Student rotations in critical care and emergency medicine will provide experience in dealing with animals requiring close monitoring and observation. These animals have a variety of problems necessitating a broad base of experience and expertise. Students are not afforded the luxury of studying a single organ system. Instead, many of our animals have multiple organ system involvement. The purpose of this document is to acquaint the student with policies, procedures, and expectations for your rotations in veterinary critical care and emergency medicine.
CRITICAL CARE ROTATION
The main objective of the critical care rotation is to provide optimal patient care. Veterinary patients will be assigned to students on this rotation. For each patient, the student will have the following responsibilities:
Each student will keep a patient log of all their animals. The log sheets are available in the rounds room. At the end of the 3rd week, all patient logs will be returned to the CCU clinician.
Critical care is an exciting, dynamic, new specialty in veterinary medicine. CSU students have the unique opportunity to work in a facility used by our profession as a model of excellence. We encourage your active participation and enthusiasm for this opportunity. It will be a demanding, sometimes stressful, rotation but will also be an opportunity to deal with acute illnesses often seen in everyday practice. We have a most elaborate facility but we also teach these technical procedures on a practical approach. We look forward to a most exciting week!
EMERGENCY MEDICINE AND AFTERHOURS
The emergency medicine rotation will provide all students the opportunity to apply their knowledge. There will be times when a veterinarian's support is not immediately available and thus you must act using your best judgement and knowledge. In order to encourage this action, CCU faculty are committed to supporting all actions of the EM students if these actions are written and recorded. It is important to remind all students that a doctor must be involved with all actions of the student. Always seek the advice of the intern/resident on duty, CCU nurse, CCU residents/faculty, or primary clinician before changing any treatments or monitoring procedures. Students will NEVER examine or admit a patient to the VTH without the permission and subsequent immediate physical presence of a doctor.
Emergency medicine students are expected to be on duty before 10:00 PM every night of the week (Sunday-Saturday). Any animal admitted to CCU after 4:00 PM or on weekends or holidays are to be presented in a rounds session by one of the EM students. If the case was admitted by the EM student all orders are to be written by the EM student. If another student has admitted the patient, EM students must see to it that the admitting student has written all orders and SOAPs for that case prior to rounds. If orders or SOAPs are not written by the admitting student, the EM student will be responsible for writing the orders prior to rounds!
Emergency medicine and afterhours students are responsible for didactic topics discussed in the critical care rotation.
Emergency medicine students are only responsible for QID treatments in the wards. Any animal not on the regular QID schedule will be treated by the student ordering the special treatment time. There will be NO EXCEPTIONS! Additionally, we would ask that one EM student walk through all small animal, zoo medicine, and junior surgery wards. If there is any doubt about a patient's well being, contact the clinician, CCU nurse, or the on-duty intern/resident. This walk-through should be done at least twice each night. Each morning the CCU staff will inquire about problems you have encountered in the wards. Occasionally a request for a QID treatment for a ward animal is made but no drugs have been left. EM students will NOT fill prescriptions! Call the student who failed to leave the medication.
Emergency medicine students will not be required to attend formal CCU rounds held at 8:30 AM on weekdays. AT 7:30 AM each weekday, the CCU clinician and one CCU nurse will be provided an update on cases by the EM students. This should only require 15 to 30 minutes.
On weekends, EM students will attend 7:30 AM rounds with CCU students. They will be expected to present the cases to the CCU students. The format for presentation can be found in the description of the CCU rotation above. If the EM students admit an animal after hours, they are responsible for all paper work and treatments until the case is transferred to a CCU student (usually Monday at 8:30 AM).
CCU nursing staff will be available for assistance and EM coverage nightly. These nurses are extremely well qualified and talented in their skills. All students will find the experience of working with these talented persons a rewarding experience.
EM students are responsible for answering emergency phone calls coming to the VTH when the receptionists depart at 10:00 PM. Small animal emergencies come through on a phone located on the east wall (red tag) and emergencies for callers without touch tone phones will come through extension 241 on the west side of the room. Phone procedures are available at each phone. Additionally, if the phone rings beyond five rings, it will automatically go to a voice mail mode. In this way, the client can leave important information and all of these calls will be returned within 10 minutes of the original call. You will know there is a message if the green (red light on extension 112) message light is on. In order to obtain the message follow these procedures:
CCU will NEVER be left unattended! We must be available to answer the phone at all times. EM students will have a beeper that will be worn at all times.
Clients often want to visit their animal in CCU. Visitations can only occur if arrangements have been made with the CCU faculty and staff PRIOR to the owner's visit. It is best if we take the animal for a visit with the owner in an examination room. Too often CCU has a lot of activity and the client may be faced with witnessing CPR, admitting a seriously injured animal, or other unexpected catastrophe. Owners are to be informed that visiting hours will ONLY be from 9:30 AM to 9:00 PM. All visiting owners will be asked to leave by 9:00 PM (NO EXCEPTIONS!).
The VTH is a very large, often very quiet, facility in the middle of the night. BE CAREFUL! If at anytime you find a door propped open, close the door and be sure it is locked. If a door is unlocked, call the campus police immediately and have them come and lock the door. If you see someone in the hospital without proper ID, call the campus police immediately! Clients and strangers should not be in the hospital after hours. Your safety is a major concern! When a loud bell rings in CCU, it is probably a client at the front door. You may use the television and intercom system on the east wall to interrogate the person before going up front to open the door. If the person does not have an animal or does not in your judgement look like they have business in the VTH, do NOT open the door and immediately call the campus police!
Grading of students on the EM rotation is very subjective. Our procedure will be one of soliciting input from the CCU faculty, resident, and nurses. Specific comments will be forwarded to you. Objective data will be collected from problem lists, task sheets, patient logs, flow sheets, and order sheets. Patient care and knowledge of CCU cases will be important in our assessment.
Upon completion of your CCU/EM rotations we encourage your feedback. There is a departmental evaluation form to be used. Go to Dr. Knight's office and request this form and return it to that office. If you prefer, you may write an evaluation and return it to the departmental office. Comments on faculty, staff, residents and the rotations can assist us in making this a better rotation.
Emergency medicine is an important practice opportunity for the new graduate. It provides one a lot of experience in a short period of time. Acute illnesses or injury to animals provides the veterinarian much personal satisfaction in being able to assist in a time of need. This rotation is designed to encourage your consideration of this practice opportunity.
Return to CCU Home Page
Go to the College of Veterinary Medicine and Biomedical Sciences Home Page
Go to CSU's Home Page
For more information please contact Wayne E. Wingfield