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252 Cards in this Set

  • Front
  • Back

3 types of offence

Summary


Indictable


Triable either way

Civil law is concerned with

Harm or loss suffered by an individual, either as result of a crime or failure to fulfil obligations towards another person


Commonly result from breach of duty of care

In veterinary practice 3 most common civil actions are

Breach of contract


Trespass


Negligence

Purpose of Criminal law

To maintain law and order to protect

Purpose of Civil law

To uphold rights of the individual

Difference between purpose of Criminal and Civil trial

Criminal : to decide if defendant is guilty


Civil: to decide if there has been a breach of rights

Who decides in Criminal or Civil cases ?

Criminal: Magistrates court and crown court


Civil: County court and High court

What are the powers of redress in Criminal and Civil court?

Criminal: prison, fine, probation


Civil: damages, injunction, etc

What type of proof is needed in Criminal or Civil court?

Criminal: beyond reasonable doubt (actual evidence)


Civil: on the balance of probability

What is a tort?

A wrong against someone's personal possessions or reputation

The difference between morality and ethics

Morality: tells us what is right and wrong


Ethics: explain the philosophy behind WHY

Duty of care is

Responsibility to care for and protect patients, colleagues,clients, the profession and themselves

Liability is

Being held accountable for yourself and can be held liable (in court)

How many hours a year CPD does a nurse have to do to stay qualified ?

15 hours

When nursing as a locum you cannot

Perform schedule 3 procedures (classed as an auxiliary)

Points of the schedule 3 amendment

VNs must be:


Listed and/or registered by the RCVS


Acting under the direction of an employing veterinary surgeon working with an animal under their care


A student veterinary nurse must be enrolled with the RCVS and acting under the supervision of an RVN or MRCVS dealing with an animal under their care

Definitions in the schedule 3 amendment (direction,supervision, direct and continuous)

Direction: the vet instructs the nurse as to the care/treatment to be given but is not necessarily present


Supervision: the vet is present on the premises and able to respond to a request for assistance


Direct and continuous: the vet is present and giving undivided personal attention

Veterinary nurses should only accept delegated tasks if

They fall within schedule 3


They can demonstrate competence to do so

Schedule 3 tasks that can be carried out by vet nurses

Wound closure or suturing


Skin mass removal and biopsies


Dental scale and polishing


Treatment of abscesses


Treatment of aural haemotomas


Administer medication and placing of IV catheters


IM or sub cutaneous injections

Veterinary surgeons Act 1966 defines veterinary medicine and surgery as

Diagnosis of disease and injuries including tests


Giving advice based on diagnosis


Medical and surgical treatment of animals


Performance of surgical operation

Data protection act states that

Case records are the property of the consulting veterinary surgeon. The data protection act gives the client the right to access any written data about themselves

Data protection act states that

Case records are the property of the consulting veterinary surgeon. The data protection act gives the client the right to access any written data about themselves

Information should not be disclosed unless:

There is a requested history and permission given by the client


There are criminal proceedings (RSPCA)


Referral


Insurance


Public interest (welfare issue)


Permission granted as others caring for their animal

Animal welfare act 2006 details the 5 freedoms :

Freedom from hunger and thirst


Freedom from discomfort ,giving the right shelter


Freedom from pain injury and disease and prevention from illness


Freedom to behave normally having enough space and proper facilities


Freedom from fear and distress to ensure their conditions and treatment avoid mental suffering

Animal welfare act 2006 states that

It is not only against the law to be cruel to an animal but that an individual must ensure that all it's needs are met

Examples of laws to protect the public are: (6)

Animal health act 1981 & quarantine


The pets travel scheme (PETS) - DEFRA


Dangerous dogs act 1991, 1997


Guard dogs act 1975


Animals act 1971


Dog fouling of the land act 1996

Veterinary negligence means

A lack of proper care and attention

Storage of records requires : (accidents, vat, paye, client records)

Accident - 3 years


VAT- 6 years


PAYE- 3 years min.


Client records - vet defence says min 2 years, RCVS says 6 years

Veterinary nursing bylaws deal with

Finer points regarding educational qualification onto the scheme, examination entry, etc

5 points of RCVS code of conduct

Professional competence


Honesty and integrity


Independence and impartiality


Client confidentiality


Professional accountability

3 animals exempt from protection of animals anaesthetic act

Birds fish and reptiles

4 dogs on dangerous dogs list

American pitbull


Japanese tosa


Dogs argentine


Fila braziliera

Examples of COSHH substances

Chemicals


Fumes


Dusts


Vapours


Must


Gases


Biological agents/germs

With risk assessments if you have fewer than __ employees you don't have to write anything down

5

With risk assessments if you have fewer than __ employees you don't have to write anything down

5

A risk assessment is about

Identifying sensible measures to control the risks in your workplace

Your risk assessment should only include

What you could reasonably be expected to know

Ways to identify hazards that matter in the workplace

Check manufacturers instructions


Look back at accident and ill health records


Take account of non routine operations


Remember to think about long term hazards to health


Visit HSE website

Points to be included in risk assessment

That a proper check was made


Your asked who was affected


You dealt with all the significant hazards taking into account the number of people


The precautions are reasonable and the remaining risk is low


You involved your employees or their representatives in the process

Things to consider on reviewing a risk assessment

Have there been any significant changes


Are there improvements you still need to make


Have your workers spotted a problem


Have you learnt anything from accidents or near misses

Front (Term)


Maximum weight lifted elbow height men and women

Women : 7kg outstretched 13kg close


Men: 10kg outstretched 20kg close

Maximum weight lifted above shoulder height for men and women

Women: 3kg outstretched 7kg close


Men : 5kg outstretched 10kg close

What is a MEL and a OEL

A maximum exposure limit for all harmful substances encountered


An occupational exposure limit set for at the workplace

What is the MEL for radiation

20mcv radiation

What is RIDDOR

Reporting of Injuries Diseases and Dangerous Occurences Regulations 1995

Who has a legal duty under RIDDOR (3)

Employers


Self employed people


People in control do premises

4 steps to prevent accidents

Carry out risk assessments


Record all accidents in accident book


Investigate accidents


Educate and train

5 steps of risk assessment

Identify the hazard


Decided who might be harmed


Evaluate the risks


Record findings and implement them


Review and update

Minimum requirement of lead lining in gloves

0.35 mm

Minimum lead lining of aprons on X ray

0.25

Manual handling regulations 2002 includes

Handling of anything such as equipment stores furnishings animals and work clothing

Under Electricity at work Regulations 1989, what items should be PAT tested (yearly)

Any used by employees, public, any hired or any repaired or serviced

What percentage of reportable accidents does the HSE say is involving portable appliances ?

25%

Under health and safety at work act what are the responsibilities of the employer

Risk assessments


Provide ppe


Provide training and info


Fire safety checks


Safety rules


Appropriate supervision


Safe environment and equipment


Written health and safety report and folder

Under health and safety at work act what are the responsibilities of the employer

Risk assessments


Provide ppe


Provide training and info


Fire safety checks


Safety rules


Appropriate supervision


Safe environment and equipment


Written health and safety report and folder

What are the health and safety responsibilities of the employee ?

Follow h&s rules


Wear provided ppe


Not interfere with h&s


Carry out safe working practices


Co operate with control measures

What is a zoonotic disease

One that can be passed to other species e.g. Animal to human

What is a zoonotic disease

One that can be passed to other species e.g. Animal to human

Examples of zoonotic diseases that can be passed to humans

Leptospirosis


Toxocariasis (round worm)


Echinococcosis (tape worm)


Sarcoptic mange


Cheyletiella


Ringworm


Salmonellosis


Rabies


Pasteurellosis


Cat scratch fever


Toxoplasmosis


Brucellosis


Campylobacter


Psittacosis


Tetanus

Ways to prevent spread of disease

Clean hands after handling each animal


Wear PPE


Appropriate cleaning in clinic and surgery


Use relevant cleaning chemicals


Quarantine protocols


Regular deep clean


Appropriate handling

At what weight should a passive scavenging canister be sent away

1.4 kg

Scavenging systems reduce pollution by up to

90%

Protective clothing is designed to protect against ----------- ----------- not the -------- --------

Protects against scattered radiation not the primary beam

What is the minimum distance away to avoid radiation scatter

2 metres

Over irradiation can cause

Inflammation - leading to cell death especially in rapidly dividing cells


Carcinogenic effects - developing tumours, even years later


Genetic effects - can cause mutations and still births

Over irradiation can cause

Inflammation - leading to cell death especially in rapidly dividing cells


Carcinogenic effects - developing tumours, even years later


Genetic effects - can cause mutations and still births

Use of X rays is controlled by

The Ionising radiation regulations 1999

It is ------- --- --- to hold an animal for an X ray just because it is convenient

Against the law


May only be held in exceptional circumstances

What is an RPA

Radiation protection advisor


External person appointed by the practice


Has specialist radiography experience


Checks equipment and procedures


Should be detailed in the health and safety folder

What is an RPS

Radiation protection supervisor


A person within the practice


Responsible for the people using ionising radiation


Supervises records monitoring of equipment and clothing


Does not always need to be present

What is an RPS

Radiation protection supervisor


A person within the practice


Responsible for the people using ionising radiation


Supervises records monitoring of equipment and clothing


Does not always need to be present

What is the controlled area

An area of 1 metre around primary beam


Preferably the whole room (minimum 2m away)


Should have warnings signs /red light


Ionising radiation regulations require the X ray room to be permanently marked with the standard trefoil radiation symbol

Only - people allowed into the radiation room and these must be ----- --------

2


Trained personnel (no non- medical staff, owners or anyone under 18 or work experience )

Why must dosimeter badges not be taken home

Background radiation outside or in the home that affects the levels and readings

What is the maximum permissible dose for general workers with radiation if over 17 years of age

6mSv (millisieverts)

According to the NRPB what is the average dose per year for radiation

2.2mSv


Received annually throughout a lifetime

The RPA writes a scheme of work specific for each individual practice . A summary of these must be displayed ...

In the X-ray room

Returned, out of date or damaged stock (Pharmaceuticals ) must:

Never be reused even if still in blister packs


There is no legal duty to accept these


Should not be used if they are accepted


There is a cost involved


Cannot guarantee that they have not been tampered with or have been stored properly

Disposal of medicines :

Collected in leak proof storage container


Keep solids and liquid separate


Kept within original packaging


Contents of bin recorded and made available to disposal contractor


Print out of record then the basis of the contents list of the pharmaceutical waste bin


Information is an important component of audit

Process for disposing of schedule 2 drugs

Must be denatured before disposal including any out of date


Permitted to open packaging to deblister or denature


Authorised witness required to confirm the disposal and record in control drugs folder


Small volumes acceptable for veterinary colleague to sign the witness section

What are the key points of the Veterinary surgeons act 1966

Only registered vets allowed , for diagnosing giving advice and treating animals

What are the key points of the Veterinary surgeons act 1966

Only registered vets allowed , for diagnosing giving advice and treating animals

What does the schedule 3 amendment say and what is the relevance toVNs ?

Acts of surgery (non body cavity) can be carried out by VN or SVN ( or non vets)under the direction and supervision of vet

What are the key points of the Veterinary surgeons act 1966

Only registered vets allowed , for diagnosing giving advice and treating animals

What does the schedule 3 amendment say and what is the relevance toVNs ?

Acts of surgery (non body cavity) can be carried out by VN or SVN ( or non vets)under the direction and supervision of vet

Who is ultimately liable for a VN actions

VN if not directed


Vet is directing the VN or SVN

What is a trespass

Under civil law


An act or actual involvement with the possessions of others that is without permission

Negligence is

Failing to meet the needs of an animal, a lack of duty of care and lack of meeting 5 freedoms

Do boarding kennels and catteries require a license to trade

Yes

Do boarding kennels and catteries require a license to trade

Yes

Who do kennels and catteries require a license from

Local authority

Do boarding kennels and catteries require a license to trade

Yes

Who do kennels and catteries require a license from

Local authority

What does the term breeding establishment mean

An establishment with 2 or more bitches that are being bred from

What is the main aim of the Protection of Animals act 1911 1988

To ensure animals are protected from negligence or cruelty

What is the main aim of the animals act 2006

To prevent cruelty before it occurs and to ensure the 5 freedoms are met

What rules must an owner of a dangerous dog abide by

Have a report from a vet


Register the dog with the olive


Be insured for third party


Microchipped and up to date details


Spay or neuter


Muzzle and lead at all times when out of the house

When disposing of cytotoxic waste what colour lid should there be on the bin

Purple

What is an SOP

A standard operating procedure


Set of instructions having the force of a directive, covering those features of operations that lend themselves to a definite or standardised procedure without loss of effectiveness

What is an SOP

A standard operating procedure


Set of instructions having the force of a directive, covering those features of operations that lend themselves to a definite or standardised procedure without loss of effectiveness

SOPs must be (3)

Clear


Concise


Tailored to the work protocols of each individual practice

What are surgical instruments manufactured from

Stainless steel

What are surgical instruments manufactured from

Stainless steel

What does stainless steel consist of

Iron


Chromium


Silicon


Manganese


Carbon


(Others)

2basic types of compounds

Martenistic (instruments)


Austenitic (sinks and bowls)

2basic types of compounds

Martenistic (instruments)


Austenitic (sinks and bowls)

What is Passivation

Final stage of creating surgical instruments


Bathed in nitric acid to form a protective coating of chromium oxide

What is a tungsten carbide insert

Where an instrument has a gold handle on the cutting and gripping edges

Who provides guidance and enforces legislation on veterinary pharmaceuticals

VMD veterinary medicines directorate

Prescribing is the action of

Deciding instructing and recording which treatment should be administered

Prescribing is the action of

Deciding instructing and recording which treatment should be administered

A ------- prescription is required when the product is to be supplied by someone from a different business or premises

Written

Prescriptions are valid for

6 months from the date of signing or 28 days for controlled drugs listed in schedule 2-4 of the misuse of drugs regulations

Routes of drug administration

Orally - P/O


Sub-cutaneous -S/C


Intravenous -IV


Intramuscular- IM


Per rectal


Intradermal - skin


Intraocular - eye


Intraosseous - bone


Intraperitoneal - peritoneum


Nasal - nose

Routes of drug administration

Orally - P/O


Sub-cutaneous -S/C


Intravenous -IV


Intramuscular- IM


Per rectal


Intradermal - skin


Intraocular - eye


Intraosseous - bone


Intraperitoneal - peritoneum


Nasal - nose

Drugs may be administered (2)

Enterally - into digestive tract


Parentally - NOT into digestive tract

Drugs can be described as (2)

Topical - applied directly to site


Systemic - absorbed into the blood stream

Average eye drop size is

50 units

Average eye drop size is

50 units

Maximum that can be retained by the eye at one time is

20 units

Ointments are

Semisolid


Insoluble in water

Ointments are

Semisolid


Insoluble in water

Creams are

Semi solids


Liquefy at body temperature to spread

Linaments are

Oil based solutions rubbed into the skin

Systemic drugs are eliminated by

Metabolism and excreted mostly in bile and/or urine


Some are excreted by respiratory system, especially volatile anaesthetic agents

2types of injectables are

Solution : Aqueous (water) based solution


Suspension : shake well


Can be presented as single dose vials, ampoules, multi dose vials

S.i.d. is

Single dose a day

S.i.d. is

Single dose a day

S.d. Is

A one off single dose

S.i.d. is

Single dose a day

S.d. Is

A one off single dose

OID


BID


TID


QID


doses mean

Once daily


Bi twice daily


Tri thrice daily


Quad four times a day

S.i.d. is

Single dose a day

S.d. Is

A one off single dose

OID


BID


TID


QID


doses mean

Once daily


Bi twice daily


Tri thrice daily


Quad four times a day

Q4h means

Give every 4 hours

How many


ml in a litre


g in1kg


mg in 1g


much in 1 mg


mg in 5kg

1000ml in a litre


1000g in1kg


1000mg in 1g


10000mcg in 1 mg


5000000 mg in 5kg

PU / PD means

Polyurea Polydypsia


Over Urinating or drinking

Summary offence is

A minor offence

Summary offence is

A minor offence

Indictable offence is

A serious offence

Summary offence is

A minor offence

Indictable offence is

A serious offence

Triable offence either way is

Between serious and minor

Breach of contract means

Treatment was not carried out

2 points of Animals act 1971

Covers liability for damage caused by animals


Farmers are entitled to protect their stock

Main point of Guard dog act 1975

Notice must be displayed to inform dog in use

Main point of Wildlife and countryside act 1981/1985

Protects wild animals and habitat

Point of Performing animals act 1925

To exhibit animals publicly, the LA needs to be informed.


Exempt are sport, military or Police.

3 points of Animal Boarding establishment act 1963

Must be licensed by local authority


Animal arrivals, departures, owner details kept


Adequate food water exercise and protection given

2 points of Zoo licensing act 1981

Applies to collections open to the public MORE THAN 7 days a year


Must obtain license,reviewed after 4 years initially then every 6 years

Maximum TOTAL load under manual handling refs 1992/2002 women and men

Women 16kg


Men 25kg

Difference between Hazard and Risk

Hazard : something with POTENTIAL to cause harm



Risk: something LIKELY to cause harm

Cytotoxic /static drugs are

Deemed hazardous waste


Under EWC coding system 18 02 07


Need to be defined by hazardous property


Should not be transferred between branch surgeries


Illegal to carry in unlicensed vehicles

Difference between blue and orange dosimetry badges

Blue: film badge- have x ray film inside


Orange: thermolucent (TLD) contain radio sensitive crystals

Primary beam is

Most dangerous


Needs to be collinated


No pay of handler should ever come within beam

Primary beam is

Most dangerous


Needs to be collinated


No pay of handler should ever come within beam

Scatter is

Secondary radiation


Unpredictable as bounces in many directions


Less energy than primary beam(further it travels the less intense )

Essential info on prescription labels (5 things)

Owner name and address


Vet name and address


For Animal Treatment Only


Date


Keep out of reach of children

POMV


POMV VPS


NFA VPS


AVM GSL

POMV prescription only from vet


POMV VPS prescription only from vet pharmacist or SQP


NFA VPS non food animal from vet pharmacist or SQP


AVM GSL authorised veterinary medicine general sales list

Schedule 1 is

No veterinary purpose


LSD ecstasy etc

Schedule 1 is

No veterinary purpose


LSD ecstasy etc

Schedule 2 is

Only by prescription


Every drop recorded in DD book chronologically in ink, denatured for disposal


- Morphine pethadine methadone fentanyl ketamine

Schedule 1 is

No veterinary purpose


LSD ecstasy etc

Schedule 2 is

Only by prescription


Every drop recorded in DD book chronologically in ink, denatured for disposal


- Morphine pethadine methadone fentanyl ketamine

Schedule 3 is

Prescription only,records of entry into practice kept, no special storage except Buprenorphine which must be locked away


- buprenorphine phenobarbital pentobarbital

Schedule 1 is

No veterinary purpose


LSD ecstasy etc

Schedule 2 is

Only by prescription


Every drop recorded in DD book chronologically in ink, denatured for disposal


- Morphine pethadine methadone fentanyl ketamine

Schedule 3 is

Prescription only,records of entry into practice kept, no special storage except Buprenorphine which must be locked away


- buprenorphine phenobarbital pentobarbital

Schedule 4 is

No special requirements


- diazepam nandroline

Schedule 1 is

No veterinary purpose


LSD ecstasy etc

Schedule 2 is

Only by prescription


Every drop recorded in DD book chronologically in ink, denatured for disposal


- Morphine pethadine methadone fentanyl ketamine

Schedule 3 is

Prescription only,records of entry into practice kept, no special storage except Buprenorphine which must be locked away


- buprenorphine phenobarbital pentobarbital

Schedule 4 is

No special requirements


- diazepam nandroline

Schedule 5

Contain small quantities of controlled drugs


Kaolin and morphine , codeine cough linctus

Cascade system

1: vet drug for that condition, that species


2: vet drug for that condition, different species


3: vet drug different condition, that species


4: human licensed medical product

Pharmacotherapeutics is

using drugs in the management of disease

Pharmacotherapeutics is

using drugs in the management of disease

Pharmacokinetics is

What the body does to the drug

Pharmacotherapeutics is

using drugs in the management of disease

Pharmacokinetics is

What the body does to the drug

Pharmacodynamics is

What the drug does to the body

Information on Horse Passports (8 things )

Appearance using diagrams - red for white areas


Chip details


Age


Breed


Name


Medications


If declared intended for human consumption


Owner details

Who invented the hierarchy of needs

Maslow

Who invented the hierarchy of needs

Maslow

How long are accident records kept

3 years

Who invented the hierarchy of needs

Maslow

How long are accident records kept

3 years

What is the percentage of communication by body language

55%

Who invented the hierarchy of needs

Maslow

How long are accident records kept

3 years

What is the percentage of communication by body language

55%

Socialisation period for puppies

4-10 weeks

Who invented the hierarchy of needs

Maslow

How long are accident records kept

3 years

What is the percentage of communication by body language

55%

Socialisation period for puppies

4-10 weeks

Lotions should be dispensed in

Rubbed glass bottles

Who invented the hierarchy of needs

Maslow

How long are accident records kept

3 years

What is the percentage of communication by body language

55%

Socialisation period for puppies

4-10 weeks

Lotions should be dispensed in

Rubbed glass bottles

Ataxia is

Inability to coordinate limbs

Who invented the hierarchy of needs

Maslow

How long are accident records kept

3 years

What is the percentage of communication by body language

55%

Socialisation period for puppies

4-10 weeks

Lotions should be dispensed in

Rubbed glass bottles

Ataxia is

Inability to coordinate limbs

Bottom of Maslow hierarchy is

Physical comfort

Administration instructions for medication

Do not legally have to be on the label

Administration instructions for medication

Do not legally have to be on the label

Cadavers are classed as

Clinical waste

Administration instructions for medication

Do not legally have to be on the label

Cadavers are classed as

Clinical waste

Common site for IV access in forelimb is

Cephalic vein

Working towards a goal using external motivation

Extrinsic

Working towards a goal using external motivation

Extrinsic

Eyelid response also known as

Menace

The pulse under the tongue

Sublingual

The pulse under the tongue

Sublingual

What is found in a red topped urine pot

Boric acid

Term describing straining to defecate

Tenesmus

Term describing straining to defecate

Tenesmus

Term for unequal pupil size

Aniscoria

1 thousandth of a mg is

Mcgm

3 R's in relation to phasing out animal testing

Reduce


Replace


Refine

Trade name for butorphenols

Torbugesic

Correct term for collecting a blood sample

Venopuncture

Term for a lack of oxygen

Hypoxia

A ___________ is used to remove fluid from the body

Diuretic

Poikilothermic is

Variable temperature e.g. Cold blooded animals

Diphasic is a

fluctuating temperature

Apnoea is

Not breathing

Apnoea is

Not breathing

Auscultation means

To listen to something with a stethoscope

Apnoea is

Not breathing

Auscultation means

To listen to something with a stethoscope

Sinus arrhythmia means

The REGULAR irregular heartbeat, e.g. Increasing slightly when breathing in

Dysrhythmia is

Irregular heart pattern, not beating normally

Dyspnoea means

Not breathing normally

Cheyne Stokes mean

Agonal breathing

Dysurea is

Difficulty urinating

Prior to travelling TO the U.K. from UNLISTED countries outside the EU dogs must have

Tapeworm treatment no less than 24 hours and no more than 120 hours (5 days) before arrival in U.K.

Under what regulations does employer have duty of care to assess exposure risk of anaesthetic gases and take appropriate measures ?

COSHH 1988

Regulations in relation to anaesthetic (5)

COSHH 1988


Control of pollution act 1974


Health and safety at work act 1974


RIDDOR 1980


Manual handling ops regulations 1992

Health problems relating to anaesthetic (6)

Neoplasia


Neuropathy


Bone marrow toxicity


Infertility


Miscarriage


Congenital abnormalities

Potentially hazardous carrier gas

Nitrous oxide- harmful to expectant mothers as it crosses the placenta

Potentially hazardous carrier gas

Nitrous oxide- harmful to expectant mothers as it crosses the placenta

Recovery area is more hazardous for anaesthetic gasses because

Animals exhale waste anaesthetic gases and good ventilation is vital in this area

Ways to avoid accidents re gas cylinders (5)

Hazard warning sign


No smoking sign


Handled carefully in trolleys


Stored in cook dry area where they will not fall or become damaged


Not exposed to high temperatures or sunlight