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GUIDELINES FOR THE COMPLETION OF THE abdominal cavity
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GUIDELINES FOR TUTORS AND SUPERVISORS
FOR THE COMPLETION OF
CASE LOGBOOKS BY CANDIDATES FOR THE
ABC LEVEL 2 CERTIFICATE FOR ANIMAL NURSING ASSISTANTS
Issue 6 Page 1 of 22 ANA Case Logbook Guidelines Sept09
CONTENTS
Page
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
marking.
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.
1
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.
2
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
standard3;
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
referred.
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)
3
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
included.
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
Log.
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
hospitalised.
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
omitted.
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
time.
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
marks.
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
present.
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
referred.
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
qualification.
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 enquiries@abcawards.co.uk Email: bvna@bvna.co.uk
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
abdomen.
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
removed.
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
repair.
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
untreated.
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
Candidate
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
Reference
Issue 6 Page 17 of 22 7000 Animal Nursing Assistants Case Logbook Sept09
Key Skills Evidence Log: Application of Number
Qualification : ABC Level 2 Certificate for Animal Nursing Assistants
Unit Reference Application of Number Evidence
Reference
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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
Reference
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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
Issue 6 Page 21 of 22 7000 Animal Nursing Assistants Case Logbook Sept09
Key Skills Evidence Log: Problem Solving
Qualification : ABC Level 2 Certificate for Animal Nursing Assistants
Unit Problem Solving Evidence
Reference Reference
Issue 6 Page 22 of 22 7000 Animal Nursing Assistants Case Logbook Sept09
