Picking Up Medications Flashcards

(96 cards)

1
Q

Picking up Medications

A

1) Confirm Pet/owner identity
2) Find out if owner has already called for a refill - medication should be ready if owner called ahead already. Look in designated prescription area
3) if owner has not called yet, find out if refills available on file
4) have client pay for bill of med before leaving

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2
Q

Picking up food/other items

A

1) ask if client has been seen in clinic with their pet (pull up account)
2) Ask owner what items they would like to buy-check what food they regularly buy on their file
- ask how pet is doing at home
3) Bill out client

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3
Q

Admitting/checking in patients

A

1) greet client
2) confirm client
3) confirm information is up to date
4) if new client, ask if they have been to clinic before (should arrive 10-15min early)
5) confirm what client is bringing the patient in for
6) inform client if vet is running late
7) weigh the patient
8) patient should be checked in
9) take to exam room/potentially take patient history
10) alert vet client is ready
11) print any forms that may be needed

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4
Q

Admitting for hospital procedures (blood work, radiograph)

5 steps

A

1) confirm pet/patient identity
2) confirm what pet is bringing patient in for
3) check if client has been informed of cost of procedure
4) confirm if patient has been fasted
5) check if pet was on medication and when it was last given

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5
Q

Admitting patient for hospitalization

A

1) client must sign estimate or consent form
2) take a deposit
3) find out patients wishes if pet were to arrest in hospital (CPR/DNR)
4) get phone number for that day
5) let client know visiting hours

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6
Q

Admitting boarders

A

1) confirm client / pet
2) confirm dates pets are in and pick up times
3) obtain emergency phone numbers
4) check if any additional procedures are requested while boarding
5) instructions regarding food
6) is pet on medications?
7) special requests?
8) did client bring special objects that need to be labeled?
9) sign the consent form

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7
Q

Admitting for grooming

A

1) confirm client
2) find out specific instructions
3) any additional procedures? NT, bath ect
4) has pet required sedation in the past?
5) sign consent form
6) get phone number that client can be reached at that day
7) arrange pick up time

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8
Q

Discharging patients

Post appointment and post hospitalization patients

A

1) confidentiality: how did everything go? Check prescriptions. No intense details at reception
2) wait time: sometimes meds ect need to be made up after appt so you may want to suggest client puts pet in car (if you trust them)
3) billing
4) book recheck and other appointments needed prior to owner leaving.
5) go over medication instructions once meds are made up
6) final questions

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9
Q

4 clinic certificates

A

1) vaccination certificate
2) international health certificate
3) spay/neuter certificate
4) rabies certificate

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10
Q

Scheduling surgery appointments

A
Different with every clinic 
Specific surgery times 
Make owner aware of drop off times 
The pet must look healthy 
Find out if vaccinations required ahead of time 
Be aware if vets will do declaws ect 
Know min age spay/neuter at your clinic
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11
Q

General pre-surgical instructions

A

Most require 10-12 hours of fasting
Young pets may only be fasted for a few hours
Rabbits/ferrets require shorter/no fasting times
Risk of pet vomiting and inhaling stomach acid if not fasted

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12
Q

Surgery confirmation/reminder calls

A

Important to remind client of appointment and go over fasting instructions
Clients should be called the day before surgery
Ask clients any questions

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13
Q

Surgical admissions/check in

A

1) greet the client
2) confirm client/patient identity
3) confirm client info up to date
4) confirm procedures to be done
5) ask client if any concerns about patient
6) confirm optional procedures client may want - preanesthetic blood work, IV fluid, identification, nail trim, hernia repair, hind declaw removal, extraction of deciduous teeth
7) sign consent form
8) sign estimate form
9) confirm patient has been fasted
10) find out when pet was last given medication
11) inform client of payment instructions
12) verify pick up time
13) check in client on computer
14) weigh patient
15) what patient can bring/leave home
16) take pet to back

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14
Q

General anesthetic post surgical instructions

A

Most surgeries (spays, neuters, dental, declaw, orthopedics)
Warn owner patient will be groggy and uncoordinated (keep off furniture, away from stairs until fully recovered)
Reccomend they only feed small meal later that day , unlimited water
Spay/neuter/dental: same day
Orthopedic: over night

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15
Q

Sedation post surgical instructions

A

May be used for local anesthetic/x-rays
Lots reversible so no grogginess
Warn about grogginess ect otherwise

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16
Q

Suture instructions

A

May be absorbable (dissolve on own)
Or non absorbable (will need to be removed)
10-14 day after procedure if removal required

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17
Q

Staple instructions

A

Will require removal (10-14 days)

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18
Q

Drain instructions

A

Removed 3-5 days after procedure

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19
Q

Incision instructions

A

Very important to prevent licking
Use e-collar, shirt/material, bad tasting cream
Monitor for swelling, redness, discharge, heat, pain
If any problems, call vet
Keep clean/dry
No bathing/keep clean for 10-14 days and restrict exercise

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20
Q

Appetite after surgery

A

Should return to normal within 24 hours
Should be no vomiting
Sometimes when not eating when they should is due to pain

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21
Q

Licking/chewing after surgery

A

Pet should not be bothering surgical site

E collar and vet should be contacted if this is a problem

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22
Q

Rest after surgery

A

Even if pets act like nothing happened they need to rest

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23
Q

Overall behaviour after surgery

A

Pets should return normal between 1-2 days
Should be rechecked if v/d, low energy/appetite or coughing after this
Some have soft cough after surgery due to esophageal irritation from endotracheal tube
If cough worsens, talk to vet

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24
Q

Bandage care after surgery (splints, cast)

A

Prevent licking/chewing (e-collar ect)
Bandage kept clean and dry
Keep pet quiet
Cover bandage when outside
Bandages may need to be changed every 2-4 days
Owner needs to monitor bandages daily for any problems
Wet bandage, toes too cold, pet stops using bandage leg well , odours/discharge

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25
Giving medications after surgery
Medication instructions/side effects discussed with patient before they leave the clinic
26
Oral tablet/capsule tips
Can hide in food or pill pockets Make sure peanut butter doesn't have xylitol if used Open mouth behind canine teeth and tilt head upwards Use finger to place/throw pill/capsule to back of mouth Hold mouth closed, massage throat or blow on nose to encourage swallowing Syringe with water can be used afterwards to encourage swallowing Always give treats/food after pulling to ensure meds have gone down esophagus
27
Oral liquid med instructions
Can be mixed with food/treats or syringed into mouth | Put syringe behind canine and aim towards back of mouth , squirt liquid in
28
Creams/ointment instructions
Can be rubbed or spread onto skin Use gloves or apply with gauze or soft cloth Client should wash hands after Prevent pet from licking medication( e collar, cover area, distract pet)
29
Ear medication instructions
Hold ear flap open and place drops into ear canal | Massage ear at the base when done , pet may shake
30
Eye medication instruction
Ointment or drops Do not touch applicator tip to the eye 1 hand to open eyelids and one had to place drops/smear ointment over eye Place medication from above If two people: one hold dog, the other apply
31
Spay/neuter instructions
Fast 10-12hrs (confirm fast) Reccomend to spay before first heat Do they want pre-anesthetic or iv fluid? Is there any chance they are pregnant or in heat?
32
If dog in heat for spay appointment
Wait 60 days for heat cycle to be over because there is too much blood in the uterus
33
Other questions for spay
Ask if they want micro chip or tattoo | Ask if they want retained baby teeth, hernia, declaws done
34
Go home instructions | Spay
Post op instructions Incision care Keep outdoor cat indoors
35
Dog neuter instructions
Fast 10-12 hours Ask if they want pre anesthetic or iv fluid Ask if they want tattoo or microchip Check for retained baby teeth, hernia, declaws Make sure both testes in scrotum General post op/incision
36
Cat neuter instructions
``` Fast 10-12 hours(confirm) Pre anesthetic Retained baby teeth, hernia, declaw Tattoo microchip Both testes present ```
37
Cat neuter to go home
Rest for few days Outdoor cat indoor 10-14 Monitor for pain, swelling
38
Declaw instructions
``` Most clinics will not do Fast 10-12 (confirm) Pre anesthetic, iv Microchip, tattoo? 2 nights in clinic ```
39
Declaw to go home
``` Rest 2-3 weeks Kennel, small room (if active) Pain meds(discuss) Special cat liter 14 days post op Keep indoors long term ```
40
Dental instruction
Fast 10-12 Pre anesthetic mandatory Dental estimate not 100% Need phone number for that day
41
No extractions to go home instructions
Can eat regular No special instruction Dental diet, tooth brush reccomended
42
Extractions to go home
``` Pain/antibiotics sent home Soft food until recheck in 10-14 days Sutures in mouth dissolve E collar if pet paws at mouth No dental stuff until one month after ```
43
Lump removal instructions
Fast 10-12 (confirm) Ask pre or iv Mark where lumps are in file plus how many they want removed May be done at same time as other procedure
44
Lump to go home
``` Prevent licking Monitor for swelling Discuss pain meds Antibiotics if lump was infected Drain removed 3-5 days Call if any concerns ```
45
Puppies tails/declaws
2-5 days of age Not all vets do DO NOT FAST May use local anesthetic
46
Puppy tails/declaws to go home
Suture removal usually not needed | Watch puppies for pain, swelling
47
Orthopedic surgeries instructions.
Fast 10-12 hours (confirm) No meds morning of surgery Pre ? Usually need X-ray post op
48
Orthopedic to go home
Strict exercise restriction several weeks to months Rehabilitation therapy Bandage removal (3 days) Pain meds, maybe antibiotics
49
Exploratory surgery instruction
``` Looks for problems Price not guaranteed No guarantee anything will be found NEED PHONE NUMBER fast 10-12 Pre and IV mandatory ```
50
Exploratory surgery to go home
``` Depends Staple/suture removal after 10-14 Rest 10-14 Gastrointestinal diet Owner call if any concerns ```
51
Cystotomy instructions
To remove bladder stones, sometimes cancer/mass Fast 10-12 Blood work and iv mandatory Send urine sample for culture/sensitivity
52
Cystotomy to go home
``` Suture removal 10-14 days Pain meds, maybe antibiotics MAKE SURE PET IS URINATING some blood normal after surgery, call vet if it doesn't improve Special urinary diet ```
53
Urinary blockage instructions
Most often in male cats Unable to urinate means emergency Fasting usually not required because already not eating Pre/IV/urinalysis mandatory Blockage relieved with catheter and suture for no longer than 24 hours
54
Urinary blockage to go home
Monitor urination closely If animal has one blockage it will usually happen again Pain meds, urinary muscle relaxants Urinary diet, encourage water
55
Call backs
On most surgical/hospital patients New medications Next business day
56
When are calls useful
To ask if pet is healing/recovering well Make sure meds are being given and no side affects Are the people following the home care instructions To schedule or remind of recheck
57
Who should be called prior to appointment
``` Day before All surgeries Any procedure with special instruction If client requests If multiple appointments If missed appointment previously ```
58
Who should be called after appointment
All surgeries All medical cases New pet owners
59
Who should call
Mostly vet techs | Vet assistants call prior to appointment
60
Act of euthanasia
Gentle Easy death Quick and painless
61
Reasons to euthanize
``` Illness or terminal disease Can't afford costs Behavioural problems Unable to provide appropriate care Avoid judgement ```
62
Who consents to euthanize
The vet
63
When is hospice usually provided
Religious reasons
64
Vet role in euthanization
Tries not to influence owners decision unless pet noticeably ill Answers all questions and options available
65
Voa roll
Comfortable discussing process
66
Options for ashes
Cremation Paw print Urns
67
How to tell client how to measure QOL
How many good days vs bad days Activities pet still enjoys Is pet in pain or uncomfortable Offer exam with vet
68
What if client asks if they should euthanize
Owners decision Don't influence Let them know that they are the best judge Don't get drawn into a debate
69
Methods of euthanasia
Inhalant Injection Gun shot Captive bolt
70
Intravenous injection
Most common
71
Intraperitoneal injection
Injection in abdomen
72
Intrarenal injection
Injection in kidney
73
Intra cardiac
In heart
74
Booking euthanasia
``` Check file to see existing medical conditions and if it's an elderly pet Suggest exam with vet Ask if owners want to be present Book at slower time of day Ask wishes for body ```
75
Euthanasia appt
1) be prepared 2) confirm owner and bring to room 3) confirm owner wants to euthanize 4) go over paperwork and sign consent 5) pre pay 6) does owner want pet stuff 7) follow wishes for time 8) ask how long owner wants to stay 9) do not rush owner 10) sympathy card 11) change status on computer
76
How to prepare for e
Room ready with blanket, tissue, chair
77
Euthanasia patient arrives
Confirm and immediately bring to room after prepay | Speak on same level
78
Owner needs to be present to grant permission
Yes
79
Hoe many people in clinic are needed to confirm euthanization
2
80
Paperwork for euthanjz
Go over wishes for body
81
Private cremation
Owner gets ashes back
82
General cremation
Owners do not want
83
If owner takes ashes
Line special box with pee pads or garbage bag
84
If owner does not know what to do with body
Offer to hold body for a couple of days
85
After euthanizairon
Client leaves room and you put body in bag and label it
86
Euthanization warnings
Vet usually let owners know what to expect Very rapid Pet may vocalize/twitch/lose control of bladder Eyes will not close
87
Stages of grief
Denial Anger Guilt Depression
88
Denial
Don't want to believe pet is dead | Give client time to reflect before putting down
89
Anger
``` Distraction from underlying issue Don't accept blame Allow owners to vent anger Politely ask to be talked to professionally Be polite ```
90
Guilt
Client blames themselves Remind them that they did what they thought was best Some problems are difficult to recognize early Pet is no longer suffering
91
Depression
Hard to go through daily routine Withdraw and isolate Show them resources for help Let them know the feelings are normal
92
Acceptance
Fond memories of pet | We realize we can go on
93
Support for owners do
``` Sympathy card Listen/normalize grief Share memories No wrong way to grieve Remember and honour the pet ```
94
Don't
Encourage avoidance Avoid saying stay strong or try to stay busy Don't encourage new pet Don't encourage them to get rid of stuff
95
Children and euthanization
Be as honest as possible Encourage parents to tell kids pet has died Encourage child to express feelings Encourage parents to involve child
96
Dealing with euthanization
``` Talk to other staff members Out of work activities Ask why certain procedure is being performed Be open about feelings Reminders of reason to euthanize ```