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78 Cards in this Set
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10 appointment types |
1. Scheduled routine appointments 2. Vaccination 3. Post operative checks 4. Rechecks 5. Emergency 6. New puppy/kitten 7. Miscellaneous procedures (nails, anal glands) 8. SPCA health check 9. Euthanasia 10. Discharge appointments |
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1. Scheduled routine appointment purpose + time taken |
Check ears for example, but also may see major illness booked as routine. 15-20 minutes. |
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Vaccine appointments must include (4) |
1. Head to toe exam 2. History 3. Vaccination 4. Explore any routine health concerns |
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Thing that deem vaccine unsafe to perform |
General health (ex fever, questionable mass) |
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Vaccine appointments may also include |
Additional services, ie nail trim |
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Cost for this appointment type usually included in surgery fee |
Post OP checks |
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Post operative checks can include (3) |
1. Suture removal 2. Bandage change 3. Incision check |
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This appointment type usually not full exam fee |
Recheck appointments |
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Recheck appointments are usually for |
Ongoing medical problems (ie medical treatment for infection not working) |
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Recheck appointments are a way for vets |
To look at an animal at predetermined intervals |
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Clinics are legally bound to accommodate |
Emergency appointments |
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Receptionists role in emergency appointments |
Must know what constitutes emergency and have the ability to recognize patient in distress (cyanosis, seizures, cardiac issues, etc) |
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Puppy/kitten appointments are a good time to stress |
Preventative medicine (good weights, dental care, spay/neuter) |
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This type of appointment is usually booked as longer |
New puppy/kitten or new client |
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Misc/tech appointment consists of things like ( |
1. Nail trims 2. Anal glands 3. Tick removal 4. Booster vaccine 5. Recheck/blood collection 6. Explaining/counselling clients on upcoming surgeries 7. Laser treatment |
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This type of appointment usually booked by VT (why?) |
Misc/tech appointments. To make vet available for next appointment |
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Usually charge for procedure only |
Misc/tech appointment |
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With the SPCA, new adoption owners have |
48 hours to have animal examined by vet |
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SPCA health checks are a chance to (4) |
1. Talk to new owner/address concerns 2. Review animals health 3. Make vaccine plans 4. Spay/neuter |
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Euthanasia appointments are often booked |
As extended appointments at the end of the day |
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What is necessary to go through with a euthanasia appointment |
A signed consent form |
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Some routine appointments can turn into what type |
Euthanasia |
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For euthanasia appointments, can the owner be absent? |
The owner can be present or absent |
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Discharge appointments are for |
Clients picking up pet from extended stay/surgery |
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Discharge appointments are usually booked anytime there is |
Specific lengthy instructions post-stay |
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VT sometimes conducts this appointment type |
Discharge |
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Some clinics do what with discharge instructions |
Have client sign a copy, which is kept on file |
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It's best to avoid booking a patient that needs |
A work up, for end of day or on saturday (time consuming) |
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Appointments are in what time blocks |
15, 2p and 30 minute blocks |
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It is important to ensure client knows what, when booking an appointment for them |
Which vet they are booked with (preferences) |
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Outpatient |
Animal is only in clinic for appointment or quick treatment/procedure (blood, SQ fluids for chronically ill, etc) |
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Inpatient |
Animal admitted to hospital for set or undetermined amount of time (rads, bloodwork, urinalysis vs. Treatment of illness/injury) |
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Even a short estimated stay at a clinic requires |
Signed estimate and consent form |
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Outpatient traffic flow pathway |
Reception -> exam room -> back to reception. +/- taken to treatment room (blood collection, radiographs, nail trims) |
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Why can clients not wander to treatment area? (2) |
1. May see/hear things that upset them 2. Protecting privacy of clients that own animals being worked on |
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Clients may be brought out back if |
Their animal is an inpatient and cannot be moved to exam room for visitation |
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Steps that must be taken when bringing a client out back (3) |
1. Give staff heads up 2. Clean pet + bedding beforehand 3. Offer client a chair, blanket, pillow |
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During consults/exams, it is important to ensure 2 things |
1. Exam room doors are closed 2. Dont discuss delicate subjects in reception/presence of other clients |
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Steps to an appointment (7) |
1. Files pulled ahead of time (usually day before) 2. Greet client and pet, introduce self 3. Weight patient + record in file 4. Show clients to exam room, offer to assist with carriers 5. Confirm reason for appointment, ask history, get vitals 6. Prepare TGH meds + explain 7. Book follow up |
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What to check before bringing client into exam room (3) |
1. Room is clean and stocked (no smell***) 2. Make sure last appointments supplies are cleaned up 3. Confirm room is empty (knock, peephole) |
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Exam room maintenance (general, 3) |
1. Clean all surfaces (end of day + between appointments) 2. Air freshener, sometimes need to remove garbage few times daily 3. Supplies must be replenished (usually at end of day) |
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Exam room supplies (just try to get like 10 of them, theres 21) |
1. Stethoscope 2. Paper towel 3. Suture scissors 4. Bandage scissors 5. Hemostats 6. Swabs 7. 2x2 gauze 8. Resource material/models 9. Needles/syringes 10. Thermometer 11. Sterile lubricant 12. Routine eye meds, skin creams, ear cleaner 13. Otoscope + ear tips 14. Opthalmoscope 15. Cotton 16. Bandage material 17. Sample containers 18. Garbage containers 19. Sharps container 20. Cold sterile 21. Scalpel blade |
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EOD: Exam room (7) |
1. Should have daily EOD maintenance checklist 2. Full turnover + mop 3. Look for sharps not properly disposed of 4. Garbage + sharps not overflowing 5. Paper towel stocked 6. Otoscope/opthalmoscope ready + charged 7. Clean cold sterile |
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The SOAP format is used when |
Seeking + considering cause of illness |
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SOAP acronym + vet or VT role |
Subjective — VT/V Objective — VT/V Assessment — Vet Plan — Vet |
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This part of SOAP may be performed more frequently as part of complex case if requested by vet |
Morning SOAP |
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SOAP — Subjective |
Statement about patient with no numbers/measurements. May be performed by vet or vt. Formatted as S: entry. |
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SOAP — Objective |
Objective measurements, which are the same between people, unlike Subjective. Where we can incorporate new diagnostics. Done by vet or vt. |
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SOAP — Assessment |
Summary/overall view on case, thoughts on diagnosis and analysis of info. Day to day assessment may evolve and eventually diagnosis may be made. Vet only. |
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3 types of diagnosis |
1. Differential (list) 2. Working diagnosis (treating as if it is that, failure narrows down list whereas success confirms) 3. Final diagnosis |
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Priority of patient evaluations based on hierarchy of patient needs (9) |
1. Oxygen 2. Critical safety/severe pain (ie electrolyte imbalance) 3. Hydration 4. Elimination 5. Nutrition 6. Non critical safety (infection risk) 7. Chronic pain 8. Activity 9. Utility (anxiety) |
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MAOR acronym |
Medication Administration/Order Record |
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MAOR contains |
When, by whom and which treatments were completed |
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MAOR is also called |
Ward treatment sheet |
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When preparing a MOAR |
Must be exactly as vet told you, include full drug name + dosage. |
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What must be initialed in a MOAR and by whom |
Each treatment when given, by the person giving it. |
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With MOAR, when a treatment is as not per order... (2) |
1. Vet must be notified 2. Write NG for Not Given |
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With MAOR, when a dose is ordered for a specific time, you must |
Place an X where medication is not to be given |
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With MAOR, if a vet has discontinued a medication |
Write the word "discontinued". Do not erase/whiteout anything. |
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With MAOR, if there are treatments not given because patient is discharged |
Leave those spaces blank on the form |
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Why is it important to initial entries you make in a medical record, legally? |
In a court of law, handwriting alone may be inadequate in identifying an author |
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Hypothyroidism is more common in |
Middle aged dogs of medium to large size + neutered males/females |
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Hypothyroidism diagnosis + treatment |
A series of blood tests. Dog takes oral medication daily for the rest of their life (usually levothyroxine) |
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Hypothyroidism clinical signs in dogs (8) |
1. Hair loss 2. Thin, dull coat 3. Flaky skin 4. Weight gain 5. Muscle loss 6. Toenail/ear infections 7. Cold intolerance 8. Black patches on skin (sometimes) |
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Hypothyroidism clinical signs cats (8) |
1. Weight gain 2. Energy loss 3. Mental dullness 4. Decreased body temp 5. Hair loss 6. Constipation 7. Matting 8. Flaky coat |
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Hypothyroidism in cats is usually caused by (3) |
1. Treatment for hypothyroidism 2. Cancer 3. Iodine deficiency |
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Glaucoma cause (like what it is literally, not the things that make it happen so much) |
Inadequate drainage of aqueous fluid |
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Glaucoma causes (5) |
1. Uveitis 2. Anterior dislocation of lens 3. Tumors 4. Intraocular bleeding 5. Damage to lens |
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Primary glaucoma |
Due to inherited biological abnormalities in the drainage angle. Results in increased IOP in healthy eye |
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Secondary glaucoma |
Results in increased IOP due to disease/injury to eye |
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Glaucoma clinical signs (7) |
1. Eye pain 2. Ocular discharge 3. Lethargy/loss of appetite 4. Unresponsiveness 5. Physical swelling/bulging of eyeball 6. Cloudy/bluish cornea 7. Blindness |
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Glaucoma treatment (6) |
1. Reduce IOP 2. Analgesics 3. Medications to decrease fluid production + promote drainage 4. Long term medical therapy 5. Surgery 6. Removal of eye |
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Legg-Calve-Perthes disease is found in dogs |
20 lbs or less |
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Legg-Calve-Perthes cause |
Unknown. Some studies suggest it's due to disruption of blood flow to hip possibly due to blood clots in vessel. The bone weakens and fractures develop, leads to arthritis |
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Legg-Calve-Perthes affects |
Coxofemoral joint. Avascular or aseptic necrosis of femoral head (spontaneous degeneration) which results in collapse of hip joint and severe arthritis |
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Legg-Calve-Perthes Clinical signs (5) |
1. Limping on affected leg for several weeks 2. Leads to no weight on leg 3. Usually only affects one 4. Discomfort in manipulating hip joint 5. Loss of muscle mass |
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Legg-Calve-Perthes Diagnosis (+ appearance over time) |
Radiograph. Early stage = femoral head slightly flattened. Leads to moth eaten appearance. Finally head becomes obviously deformed with significant evidence of arthritis. |
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Legg-Calve-Perthes Treatment (mild vs severe) |
Mild cases: rest, analgesics and ice pack Severe cases: surgery to excise affected femur head and neck (FHO — femoral head and neck osteotomy). Physiotherapy |