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Interventions

Summary:

The intention of this section is to provide veterinary technicians with guidelines for writing the patient care plan portion of the veterinary medical record. As there is no standardized format for writing a veterinary care plan, the following principles are only one example of how a care plan may be formulated.

Contributors:Natalie van Hoose, April Phillips, Jamelyn Schoenbeck Walsh, Margaret Lump, Elizabeth Angeli
Last Edited: 2012-03-16 14:02:58

Objective

What to Include

Interventions are defined as nursing and prescribed medical actions carried out by the veterinary technician (VT) to resolve the patient’s problems and care for the patient’s needs.

Similar to problems and needs, interventions can also be classified as either medical (DVM prescription) or nursing (VT). They may be exclusively nursing in nature or integrated with the actions of other members of the veterinary care team.

Interventions may involve the following:

List and number interventions according to which problems or needs they address. Intervention 1, therefore, should correspond to Problem 1.

Example “Interventions” List

The following is an example of how interventions may be recorded. This list is a continuation of the mastitis cow care plan, and the numbered interventions correspond with the problems and needs listed in the previous section.

 

Problems and Needs

Interventions

1

Mastitis (DVM)

  • Conduct culture and sensitivity test (DVM)
  • Sanitize teat ends (VT)
  • Collect 4 quarter milk samples using accepted procedures (VT)
  • Administer prescribed medication based on test results and subsequent DVM Rx (DVM)
  • Warm pack and massage udder every six hours (VT)

2

Congested udder (client, DVM, VT)

3

Poor husbandry (history, VT)

  • Provide and maintain a clean, well-bedded stall (VT)
  • Provide free choice water (VT)
  • Provide palatable grass hay (VT)
  • Provide trace mineralized salt lick (VT)
  • Groom cow daily (VT)

4

Poor milking practices (history, VT)

  • Milk patient last (every 12 hours) (VT)
  • Sanitize udder and teats (VT)
  • Hand strip quarters (VT)
  • Dip teats (VT)
  • Inspect milking machines and evaluate practices (VT)

Note: In emergency situations, the VT may be required to take action immediately, without a written plan. However, in less urgent contexts, planning and recording interventions are important aspects of providing appropriate care.

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