APPENDIX I. ABVMA TEAM APPROVED TASKS LIST (April 24, 2009)

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1 APPENDIX I ABVMA TEAM APPROVED TASKS LIST (April 24, 2009) - All entries marked by a under the and columns are established by the CVMA as tasks that a graduate of an accredited Technology program should be capable of performing, and the appropriate level of. All tasks exclusively identified for s or s shall only be delegated to them at the proper level of, and it is inappropriate for these tasks to be delegated to anyone else. It is assumed that all tasks are performed at an indirect level of unless otherwise indicate, due to increased risk factors. **All additions in the Calligraphy font are additions of the ABVMA, and are over and above the requirements set by the CVMA** - Indicates a task appropriate for a graduate, but not universally taught at all AHT colleges. It is the responsibility of the veterinarian to verify that the skills are present. TASK April 24, 2009 page 1 of 13 OFFICE AND HOSPITAL PROCEDURES AND CLIENT RELATIONS Make appointments Handle telephone contacts Admit and discharge patients, take history Maintain records, and prepare appropriate certificates for signature Perform basic filing of medical records, radiographs, lab reports, etc. Maintain x-ray, surgery, anesthesia, and laboratory logs Maintain controlled substance logs Recognize veterinary medical emergencies Respond appropriately to veterinary medical Direct Indirect emergencies according to provincial regulation Maintain basic cleanliness and orderliness of a veterinary facility (including hospital, clinic, practice, or laboratory) Administer and maintain Biosecurity Protocols of the Practice Entity Perform basic veterinary medical record keeping procedures a. develop computer skills b. be able to utilize common management software programs c. be familiar with veterinary on-line services Indirect COMMUNICATION Develop effective client communication skills Write business letters, reports, and client education handouts

2 April 24, 2009 page 2 of 13 PHARMACY AND PHARMACOLOGY Recognize general types and groups of drugs Understand and perform administrative functions for written and verbal instructions for medications being dispensed (prepare, print and apply labels) Dispense medications from written and verbal orders (identify the required product, select the correct strength, determine the quantity required) Direct Indirect Use weights and measures correctly Calculate dosages Store, safely handle and dispose of biologics and therapeutic agents, pesticides and hazardous wastes Handle controlled substances correctly - Understand the regulations concerning narcotics logs - be able to maintain and complete them Perform inventory control procedures Prepare medications & reconstitute vaccines Differentiate between abnormal and normal responses to medication Understand appropriate routes and methods of drug and vaccine administration Use and explain appropriate routes and methods of drug and vaccine administration EXAMINATION ROOM PROCEDURES Know normal values of temperature, pulse, respiration and gestation time for dog, cat, horse and cow Determine normal values of temperature, pulse and respiration for dog, cat, horse and cow Auscultate heart and lungs using a stethoscope Immediate Direct Provide care & maintenance of treatment room equipment Restrain Patients Place in, and remove small animals from cages - apply dog safety muzzle, apply Elizabethan collar - apply restraint pole Place and restrain small animals on tables Halter tie and lead horses and cattle Restrain birds Restrain - apply twitch (horses) Restrain cattle - apply bovine tail restraint - apply nose tongs/leads Restrain sheep and swine Load large animals

3 Perform Surgical Preparations Prepare surgical equipment/supplies Sterilize instruments & supplies using appropriate methods Identify and know proper use for instruments Identify common suture materials, types and size Prepare gowns, masks, gloves and drapes Clip and Prepare surgical sites Prepare surgical sites using aseptic techniques Operate & maintain autoclaves Provide operating room sanitation & care Position patients (common procedures) Placement and secure catheters Open sterile pack and gown for surgery Maintain proper operating room conduct and asepsis Keep operative records Perform as Surgical or Circulating Immediate Direct Nurse Properly pass instruments and supplies in surgery Assist with care of exposed tissues and organs Operate/maintain/suction and cautery machines Operate and maintain fibre optic equipment Perform Post-Surgical Clean-Up Equipment Surgical room or area Instruments Patient Personnel Proper disposal of hazardous medical waste Nutrition **Be able to communicate basic nutritional information **Be able to communicate Companion nutritional life-stage counseling **Be able to communicate Companion clinical nutritional counseling April 24, 2009 page 3 of 13

4 Assist with Anesthesia under Supervision Immediate Immediate Direct Calculate and administer pre-anesthetic medications as prescribed by the veterinarian Induce and maintain general anesthesia (considering species variations) using the following - IV anesthetics - Inhalant anesthetics - Induction - Endotracheal intubation - Properly operate anesthetic machines - In-and out-of-the circle vaporizers - Re-breathing ad non-breathing Systems - Induction chambers Calculate and administer injectable analgesics/ sedatives/anesthetics as prescribed by the veterinarian Monitor the anaesthetized patient - Use esophageal stethoscope - Recognize abnormal EKG and audible sounds - Monitor signs of stages & planes of anesthesia - Be familiar with monitoring equipment (Doppler, pulse oximeter, etc.) Understand and care for anesthetic machines Properly scavenge waste anesthetic gas to protect staff Perform CPR Monitor anesthetic recovery, provide intensive postoperative care, and pain management Recognize anesthetic emergencies - Resuscitate with anesthetic antagonists - Calculate and administer anesthetic antagonists - Defibrillator use Local Anesthesia Common Regional Blocks companion animals Common Regional Blocks large animals Epidural Anesthesia companion animals Epidural Anesthesia bovine animals Peripheral Nerve Stimulation Use & Assessment Immediate Immediate Immediate Indirect April 24, 2009 page 4 of 13

5 LARGE AND SMALL ANIMAL NURSING Perform venipuncture for treatment or blood sampling including: - Cephalic (dog,cat) - Jugular (dog,cat,horse, ruminant) - Saphenous (dog) - Sublingual (dog) - Ear (swine) - Coccygeal (cow) - Anterior vena cava (pig) - Femoral (cat) Direct Indirect Administer parenteral injections including: - Subcutaneous - Intramuscular - Intradermal - Intraperitoneal Administer biologicals, including rabies, for domestic pets Administer biologicals to livestock Place intravenous catheters including: - Cephalic vein (small animals) - Saphenous vein (dog) - Jugular vein Maintain fluid therapy (maintain catheter placement, determine & maintain correct flow rate) Medicate orally by means of: - Balling gun (ruminant) - Dose syringe (ruminant) - Gastric intubation (small animal) - Hand pilling (dog,cat) - Gastric lavage (dog) - Dose syringe (horse, pig) - Oral speculum & stomach tube (ruminant) - Naso-gastric intubation (small animal) Understand the principles an d care of bandages and splints Apply and remove bandages and splints Understand the basic principles of suture and staple aftercare Remove sutures or staples April 24, 2009 page 5 of 13

6 Perform therapeutic bathing, basic grooming, and dipping of small animals. Provide routine record-keeping, care, and observation of hospitalized patients Implement patient & personnel safety measures Feed routine and prescription diets for companion animals Feed routine and prescription diets for large animals Clean & disinfect cages, kennels and stalls Trim nails on companion animals (dog, cat and birds) Apply equine leg & tail wraps Express canine and feline anal sacs Clean and medicate ears (dog and cat) Administer enemas Collect urine sample - catheterize dogs, cats and large animals - collect voided urine sample - perform cystocentesis (small animal) Immediate Direct Collect and examine skin scrapings Apply established Emergency Protocols - Maintain emergency medical supplies - Perform first aid and cardiopulmonary Direct Indirect resuscitation - Use resuscitation bag (e.g. Ambu-bag) - Apply emergency splints and bandages Direct Indirect Eyes - Apply topical medication to eye - Perform fluorescein staining and Schirmer tear test - Perform ocular tonometry Demonstrate understanding and application of microchip and tattoo identification methods for animals Administer post operative care including hydrotherapy, orthopedic, and neurological care as directed by a Veterinarian April 24, 2009 page 6 of 13

7 Dentistry Companion Immediate Direct Perform small animal dental prophylaxis (manual and machine) Removal of plaque and calculus and other non-surgical procedures that do not result in altering the shape, structure positional location of teeth in the dental arch Probe and measure pockets with a periodontal probe Grade Periodontal Disease Complete a dental chart Hand scaling using appropriate curettes and scalers Ultrasonic scaling Perform appropriate cleaning and charting procedure for pockets less than 6 mm - closed root planing - Subgingival curettage Flush pockets in the gingival (less than 6 mm) Intraoral radiology techniques Evaluate dental radiographs for diagnostic quality Perform dental anesthesia blocks - mental block - maxillary block - inferior alveolar (mandibular) block Application of perioceuticals Immediate Immediate Flotation or dressing of equine teeth (equine dentistry) Direct April 24, 2009 page 7 of 13

8 **Perform technical tasks related to animal rehabilitation therapy Clean sheath (horse) Remove casts Explain care of recumbent patient Maintain chest, tracheotomy, pharyngostomy Tubes Administer intra mammary treatment (mastitis therapy only) Collect, cross-match and give blood transfusion Explain principles of orphan animal care Provide nursing care to newborns Clean up and prep wounds or abscesses Prepare mare for vaginal examination & cervical culture Trim Hooves a. Ruminant b. Horses Direct Indirect April 24, 2009 page 8 of 13

9 RADIOLOGY AND ULTRASOUND IMAGING Immediate Follow recommended radiation safety measures Implement recommended radiation safety measures Prepare and use radiographic technique charts Take diagnostic radiographs - Assist in positioning large and small animal patients - Position large and small animal patients Direct - Know the accepted guidelines for positioning dogs for hip dysplasia evaluations - Position laboratory and exotic animals - Maintain quality control - Perform various contrast media studies (including GI series, pneumocystogram, intravenous urogram) Process diagnostic radiographs - Mix and maintain manual developing chemicals - Automatic hand and digital processing of exposed film. - Label, file & store film - Complete radiographic logs, reports, files and records. Digital image management filing, storage, retrieval and transmission Properly care for equipment - Clean screens - Recognize, maintain and operate imaging equipment Properly use stationary and/or portable x-ray machine Use ultrasound equipment Use endoscopic equipment Use dental x-ray equipment **Perform the tasks of the Radiation Quality Assurance officer - Ensure that the equipment is maintained and functioning properly - Ensure the equipment is used correctly by competent personnel - Keep records of radiation surveys - Keep records of equipment tests & procedures - Maintain personnel monitoring program April 24, 2009 page 9 of 13

10 LABORATORY PROCEDURES Immediate Immediate Direct Indirect Properly clean, maintain and stock laboratory area Prepare laboratory samples for shipment Package laboratory samples for shipment Maintain laboratory equipment - Understand Quality Assurance - Understand equipment maintenance Routine start up and shut down of laboratory equipment Perform quality control procedures Explain basic principles of laboratory safety Understand dangerous goods Understand bio-waste disposal Test chemical properties using dipstick & tablet tests Examine and identify sediment Hematologic Evaluations Direct Collect samples for procedures Perform CBC: - Haemoglobin - Hematocrit - Total protein (refractometer) - White cell count (Unopette and automated cell counter) - Red cell count (PCV or electronic cell counter) - Microscopic examination of blood films 1. prepare blood film and stain 2. perform leukocyte differential: normal vs. abnormal 3. perform erythrocyte morphologic evaluation, normal vs. abnormal 4.estimate platelet count 5.calculate absolute values 6.perform white blood cell correction for nucleated red cells Indirect Perform reticulocyte count Perform platelet count (Unopette and automated cell counter) Calculate haematologic indices - Perform blood chemistry tests (BUN, glucose, common enzymes) - Collect and prepare serum sample and perform serologic tests (ELIZA, slide/card agglutinations, snap tests, etc) April 24, 2009 page 10 of 13

11 Perform Parasitologic Procedures Direct Indirect a. Collect samples b. Test for external parasites 1. Prepare sample 2. Identify: - Fleas - Flies - Lice - Mites - Ticks c. Test for internal parasites 1. Prepare solutions & perform faecal flotations 2. Perform faecal sedimentation 3. Perform direct smears 4. Scotch tape retrieval of pinworm ova 5. Baermann tests Identify common adult parasites, their ova and apply knowledge of common parasite life cycles 1. Nematodes 2. Trematodes 3.Cestodes 4. Protozoa Perform coprologic tests Perform Microbiologic Procedures Direct Indirect a. Collect representative samples b. Perform bacteriologic procedures 1. Culture bacteria & perform sensitivity test 2. Identify common animal pathogens using Commercially available media and Reagents 3. Perform common biochemical tests 4. Perform staining procedures c. Culture and identify common dermatophytes Collect milk samples & conduct mastitis testing, e.g., CMT, bacterial culture April 24, 2009 page 11 of 13

12 Perform Cytologic Procedures Direct Indirect Collect, prepare and evaluate canine vaginal smears Assist in collecting, preparing and appropriately Evaluating transudate, exudates & cytologic specimens (joint, cerebrospinal, airway and body cavity) Perform fine needle tissue aspirates and Impression smears Prepare and stain bone marrow specimens (differentiate between benign and malignant) Perform semen evaluation Breeding Soundness Evaluation Data collection during the physical examination portion of a breeding soundness examination of a bull, such as scrotal circumference, rectal temperature, heart and respiratory rate Electro stimulation and semen collection during a breeding soundness examination of a bull Routine microscopic examination and other laboratory tests on samples collected during a breeding soundness examination of a bull Explain timing and types of pregnancy testing Immediate Supervision Direct Supervision Indirect Supervision Assist with artificial insemination (mare and cow) Semen Collection of Stallion Routine microscopic examination and laboratory procedures in processing stallion semen. Necropsy Procedures Direct Indirect Supervision Supervision Perform prosection Collect samples, store and ship according to laboratory protocols Explain how to handle rabies suspects & samples safely Handle disposal of dead animals Perform euthanasia procedures April 24, 2009 page 12 of 13

13 LABORATORY ANIMAL PROCEDURES Explain basic principles of animal research Protocols Apply knowledge of provincial, federal, and local animal welfare regulations Rodents and Rabbits Recognize and restrain Determine sex Perform and/or supervise basic care procedures, e.g. feeding, watering, breeding, identification and handling Administer drugs or medicaments, using appropriate sites and routes Collect blood samples Perform oral dosing Know anaesthetic and recovery procedures Explain common disease signs Perform necropsy prosection and collect specimens Trim (float) teeth of rabbits & guinea pigs Clean & medicate ear (rabbit) Avian, Exotic & Fish Procedures Immediate Immediate Immediate Direct Recognize and restrain caged birds, reptiles, amphibians and ferrets Perform and/or supervise basic animal care procedures (e.g., feeding, watering, breeding, identification, caging & aquarium care) Perform a physical examination Administer or inject drugs using appropriate sites & routes for each species Collect appropriate body tissues or fluids from live animals and perform laboratory procedures Anaesthetize avian and exotic animals Explain inadvisability of keeping wildlife as pets April 24, 2009 page 13 of 13

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