Veterinary Technicians Research Articles

Translocated dogs from Nunavut and the spread of rabies.

Investigations of rabid animals that cross provincial/territorial boundaries are resource intensive and complex because of their multi-jurisdictional and multi-sectoral nature. To describe the multi-jurisdictional responses to two unrelated rabid puppies originating from Nunavut. A descriptive summary of the investigations following the identification of a rabid puppy in Alberta (August 2013) and another in Saskatchewan (December 2014). These investigations involved public health and agriculture authorities in five provinces/territories, as well as the Canadian Food Inspection Agency (CFIA). In Alberta, a puppy who became ill after being transported by air from Nunavut was euthanized and diagnosed with rabies (Arctic fox variant). Eighteen individuals were assessed for exposure to rabies; nine received rabies post-exposure prophylaxis (RPEP). An exposed household dog that tested negative was electively euthanized. In Nunavut, the rabid puppy's mother and litter mates were placed under quarantine. In Saskatchewan, another puppy became ill during transit by air from Nunavut. It was subsequently euthanized and diagnosed with rabies (Arctic fox variant). Two of three Saskatchewan individuals, including a veterinary technician, received RPEP. Two Nova Scotia residents were exposed to the puppy while in Nunavut and received RPEP. One household dog received booster vaccination, was quarantined for 45 days and remained asymptomatic. In Nunavut, the rabid puppy's mother and litter mates were not identified. In both cases, exposure to an Arctic fox was the probable source of rabies in the puppies. Translocation of dogs from the north where Arctic fox rabies is endemic poses a risk to human and animal health and may negatively impact control of rabies in Canada. There is currently no national framework to prevent inter-jurisdictional movement of potentially rabid animals in Canada.

Pain management in physical rehabilitation

Pain management involves more than just the use of pharmaceutical or nutraceutical medications. Physical rehabilitation can be an aid in controlling pain whether post operative, from a disease process or as part of aging. In the USA veterinary technicians/nurses can become certified physiotherapist technicians/nurses; being able to recognise and score pain is a primary skill for the veterinary technicians certified in physical rehabilitation. One of the primary benefits of physical rehabilitation is reducing pain. The veterinary physiotherapist will perform a clinical evaluation aided by the physiotherapist tchnician/nurse. The physiotherapist nurse will be performing various physical modalities to the patient as prescribed by the physiotherapist. Mobility issues can be painful and are a common reason for geriatric patients to undergo physiotherapy.

Transfusion practice in dogs and cats: an Internet-based survey.

To characterize and compare current canine and feline transfusion practices at private referral hospitals (PRH) and veterinary teaching hospitals (VTH), including information regarding blood donor screening; blood product collection, storage, and administration; recipient screening; and monitoring during transfusions. Internet-based survey. Sixty-five board-certified specialist veterinarians, 3 veterinarians, and 5 veterinary technicians from 53 PRH and 20 VTH. A survey was disseminated via email LIST-SERVs; 1 survey response per hospital was included. Survey results revealed that PRH more commonly obtained canine and feline blood products solely from blood banks (P < 0.05) and VTH more commonly used hospital-run donor programs (P < 0.05). Canine cryo-poor plasma was more likely to be stored by VTH compared to PRH (P = 0.018) and VTH were more likely to store canine fresh platelet products for >72 hours (P = 0.046). The use of client-owned canine donors (P = 0.043), administration of precollection 1-deamino-8-d-arginine vasopressin to canine donors (P = 0.041), and storage of blood products in a dedicated refrigerator (P = 0.003) and -20°C or -80°C freezer (P = 0.044) were more common in VTH than PRH. However, the use of a refrigerator freezer (P = 0.001), single bag canine collection systems (P = 0.021), and agglutination cards for feline blood typing (P = 0.032), as well as warming of blood products prior to administration (P = 0.021) were more commonly reported by PRH compared to VTH. Although some transfusion practices including the method and length of storage of blood products, use and screening of blood donors, and administration methods varied between VTH and PRH, most transfusion practices were similar. The information reported from this survey could aid the development of future veterinary transfusion consensus statements.

Survey of occupational hazards in Minnesota veterinary practices in 2012

To identify the scope of occupational hazards encountered by veterinary personnel and compare hazard exposures between veterinarians and technicians working in small and large animal practices. Cross-sectional survey. Licensed veterinarians and veterinary staff in Minnesota. A survey of Minnesota veterinary personnel was conducted between February 1 and December 1, 2012. Adult veterinary personnel working in clinical practice for > 12 months were eligible to participate. Information was collected on various workplace hazards as well as on workplace safety culture. 831 eligible people responded, representing approximately 10% of Minnesota veterinary personnel. A greater proportion of veterinarians (93%; 368/394) reported having received preexposure rabies vaccinations than did veterinary technicians (54%; 198/365). During their career, 226 (27%) respondents had acquired at least 1 zoonotic infection and 636 (77%) had been injured by a needle or other sharps. Recapping of needles was reported by 87% of respondents; the most common reason reported by veterinarians (41%; 142/345) and veterinary technicians (71%; 238/333) was being trained to do so at school or work. Recent feelings of depression were reported by 204 (25%) respondents. A greater proportion of technicians (42%; 155/365) than veterinarians (21%; 81/394) indicated working in an environment in which employees experienced some form of workplace abuse. Veterinary personnel in Minnesota were exposed to several work-related hazards. Practice staff should assess workplace hazards, implement controls, and incorporate instruction on occupational health into employee training.

Exploring the Impact of Toxic Attitudes and a Toxic Environment on the Veterinary Healthcare Team.

The objective of this qualitative study was to compare veterinarians’ and Registered Veterinary Technicians’ (RVT’s) perceptions of the veterinary healthcare team with respect to the impact of toxic attitudes and a toxic environment. Focus group interviews using a semi-structured interview guide and follow up probes were held with four veterinarian groups (23 companion animal veterinarians) and four Registered Veterinary Technician groups (26 RVTs). Thematic analysis of the discussions indicated both veterinarian and RVT participants felt team members with manifestations of toxic attitudes negatively impacted veterinary team function. These manifestations included people being disrespectful, being resistant to change, always wanting to be the “go to person,” avoiding conflict, and lacking motivation. When conflict was ignored, or when people with toxic attitudes were not addressed, a toxic environment often resulted. A toxic environment sometimes manifested when “broken communication and tension between staff members” occurred as a result of employees lacking confidence, skills, or knowledge not being managed properly. It also occurred when employees did not feel appreciated, when there was difficulty coping with turnover, and when there were conflicting demands. The presence of people manifesting a toxic attitude was a source of frustration for both veterinarian and RVT participants. Prompt and consistent attention to negative behaviors is recommended to reduce the development of a toxic environment.

A systematic review of the effects of euthanasia and occupational stress in personnel working with animals in animal shelters, veterinary clinics, and biomedical research facilities.

The study of occupational stress and compassion fatigue in personnel working in animal-related occupations has gained momentum over the last decade. However, there remains incongruence in understanding what is currently termed compassion fatigue and the associated unique contributory factors. Furthermore, there is minimal established evidence of the likely influence of these conditions on the health and well-being of individuals working in various animal-related occupations. To assess currently available evidence and terminology regarding occupational stress and compassion fatigue in personnel working in animal shelters, veterinary clinics, and biomedical research facilities. Studies were identified by searching the following electronic databases with no publication date restrictions: ProQuest Research Library, ProQuest Social Science Journals, PsycARTICLES, Web of Science, Science Direct, Scopus, PsychINFO databases, and Google Scholar. Search terms included (euthanasia AND animals) OR (compassion fatigue AND animals) OR (occupational stress AND animals). Only articles published in English in peer-reviewed journals that included use of quantitative or qualitative techniques to investigate the incidence of occupational stress or compassion fatigue in the veterinary profession or animal-related occupations were included. On the basis of predefined criteria, 1 author extracted articles, and the data set was then independently reviewed by the other 2 authors. 12 articles met the selection criteria and included a variety of study designs and methods of data analysis. Seven studies evaluated animal shelter personnel, with the remainder evaluating veterinary nurses and technicians (2), biomedical research technicians (1), and personnel in multiple animal-related occupations (2). There was a lack of consistent terminology and agreed definitions for the articles reviewed. Personnel directly engaged in euthanasia reported significantly higher levels of work stress and lower levels of job satisfaction, which may have resulted in higher employee turnover, psychological distress, and other stress-related conditions. Results of this review suggested a high incidence of occupational stress and euthanasia-related strain in animal care personnel. The disparity of nomenclature and heterogeneity of research methods may contribute to general misunderstanding and confusion and impede the ability to generate high-quality evidence regarding the unique stressors experienced by personnel working with animals. The present systematic review provided insufficient foundation from which to identify consistent causal factors and outcomes to use as a basis for development of evidence-based stress management programs, and it highlights the need for further research.

Oral homecare regimens and products

The maintenance of the oral health of veterinary patients is fundamental to the maintenance of their overall health. Oral ill-health and untreated diseases are considered to contribute significantly to, or exacerbate, many other systemic illnesses that animal patients suffer, often due to a transient bacteraemia originating within the oral cavity, and these diseases can be painful. Anecdotally, many clients return with their animal post-dental treatment and report that they are like a puppy or a kitten again. This is simply because having cleaned away the plaque bacteria from the sulcus during the dental procedure, the animal does not then suffer this influx of bacteria from the sulcus through the breached epithelium and into the bloodstream every time it eats, closes its mouth or holds on to a toy. A persistent low-grade bacteraemia will take its toll on any animal and insidiously age it. The promotion of oral homecare and the provision of advice and guidance with regards to protocols and products is largely the responsibility of the registered veterinary nurse (RVN) or veterinary technicians in veterinary practice, and as such they should aim to promote preventative health care rather than reactive health care. This article aims to explore the different types of products available to enhance good oral homecare and examine their claims, before suggesting an optimal ‘goldstandard’ oral homecare regimen and compromises to this optimal regimen.

Veterinary nurse or veterinary technician?

Veterinary nurse or veterinary technician?

Management of common small ruminant medical and surgical diseases

Every practitioner develops his or her own unique and efficient ways of doing things, and the author has collected a few of these tricks from personal experience, the veterinary literature, and veterinary technicians and practitioners. This seminar will include a variety of useful tips for a variety of commonly used procedures for South American camelids (SACs), sheep, and goats in a field setting.

Seroepidemiology of Toxoplasmosis among People Having Close Contact with Animals.

A cross-sectional study was conducted to determine the seroepidemiology of Toxoplasma infection and its risk association among people having close contact with animals. A total of 312 blood samples were collected from veterinary personnel (veterinarian, technicians, and students) and pet owners from veterinary clinics and hospitals in the area of Klang Valley, Malaysia. About 4 cc of blood samples drawn from agreed participants were processed for measurement of anti-Toxoplasma IgG and IgM antibodies as well as avidity test of Toxoplasma IgG by ELISA I, II, and III kits. Meanwhile, the demographic profiles and possible risk factors of these participants were also recorded in the standardized data collection sheets. Overall seroprevalence of toxoplasmosis was observed in 62 (19.9%) participants being 7 (18.4%) in veterinarians, 15 (33.3%) in veterinary technicians, 29 (14.9%) in veterinary students, and 11 (31.4%) in pet owners. Of 19.9% Toxoplasma seropositive samples, 18.3% was positive for IgG antibody, 1.0% for IgM antibody, and 0.6% for both IgG and IgM antibodies. Of three different IgG avidity ELISA kits, ELISA III showed high avidity in all five seropositive samples (IgM and IgG/IgM antibodies) indicating chronic Toxoplasma infection which is consistent with no evidence of clinical toxoplasmosis diagnosed during the time of this study. Univariate analysis showed that age group, gender, study population, gardening, task performance, and working duration were significantly associated with Toxoplasma seropositivity. Further analysis by multivariate analysis using logistic regression showed that age group of ≥30 years old (OR = 0.34, 95% CI = 0.18–0.63, p = 0.001) and working or study duration of >10 years having close contact with animals (OR = 5.07, 95% CI = 1.80–14.24, p = 0.002) were identified as significant risks for Toxoplasma infection. Based on the results obtained, a comprehensive Toxoplasma screening and health surveillance program on toxoplasmosis should be implemented among people having close contact with animals in general and confirmed Toxoplasma seronegative individuals in particular to prevent seroconversion.

Thromboembolic disease in dogs and cats

Click to increase image sizeClick to decrease image size Additional informationNotes on contributorsLouise O'DwyerThromboembolic disease in dogs and catsAll authorsLouise O'Dwyer MBA BSc(Hons) VTS(Anaesthesia & ECC) DipAVN(Medical & Surgical) RVNhttps://doi.org/10.1080/17415349.2015.1017382Published online:18 March 2015Display full sizeLouise O'Dwyer MBA BSc(Hons) VTS(Anaesthesia & ECC) DipAVN(Medical & Surgical) RVNLouise gained her Diploma in Advanced Veterinary Nursing (Surgical) in 2004, followed by her Diploma in Advanced Veterinary Nursing (Medical) in 2007, Veterinary Technician Specialist (Emergency and Critical Care) in 2011 and Veterinary Technician Specialist (Anaesthesia) in 2014, making her a member of both AVECCT and AVTA. She has contributed to over 25 journal articles and book chapters, and lectures regularly on all aspects of anaesthesia, emergency and critical care and infection control. She has worked as Head Nurse for PetMedics in Manchester, the largest emergency clinic in the UK, for the past 13 years, and is now Clinical Director.Louise's interests include all aspects of emergency care but particularly trauma, as well as anaesthesia, infection control and wound management. Louise is the co-author of Practical Emergency and Critical Care Veterinary Nursing as well as Wound Management in Small Animals: A Practical Guide for Veterinary Nurses and Technicians, the BSAVA Pocketbook for Nurses and the forthcoming A Veterinary Nurse's Guide to Infection Prevention and Control, due 2015.

Tips for providing P-12 students career day-type presentations about the veterinary profession.

Children begin forming career aspirations in elementary school, and in many cases, adults find themselves in careers that they decided on before 12 years of age.1–3 Tai et al4 report that eighth-grade students who had an expectation of a career in the life sciences were nearly twice as likely to graduate with a baccalaureate degree in the life sciences as were others who did not have that early expectation. Preliminary research has shown that introducing young students to veterinary medicine through formal curricula and activity books can positively impact their attitudes toward and interest in science careers, increase their desire to study science in college, and influence their perceptions of veterinary medicine.5,6 And educational experts cite classroom visits by role models and opportunities for role-playing by students as important means for students to learn about careers and the educational requirements needed to attain their occupational choices.2,7 Veterinarians and veterinary technicians are frequently invited to participate in career day activities at local schools or community centers. These presentations can provide an opportunity to encourage young students to pursue careers in the veterinary medical profession and provide information about the breadth of opportunities that the profession has to offer. But, for individuals who have not provided presentations in the past, accepting such an invitation can be intimidating. The present report was written by a team consisting of a veterinarian, elementary school teachers, and high school teachers and is intended to provide tips for veterinarians and veterinary technicians planning to visit classrooms or community centers to give career day presentations.

The elephant in the room (and how to lead it out): In-clinic laboratory quality challenges.

Over 30 yr of technological evolution have resulted in sophisticated instrumentation for in-clinic laboratories, yet there is no regulatory oversight of diagnostic testing quality. Long overdue, the veterinary profession must address quality assurance (QA) of diagnostic testing. Each practice must weigh the responsibility for laboratory instrumentation test results that are often a combination of in-clinic and send-out testing. Challenges faced by clinic staff maintaining in-clinic laboratories include lack of training in QA and quality control (QC), lack of emphasis placed on QA/QC by instrument suppliers, QC financial and time costs, and a general lack of laboratory QA/QC support resources in the veterinary community. Possible solutions include increased continuing education opportunities and the provision of guidelines and other resources by national veterinary organizations; specialty certification of veterinary technicians; an increasing role of veterinary clinical pathologists as QA/QC consultants; and development of external quality assessment programs aimed at veterinary practices. The potential exists for animal health companies to lead in this effort by innovating instrument design, providing QC services, and exploiting instrument connectivity to monitor performance. Veterinary laboratory QA/QC is a neglected aspect of the profession. In coming years, veterinarians will hopefully find increased support for this core practice component.

Consultation length in first opinion small animal practice

CONSULTATIONS are the cornerstone of veterinary practice, and while the length scheduled for consultations varies, 10 minute appointments are a frequent feature in first opinion practice. Previous research has suggested...

The role of veterinary team effectiveness in job satisfaction and burnout in companion animal veterinary clinics.

To determine the role of veterinary team effectiveness regarding job satisfaction and burnout in companion animal veterinary practice. Cross-sectional observational study. 48 companion animal veterinary health-care teams. 274 team members participated in an online survey. Overall job satisfaction was evaluated with a 1-item measure, and the 3 dimensions of burnout (exhaustion, cynicism, and professional efficacy) were measured with the Maslach Burnout Inventory-General Survey. Team effectiveness was assessed with a survey developed for this study. Demographic and team effectiveness factors (coordinated team environment, toxic team environment, team engagement, and individual engagement) associated with job satisfaction and burnout were evaluated. Overall mean job satisfaction score was 5.46 of 7 (median, 6.00); veterinary technicians and kennel attendants had the lowest scores. According to the Maslach survey results, 22.4% of participants were in the high-risk category for exhaustion, 23.2% were in the high-risk category for cynicism, and 9.3% were in the high-risk category for professional efficacy. A coordinated team environment was associated with increased professional efficacy and decreased cynicism. A toxic team environment was negatively associated with job satisfaction and positively associated with exhaustion and cynicism. Individual engagement was positively associated with job satisfaction and professional efficacy and negatively associated with exhaustion and cynicism. Results suggested the effectiveness of a veterinary team can significantly influence individual team members' job satisfaction and burnout. Practices should pay specific attention to the effectiveness with which their veterinary team operates.

Evaluation of factors associated with work-related injuries to veterinary technicians certified in Minnesota.

To evaluate the magnitude and consequences of work-related injuries and associated factors among veterinary technicians certified in Minnesota. Cross-sectional survey. 1,427 certified veterinary technicians (CVTs). Surveys were used to collect data on demographics, personal characteristics, injury occurrences in the 12 months prior to survey completion, and injury consequences. Annual injury rates were estimated on the basis of demographic and work-related characteristics. Risk of injury associated with various factors was estimated by calculation of incidence rate ratios, controlling for multiple factors. 465 of 873 eligible CVTs reported 1,827 injury events (total and bite injury rates, 237 and 78 injuries/100 persons/y). Primary injury sources were cats and dogs, and most injuries occurred during animal restraint or treatment. Self-reported most severe injuries involved bites; cuts, lacerations, or scratches; bruises or contusions; and abrasions. Injury consequences included treatment and restricted work activity. Risk of work-related injury was lower for CVTs who worked < 40 h/wk than for those who worked ≥ 40 h/wk. The risk was higher for CVTs working in small animal or mixed mostly small animal facilities and lower for those working in mixed large and small animal facilities, commercial or industry operations, and government or regulatory facilities, compared with CVTs in colleges or universities. Handling 4 to > 6 (vs < 4) animal species during the 12 months prior to the survey and belief that injuries are not preventable were also associated with higher risk of injury. Several factors associated with the risk of work-related injury among CVTs were identified. Beyond these risk factors, investigation of additional exposures is integral to relevant intervention strategies.

Evaluation of risk and protective factors for work-related bite injuries to veterinary technicians certified in Minnesota.

To identify risk and protective factors for work-related bite injuries among veterinary technicians certified in Minnesota. Nested case-control study. 868 certified veterinary technicians (CVTs). A questionnaire was mailed to CVTs who previously participated in a survey regarding work-related injuries and did (cases; 301 surveys sent) or did not (controls; 567) report qualifying work-related animal bite injuries in the preceding 12 months. Descriptive statistics were summarized. Demographic and work-related variables for the month preceding the bite injury (for cases) or a randomly selected month (controls) were assessed with univariate analysis (489 CVTs) and multivariate analysis of a subset of 337 CVTs who worked in small or mixed mostly small animal facilities. Responses were received from 176 case and 313 control CVTs. For the subset of 337 CVTs, risk of bite injury was higher for those < 25 years of age (OR, 3.82; 95% confidence interval [CI], 1.84 to 7.94) than for those ≥ 35 years of age, for those who had worked < 5 years (OR, 3.24; 95% CI, 1.63 to 6.45) versus ≥ 10 years in any veterinary facility, and for those who handled ≥ 5 species/d (OR, 1.99; 95% CI, 1.06 to 3.74) versus < 3 species/d. Risk was lower for CVTs who handled < 10 versus ≥ 20 animals/d (OR, 0.23; 95% CI, 0.08 to 0.71). Several work-related factors were associated with the risk of work-related bite injury to CVTs. These findings may serve as a basis for development of intervention efforts and future research regarding work-related injuries among veterinary staff.

Detection of Bartonella species in the blood of veterinarians and veterinary technicians: a newly recognized occupational hazard?

Bartonella species are important emerging pathogens in human and veterinary medicine. In the context of their daily activities, veterinary professionals have frequent animal contact and arthropod exposures. Detection of Bartonella spp. using traditional culture methods has been limited by poor sensitivity, making it difficult to determine the prevalence of infection in this population. We have developed a detection method combining enrichment culture and molecular amplification, which increases testing sensitivity. We performed a cross-sectional study to determine the prevalence of detectable Bartonella spp. in the blood of veterinary personnel and nonveterinary control subjects. Bartonella was detected by enrichment blood culture with conventional PCR followed by DNA sequencing. RESULTS were correlated with epidemiological variables and symptoms. We detected DNA from at least one Bartonella species in 32 (28%) of the 114 veterinary subjects. After DNA sequencing, the Bartonella species could be determined for 27 of the 32 infected subjects, including B. henselae in 15 (56%), B. vinsonii subsp. berkhoffii in seven (26%), B. koehlerae in six (22%), and a B. volans-like sequence in one (4%). Seventy percent of Bartonella-positive subjects described headache compared with 40% of uninfected veterinarians (p=0.009). Irritability was also reported more commonly by infected subjects (68% vs. 43%, p=0.04). Our study supports an emerging body of evidence that cryptic Bartonella bloodstream infection may be more frequent in humans than previously recognized and may induce symptoms. Longitudinal studies are needed to determine the natural course and clinical features of Bartonella infection.

Risk factors for occupational brucellosis among veterinary personnel in Turkey

Veterinarians and veterinary technicians are at risk for occupational brucellosis. We described the risk factors of occupational brucellosis among veterinary personnel in Turkey. A multicenter retrospective survey was performed among veterinary personnel who were actively working in the field. Of 712 veterinary personnel, 84 (11.8%) had occupational brucellosis. The median number of years since graduation was 7 (interquartile ranges [IQR], 4–11) years in the occupational brucellosis group, whereas this number was 9 (IQR, 4–16) years in the non-brucellosis group (p<0.001). In multivariable analysis, working in the private sector (odds ratio [OR], 2.8; 95% confidence interval [95% CI], 1.55–5.28, p=0.001), being male (OR, 4.5; 95% CI, 1.05–18.84, p=0.041), number of performed deliveries (OR, 1.01; 95% CI, 1.002–1.02, p=0.014), and injury during Brucella vaccine administration (OR, 5.4; 95% CI, 3.16–9.3, p<0.001) were found to be risk factors for occupational brucellosis. We suggest that all veterinary personnel should be trained on brucellosis and the importance of using personal protective equipment in order to avoid this infection.

Inter-Professional Practice: From Veterinarian to the Veterinary Team

Animal health care is being delivered by an increasing number of professions and occupations. This article takes an inward look at the veterinary team, focusing on the day-to-day life of veterinarians and those with whom they work, such as veterinary technicians/nurses, physical therapists, and farriers. The evolution of the work of the veterinarian should be explored alongside the evolution of closely related occupations, as the current working practice of veterinarians is affected by the practice of these other occupations. An example is given of UK veterinary nurses (similar to veterinary technicians in North America) who are currently undergoing professionalization. Seminal implementations have included a register (2007), disciplinary procedures (2011), a declaration of professional responsibilities (2012), and required continuing professional development for registered veterinary nurses (RVNs). These implementations result in veterinary nurses who are now accountable for their actions. There are many potential benefits to good inter-professional practice for the practice itself, individual team members, clients, and patients, including better results produced by the whole team rather than the sum of the parts, financial benefits to using individuals in lower-paid occupations for shared roles, and greater client satisfaction regarding increased options for treatment. There are, however, many challenges to inter-professional working that center on the interlinked themes of hierarchy (power, status, and the understanding/appreciation of professional roles) and communication (lack of/poor). Inter-professional education (IPE) is suggested as a potential means to overcome these challenges; however, research into IPE exclusively related to the veterinary team is lacking.