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The Veterinary Nurse Initiative – What is it all about?

Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)

NAVTA President

 

The Veterinary Nurse Initiative (VNI) is creating discussion. Discussion is the action or process of talking about something, normally in order to reach a decision or to exchange ideas. Discussion and communication are vital to our profession; whether discussing an evidence-based protocol, communicating with a worried owner, or discussing the state of one’s profession.

 

However, sometimes our communications are not received in the manner intended. Thus we are faced with miscommunication. What is the goal of communication? Shared understanding.

NAVTA has been communicating with the profession about the VNI. Discussion has ensued. This is a wonderful thing! However, we are not communicating 100% effectively, as there does not appear to be shared understanding. This is typical of the communication process. Solution? Try to find the root of the miscommunication and address it.

There are many misconceptions and questions about the VNI – some are being brought to NAVTA’s attention; others are being discussed in a variety of settings. In the hopes of gaining shared understanding, I would like to address some of the misconceptions that have been brought to my attention.

 

1.     Just a name change – The veterinary nurse initiative has been and continues to be the process for creating a national standardized credential with high standards and a defined scope of practice that is protected. Something our profession has been in need of and for what we have been looking for quite some time. Is the name ‘Registered Veterinary Nurse’ embraced by all in our profession? No. A large majority agrees, and a minority disagrees. We can continue to fight amongst ourselves regarding the name, or we can unite in the common good of a national standardized credential.

 

2.     Grandfathered Technicians -The intention of the initiative is to allow current credentialed veterinary technicians to practice under the new title. This includes those technicians

a.     which hold a valid credential in their state of practice; AND/OR

b.     passed the VTNE but did not graduate from an AVMA-accredited program; OR

c.      Were credentialed through a previous grandfathering or alternate route but did not sit for and pass the VTNE,

Thus, the above will be allowed to obtain the RVN credential via the state’s credentialing agency when the state recognizes the RVN title.

 

3.     Reaction to sponsors – An announcement was made regarding financial sponsorship of the VNI by three separate entities that share the same parent organization. Banfield, Royal Canin, and Blue Pearl each had the opportunity to support the VNI or not. They chose to support the initiative and be an agent for change in the profession. Finding sponsors who believe in the veterinary technician/nursing profession was part of the VNI’s mission from the start. NAVTA membership dollars have gone to the initiative, but they are also going to so many other projects brought forth by NAVTA members – Committee on Veterinary Technician Specialties (CVTS), social media development, continuing education, veterinary technician students, etc., etc. Sponsorship to the VNI will help in keeping the VNI moving forward while allowing for NAVTA to continue focusing on other projects. Additional support has also come from other profession partners. Brief Media’s journals Veterinary Team Brief and Clinician’s Brief has supported the initiative from its inception and uses ‘nursing’ in the journals. The North American Veterinary Community has announced that they will change the name of Today’s Veterinary Technician to Today’s Veterinary Nurse as a show of support for the national standardized credential.

 

Shared understanding does not always equate to shared agreement. That is OK! Professional discussion helps both sides to come to shared understanding. What I am hoping to provide is information to aid in the discussion.  Remember - The bigger the dream, the more important the team.

 

 

WVC 2018 Technician Case Reports

March 6, 2018

Are you planning to attend Western Veterinary Conference 2018? Please join us for the NAVTA Technician Case Report Presentations at on Tuesday, March 6th.  

 

Congratulations to the eight credentialed veterinary technicians selected to share the details of their involvement in a diverse variety of cases. Each presenter will have 15 minutes to present their case, followed by questions from the audience and an oral critique from our panel of judges. What an awesome opportunity to hone their presentation skills! Check out this great lineup.

 

Larraine Lage, LVT, CVT, RALAT, VTS (ECC) presenting Rain Maker: Critical Care of the Transgenic Mouse in Hypovolemic Shock. The amount of autonomy and independent thinking needed to exercise as the primary point of care for this case highlights the benefits and challenges of being a technician in the research setting and shines a light on the extremely important role veterinary technicians play in biomedical research.

 

In a Hemophilia A and Surgery, Leah Mackereth, CVT explains her role in a surgery performed on a golden retriever with hemophilia A and in post-op care.

 

Nicole Sinclair, LVT presents, The Wind Beneath My Broken Wing. This anesthetic procedure presented many unique opportunities such a jugular catheter, brachial plexus block, arterial catheter, mechanical ventilation and much more.

 

An Unexpected Outcome to Hepatic Lipidosis presented by Alexandria Timpson, RVTg, B.S. A domestic short hair cat presented for prolonged anorexia resulting in hepatic lipidosis. This case report demonstrates the important role of the veterinary technician can in cardiopulmonary resuscitation and promptly initiating resuscitative efforts when needed.                                        

 

Cherie’ Dilts, CVT’s case report, OHE Dehiscence - Criticalist to ER, STAT!, follows an 8 month old FS Labrador who presented with a spay incision dehiscence due to self-mutilation.  It includes emergency stabilization, a blood transfusion, transfer to surgery, and post op care.

 

Priscilla Paradise, RVT will present Lung Lobe Torsion in a Pug. Daisy, an 8yr FS pug that presented for dyspnea and lethargy was suffering from a cranial lung lobe torsion and emergent surgery was required. With a permanent tracheal stoma due to severe brachycephalic airway syndrome, Daisy presented as a non-traditional case and anesthetic challenges soon followed.

 

Multimodal Analgesia in a Chronic Osteoarthritis Canine Patient. Dawn Hickey, LVMT, CCRP will explain the extensive and ongoing pain management in a dog with chronic, severe osteoarthritis. Simaba has progressive osteoarthritis in every joint of his appendicular skeleton and bilateral patella alta and lateral patella luxation of the left hind limb. Ongoing pain management included physical rehabilitation, pharmacologic and nutritional management, acupuncture and regenerative medicine.

 

Kelly Hickey, CVT’s case, Biliary Duct Obstruction-A Complicated Success Story, is a common bile duct obstruction whose initial presentation was fairly straightforward, but had stent migration and re-obstruction after the initial surgery, so his recovery was prolonged (11+ days!) and complicated.

 

Talk about variety! You don’t want to miss any of the case reports or the Technician Case Report Awards Presentation immediately following the conclusion of the last presentation. See you there!

 

RVN - It’s more than a name change!

Mary L. Berg, BS, LATG, RVT, VTS(Dentistry)

NAVTA President 

 

The Veterinary Nurse Initiative (VNI) is advocating for more than a simple title change.  The goal is to create a unified title for our profession within the veterinary field and eliminate the confusion of CVT, RVT, LVT and LVMT across all states. In addition, education will be provided for veterinarians, practice managers and consumers as to the responsibilities of the credentialed veterinary nurse and their role in pet health care.  Standardizing of credential requirements will open paths for reciprocity between states, enabling easier movement between states and help those who move often as a part of a military family or any other reasons and travel for disaster relief to practice in states outside of their home state.

Many ask about the protection of the title and the skills associated with the title, Registered Veterinary Nurse.  NAVTA and the VNI are working closely with the American Veterinary Medical Association (AVMA) and the American Association of Veterinary State Boards (AAVSB) to create common terminology, scope of practice, model practice acts, policies and procedures to help each state and association in governing these credentials.  

Much like Registered Nurses, the Registered Veterinary Nurse will have to obtain education and a license which will allow for practice at a higher standard of care, thus providing greater patient advocacy and consumer protection.  The consumers awareness of the term nurse will bring greater understanding and a clear expectation of the role of the Veterinary Nurse in the veterinary setting.  This increased awareness and respect of RVN’s will create a greater demand for credentialed individuals in the care of pets.  The goal is to allow current credentialed veterinary technicians practice under the new title. 

The veterinary technician profession has changed over the last 50 years and to grow, the profession needs to continue to change.  Currently, credentialing requirements, title, and scope of practice are overseen by each state, which has led to the confusion within the veterinary community, carrying over to the consumer.   A single unified title with a standardized credential throughout all 50 states will help improve the level of patient and client care, incorporate title protection, and improve public awareness of the roles of the veterinary nurse.

 

LEADERSHIP: LEADING FROM WITHIN

Rebecca Rose, CVT 

 

As your career advances, stepping into a leadership role is a natural progression for individuals who have an internal, solid compass. Self-awareness, authenticity, and confidence are a few traits to cultivate and grow. It's good to know you are leading from within, identifying your strengths and expanding as a leader. 

You may ask yourself, “Who am I to lead? Who am I to offer direction or be courageous in decision making?”  I am simply here to ask you, “Why not take action in directing your life and be courageous in decision making?”

Often times we consider leaders as someone who has achieved greatness; an expert, or a prodigy. In all actuality, we are all leaders in our own right, leading our individual lives with integrity, authenticity, and courage. The definition of leadership generally refers to a group, but true leaders began leading their own life, then began leading organizations or teams.

 

For now, let’s consider the ways you can lead and define your own life. Identify personal habits and traits that serve you in your daily life.

 

HABITS AND TRAITS THAT SERVE YOU

1)     Identify your passion; know what drives you

When I speak with veterinary teams, I often ask them what drives them. I want to know what their passions are. I ask “What brings you joy in your day?” Then, I just listen, until someone answers. It surprises me how few people understand what brings them joy, or bliss or happiness.

 

A person who is self-aware can articulate what motivates them. They know what they are passionate about. In this way, they can bring more of it into their lives. Typically, a person’s strengths lies within their passion. When someone identifies their strengths, they can continue to grow and lead in that area of their life.

 

2)     Build self-confidence

As you grow in your career and advance down you life’s path, there will be times in your life when you are taking leaps of faith and sailing into uncharted waters. THAT’S GOOD! The fact is, if we never pushed the envelope and stepped beyond our comfort zone there would be no growth.

 

3)     Allow your authentic self to shine

You have a unique story to tell. Your life’s path is your own and it has gotten you this far. You have traveled in your “moccasins” unlike anyone else. Because of your travels, you can empathize and sympathize with others and their stories. Embrace your uniqueness and the differences in others. Wouldn’t the world be boring if we all had the same story to tell?

 

4)     Let Go of Limiting Beliefs

Many of us hold onto beliefs that have been self-inflicted or dictated by family or friends (what kind of friend is that?). We hold onto ideas that limit us or even paralyze us, interfering with us achieving our goals. As an example, I use to tell people, “When I get more organized, I will pursue writing a book on Career Choices for Veterinary Technicians.” Then one day a friend said, “That is the most ridiculous thing I have ever heard! You are the most focused, determined, organized person I know, when you want to do something.”  To make a long story short, I tapped into my inner “book writer,” let go of the limiting belief I had about myself and wrote the book!

 

Keeping these 4 habits in mind, how will you step outside your comfort zone and take a leap of faith in designing and leading your life? Yes, it can be scary, exhilarating, and phenomenal, all at the same time. Personal and professional growth is all that, PLUS it can be rewarding!

 

“Our deepest fear is not that we are inadequate. Our deepest fear is that we are more powerful beyond measure. It is our light, not our darkness that most frightens us, “writes Marianne Williamson. She goes on to state that playing small does not serve the world. We are encouraged to let our light shine. When we allow our light to shine (authentic self), we allow others the permission to do the same.

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