"the priviledge of giving any medical treatment or carrying out minor surgery, not involving entry into a body cavity"
Administer medication
Wound closure
Skin mass removal & biopsies
Dental scaling and polishing
Treatment of abscesses
Treatment of aural haematomas
Placing iv medication
"Registered or Listed VNs under the direction of their VS employer to animals
under their employer's care. The directing VS must be satisfied that the VN is
qualified to carry out the medical treatment or minor surgery"
'direction' means that the VS
instructs the VN or SVN as to
the tasks to be performed, but is
not necc present
'SVN under the direction of their VS employer to
animals under their employer's care. In addition,
medical treatment or minor surgery must be
supervised by a VS or RVN/LVN and, in the case of
minor surgery, the supervision must be direct,
continuous and personal. The medical or minor
surgery must be carried out in the course of the
SVNs training
'Supervision' means that he
VS is present on the premises
and able to repsond to a
request for assistance if
needed
'Direct, continuous and
personal supervision'
means the VS or VN is
present and giving the
SVN undivided personal
attention
Locum SVN cannt perform Schedule 3
Aural haematoma surgery
Common causes
Self-inflicted trauma
Head shaking
Scratching
Rubbing ear against objects
External causes
Poor ear conformations
Immune mediated
Food allergies
Ear mites
Hypersensitivities
MUST TREAT UNDERLYING CAUSE!
Surgical technique
Clip hair and surgically prepare skin
Suture less technique: 1. Make elliptical incision in skin,
curette and lavage. 2. Tape either side of wound and
reflect pinna into over some padding on top of head. 3.
Place absorbent dressing over top of incision for 3 weeks
1. Make a longitudinal, S-shaped incision
2. Remove blood and fibrin clot
3. Curette cavity
4. Flush with sterile saline
2.0/3.0/4.0 nylon/polypropylene
suture material & swaged on striaght
cutting needle
Place horizontal mattress suture (incl. all layers
of pinna) in 2-5 rows parallel to incision
Sutures tied on convex side
Complications
Irreversible cosmetic alterations (delay in
tx/sutures too tight), recurrence (inadequate
suture no's, underlying cause not tx)
Pinna necrosis is blood
supply diminised
Draining technique
Draining haematoma with needle & syringe and instilling steroid
Usually fills again
Permanent damage & pinna deformity
Skin mass removal & biopsies
Pre-excisional biopsy
Cannot be excised simply
Post-excisional biopsy
Simple excision without construction
Fine Needle Aspirate Biopsy
Involves using needle & syringe, cells
aspirated into needle hub, blown onto
slide and smeared
Performed without sed/GA
10-20ml syringe, 20-25G needle
Clip & scrub skin, immobilise mass,
insert needle and apply -ve pressure,
redirect needle 2-5x, released plunger
& removed needle
Expel contents onto slide & smear
Core needle biopsy
LA/sed required
Obtains a cylinder of
tissue from solid mass
Insional biopsy
Removing slice of tissue
Abscess management
Diagnosis from FNAB
Pointing encouraged by warm compress
Lancing
Stab incision, express pus, flush cavity until fluid clear, insert drain if necc
Daily flushing, incision kept
open to allow drainage