GUIDELINES FOR THE COMPLETION OF THE abdominal cavity by benbenzhou


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Issue 6             Page 1 of 22    ANA Case Logbook Guidelines Sept09


General                                                                     3

Guidance for Supervisors                                                    4

Guidance for Specific Case Logs                                             5

Referral                                                                    8

Submission Dates                                                            8

Contact Details                                                             8

Appendix 1 Case Log 2 Example                                               9

Appendix 2 Key Skills                                                       16

Issue 6                           Page 2 of 22   ANA Case Logbook Guidelines Sept09
1         General

1.1       The Animal Nursing Assistants certificate will be awarded on successful completion of
          the Case Logs and the 4 written examination papers.

1.2       All Veterinary Surgeons (MRCVS) / Listed Veterinary Nurses supervising candidates
          and therefore signing Case Logs must fill in their details on page 2 of the Case
          Logbook. This must be counter-signed by the Practice Principal as a true record.
          Where more than one placement has taken place all practice principals should sign
          separate sheets

1.3       The Practice Principal is also responsible for ensuring that all Case Logs are
          completed in full prior to submission to ABC Awards (ABC) / BVNA 1

1.4       The record of work experience which clarifies the dates of work in one or more
          practices during the period of training, must be signed, dated and stamped by the
          Practice Principal prior to the submission of the Case Logbook to ABC Examiners 2 for

1.5       Each Case Logbook must be accompanied by the signed Declaration of Authenticity.
          If the authenticity of any Case Log is in doubt, ABC reserves the right to investigate
          this with the centre.

1.6       Candidates must be made aware that the safe keeping of the Case Logbook is
          essential and relevant to their personal and professional development. Candidates
          must retain a copy of their books as copies submitted for external marking will not be
          returned by ABC.

1.7       The candidate should retain any incomplete logbooks until all the Case Logs are
          finished. The candidate will not be deemed to have passed the qualification (even if
          successful in the examination) until the finished Case Logbook is submitted and
          successfully graded. Unsuccessful logbooks will be referred and will require
          resubmission. This will incur a resubmission fee.

1.8       All Case Logs are a record of practical duties, and are designed to record candidates‟
          experiences in performing given tasks. Marks will be lost for the incorrect use of
          English language, grammar, spelling and mathematics. Case Logs should only be
          signed, dated and practice stamped at the bottom of the page when fully completed.

1.9       Case Logs may only be signed by a qualified listed Veterinary Nurse or Veterinary
          Surgeon. The supervisor involved must initial any alterations to dates/signatures.

1.10      Candidates must be advised to study sections of the syllabus relevant to each Case
          Log, as listed in the guidance notes, prior to each section in the Case Logbook.

 The BVNA will act as administrator for all external candidates who are not registered with an approved ABC centre on a
directed course of study. A directed course of study includes any distance learning programmes where students receive
mentoring and support from an approved centre.
  Candidates must forward their Case Logbooks to the centre with which they are registered i.e. to the college where they are
receiving tuition and / or mentoring or in the case of external candidates to the BVNA.

Issue 6                                      Page 3 of 22         7000 Animal Nursing Assistants Case Logbook Sept09
2           Guidance for Persons supervising Candidates in the Veterinary Practice

2.1         The aim of the Case Logs is to record that candidates are competent to perform a
            range of duties related to working in a veterinary practice and when caring for a range
            of small animals.

2.2         The Case Logs should be carried out to the recognised standard3 and any deviation
            should be explained.

2.3         Candidates having difficulties accessing a specific type of animal for a Case Log
            should contact their College / the BVNA and seek assistance. (Large pet shops or
            local rescue societies have been very helpful with candidates in the past, by providing
            access to an animal.)

2.4         Generally Case Logs are of a good standard, but valuable marks are often lost due to
            incomplete sections and avoidable mistakes. Examiners will be looking for:

            2.4.1 Completion of all sections by candidates and supervisors;

            2.4.2 Attention to Health and Safety issues;

            2.4.3 Calculations which are complete and accurate;

            2.4.4 Justification of any actions that maybe taken that are not of a recognised

            2.4.5 Spelling and a correct use of English.

2.5         The supervisor comment section authenticates the candidates‟ role in the Case Logs
            described. The supervisor should, where possible, make a comment as this is
            encouraging for the candidates and verifies what has taken place.

2.6         The supervisor should sign and date the Case Logs where indicated and a practice
            stamp or label should be used. If the Case Log has had to be completed outside of
            the practice then this should be indicated. Case Logs that describe work that has
            taken place in the practice should not be signed by the college tutor as they cannot
            authenticate that the work has taken place.

2.7         The supervisor role is not to assess or “mark” the Case Logs but to assist the
            candidate and ensure that all the relevant evidence has been included. The Case
            Logs are externally marked by ABC examiners and supervisors should not make any
            marks on the Case Logs. Case Logs that are impossible to mark as a result of
            supervisor comments will be referred.

2.8         Sections should not be left blank as marks will be missed and the Case Logs may be

2.9         Bullet points should be used where applicable. If additional pages are required e.g.
            hospitalisation or discharge sheets, these should be kept at a minimum.

2.10        Submissions should be the work of the candidate - not of another source e.g. cut and
            pasted from the Internet or from a drug company or college. (See notes with the
            Declaration of Authenticity)
    Pre Veterinary Nursing Text Book - Masters and Bowden

Issue 6                                      Page 4 of 22   7000 Animal Nursing Assistants Case Logbook Sept09
2.11      Submissions should pay attention to grammar and spelling as this is marked
          throughout, and many marks are lost because the student has not checked through
          the work properly.

2.12      Each section clearly outlines the areas that will be examined for during marking. For
          maximum marks a full description all the areas mentioned in the outline must be

3         Guidance for Case Logs

          The guidance below and the guidance given to the candidate at the start of each
          section in the Case Logbook should be followed.

3.1       Case Log 1     Short Talk

          3.1.1 Candidates must include Internet and any other articles that are relevant to
                their subject area.

          3.1.2 The guidance notes clearly state that the short talk must be word processed
                (typed), or it will not be marked.

          3.1.3 A subject from any of the subject areas covered in Unit 1 Veterinary Biological
                Science must be selected. Any other work will be discounted as not relevant.

          3.1.4 Provide a graphic e.g. picture, graph or chart as instructed. Props and
                demonstrations cannot be marked by the examiner.

          3.1.5 Ensure that all notes and/or handouts for the talk are included in the Case

          3.1.6 Ensure that candidates include questions from their colleagues and the
                correct answers given by the candidates.

          3.1.7 Select an image / graphic and clearly explain why it is relevant.

          3.1.8 Candidates should give an indication of timing and the content and anything
                that they would change for a future talk.

          3.1.9   If the mandatory evidence is missing the case log will not be marked.

3.2       Case Log 2     Cat / Dog Hospitalisation

          3.2.1 Hospitalisation sheets must be authentic i.e. either the original or a photocopy
                of the original. The owner‟s details should be blanked for confidentiality.
                Hospital sheets, which have been compiled for the sake of the Case Log by
                the student, will not be accepted, as they do not prove that the case was

          3.2.2 If a hospitalisation sheet does not accompany the log it will not be marked

          3.2.3 Health & Safety precautions should be mentioned in ALL cases and the
                relevant Acts should be noted.

          3.2.4 Correct drug calculations carry marks and candidates must include them.

Issue 6                             Page 5 of 22   7000 Animal Nursing Assistants Case Logbook Sept09
          3.2.5 Suitable cases should be chosen to allow all the sections to be completed. For
                example patients that have been used as hospital cases and subsequently
                died are not good choices, as discharge instructions are not given. If such a
                case must be used, then a description of the instructions that would have
                been given had the patient survived will gain marks.

          3.2.6 The candidates should always describe their role in the case as the priority
                rather than the Vet‟s role. For example - “I held the cat / rabbit whilst the vet
                examined its eyes” will not get the handling marks, whereas a description of
                how it was handled will.

3.3       Case Log 3     Exotic Hospitalisation

          3.3.1 As above, but candidates must also to be aware of any specific health &
                safety considerations which are applicable to exotics. Candidates need to
                prove that they are aware of the special requirements of dealing with species
                with which they may not be familiar. These may include handling, personal
                protection from zoonoses as well as general nursing considerations. Where
                possible reference should be made to specific Acts.

3.4       Case Log 4     PET Travel Scheme

          3.4.1 This asks for a leaflet to be produced. This should be of A4 size when opened
                out and can be folded either in half or in thirds depending on preference.
                Posters should not be submitted and extra marks are not given for booklets.

          3.4.2 Sources need to be evidenced and the Case Logs will not be marked if this is

          3.4.3 This will not be marked if it is not word processed.

3.5       Case Log 5     Zoonotic Disease

          3.5.1 Care must be taken when candidates describe the name and the causative
                agent of the disease.

          3.5.2 The „affected species” section requires the candidate to list all the species that
                could be affected by the disease - not just the species they dealt with at the

          3.5.3 Health & Safety regulations are an important part of this Case Log and must
                be researched in full to incorporate the relevant regulations and Acts to gain

          3.5.4 The Risk Assessment is compulsory - if it is not included the Case Log will not
                be marked. For full marks there needs to be input from the candidate rather
                than just being a print out from the practice.

          3.5.5 If the mandatory evidence is missing the case log will not be marked.

          3.5.6 This case log must be word processed.

3.6       Case Log 6     Bandaging

          3.6.1 This Case Log requires the candidate to apply the bandage and not simply
                assist another member of staff. If this is a problem due to practice policy,
                simulation is acceptable.

Issue 6                              Page 6 of 22   7000 Animal Nursing Assistants Case Logbook Sept09
          3.6.2 Candidates should ensure that all points required in the introduction are
                covered for maximum marks. For example if the case used did not cover all
                the range i.e. no wound - therefore no dressing; the candidate should describe
                the procedure that would have been carried out should a wound have been

          3.6.3 If equipment is listed in the appropriate section the candidate should ensure
                that they have described how it is all used in the application section. When
                describing the use of skin disinfectants dilutions must be cited.

          3.6.4 Health & Safety points must be covered including personal protection and
                disposal of clinical waste.

          3.6.5 Clear logical descriptions should be included in the bandaging section
                describing what is happening and how - include tension, directions and points
                to check.

          3.6.6 In order that all the sections can be completed it is important that a suitable
                case is chosen.

3.7       Case Log 7     Job Application

          3.7.1 The Advert chosen must be real - i.e. from a recruitment page and not devised
                by the candidate or college - evidence of the advert must be included.

          3.7.2 The candidate should only apply for an appropriate position - i.e. a job that
                they are qualified to do.

          3.7.3 Candidates are encouraged to consider the key points which an employer
                would consider when considering an applicant for a position i.e. their
                experience, skills and knowledge.

          3.7.4 Letters are marked on their layout as well as their content. Candidates should
                ensure the addresses are clear and neat and that the complimentary close is
                correct. This should be an example of a letter that could be sent to a
                prospective employer.

          3.7.5 When compiling a CV, candidates should ensure that their most relevant
                experience is the most prominent.

          3.7.6 The CV for this case log must be word processed.

3.8       Case Log 8     Client Survey

          3.8.1 Choice of subject area is the most difficult part of this Case Log. The
                candidate needs to pick something that is relevant to the practice, not too
                extensive and relevant to the sections that need to be completed.

          3.8.2 The candidate is required to do a mathematical analysis (mode, median,
                mean, range) on their results so appropriate questions need to be selected. If
                a candidate leaves this section blank the Case Log is incomplete and will be

          3.8.3 The survey should contain more than one question with ideally around six –
                this will ensure a good set of results to analyse and present.

Issue 6                             Page 7 of 22    7000 Animal Nursing Assistants Case Logbook Sept09
          3.8.4 Surveys must be included as evidence and must have been designed by the
                candidate rather than by a drug company or college.

          3.8.5   If the mandatory evidence is missing the case log will not be marked.

          3.8.6 This should be word processed and will not be marked if not.

4         Referral

Case Logs will not be marked and will be referred if;

4.1       sources of evidence that should be present are either unavailable or not satisfactory;

4.2       sections have been left blank;

4.3       they have not been signed by the supervisor and stamped;

4.4       they are hard to read due to low ink spoil on printers;

4.5       they are not in IT format where this is a requirement;

4.6       evidence is included which is not the work of the candidate;

4.7       they are duplicates of another candidate‟s work.

5         Submission Dates

Case Logbooks may be submitted to ABC examiners for marking every month. However,
those candidates who wish to progress onto the Veterinary Nursing qualification should be
reminded of any deadline dates for submission applicable to their entry on to that

6         Contact details

ABC Awards                                          The British Veterinary Nursing Association
Duxbury Park                                        82 Greenway Business Centre
Duxbury Hall Road                                   Harlow Business Park
Chorley                                             Harlow
Lancashire                                          Essex
PR7 4AT                                             CM19 5QE

Tel: 01257 244918                                   Tel: 01279 408644
Fax: 01257 260357                                   Fax: 01279 408645
e-mail                    Email:

Issue 6                             Page 8 of 22    7000 Animal Nursing Assistants Case Logbook Sept09
  Appendix 1

  Sample Dog / Cat Hospitalisation Log

  Candidate      A N Assistant                                Enrolment          1234
  Name           __________________________                   No.                ___________

Case Details
Species Canine                                        Breed     Labrador Retriever
Sex MN                               Age           6 months           Weight 20 KG
Date Admitted  01.01.05

  Clinical history (using correct terminology and anatomical locations)

  Presented to the veterinary surgeon on call with sudden onset vomiting of food and water for
  the past twenty-four hours. Initially had been bright and alert, but over the last three to four
  hours, had become quiet and lethargic- quite out of character for this young dog.

  Clinical examination revealed the following
  Rectal temperature: 38.9ºC (normal range 38.8-38.7ºC). Slightly raised - veterinary surgeon
  suggested this could be due to pain, stress or infection.

  Pulse rate: 140 bpm (normal range 60-180). This was slightly higher than would be expected
  for a larger dog. The veterinary surgeon again suggested that this could be due to pain,
  stress or infection.

  Respiratory rate: difficult to measure accurately, as the patient was panting and whining a lot.
  It was approximately 25 breaths per minute, which is quite high for a larger dog. Pain and/or
  stress is likely to be the reason for this increase.

  5% dehydration, based on the presence of slightly tacky mucous membranes and increase in
  skin turgor.

  Abdominal palpation was difficult as the patient was very tense and clearly found this
  procedure painful.

  The patient had been taken for a walk along a stony beach 2 days previously and the owner
  confirmed that it was possible that he had swallowed a stone.

  With a provisional diagnosis of gastro-intestinal foreign body, the veterinary surgeon
  radiographed the patient using chemical restraint (medetomidine) whilst the owners were
  waiting. This revealed a radiodense (easy to see on x-ray, appearing light in colour) mass,
  approximately 4cm in size, in mid abdominal region.

   Reasons for admission
   The patient was admitted to undergo an exploratory laparotomy, with possible incision into
   the intestine (enterotomy ) to remove a foreign body from the small intestine. If damage
   had occurred to the intestinal wall, it may be necessary to perform an enterectomy, where
   the damaged part of the intestine is removed and the two healthy ends are sutured
   together. This is known as an anastomosis.

  Issue 6                           Page 9 of 22       7000 Animal Nursing Assistants Case Logbook Sept09
Admission monitoring findings (Temperature, pulse and respiration and the
correlation of these to the normal ranges and why these are/may be different for both
this case and during the patients stay in the surgery)

I admitted the patient and repeated the temperature, pulse and respiration measurements
and found that they were the same as those found by the veterinary surgeon during
consultation (see readings in above section).

 Describe the body system that is affected for this case both in its normal and
 current state

 The body system that was affected is the digestive system- particularly the small intestine.
 In its normal state, the small intestine is a continuous tube-like structure, with a muscular
 wall. It runs from the stomach in the cranial abdomen to the large intestine in the mid
 Food moves along its length by waves of muscular contractions (peristalsis), being broken
 down by enzymes that are produced both by cells (known as goblet cells) in the epithelial
 layer of the inner intestinal wall and by enzymes delivered to the intestine via ducts from
 the pancreas and gall bladder.
 As it moves along, it is digested and once digestion is complete, the food products are
 absorbed through the intestinal wall into the bloodstream (protein and carbohydrates) and
 lymphatic system (fats).

 When a foreign body gets lodged in the small intestine, it causes two problems. Firstly, it
 causes an obstruction so no food products can get past and therefore digestion and
 absorption cannot continue normally. The consequence of this is that the food stops in
 front of the blockage and „backs up‟- eventually, the patient starts to vomit the food. This
 means that it is not getting the nutrients it needs.

 Another problem caused by gastrointestinal foreign bodies is that the intestinal wall
 becomes damaged. This causes inflammation (enteritis) and reduced blood supply
 (ischaemia). If the damage is severe or prolonged, the tissue can die (necrosis). This is
 very serious as necrotic tissue can produce toxins, which can poison the patient. Severe
 damage to the intestinal wall could also cause a hole in the intestinal wall (perforation). A
 perforation is also very serious as food could leak into the abdominal cavity, causing an
 infection and inflammation (peritonitis).

 Describe how the treatment that the patient underwent affected the body system
 and why

 When the veterinary surgeon looked at the intestines of this patient during surgery, there
 was some damage to the small intestine, although he was able to remove the stone by
 enterotomy and it was felt that the damage was not severe enough to require an
 enterectomy to remove damaged tissue, as it should heal once the foreign body was

 The incision from the enterectomy was sutured carefully so that there were no gaps where
 food could leak out. Until this has healed completely, this is a weak area of the intestine.
 It is important that this surgical site does not break down, as food could then leak into the
 abdominal cavity causing peritonitis.

 Over the following 48 hours, I fed the patient 125g of canine I/D (Hills) every 2 hours,
 which was mashed up with 20mls of warm water. This ensured he received 1500g/24 hrs,
 which was his daily requirement. I/D is a highly digestible food, which makes it ideal for
 patients following intestinal surgery. Normal faeces were passed after 48 hours, which is

Issue 6                           Page 10 of 22    7000 Animal Nursing Assistants Case Logbook Sept09
 an encouraging sign that the intestine is healing well.

 The patient recovered well post operatively and in fact, was standing and able to walk in
 the garden two hours after his surgery.

 Discharge advice given to client and why this particular information was given
 in relation to its condition

 It was important that the owners continued to feed the patient carefully in order to allow the
 intestines to heal properly whilst making sure that sufficient nutrition was given for tissue

 I discharged the patient and instructed the owners as follows:

 Continue meals of 190g ID, mashed with water every 3 hours for the next 5 days.

 Assuming there are no problems, the meals can be made larger (375g) and given every
 six hours for 5 days.

 After this, the normal diet can slowly be introduced and meals be increased in size and
 given less frequently, whilst ensuring that the total food given gave adequate nutrition I
 accordance with the feeding guide given on the packet.

 Normal meals can be resumed by day 14, provided the patient is well and there have been
 no complications.

 I also instructed the owners to give the patient the antibiotics prescribed (Synulox-
 amoxicillin clavulanate) and gave them some advice on wound care, including lead
 exercise only and ensuring that he did not lick his wound.

 If there were no complications or queries, the owners were instructed to return in four days
 for a check-up with the veterinary surgeon and again in eight days for suture removal with
 our qualified veterinary nurse.

 My long term advice to the owners was not to allow their dog to play with stones again-
 they may have to muzzle him when walking on the beach!

 Candidate Comments – any additional details not previously given or your thoughts on
 the process/outcome

 I found this case very satisfying, as I watched the patient recover and fed him most of his
 meals for the first 2 days.

 It was interesting to research the reasons why certain treatments are carried out and it is
 also very useful to understand what complications can occur if the condition goes

 This case also made me realise the importance of careful observation and accuracy when
 nursing patients. A mistake or lack of observation could have been disastrous.

Issue 6                           Page 11 of 22    7000 Animal Nursing Assistants Case Logbook Sept09
 Supervisor Comments – comments on the ability and level of understanding of the

   Supervisor Name & Qualifications
   Supervisor Signature
   Candidate Signature
   Practice Stamp                                               Date

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Appendix 2

Key Skills: Guidance for Candidates

The Key Skills evidence log is completed by indicating the qualification reference and the
Key Skill reference on the relevant page, then giving a brief description of the type of
evidence. For example:

Key Skills Evidence Log: Communication (Level 2)

Qualification: ABC Level 2 Certificate for Animal Nursing Assistants

Unit         Communication       Evidence
Reference    Reference
13           C2.1                Notes from a talk I gave to the group on animal first aid.
                                 Page 3 book

This shows that the evidence for unit 13 of the particular qualification has also generated
evidence for outcome C2.1 of Communication Level 2, and explains what the evidence is
and where in the Case Logbook it can be found.

If the whole log is completed in this way, then candidates will have an instant record of
evidence for Key Skills whilst undertaking the ABC qualification. This could be used at a later
date for certification of Key Skills.

Guidance for Centres

ABC Awards supports and encourages the development of learners‟ transferable skills.
There is opportunity for developing and assessing Key Skills within the qualification, and
ABC intend for evidence to be used twice, once for the VRQ (Animal Nursing Assistants
qualification) and once for Key Skills. As evidence will be derived from the teaching and
outcomes of this qualification then it can be used to full effect, recorded and made available
for certification in due course.

By encouraging the learners undertaking Key Skills alongside the ABC qualification, or those
considering taking them at a later date, to complete the evidence log as above, an instant log
of evidence is readily available for assessment. The log is intended to be straightforward to
complete and an easy method of ensuring efficiency of evidence collection. It will also avoid
duplication of evidence at a later date.

Guidance for other Awarding Bodies

The ABC Key Skills evidence log has been designed so that learners undertaking the Level 2
Certificate for Animal Nursing Assistants have an opportunity for capturing evidence for Key
Skills alongside their chosen VRQ. It is intended to be used as an APL guide for any future
accreditation of Key Skills, to promote efficiency of evidence collection.

Issue 6                           Page 16 of 22   7000 Animal Nursing Assistants Case Logbook Sept09
Key Skills Evidence Log: Communication
Qualification : ABC Level 2 Certificate for Animal Nursing Assistants

Unit Reference     Communication            Evidence

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Key Skills Evidence Log: Application of Number
Qualification : ABC Level 2 Certificate for Animal Nursing Assistants

Unit Reference     Application of Number    Evidence

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Key Skills Evidence Log: Information Technology
Qualification : ABC Level 2 Certificate for Animal Nursing Assistants

Unit Reference    Information              Evidence
                  Technology Reference

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Key Skills Evidence Log: Working with Others
Qualification : ABC Level 2 Certificate for Animal Nursing Assistants

Unit Reference   Working with Others      Evidence

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Key Skills Evidence Log: Improving own Learning
Qualification : ABC Level 2 Certificate for Animal Nursing Assistants

Unit           Improving own           Evidence
Reference      Learning Reference

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 Key Skills Evidence Log: Problem Solving
 Qualification : ABC Level 2 Certificate for Animal Nursing Assistants

Unit          Problem Solving        Evidence
Reference     Reference

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