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Skill Test Number One- Large Animal
Student correctly develops and maintains patient medical records as well as other necessary documents.
? Student demonstrates understanding of patient record system used in veterinary hospital, correctly enters new clients and patients into system
? Student makes certain that patient medical records contain client's name, address and phone number, as well as through patient identification information, including species, breed, age, gender, reproductive status, colors, markings, microchips, etc.
? Student uses appropriate veterinary medical terminology and abbreviations. Student writes legibly, using correct spelling and grammar
? Students records information accurately, using correct format and following guidelines and protocols of facility.
? Student properly generates necessary documents and forms, including vaccination certificates and other forms needed for travel

Skill Test Number Two- Large Animal

Student demonstrates ability to correctly prepare and keep logs and records in accordance with regulatory requirements.
? Student understand record-keeping procedures in use at facility
? Student properly completes and maintains all required logs and documentation in a manner that observes all applicable laws and regulations, including scheduled substances, radiography, surgery, anesthesia, and laboratory logs

Skill Test Number Three- Large Animal

Student displays computer skills necessary for effective use of veterinary management and/or other computer software programs used at facility.

Skill Test Number Four- Large Animal

Student demonstrates ability to accurately determine and record respiratory rate of horse and cow.

? With animal in comfortable position in stanchion or pen, student carefully observes movement of abdomen and rib cage, accurately counts the number of abdominal and/or chest excursions for 15 seconds and multiplies it by four and records breaths per minute on patient's record

Skill Test Number Five- Large Animal

Student correctly auscultates heart and lung sounds and displays ability to differentiate between normal and abnormal heart and lung sounds.

? With animal in comfortable, standing position and adequately restrained, student auscultates heart and lung sounds in species-appropriate manner.
? To auscultate lung in horse, student places stethoscope on mid-left thorax at 13th intercostal space, then dorsally at intercostal spaces 13, 16, 17, and then at the shoulder at intercostal space 13 and at olecranon at intercostal space

Skill Test Number Six- Large Animal

The student demonstrates familiarity with various methods of permanent identification in common domestic species.
? Student demonstrates understanding of appropriate uses and relative advantages and disadvantages of various methods of identifying cattle, sheep , goats, and swine, including tattooing, ear tagging, ear notching (swine), branding and electronic methods
? Student shows understanding of role of permanent identification in preventative medicine

Skill Test Number Seven- Large Animal

Student demonstrates knowledge of breeding and reproductive procedures in common domestic species.
? Student demonstrates understanding of estrous cycle in common domestic species and recognizes signs of each stage. Student shows understanding of care of female estrus and is able to explain proper care to owner
? Student demonstrates familiarity with mating behavior and processes of common domestic species
? Student demonstrates familiarity with gestation periods of common domestic species. Student shows ability to provide appropriate care for the pregnant female and to explain proper care to the owner
? Student shows understanding of signs of approaching parturition. Student demonstrates familiarity with signs and behaviors associated with stages of labor and birth
? Student is able to assist in normal delivery and care of newborns

Skill Test Number Eight- Large Animal

Student demonstrates ability to institute and follow appropriate sanitation procedures.
? Student demonstrates knowledge of potential routes of disease transmission and the need for appropriate sanitation protocols aimed at preventing/minimizing noscomial diseases
? Student demonstrates competency in developing, implementing and adhering to appropriate sanitation procedures in all areas of facility, including laboratory and patient areas
? Student demonstrates appropriate use of personal protective equipment in preventing disease transmission
? Student correctly identifies patients that should be kept in isolation units
? Students demonstrate understanding of proper use of isolation units. Student implements and adheres to sanitation procedures including, but not limited to cleaning, disinfection, sterilization, use of disinfectant foot baths, and change of protective clothing

Skill Test Number Nine-Large Animal

Student displays knowledge of common domestic animal species and breeds.
? Student recognizes species and breeds of common domestic animals and uses correct nomenclature for species, breed, sex and age
? Student identifies sex of common domestic species

Skill Test Number Ten- Large Animal

Student shows competence in accurately determining and recording temperature of horse and cow.

? With animal standing in stanchion or pen, student makes certain animal is properly restrained. Student applies appropriate lubricant to mercury or digital thermometer, shakes down mercury-type or checks digital-type is on, and gently inserts thermometer into rectum, while standing to one side of the
animal.
? Student holds thermometer in position for minimum time recommended by manufacturer accurately reads temperature and records it on patient's record.

Skill Test Number Eleven-Large Animal

Student effectively halters a horse

? Student properly approaches horse from left side and confidently applies halter and lead in correct manner. Student coaxes horse forward while walking on horse's left.

Skill Test Number Twelve-Large Animal

Student effectively halters a cow

? Student properly approaches cattle in chute or stanchion from the side and applies halter in a manner that minimizes chance of injury. Student leads cattle in correct manner.

Skill Test Number Thirteen-Large Animal

Student effectively, safely, and correctly implements twitch for equine

? Student grasps large area of horse's upper lip, pressing the bottom edges together, while protecting the delicate inner surface. Student holds loop and handle in correct manner to facilitate placing loop high around lip, simultaneously twisting handle in the correct direction, depending on which side of the horse the student is standing
? Student periodically tightens and loosens twitch to keep horse's attention and avoid loss of circulation

Skill Test Number Fourteen-Large Animal

Student effectively, safely, and correctly implements bovine tail restraint.
? Student properly positions a stanchioned cow's tail, lifting it slowly with both hands to a ventral side up position along the midline and not deflected to one side. Student applies appropriate pressure to divert cow's attention and lowers tail lowly when procedure is finished.

Skill Test Number Fifteen- Large Animal

Student accurately calculates drug dose and dosages, correctly using measurements of weight and volume.
? Student demonstrates understanding of relevant measurement systems, including metric, apothecary and household systems, and accurately applies them in the clinical setting.
? Student accurately converts between systems of measurement, such as between the metric and apothecary systems. For example, student accurately converts pounds to kilograms
? Student correctly calculates drug dosages
? Student correctly measures out doses of both external and parenteral medications. For example, student properly measures volumes of liquids, such as accurately reading calibrations on syringe barrels and droppers.
Skill Test Number Sixteen-Large Animal

Student demonstrates knowledge of appropriate routes and methods of administration for commonly used drugs.
? Student demonstrates understanding of comparative rates of absorption and onsets of effect of various administration routes
? Student shows awareness of drug types that should not be given subcutaneously or intramuscularly. Student displays familiarity with drugs that should not be administered intravenously.

Skill Test Number Seventeen-Large Animal
Student demonstrates ability to properly administer drugs by prescribed routes, including common enteral and parenteral routes, at prescribed dosage intervals, utilizing safe and effective techniques
? Student properly restrains, or has assistant properly restrain, animal in a manner that is as safe as possible for the animal and for personnel.
? Student uses correct technique when administering oral medications.
? Student uses correct technique when administering drug parenterally. When administering drug IM, student uses appropriate muscle. When administering drug IV, student selects appropriate vein.

Skill Test Number Eighteen-Large Animal

Student correctly enters all information pertaining to drug and/or vaccine administration in patient medical records.
? Student accurately records information in patient's record, including, but not limited to, name of drug, dose administered, route of administration, site of administration, and when and by whom medication or vaccine was administered.
? Student uses correct drug names and properly uses veterinary abbreviations, when appropriate

Skill Test Number Nineteen- Large Animal

Student correctly performs venipuncture of the equine jugular vein
? Student makes certain horse is properly restrained. Student accurately identifies and properly occludes jugular vein. Student wipes area over vein with 70% isopropyl alcohol.
? Student introduces appropriate gauge needle attached to syringe or uses vacutainer collection device. While doing so, student makes certain bevel is up and needle enters vein at proper angle
? Student aspirates adequate and appropriate volume of blood into syringe. Student makes certain the proper pressure is applied to puncture site for adequate time after needle is withdrawn.

Skill Test Number Twenty-Large Animal

Student correctly performs venipuncture of the ruminant jugular vein
? Student makes certain horse is properly restrained. Student accurately identifies and properly occludes jugular vein. Student wipes area over vein with 70% isopropyl alcohol.
? Student introduces appropirate gauge needle attached to syringe or uses Vacutainer collection device. While doing so, student makes certain bevel is up and needle enters vein at proper angle
? Student aspirates adequate and appropriate volume of blood into syringe. Student makes certain the proper pressure is applied to puncture site for adequate time after needle is withdrawn.

Skill Test Number Twenty One-Large Animal

Students displays understanding of proper nursing care of neonates and its role in enhancing wellness and reducing risk of disease, injury, and stress
? Student demonstrates understanding of requirements for: maintaining appropriate ambient temperature; hydration; importance of colostrum; proper nutrition and food types; quantity and frequency of feeding; elimination; correct hygiene; proper housing; and socialization.
? Student displays understanding of common neonatal problems, including dehydration, hypothermia, hypoglycemia, vomiting, diarrhea, elimination difficulties and anorexia
? Student shows an understanding of appropriate remedial cactions for neonatal problems listed above
? Student shows ability to communicate appropriate instructions for neonatal care to owners.

Skill Test Number Twenty-Two-Large Animal

For horse and cow, student demonstrates knowledge of nutritional requirements for each stage of life.
? Student shows understanding of appropriate dietary components for optimal health in various life stages.

Skill Test Number Twenty-Three- Large Animal

Student demonstrates ability to properly utilize balling gun to administer medications to ruminants
? Student appropriately restrains animal and demonstrates knowledge of safety protocols.
? Student demonstrates proper use of balling gun, placing balling gun with dose in the interdental space over the ruminant's tongue
? Student correctly releases bolus and removes balling gun.
? Student monitors patient to be certain medication is properly received.

Skill Test Number Twenty-Four- Large Animal

Students display appropriate care of wounds and abscesses.
? Student demonstrates knowledge of appropriate wound management and abscess care, including immediate care of wound or abscess; lavage and debridement; methods of wound closure and their appropriate uses, based on the individual wound
? Student demonstrates understanding of appropriate uses of topical and systemic therapeutics for wounds and abscesses.

Skill Test Number Twenty-Five-Large Animal

Student properly applies emergency splints and bandages
? Student recognizes indications for bandages or splints in emergency situations and demonstrates ability to explain their benefits
? Student selects appropriate contact bandage material based on wound type. Student selects appropriate type of bandage or splint depending on fracture.
? Student properly and quickly applies bandages in emergency situations, paying particular attention to location and pressure aspects of bandaging
? Student demonstrates understanding of proper bandage/splint care and maintenance. Student recognizes and corrects inappropriate or failed bondage/splint.

Skill Test Number Twenty-Six-Large Animal

Dehorning in cattle and goats.
? Student demonstrates knowledge of correct patient preparation and positioning, anesthesia, surgical assisting, aftercare and necessary equipment and instrumentation for dehorning in cattle and goats.

Skill Test Number Twenty-Seven-Large Animal

Student's correction of Prolapsed Organs
? Student demonstrates awareness of organ prolapsed as displacement of the organ.
? Student demonstrates knowledge of correct patient preparation and positioning, anesthesia, surgical assisting, aftercare and necessary equipment and instrumentation for correction of organ prolapsed.

Skill Test Number Twenty-Eight-Large Animal

Student correctly performs fluorescing staining of the eye.
? Student demonstrates understanding of use of fluorescein staining to detect corneal ulceration or other damage to corneal epithelium
? With animal's head properly restrained, student opens lid, places one drop of sterile ophthalmic saline solution onto fluorescein staining strip and touches strip onto bulbar conjunctiva. Student properly flushes eye with sterile ophthalmic saline solution.
? Student examines eye with cobalt blue light for signs of epithelial damage

Skill Test Number Twenty-Nine-Large Animal

Student correctly obtains and microscopically evaluates skin scraping.
? Student correctly identifies lesion to be scraped. Student distinguishes between superficial and deep skin scrapings.

Skill Test Number Thirty-Large Animal

Student displays ability to correctly utilize dose syringe to administer medications to ruminants
? Student appropriately restrains animal and demonstrates awareness of safety protocols.
? Student demonstrates ability to administer small volumes of liquid to ruminant, using dose syringe/bottle. Student properly inserts tip of syringe into the side of ruminant's mouth over the base of the tongue, slowly injecting the medication and withdrawing the syringe.
? Student monitors patient to be certain medication is properly received.

Skill Test Number Thirty-One-Large Animal

Student uses correct aseptic technique to prepare skin at surgical site.
? Student demonstrates understanding of need to minimize microbial flora on skin at anticipated surgical site in order to decrease the chance of surgical wound contamination.
? Student demonstrates understanding of appropriate uses and relative advantages and disadvantages of different surgical scrubs and topical antiseptic solutions, including but not limited to povidone-iodine, chlorhexidine, and 70% isopropyl alcohol.
? Student displays knowledge that # 10 clipper blades are used to complete hair clipping for surgical site preparation. Student properly maintains clipper and blades and takes care to avoid skin abrasion or clipper burn.
? Student demonstrates understanding that hair removal and preliminary skin scrubbing are performed in prep area. After properly identifying approximate incision site, student cleanly and evenly removes hair, leaving sufficient margins around anticipated incision site, and thoroughly vacuums loose hair.

Skill Test Number Thirty Two-Large Animal

Student effectively safely and correctly restrains birds.
? Student displays ability to properly restrain birds, approaching them slowly and using appropriate technique based on species
? In all avian species, student is extremely careful never to apply pressure on thoracic area

Skill Test Number Thirty Three-Large Animal

Student properly administers fluids by the subcutaneous route.

? Student understands pertinent anatomy. Student is able to differentiate types of fluids that may be administered subcutaneously from those that may not. Student demonstrates understanding of how subcutaneous fluids are absorbed, amount of fluid that can be safely administered by the subcutaneous route and potential complications associated with subcutaneous administration of fluids.
? Student properly prepares all needed equipment in advance, including correct fluid bag, appropriate administration set and needle gauge, avoiding contamination. Student inspects fluid bag for expiration date, integrity of sterile packaging, discoloration, cloudiness, etc. If appropriate, student pre warms fluids to body temperature.
? Student appropriately restrains animal. Student properly identifies and prepares site.
? Student tents skin and correctly inserts needle, at appropriate angle and depth, into subcutaneous space, making certain no blood appears in the needle hub or fluid line. Student administers correct volume of fluids at appropriate flow rate, monitoring for patency of administration set and correct placement of needle. Student clamps off tubing and withdraws needle, then applies pressure to injection site.
? Student can explain and demonstrate to owner how to properly and safely administer subcutaneous fluids, how they are absorbed, and their benefits to the animal. Student properly educates clients as to safe disposal of needles.

Skill Test Number Thirty Four-Large Animal

Student demonstrates ability to correctly monitor and evaluate hydration status of patients.
? Student accurately evaluates patient hydration status qualitatively, using measurements of skin turgor, moistness of mucous membranes, positioning of eye within socket, thoracic auscultation, pulse rate and strength, and patient demeanor. In animals receiving subcutaneous fluids, student evaluates ventral or dependent anatomic areas to assess fluid absorption.
? Student accurately evaluates patient hydration status quantitatively, using measurement of body weight (using same scale), PCV, plasma proteins, urine specific gravity (and urine output, if necessary)
? Student correctly obtains CVP measurement, when appropriate.