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PPPVN > Special patient care > Flashcards

Special patient care Flashcards

1
Q

List what the RCVS states for clients to told to give consent

A

Clear written information about practice arrangement and information about patient care and out of hours
Ensure skills being used to treat patients are up to date and with in competency
Keep clear records
Make client aware who is performing what
Treat all clients fairly without discrimination

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2
Q

What are consent forms needed for?

A

Euthanasia

Surgical or medical procedures

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3
Q

List what is required on a medical consent form

A 
Patient and owner details
Contact number
Cost outline
Medical history
Last eaten and drank
Vet surgery and staff details
Owner signature
Date
Procedure risks, extra procedures
DNR
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4
Q

List what is required on a euthanasia consent form

A 
Animal and owner details
Practice details
Date
Owner signature
Method of disposal including donor options
Details consent for euthanasia
Costs involved and how to pay
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5
Q

What needs to be done in accompaniment of written consent forms?

A

Verbal discussing fully informing client of situation

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6
Q

What needs explaining to an owner to allow them to give informed consent?

A 
Nature, purpose and benefit of treatment
Likely outcomes and risks
Financial estimates
Further possible procedures
Range of available options
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7
Q

What situation doesn’t need owner consent?

A

Delay in gaining consent would cause adverse affects to animals welfare

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8
Q

Who can gain consent from an owner?

A

Usually the vet but can be delegated to anyone with good understanding of procedure and risks

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9
Q

What to do in the case an owner won’t listen to costs, risks etc?

A

Document clearly

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10
Q

Should the owner be given a copy of a consent form?

A

Yes

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11
Q

What to do if the planned treatment changess?

A

Make owner aware as soon as possible and record on clinical records

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12
Q

Can under 16s give consent?

A

Only with a parent countersigning

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13
Q

Can under 18s make a binding contract?

A

No, can’t be liable for fees

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14
Q

When does particular care need to be taken when providing treatment to an animal who’s owner is under 18?

A

When treatment involves controlled drugs

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15
Q

How should clinical records be kept?

A

Secure and confidential

Backed up when electronic

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16
Q

How long do clinical records need to be kept?

A

Determined by practices own policies, except records of controlled drugs which need keeping for 5 years

17
Q

What needs to be protected when destroying records?

A

Confidentiality

18
Q

What happens if owner wants to erase data?

A

Right to do so if no longer needed, consent is withdrawn or data was gained unlawfully.
Practice can refuse when needs to keep to comply with legal obligation

19
Q

Explain the process of admitting a patient

A

Use GA consent form and explain process to client in quiet room in appropriate terminology, dont make assumptions
Go over insurance policy
Give information about contacting after procedure including phone number
Weight patient
Use practice protocols for leads, collars etc
Put in kennel and write on ops board

20
Q

How to ensure client is reassured while patient is in vet practice?

A

Give clear details of when to expect to be contacted

If get too busy delegate updates to someone with time

21
Q

Explain the process of discharging a patient

A

Make sure patient is ready
Talk to owner about after care, medications etc. before bringing patient in
Book follow up appointment and contact details if need to contact before appointment

22
Q

List the general requirements for special patient care

A 
Warmth
Security
Food and water
Toilet opportunity
TPR monitoring
Mental stimulation
Medication, wound care
Grooming
23
Q

What is meant by a holistic approach to patient care?

A

Addressing patient as a whole and not just a disease, accounting for physical and emotional health so is a tailored approach

24
Q

Explain the stages of observations

A

Subjective- own opinion that can’t be measured, usually by nurse
Objective- measurable medical parameters, usually by nurse
Assessment- diagnosis, condition and vital signs of a patient, usually by vet
Plan- what to do next, usually by vet

25
Q

What is useful information to find out about a patient before admitting?

A 
Normal routine
Bedding
Food type and bowls
Normal toileting routine
Temperature preference
Interactions with others
26
Q

How to provide heat to a patient?

A 
Hot hands
Wheat bags
Hot water bottle 
Bear hugger
Lamps
Bubble wrap
Make sure patient can move away from source
27
Q

How to nurse for urination and defecation

A

Record output and effort
Catheterise when needed
Samples when needed
Type of surface usually goes on

28
Q

How to provide mental stimulation to hospitalised patients?

A

Spend time with patients, walking, grooming, play time
Boredom toys
Owner visits when suitable

29
Q

How to manage patients that cant move well?

A

Be aware of when movement is compromised and adjust kennel to suit, move water and food close and have padded bedding
Keep regular movement

30
Q

How to manage food intake in patients in hospital?

A

Only force feed when necessary

Try to give the most appetising food in normal bowls etc.

31
Q

Nursing requirements for neonates immediately after parturition

A

Clear airways, remove sac and establish ventilation
Clamp umbilicus
Dry and keep warm

32
Q

What needs monitoring of neonates?

A 
Body weight
Orifices
Umbilicus
Congenital abnormalities
Mobility
Feeding
Urination and defecation
33
Q

When interference of neonates is needed what should be provided?

A

Colostrum within 12 hours
Commercial food preparations given in bottle and feeding tubes
Manual toilet stimulation with damp cotton wool

34
Q

What nursing considerations should be made for recumbent patients?

A 
Thick bedding
Boredom
Food and water placement
Ulcers and urine scalding
Keep moving- prevent muscle atrophy
Turn regularly- prevent hypostatic pneumonia
35
Q

How to nurse comatose patients?

A

Maintain airway
One to one nursing
Similar care as recumbent
IV catheter care

36
Q

What are requirements for geriatric patients?

A 
Soft bedding
Warmth
Quiet kennel
Toileting opportunities
Mental stimulation
Small and soft meals
Slow exercise
Medications
37
Q

What needs considering for geriatric patients?

A 
Less able to adapt to change
Some loss of senses
Slower recovery
Preexisting disease
More sleep
Painful joints

PPPVN (14 decks)

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