowledge of pre purchase examinations : what is entailed, what to look for, paperwork, procedures, communication, legal requirementsPerform medical records managementRecord dictation of examination notes into medical recordsProperly record patient notes in SOAP formatDemonstrate a working knowledge of export and import regulations for equinesDemonstrate a working knowledge of equine passport requirements and paperwork completionDemonstrate a working knowledge of all required forms for insurance, PPE, surgery, euthanasia, to including all legalitiesBe familiar with all regulatory bodies (USDA, FEI, AVMA PLIT, USEF, State Racing boards) as related to equines Demonstrate a working knowledge & adherence to DEA & controlled substance handling, storage, and recordingEffectively communicate veterinarian’s concerns to the client & demonstrate competency in explaining pertinent information with the client13. Safety Management and Biosecurity SkillDVM or VTS-EVN SignatureDemonstrate isolation stall set upDemonstrate isolation stall cleaningDemonstrate Biosecurity protocol set upDemonstrate knowledge regarding USDA transport requirementsDemonstrate knowledge regarding quarantine requirements & proceduresDemonstrate knowledge in the transmission of diseases & pathogensDemonstrate knowledge in zoonosis as applied to equine speciesDemonstrate knowledge of management of rabies specimens***Please note skills sheets must be signed by a Veterinarian who is a member of AAEP, a Veterinary diplomat employed in an equine practice, or a VTS – EVN.***Applicant InformationApplicant Name (Print) __________________________________________________________Date _________________________________________________________________________Applicant Signature _____________________________________________________________Signature ListingSignature ____________________________________________Initials ___________________Name (print) ___________________________________________________________________Credentials ______________________________ Date__________________________________Phone Number ________________________ Email ___________________________________Signature ____________________________________________Initials ___________________Name (print) ___________________________________________________________________Credentials ______________________________ Date__________________________________Phone Number ________________________ Email ___________________________________Signature ____________________________________________Initials ___________________Name (print) ___________________________________________________________________Credentials ______________________________ Date__________________________________Phone Number ________________________ Email ___________________________________Signature ____________________________________________Initials ___________________Name (print) ___________________________________________________________________Credentials ______________________________ Date__________________________________Phone Number ________________________ Email ___________________________________Signature ____________________________________________Initials ___________________Name (print) ___________________________________________________________________Credentials ______________________________ Date__________________________________Phone Number ________________________ Email ___________________________________Signature ____________________________________________Initials ___________________Name (print) ___________________________________________________________________Credentials ______________________________ Date__________________________________Phone Number ________________________ Email ___________________________________Signature ____________________________________________Initials ___________________Name (print) ___________________________________________________________________Credentials ______________________________ Date__________________________________Phone Number ________________________ Email ___________________________________ ................
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