WSR 10-11-119

PERMANENT RULES

DEPARTMENT OF HEALTH


(Veterinary Board of Governors)

[ Filed May 18, 2010, 5:26 p.m. , effective June 18, 2010 ]


     Effective Date of Rule: Thirty-one days after filing.

     Purpose: In response to HB 1331 (chapter 235, Laws of 2007) these rules identify standard tasks and procedures that must be included during the training of veterinary technician candidates who qualify to sit for the licensing examination through practical experience, and include the supervising veterinarian's attestations to the completion of the required tasks and procedures.

     Statutory Authority for Adoption: RCW 18.92.128.

      Adopted under notice filed as WSR 10-06-057 on February 24, 2010.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 14, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 14, Amended 0, Repealed 0.

     Date Adopted: April 12, 2010.

Timothy D. Gintz, DVM, Chair

Veterinary Board of Governors

OTS-1118.17

QUALIFYING PRACTICAL EXPERIENCE
NEW SECTION
WAC 246-935-145   Purpose and performance of practical experience standard tasks and procedures.   (1) The purpose of these rules is to identify knowledge areas and standard tasks and procedures that must be included in the practical experience of a person who qualifies to take the veterinary technician licensing examination through 9500 hours of experience gained within the last seven years. The rules provide categories of required knowledge areas, tasks and procedures.

     (2) The supervising veterinarian will attest to the candidate's knowledge and completion of the required tasks and procedures for the categories of animal on forms provided by the secretary.

     (3) The tasks and procedures will be performed under the appropriate supervision by the licensed veterinarian under WAC 246-935-040, 246-935-050, and 246-935-235.

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NEW SECTION
WAC 246-935-150   Definitions.   The definitions in this section apply to WAC 246-935-145 through 246-935-255 unless the context clearly requires otherwise.

     "Board" means the veterinary board of governors.

     "Categories of animals" means:

     (a) Companion animals - dogs and cats;

     (b) Avian and exotic animals;

     (c) Equine;

     (d) Food animal and camelids - ruminants and nonruminants;

     (e) Large animal includes equine, food animals, and camelids - ruminants and nonruminants.

     "Knowledge based demonstration of experience" means the candidate can verbally, in writing, or schematically demonstrate an understanding of the essential principles necessary for successful completion of a required task or procedure.

     "Practical demonstration of experience" means the candidate can demonstrate the successful completion of the required task or procedure.

     "Practical experience" means a minimum of five years (9500 hours) of full-time experience within a seven year period during which a candidate completes required tasks and procedures consistent with the scope of practice of a licensed veterinary technician.

     "Secretary" means the secretary of the department of health.

     "Supervising veterinarian" means the licensed veterinarian who provides written attestation to the demonstration of knowledge and completion of experience in the required tasks and procedures.

     "Trainee" means a person who:

     (a) Has submitted documentation to the board of 7600 hours of experience as an unregistered assistant, or other substantially equivalent training approved by the board; and

     (b) Has provided a written declaration of his or her intention to sit for the Veterinary Technician National Examination, or other examination approved by the board, within the next calendar year; and

     (c) Possesses a current registration as a veterinary medication clerk as provided in this chapter; and

     (d) Has received written confirmation from the board that he or she is designated as a "trainee."

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NEW SECTION
WAC 246-935-160   Basic veterinary science knowledge.   The supervising veterinarian will attest to knowledge and completion of the following tasks and procedures related to basic veterinary science.

     (1) General animal knowledge (husbandry, nutrition, species and breed identification, behavior and grooming).

     (2) Anatomy, physiology, and organ systems.

     (3) Restraint techniques.

     (4) Euthanasia techniques and protocol.

     (5) Medical charting, documentation, and veterinary terminology.

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NEW SECTION
WAC 246-935-170   Clinical/pathology and laboratory diagnostics.   The supervising veterinarian will attest to knowledge and completion of the following tasks and procedures related to clinical/pathology and laboratory diagnostics.

     (1) Parasitology.

     (2) Serology/hematology.

     (3) Ophthalmologic testing.

     (4) Urinalysis.

     (5) Microbiology.

     (6) Necropsy.

     (7) Cytology.

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NEW SECTION
WAC 246-935-180   Hospital standard operating procedures, instruments, and equipment.   The supervising veterinarian will attest to knowledge and completion of the following tasks and procedures related to hospital standard surgical operating procedures, instruments, and equipment.

     (1) Surgery room preparation and protocol.

     (2) Equipment operation and maintenance.

     (3) Routine patient treatment.

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NEW SECTION
WAC 246-935-190   Anesthesia and emergency procedures.   The supervising veterinarian will attest to completion of the following tasks, procedures, and knowledge related to anesthesia and emergency procedures.

     (1) Triage. Assessment, recognition, and response to common veterinary emergencies.

     (2) General anesthesia.

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NEW SECTION
WAC 246-935-200   Pharmacy.   The supervising veterinarian will attest to knowledge and completion of the following tasks and procedures related to clinical and legal pharmacy practices.

     (1) Veterinary medication clerk certification as required in RCW 18.92.015.

     (2) Major drug categories, pharmacology, uses, and side effects.

     (3) Pharmacy law as related to controlled substances.

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NEW SECTION
WAC 246-935-210   Public health, infectious diseases, and zoonosis.   The supervising veterinarian will attest to knowledge and completion of the following tasks and procedures related to infectious diseases and zoonosis.

     (1) Pathology, epidemiology and prevention and treatment of common diseases and zoonosis.

     (2) Vaccinations and basic immunology.

     (3) Public health and safety issues.

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NEW SECTION
WAC 246-935-220   Dental.   The supervising veterinarian will attest to completion of the following tasks and procedures and equipment knowledge related to dentistry.

     (1) Dental and oral anatomy, charting, and nomenclature.

     (2) Teeth cleaning, polishing, hand instrumentation, and standard dental equipment.

     (3) Dental disease treatment, diagnostics, pathology, and prevention.

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NEW SECTION
WAC 246-935-230   Imaging equipment and techniques.   The supervising veterinarian will attest to completion of the following tasks and procedures and equipment knowledge related to veterinary imaging.

     (1) Radiology.

     (2) Additional imaging technology.

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NEW SECTION
WAC 246-935-235   Supervised practical experience and unlicensed practice.   (1) A trainee performing the last 1900 hours of practical experience required before taking the veterinary technician exam, under appropriate supervision as set forth in this chapter, shall not be found to have engaged in the unlicensed practice of veterinary medicine or the unlicensed practice of a veterinary technician.

     (2) During the last 1900 hours of the supervised practical experience period, the trainee may perform the same tasks as a licensed veterinary technician as set forth in WAC 246-935-050, but only under the immediate supervision of a licensed veterinarian.

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NEW SECTION
WAC 246-935-240   Trainee.   (1) A trainee is a person who:

     (a) Has submitted documentation to the board of 7600 hours of experience as an unregistered assistant, or other substantially equivalent training approved by the board; and

     (b) Has provided a written declaration of his or her intention to sit for the veterinary technician national examination, or other examination approved by the board, within the next calendar year; and

     (c) Possesses a current registration as a veterinary medication clerk as provided in this chapter.

     (2) The trainee designation is valid until the results of the examination scores referred to in subsection (1)(b) of this section are available or for a period not to exceed one calendar year, whichever occurs first.

     (3) If a trainee fails to complete the supervised experience requirements within the last calendar year of the supervised experience time period, or any time extension granted by the board, the person's trainee status expires and the person may only perform tasks as an unregistered assistant.

     (4) The board may grant an extension of the time in which a trainee may complete the supervised experience requirements due to illness or other extenuating circumstances. Trainees seeking an extension must petition the board, in writing, at least forty-five days prior to the expiration of the trainee period.

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NEW SECTION
WAC 246-935-250   Supervising veterinarian's attestation.   The supervising veterinarian shall complete an attestation, on forms provided by the secretary, verifying successful completion of the required tasks and procedures. These forms are set forth in WAC 246-935-255. The attestation shall include at a minimum:

     (1) Identification or description of the procedure or task.

     (2) Identification of the individual performing the task or procedure.

     (3) Identification of the supervising veterinarian.

     (4) Date the task or procedure was completed.

     (5) Whether the procedure or task was completed using practical demonstration of experience or knowledge based demonstration of experience.

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NEW SECTION
WAC 246-935-255   Forms.   (1) Checklist for WAC 246-935-160(1) general animal knowledge.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 1


Checklist for WAC 246-935-160(1) general animal knowledge


GENERAL ANIMAL KNOWLEDGE (HUSBANDRY, NUTRITION, SPECIES AND BREED IDENTIFICATION, BEHAVIOR AND GROOMING)



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
GENERAL ANIMAL KNOWLEDGE
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Properly perform nail trim and anal gland expression on canine.
Properly perform nail trim and anal gland expression on feline.
Properly perform bathing of canine.
Properly perform bathing of feline.
Demonstrate the ability to identify major cat and dog breeds and physical descriptive terminology.
KNOWLEDGE BASE/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe daily water and calorie intake requirements for canine and feline.
Describe the dietary importance of: Carbohydrates, protein, fat, minerals, and water.
Describe difference between pica and coprophagia.
Describe three common feline behavioral problems and possible solutions.
Describe three common canine behavioral problems and possible solutions.
Describe the gestation period for canine and feline species.
Describe core vaccines provided to canine and feline.
Describe the differences between live vaccine, modified and killed.
Describe the signs of the estrous cycle in canines.
Describe the protocol for worming and vaccinations in puppies and kittens.
Describe the minimum caging requirement for avian husbandry.
Describe the feathers included when trimming wings of birds to prevent flying.
Describe the basic characteristics seen in the different canine breed groups: Herding, hunting, working dog, terrier, etc.
PRACTICAL DEMONSTRATION/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Successfully prepare a tail tie and tail wrap on a horse.
Clean hooves of a horse.
KNOWLEDGE BASE/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe three common equine behavioral problems and possible solutions.
Accurately identify animals in the correct species for ovine, porcine, caprine, and bovine.
Describe different methods for identification of large animals (tattoos and various locations, hot branding, hoof branding, trichoglyphs, and freeze branding).
Describe gestation period for equine, bovine, caprine, porcine and ovine.
Describe core vaccines for equine.
Describe three stages of equine labor, signs and associated timelines.
Describe "foal heat diarrhea."
Describe when worming and vaccination should occur for foals.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (2) Checklist for WAC 246-935-160(2) anatomy, physiology and organ systems.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 2


Checklist for WAC 246-935-160(2) anatomy, physiology and organ systems


ANATOMY, PHYSIOLOGY AND ORGAN SYSTEMS



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
ANATOMY, PHYSIOLOGY AND ORGAN SYSTEMS
KNOWLEDGE BASE/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Accurately describe the body cavities and their subdivisions for canine and feline species.
Describe the following fractures: Greenstick, transverse, oblique, spiral, comminuted, and physeal.
Define the difference between cell, tissue, organ and system.
Define the following visceral terms: Peritoneum, pleura, pericardium.
Define terms associated with physiology: Atrophy, hypertrophy, aplasia, hyperplasia, hypoplasia, metabolism, anabolism, catabolism, osmosis, isotonic, hypertonic, and hypotonic.
List the functions of water in the body and the difference between intracellular and intercellular fluid.
Define the functions of protein in the body.
Define the process of phagocytosis.
Describe the four primary types of tissues in the body.
Describe four epithelial cells in the body.
Define osteocyte, osteoblast, and osteoclast.
Define the structure of the following long bones: Epiphysis, diaphysis, cancellous bone, and compact bone.
List vertebral formula for dogs.
List three types of cartilage and where found (hyaline, elastic, and fibro).
List three primary types of joints and where found (fibrous, cartilaginous, synovial).
Define the difference between a tendon and a ligament.
List three types of muscle tissue and where found (smooth, cardiac, and skeletal).
Define the following movement terms: Abduction, adduction, flexion, extension, pronation, and supination.
Define EKG wave and what each segment represents in terms of heart electrical conduction.
Describe portal circulation.
Describe pulmonary circulation.
Describe systemic circulation.
Describe the digestive process from ingestion to defecation.
Describe the primary functions of the liver.
Describe the disorder called portal systemic shunt.
Describe the difference between sympathetic and parasympathetic nervous system and the actions of each.
List in order the segments of the intestine.
Describe three protective layers of central nervous system and the term "blood brain barrier."
Describe the structure of the respiratory system in order.
Define the terms pneumothorax, hemothorax, pyothorax, and chylothorax.
Define surfactant and atelectasis.
Define the terms eupnea, apnea, dyspnea, polypnea, hyperpnea, and hypercapnia.
List five openings to the pharynx.
List four parts of the larynx.
Describe five primary functions of the kidney.
List common waste products found in urine.
Describe the organs of the urinary system.
Describe the process of urine formation in the kidneys.
Define estrogen and progesterone and when and where produced.
Describe five stages of estrous cycle in canine and what is occurring in each stage.
Describe "seasonally polyestrus" and list two species associated with this.
Define colostrum, its importance and time sensitive nature.
Define ovariohysterectomy.
Describe pituitary gland and the hormones secreted in anterior and posterior section.
Define os penis and in what species it occurs.
Define the two thyroid gland hormones and importance of each.
Define the parathyroid gland and its importance.
Describe adrenal glands, location, and importance.
Describe the location and importance of the pancreas.
Describe difference between T and B cells and where formed.
Define canine "tie" and how it is resolved.
Describe fetal circulation and problems with patent ductus arteriosus.
Define origin and insertion in terms of anatomical structures.
Demonstrate knowledge and terminology of the bones of the limbs, axial, skeleton, and the skull.
KNOWLEDGE BASE/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Identify the body cavities in the horse and their subdivisions.
List vertebral formula for a horse.
List the four parts of the bovine stomach and what occurs in each part.
Define "hardware disease" seen in cattle.
Describe "gastric groove" associated with young bovine and importance.
Describe "heaves" in a horse and what physical changes you would see.
Describe parts of hoof in a horse.
Describe "proud flesh" seen in horses.
Demonstrate knowledge and terminology of the bones of the limbs, axial, skeleton, and the skull.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named Veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (3) Checklist for WAC 246-935-160(3) restrain techniques.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 3


Checklist for WAC 246-935-160(3) restraint techniques


RESTRAINT TECHNIQUES



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
RESTRAINT TECHNIQUES
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Demonstrate the following restraints:
Canine sternal recumbency restraint.
Canine lateral recumbency restraint.
Canine cephalic venipuncture restraint.
Canine saphenous venipuncture restraint.
Canine jugular venipuncture restraint.
Canine eye/ear medication restraint.
Canine intramuscular injection or nail trim restraint.
Canine gauze muzzle application.
Canine nylon/leather muzzle application.
Feline cephalic venipuncture restraint.
Feline jugular venipuncture.
Feline sternal recumbency "cat press" restraint.
Feline lateral recumbency "cat stretch" restraint.
Feline towel restraint.
Feline muzzle application.
KNOWLEDGE BASE/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe the use of a rabies pole.
PRACTICAL DEMONSTRATION/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Demonstrate haltering and leading a large animal.
KNOWLEDGE BASE/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe a chain lead with halter already in place on horse.
Describe a chain or rope nose twitch to a haltered horse.
Describe a tail restraint in bovine patient.
KNOWLEDGE BASE/AVIAN Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe a beak trim restraint.
Describe a pedicure restraint.
Describe a wing trim restraint.
Describe a blood draw restraint.
Describe a medication administration restraint.
KNOWLEDGE BASE/FERRET Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe a physical exam restraint.
Describe a pedicure restraint.
Describe a blood draw restraint.
Describe a medication administration restraint.
KNOWLEDGE BASE/RABBIT Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe a pedicure restraint.
Describe a tooth trimming restraint.
Describe a physical exam restraint.
Describe a blood draw restraint.
Describe a medication administration restraint.
Describe the most common injury in rabbit restraints.
KNOWLEDGE BASE/RODENT Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe a pedicure restraint.
Describe a tooth trimming restraint.
Describe a physical exam restraint.
Describe a blood draw restraint.
Describe a medication administration restraint.
Describe the difference in restraint between a mouse and a rat.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (4) WAC 246-935-160(4) checklist for euthanasia techniques and protocols.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 4


Checklist for Euthanasia Techniques and Protocols


EUTHANASIA TECHNIQUES AND PROTOCOLS



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
EUTHANASIA TECHNIQUES AND PROTOCOLS
PRACTICAL DEMONSTRATION Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Demonstrate the explanation to a companion animal owner about what to expect during and immediately after euthanasia of a cat or dog by venous lethal injection.
KNOWLEDGE BASE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe how the following are important in determining a method of euthanasia.
Safety (personal, of bystanders, of the environment).
Intended post-mortem diagnostics.
Intended consumption/use of animal products.
Disposal of remains.
Describe the two main things that must happen prior to death in order for euthanasia to be considered humane.
Minimal stress, pain and anxiety of the animal.
Unconsciousness.
Describe the pros and cons of the following general forms of euthanasia.
Lethal chemical injection.
Mechanical (gunshot, captive bolt, cervical disarticulation, pithing).
Lethal inhalant.
Stunning with exsanguination.
Explain why freezing alone is not considered a humane form of euthanasia.
Demonstrate the correct place on a cow skull for gunshot or stunning.
Describe the content and reason for a euthanasia release form.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (5) WAC 246-935-160(5) checklist medical records.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 5


Checklist for WAC 246-935-160(5) medical records


MEDICAL RECORDS



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
MEDICAL RECORDS
PRACTICAL DEMONSTRATION Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Write at least five legally accurate and complete entries into a medical record consistent with Washington state law.
KNOWLEDGE BASE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
You have just administered a drug to a veterinary patient: Under Washington state law, list the five things that must be legally recorded in the medical record for this action.
Define what each letter of the acronym "SOAP" means in relation to medical record entries.
Discuss the term "informed consent."
Define signalment.
Describe presenting complaints and patient history (signs vs presumed diagnosis).
Discuss what information to include in the record and the use of nonleading questions.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (6) WAC 246-935-170(1) checklist for parasitology.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 6


Checklist for WAC 246-935-170(1) parasitology


PARASITOLOGY



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
PARASITOLOGY
PRACTICAL DEMONSTRATION/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Perform proper set up of fecal direct smear.
Perform proper set up of fecal flotation.
Perform proper set up of Baehrman flotation.
Accurately identify protozoa in fecal sample including Coccidia and Giardia.
Accurately identify roundworm, hookworm, and whipworm eggs in fecal sample.
Accurately identify spirochetes and bacteria in fecal sample.
Accurately perform ear cytology and identify ear mites.
Accurately perform skin scraping and identify Demodex mites.
Accurately identify tapeworm and tapeworm segments and adult roundworm in gross examination.
KNOWLEDGE BASE/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe the difference between Taenia and Dipylidium species of tapeworm, physical differences, transmission, identification, and prevention.
Describe the difference between Demodex and Sarcoptes mites and the collection methods.
Describe proper handling techniques in the collection and testing of fecal samples for various diagnostic tests.
Define terms: Steatorrhea, amylorrhea, creatorrhea, and what you would see in a fecal exam.
Describe what you would expect to see using direct smear, fecal flotation medium, and Baehrman technique.
Describe cellophane tape method to detect pinworms in horses.
Describe cellophane tape method to detect Cheyletiella.
Describe physical differences between biting lice and sucking lice, diseases transmitted, and treatment of infestation.
Describe protozoa (Giardia and Coccidia) and how detected.
Describe common bacteria seen in fecal samples and how to identify.
Describe Nanophyetus organism, disease, and treatment.
Describe common intracellular ricketssiai diseases, how identified, and transmission.
Describe flea lifecycle, identification, and diseases transmitted (Ctenocephalides felis).
Describe soft and hard ticks, their lifecycle, identification, common diseases transmitted, and treatment of tick infestation.
Describe common mites seen in veterinary practice, lifecycle of each, identification, symptoms seen with infestation, and treatment (Demodex, Sarcoptes, Otodectes, and Cheyletiella).
Explain how Giardia snap tests work and sample collection process.
Describe Cuterebra larvae identification and treatment.
Define Trichomonas transmission, infection, and treatment.
Define pinworms, transmission identification, and treatment.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (7) Checklist for WAC 246-935-170(2) serology and hematology.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 7


Checklist for WAC 246-935-170(2) serology and hematology


SEROLOGY AND HEMATOLOGY



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
SEROLOGY AND HEMATOLOGY
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Accurately collect and read a PCV sample.
Perform blood sample collection using the jugular vein in a dog or cat.
Perform blood sample collection using a cephalic vein in a dog or cat.
Perform blood sample collection using the femoral vein in a cat.
Perform blood sample collection using the saphenous vein in a dog.
Prepare and stain blood smears.
Accurately read and document manual differential on a cat.
Accurately read and document manual differential on a dog.
Accurately perform sample collection and recording of total protein.
Accurately identify red blood cell inclusions and abnormalities.
Accurately identify white blood cell abnormalities.
Complete one SNAP test (heartworm, FELV, or FIV).
PRACTICAL DEMONSTRATION/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Perform blood sample collection using jugular vein in large animal species.
KNOWLEDGE BASE/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe the difference between whole blood, plasma, and serum.
Describe the different blood tubes and their additives and purpose (RTT, SST, GTT, BTT, LTT).
Describe layers and content in a spun RTT or SST or PCV tube.
Describe the primary function and production of red and white blood cells.
List the five types of white blood cells, description, and functions.
Describe thrombocytes: Including a description, the purpose, and production process.
Define the difference between HCT and PCV.
Define common terms used in hematology analysis including: Rouleaux, agglutination, polychromasia, hypochromasia, poikilocytes, spherocytes, stomatocytes, acanthocytes, polycythemia, schistocytes, reticulocytes and echinocytes.
Define and describe common findings associated with red blood cells including: Basophilic stippling, howell-jolly bodies, Heinz bodies, Hemobartonella felis, Hemobartonella canis, babesia, Ehrlichia canis, Dirofilaria immitus vs Dipetalonema reconditum, and Polycythemia.
Describe what you would expect to see with stress leukogram.
Define and describe common findings associated with white blood cells including dohle bodies, toxic neutrophils, neutropenia, neutrophilia, left shift, band cells, lymphocytosis, lymphopenia, monocytosis, and eosinophilia.
Define and describe thrombocythemia and thrombocytopenia.
Define three indices used in evaluating anemia (MCV, MCHC, and MCH) and how each is calculated.
Define the difference between regenerative and nonregenerative anemia and what you would expect to see on differential with each.
Describe proper storage of blood samples.
Describe proper sample collection and preservation for serum and plasma.
Define what the three abnormal colors seen in plasma serum signify (yellow, white, and red).
Describe cross matching and blood typing required prior to blood transfusion in cats and dogs.
Describe hemocytometers and the process used in a manual count for red and white blood cells.
Describe when it would not be appropriate to collect samples from a dog or cat using the jugular vein.
For blood chemistries, define each of the following enzyme tests and what they measure: Bun, Crea, Ck, Alt, Bili, GGT, Alkp, Amyl, Lip, BG, TP, Alb, Glob, A:G Ratio.
For electrolytes, define each and their primary functions: CA++, Phos, Na+, K+, Mg, CI-, BiCarb.
Define different coagulation tests and process used for each: ACT, PT, PTT, buccal mucosal bleeding time, and fibrinogen assay.
Define antigen/antibody testing associated with common SNAP tests (heartworm, FELV, and FIV).
Define titers and titer testing and how it can be used in determining vaccination intervals.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (8) Checklist for WAC 246-935-170(3) ophthalmologic testing.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 8


Checklist for WAC 246-935-170(3) ophthalmologic testing


OPHTHALMOLOGIC TESTING



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
OPHTHALMOLOGIC TESTING
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Perform tear production testing and accurately note results.
Safely and accurately administer topical eye anesthetic.
Safely and accurately use fluorescein stain on the cornea.
KNOWLEDGE BASE/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe the process used to test for cornea damage.
Describe the process for tear testing and normal and abnormal values.
Describe common topical ophthalmological anesthetics use; process, storage, and risks.
Define the purpose of tonometry and use in animal practice.
Describe the anatomy of the eye.
Describe the characteristics of common eye conditions including: Glaucoma, cataract, entropion, prolapsed gland of the nictitans, lenticular sclerosis, and keratoconjuctiva sicca.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (9) Checklist for WAC 246-935-170(4) urinalysis.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 9


Checklist for WAC 246-935-170(4) urinalysis


URINALYSIS



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
URINALYSIS
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Accurately collect a urine sample using the free catch method in canine.
Accurately collect urine sample using manual expression method in feline.
Perform a gross examination of a urine sample.
Perform urine sample collection via catheterization of a male canine.
Accurately complete urinalysis including centrifuging a sample, completing a urine chemistry strip, and specific gravity.
Prepare, read, and record enough urine sediments to accurately identify bacteria, mucous, fat, yeast, sperm, crystals, casts, cellular content, and artifacts.
KNOWLEDGE BASE/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe proper urine sample collection and storage.
Describe changes that occur in urine samples left at room temperature.
Define common urinary terms including: Polyuria, oliguria, polakiuria, stranguria, and anuria.
Explain what can cause urine to be the following colors: Yellow, brown, green, red-to-reddish brown, cloudy, and flocculent.
Define terms hematuria, hemoglobinuria, and myoglobinuria.
Define specific gravity and why it is tested.
Define pH and what it measures.
Regarding urinary chemistry strips, define each: Protein, glucose, ketones, bilirubin, and blood.
Define the difference between diabetes mellitus and diabetes insipidus.
Define and describe three common types of casts seen in urine and where in the urinary system they are produced.
Describe toxicities/conditions seen in urine that produce leucine, ammonium biurate, tyrosine, triple phosphate, and Ca++ oxalate crystals.
Describe two parasites seen in small animal urine (Capillaria plica and Dioctophyma renale).
Define radio-opaque vs. radiolucent and what bladder stones are in each category.
Define and describe four urolith's compositions of the urinary tract system (triple phosphate, urate, cystine, and oxalate).
Define the process for cystocentesis from a small animal.
Describe the impact of collection methods on urinalysis interpretation.
Describe SSA testing.
Describe micro albuminuria.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (10) Checklist for WAC 246-935-170(5) microbiology.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 10


Checklist for WAC 246-935-170(5) microbiology


MICROBIOLOGY



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
MICROBIOLOGY
PRACTICAL DEMONSTRATION/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Properly collect a sample and inoculate fungal media.
Accurately read colony growth present on fungal media.
Properly collect a sample of suspected bacteria for gram staining.
Accurately identify ear swabs and skin impression cytology, identifying bacteria and yeast.
KNOWLEDGE BASE/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe fungal culture media and the difference in appearance between a true positive and a contaminate result.
Define process and stains used in gram staining.
Define the process and importance of gram staining.
Describe the culture media used to identify bacteria including MacConkey, Blood agar, and Mannitol salt agar.
Describe antibiotic susceptibility testing such as Mueller-Hinton.
Describe aerobic and anaerobic bacteria.
Describe the general differences between viral and bacterial organisms.
Explain the meaning of MIC.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (11) Checklist for WAC 246-935-170(6) necropsy procedure.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 11


Checklist for WAC 246-935-170(6) necropsy procedure


NECROPSY PROCEDURE



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
NECROPSY PROCEDURE
KNOWLEDGE BASE/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe physical requirements needed to perform necropsy in animal hospital.
Describe personnel safety procedures to be followed when performing necropsy.
Describe complete method used to preserve and submit a sample to the state health department when testing for rabies.
Describe the proper handling and disposal of animal remains that are suspect for zoonotic disease.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (12) Checklist for WAC 246-935-170(7) cytology.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 12


Checklist for WAC 246-935-170(7) cytology


CYTOLOGY



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
CYTOLOGY
PRACTICAL DEMONSTRATION/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Perform an accurate vaginal cytology, and correctly assess the stage of estrous cycle in canine.
Demonstrate and perform proper sample collection procedure for fine needle aspiration of skin mass or cyst, and an impression smear.
KNOWLEDGE BASE/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe what you would expect to see on a vaginal cytology from each of the four cycles of canine estrous.
Describe what you would expect to see in cytology exam in septic wound impression smear.
Describe what you would expect to see in fluid cytology of nonseptic cyst.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (13) Checklist for WAC 246-935-180(1) surgery room preparation and protocol.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 13


Checklist for WAC 246-935-180(1) surgery room preparation and protocol


SURGERY ROOM PREPARATION AND PROTOCOL



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
SURGERY ROOM PREPARATION AND PROTOCOL
PRACTICAL DEMONSTRATION Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Successful assembly and sterilization of standard surgical packs.
Identify common surgical instrument names, basic use, cleaning, and maintenance.
Successfully complete sterile gowning and gloving.
Demonstrate aseptic surgical field draping and maintenance.
KNOWLEDGE BASE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe principles of steam, ethylene oxide gas, and cold sterilization.
Describe various techniques of aseptic hanging surgical preparation of a limb.
Identify suture and needle type, size, qualities, nomenclature, and basic usage.
Describe proper collection and disposal of biohazard materials.
Identify categories of anesthetic monitoring equipment and what they monitor.
Describe patient warming devices, their safe operation, and risks.
Describe aseptic vs. antiseptic.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (14) Checklist for WAC 246-935-180(2) equipment operation and maintenance.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 14


Checklist for WAC 246-935-180(2) equipment operation and maintenance


EQUIPMENT OPERATION AND MAINTENANCE



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
EQUIPMENT OPERATION AND MAINTENANCE
PRACTICAL DEMONSTRATION Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Demonstrate successful operation of three types of surgical patient monitors.
Set up, pressure test and trouble shoot an anesthetic machine.
Demonstrate ability to read gas levels and change cylinders for medical gases.
Successful setup and operation of an IV fluid pump.
KNOWLEDGE BASE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe the types, uses, and safety issues of compressed gases.
Describe the basic principles of suction equipment, electrocautery set up, safety, and usage.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (15) Checklist for WAC 246-935-180(3) routine patient treatment.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 15


Checklist for WAC 246-935-180(3) routine patient treatment


ROUTINE PATIENT TREATMENT



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
ROUTINE PATIENT TREATMENT
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Administer oral, subQ, IM, and IV medication.
Perform proper clipping, positioning, and scrubbing technique of three surgical areas.
Place and secure peripheral IV catheter in a cat and a dog.
Demonstrate microchip insertion into a cat or a dog.
Demonstrate force feeding a cat.
Perform simple interrupted and simple continuous suturing of prepared skin.
Perform pain assessment of a cat and dog.
Display accurate assessment of temperature, pulse and respiratory rate in a cat and dog.
Ability to determine fluid requirements and IV rate based on patient hydration and needs.
Identify components and apply a three-layer bandage on cat or dog.
Identify components and apply a Robert Jones bandage.
Perform bladder expression on anesthetized or debilitated dog or cat.
Complete effective oral delivery of post-op instructions to owner/agent.
Calculation of maintenance IV fluid rate.
Ability to trouble-shoot a nonflowing IV fluid system.
Demonstrate the management and removal of drains.
Demonstrate principles of effective in-person and telephone communication.
PRACTICAL DEMONSTRATION/LARGE ANIMALS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Perform temperature, pulse, and respiration in large animals.
Perform general hoof examination in large animals including coloration, texture, temperature, and pulse.
Place and secure a jugular IV catheter in a large animal.
Assess GI motility.
Give an IM injection in three different locations on a horse.
KNOWLEDGE BASE/COMPANION ANIMAL AND EXOTICS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Define standard ranges for vital signs for a dog, cat, and one exotic species.
Identify the optimal venipuncture sites for dog, cat, and at least two exotic species.
Describe both clean and contaminated wounds.
Describe the four stages of wound healing.
Identify common bandaging, splinting, casting materials, and their uses.
Describe standard bandage, splint, and cast management or care (in hospital and at home).
Identify the types of IV fluids and their uses.
Describe nomenclature of catheters, needles, injection ports, and syringes.
Know process for urinary catheterization of cats and female dogs.
Identification of all common suture patterns.
Identify common techniques to prevent patient wound disruption/mutilation.
Identify routine chemicals for disinfection and their appropriate usage.
Identify common abnormal behaviors in hospitalized cats, dogs, and horses.
Define different bandage application including wet to dry, wet to wet, and dry.
Describe these common medical problems seen in birds, symptoms, causes, and treatment: Feather picking, pododermatitis, knemidocoptic mange, overgrown beak, and metabolic bone disease, hypovitaminosis A, and egg binding.
Describe common medical problems seen in mice and rats (mammary gland tumors, pulmonis bacteria, and ringtail in rats) cause, symptom, and treatment.
Describe common medical problems seen in ferrets (hyperestrogenism, hyperadrenocorticism, hyperinsulinism, influenza, and urolithiasis) cause, symptoms, and treatment.
Describe terms "night" and "day" feces associated with rabbits.
Describe the process of neonatal tube feeding.
Accurately define "wind up" pain in animals and how it can be prevented.
Describe common medical problems seen with rabbits (malocclusion, trichobezoars, diarrhea, mite infestation, and heat stroke) causes, symptoms, and treatment.
Accurately define the three types of pain: Physiological, clinical, and neurogenic.
KNOWLEDGE BASE/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe neonatal care to be performed within the first day of life in a pig.
Describe common internal parasites seen in large animals, how identified, and treated (roundworms, lungworms, threadworms, whipworms, stomach worms, kidney worms, etc.).
Describe common dehorning methods used with goats and sheep.
Describe when brucellosis vaccination must occur for cattle and how to identify that the vaccination occurred.
Describe mastitis, causes, symptoms and treatments.
Describe caseous lymphadenitis found in goats, the cause, symptom and treatment.
Describe common lameness problems seen in horses, their location, cause, and treatment (joint mouse, OCD, bucked shins, bowed tendons, splints, laminitis, navicular disease, wind puffs, thrush, and hoof cracks).
Describe the importance of "meconium."
List the allowed locations for injections on an animal being raised for food production.
Describe how you can age a horse by assessing teeth structure.
Describe "drenching" used in medication administration in cattle, sheep, and goats.
State maximum ml dose per IM injection site.
Define normal range of vital signs.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (16) Checklist for WAC 246-935-190 Anesthesia and emergency procedures.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 16


Checklist for WAC 246-935-190 Anesthesia and emergency procedures


ANESTHESIA AND EMERGENCY PROCEDURES



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
ANESTHESIA AND EMERGENCY PROCEDURES
KNOWLEDGE BASE/GENERAL ANESTHESIA Check as completed DATE SUCCESSFULLY COMPLETED
Accurately define four stages of anesthesia and the four planes of anesthesia depth, including physical attributes associated for each.
Accurately describe guidelines for feline and canine and acceptable levels while under general anesthesia (minimum of RR, HR, temperature, ocular signs, palprebral, reflexes, CO2, SPO2, BP).
Accurately list common anti-cholinergics and their effects and risks for feline, canine, and equine.
Accurately describe common tranquilizer/sedatives and their effects, risks, and reversing agents if available, for feline, canine, and equine, including: Phenothiazines, benzodiazepines, alpha-2 angonists, opioids, ultra-short acting barbiturates, cyclohexamines, and Propofol.
Using list of drugs above, describe routes and method of administration for each.
Using list of drugs above, describe length of duration for each and any associated contraindications.
Accurately describe common inhalants and their effects and risks, including: Isoflurane, Sevoflurane, and nitrous oxide.
Describe health hazards of waste anesthetic gases for hospital personnel.
Describe the basic principles of waste gas scavenging.
Describe how to select correct size for intubation tube.
Describe how to respond to emergency situations caused by adverse anesthetic events, cardiopulmonary arrest, and cardiovascular shock.
Define purpose for endotracheal tube placement, associated risks, and their prevention.
Define arterial gas monitoring process and what it measures.
Define purpose for esophageal stethoscopes, use, and placement.
Describe both in-circuit and out-of-circuit anesthesia machines.
Define two most common classification of local anesthetics (analgesics), esters and amides, uses, risks, and length of duration.
Demonstrate successful operation of three types of surgical patient monitors.
Describe epidural blocks used in canine (purpose, location, and common drugs used in block and their duration).
Describe how to monitor and assist in patient thermoregulation.
Describe difference between crystolloid fluids and colloid fluids, types, methods of administration and when applicable.
Describe the difference between rebreathing and nonrebreathing systems.
ANESTHESIA/EMERGENCY SUPPORT
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED
Perform preanesthetic evaluation on feline and canine species including signalment, medical history, risk assessment, and laboratory evaluation.
Set-up anesthesia machine(s) for both rebreathing and nonrebreathing and select circuit and equipment for patient.
Identify all parts of an anesthesia machine and what each part does.
Ability to interpret normal values for EKG on feline and canine species.
Ability to assess abnormal rates and rhythms in respiration and heart in both feline and canine species.
Accurately take blood pressure readings on feline and canine species using a Doppler device.
Accurately monitor the patient's condition during general anesthetic procedures for both feline and canine species, including manual monitoring of all vital signs.
Prepare and administer preanesthetics in feline and canine species.
Prepare and administer intravenous injectable anesthetics.
Intubate both feline and canine species.
Demonstrate correct lead placement and preparation of a diagnostic quality EKG strip.
Ability to obtain femoral pulse in a small animal.
Ability to determine accurate anesthetic IV fluid rates based on hydration and needs of patient under anesthesia.
Accurately complete anesthesia monitoring record.
Extubate feline and canine and monitor recovery.
Anesthetic recovery of cat and dog.
Demonstrate proper use of ambu bag on feline or canine species.
Demonstrate proper oxygen sighing and bagging techniques.
PRACTICAL DEMONSTRATION/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED
Perform preanesthetic evaluation on equine species including signalment, medical history, risk assessment, and laboratory evaluation.
KNOWLEDGE BASE/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED
Describe step-by-step placement of jugular catheter placement in equine or large animal.
Accurately describe common tranquilizer/sedatives and their effects, risks and reversing agents if available, for equine and ruminants.
Accurately define normal values for equine, ruminants, and nonruminants and minimal acceptable levels while under general anesthesia (minimum of RR, HR, temperature, ocular signs, pupil, reflexes, CO2, SPO2).
Describe epidural blocks used in equine and ruminants (caudal epidural and paravertebral). Purpose, location, and common drugs used in block and their duration.
Describe symptoms of colic in equine and common emergency treatments.
Describe symptoms of founder in equine and common emergency treatments.
Describe bloat in cattle and common emergency treatments.
KNOWLEDGE BASE/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED
Describe five types of shock seen in animals, the symptoms and treatment (hypovolemic, cardiogenic, septic, anaphylatic, and neurogenic).
Ability to assess pulse to heart rate to determine if there is a deficit.
Describe components required in triage assessment (ABCs).
Describe manual cardio pulmonary resuscitation in both feline and canine.
Describe hemorrhage control techniques in feline and canine.
Describe initial fracture stabilization in feline and canine.
Describe common emergency drugs used in small companion animal hospitals.
Describe common reproductive and neonatal emergency care.
Describe process involved in performing emergency tracheostomy, chest tube placement, and pharyngostomy in companion animals.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (17) Worksheet for WAC 246-935-200 Pharmacy.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 17


Worksheet for WAC 246-935-200 Pharmacy


PHARMACY



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
PHARMACY
PREREQUISITE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Completion of veterinary medication clerk registration.
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Demonstrate appropriate reconstitution of vaccines.
Demonstrate appropriate administration of vaccines.
Demonstrate appropriate reconstitution of commonly used injectable and oral medications.
Demonstrate appropriate administration of commonly used injectable and oral medications.
Demonstrate accurate charting of medications including medication name, dosage, route of administration, and dosage frequency.
Calculate dosages and administer common IV medications.
Calculate dosages and administer common IM medications.
Calculate dosages and administer common SQ medications.
Calculate dosages and administer common oral medications.
Correctly prepare and label common prescription medications.
KNOWLEDGE BASE/COMPANION AND LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Demonstrate knowledge for correct storage, inventory, and tracking of controlled drugs.
Demonstrate correct destruction of expired controlled drugs.
Describe storage, safe handling, and disposal of common biologicals.
Describe storage, safe handling, and disposal of common therapeutic agents.
Describe storage, safe handling, and disposal of common pesticides.
Describe storage, safe handling, and disposal of common hazardous wastes.
Describe DEA requirements for the handling, administering, dispensing, and logging of controlled substances.
Demonstrate knowledge of common large animal biologicals including administration routes, types of vaccines, frequency and potential side effects.
Describe common drugs under the classification of antibiotics, including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of cardiovascular including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of diuretics including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of hormones including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of sedatives and tranquilizers including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of antiparasitics and antifungals, including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of anti-inflammatories including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of glucocorticoids including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of anticonvulsives including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of gastrointestinal bronchial dilators including the primary purposes, side effects, and contraindication.
Describe common drugs under the classification of ophthalmic preparation including the primary purposes, side effects, and contraindications.
Describe common drugs under the classification of antiparasiticides.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (18) Checklist for WAC 246-935-210 Public health, infectious diseases, and zoonosis.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 18


Checklist for WAC 246-935-210 Public health, infectious diseases, and zoonosis.


     (1) Epidemiology and control of major zoonotic diseases.

     (2) Vaccinations and basic immunology.

     (3) Public health and safety issues.

PUBLIC HEALTH, INFECTIOUS DISEASES, AND ZOONOSIS


     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
PUBLIC HEALTH, INFECTIOUS DISEASES, AND ZOONOSIS
PRACTICAL DEMONSTRATION/INFECTIOUS AND ZOONOTIC DISEASES Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Common isolation/quarantine ward protocols.
KNOWLEDGE BASE/INFECTIOUS AND ZOONOTIC DISEASES Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Identify general disease - species and organ systems affected, causative organisms, how transmitted, situations/individuals at highest risk, and if condition is reportable for the following:
Baylisascaris Larva Migrans.
Plague.
Talaremia.
Listeriosis.
Anthrax.
Cryptosporidiosis.
Cysticercosis.
Echinococcoses.
Leptospirosis.
Trichinellosis.
West Nile Virus.
Bartonellosis/Cat Scratch Disease.
Coxiella Burnetti/Q Fever.
E. Coli.
Lyme Disease.
Avian Chlamydiosis.
Sporotrichosis.
Ehrlichiosis.
Prion Disease (Mad Cow, Scrapie).
Systemic Fungal Disease (Histo, Blasto, Coccidiodiomycosis, Cryptococcus).
ORF (Contagious Ecthyma).
Monkeypox.
Erysipelosis.
Pastereurellosis.
Rat Bite Fever.
Hanta Virus.
Identify general disease - species and organ systems affected, causative organisms, how transmitted, situations/individuals at highest risk and if condition is reportable, and diagnostic procedures/protocols for source species for the following:
Rabies.
Toxocaral Larva Migrans.
Toxoplasmosis.
Salmonellosis.
Tuberculosis.
Campylobacteriosis.
Ringworm/Dermatophytoses.
Brucellosis.
KNOWLEDGE BASE/INFECTIOUS AND ZOONOTIC DISEASES Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of whom to report the following confirmed or suspected conditions:
Animal biting a human.
Foreign animal disease (such as foot and mouth disease).
Disease eradicated from Washington (such as tuberculosis).
KNOWLEDGE BASE/FOREIGN ANIMAL DISEASES Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe the clinical signs, mode of transmission, and species affected by the following foreign animal diseases:
Avian Influenza.
Blue Tongue.
Hoof and Mouth Disease.
Hog Cholera.
Rinderpest.
Trypanosomiasis.
Velogenic New Castle Disease.
Vesicular Stomatitis.
KNOWLEDGE BASE/INFECTIOUS DISEASES DOGS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the causative organism, target organ system(s), clinical signs, common diagnostic procedures, modes of transmission, and general treatment goals for the following diseases:
Distemper.
Parvo.
Infectious Canine Hepatitis/CAV-1.
Kennel Cough Complex/Bordetella, Parainfluenza.
Corona.
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Canine Influenza.
Papillomatosis.
KNOWLEDGE BASE/INFECTIOUS DISEASES CATS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the causative organism, target organ system(s), clinical signs, common diagnostic procedures, modes of transmission, and general treatment goals for the following diseases:
Panleukopenia.
Rhinotracheitis.
Calici Virus.
Chlamydiosis.
FELV.
FIV.
FIP and FECV.
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Herpes.
Kennel Cough Complex.
Mycoplasma Felis.
KNOWLEDGE BASE/INFECTIOUS DISEASES HORSES Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the causative organism, target organ system(s), clinical signs, common diagnostic procedures, modes of transmission, and general treatment goals for the following diseases:
Equine Infectious Anemia.
Tetanus (C. tetani).
Eastern, Western, and West Nile Encephalitis.
Influenza.
Rhinopneumonitis/Equine Herpes virus.
Botulism (C. botulinum).
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Equine Viral Arteritis.
Equine Protozoal Myelitis.
Sarcoids.
Potomac Horse Fever.
Equi Streptoccus (strangles).
KNOWLEDGE BASE/INFECTIOUS DISEASES CATTLE AND SMALL RUMINANTS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the causative organism, target organ system(s), clinical signs, common diagnostic procedures, modes of transmission, and general treatment goals for the following diseases:
Bovine viral diarrhea and Mucosal disease.
Johne's Disease/Mycobacterium paratuberculosis.
Bovine Respiratory Disease Syndrome/Shipping Fever (IBR, BVD, P13, BRSV, Haemophilum somnus).
Scours or Neonatal Diarrhea/rotavirus, E.Coli, Corona Virus.
Interdigital necrobacillosis/Foot rot.
Mastitis.
Pink eye/Infectious keratoconjunctivitis.
Botulism (Clost. Botulinum).
Actinomycoses (Lumpy Jaw).
Actinobacillosis (Wooden Tongue).
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Papillomatous digital dermatitis.
Blackleg/Clostridium chauvoei.
Malignant edema/braxy/Clostridium septicum.
Bovine leukemia virus/Lymphosarcoma.
Malignant catarrhal fever/Herpes.
Tyzzer's disease/Clostriium piliforme.
Black disease/Clostridium navyi.
Bacillary hemoglobinuria/Clostridium haemolyticum (Red Water Disease).
Caprine arthritis-encephalitis (virus).
KNOWLEDGE BASE/INFECTIOUS DISEASES SWINE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the causative organism, target organ system(s), clinical signs, common diagnostic procedures, modes of transmission, and general treatment goals for the following diseases:
Erysipelothrix.
Pseudorabies.
PRRS virus.
Atrophic Rhinitis/Bordetella and Pasteurella.
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Swine influenza.
Lawsonia intracellularis.
Rotaviral diarrhea.
Bloody Scours/Serpulina hyodysentariae.
Streptococcus suis.
TGE.
Greasy pig disease/Staph. hyicus.
Describe trichinella, how transmitted and prevention.
KNOWLEDGE BASE/INFECTIOUS DISEASES POULTRY Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the causative organism, target organ system(s), clinical signs, common diagnostic procedures, modes of transmission and general treatment goals for the following disease:
Thrush/Candidiasis
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Fowl cholera.
Mycoplasmosis.
Black head/Histomoniasis.
Marek's disease.
KNOWLEDGE BASE/INFECTIOUS DISEASES RABBITS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the target organ system(s) and clinical signs of the following disease:
Pasteurellosis.
KNOWLEDGE BASE/INFECTIOUS DISEASES FERRETS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the causative organism, target organ system(s), clinical signs, common diagnostic procedures, modes of transmission, and general treatment goals for the following disease:
Distemper.
KNOWLEDGE BASE/INFECTIOUS DISEASES COMPANION BIRDS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Psittacine beak and feather disease.
Pacheco's parrot disease.
Pox virus.
Avian polyoma virus.
Pododermitis.
KNOWLEDGE BASE/INFECTIOUS DISEASES RODENTS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Mycoplasmosis.
Pasteurella.
Bacillus piliformis/Tyzzer's disease.
Mousepox.
Mouse hepatitis Virus.
KNOWLEDGE BASE/INFECTIOUS DISEASES REPTILES Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of the target organ system(s) and clinical signs of the following diseases:
Mycobacteriosis.
PRACTICAL DEMONSTRATION/VACCINATION PROTOCOL AND ADMINISTRATION CANINE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Development of a typical puppy vaccination protocol.
Demonstrate canine vaccine administration.
KNOWLEDGE BASE/VACCINATION PROTOCOL AND ADMINISTRATION CANINE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of typical core vaccines, common optional vaccines, and signs of adverse vaccination reactions.
PRACTICAL DEMONSTRATION/VACCINATION PROTOCOL AND ADMINISTRATION FELINE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Development of a typical kitten vaccination protocol.
Feline vaccine administration.
KNOWLEDGE BASE/VACCINATION PROTOCOL AND ADMINISTRATION FELINE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of typical core vaccines, common optional vaccines, and signs of adverse vaccination reactions.
PRACTICAL DEMONSTRATION/VACCINATION PROTOCOL AND ADMINISTRATION HORSES Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Demonstrate equine vaccination administration.
KNOWLEDGE BASE/VACCINATION PROTOCOL AND ADMINISTRATION HORSES Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of typical core vaccines, common optional vaccines, and signs of adverse vaccination reactions.
KNOWLEDGE BASE/VACCINATION PROTOCOL AND ADMINISTRATION CATTLE AND SMALL RUMINANTS Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Knowledge of typical core vaccines, common optional vaccines for at least one species, and sites for animals raised for food production in this category.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (19) Checklist for WAC 246-935-220 Dentistry.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 19


Checklist for WAC 246-935-220 dentistry


DENTISTRY



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
DENTISTRY
PRACTICAL DEMONSTRATION/COMPANION ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Identification of hand instruments.
Demonstrate accurate use of hand instruments.
Demonstrate accurate use of ultrasonic scaler and polisher.
Perform complete dental prophy on canine.
Perform complete dental prophy on feline.
Describe proper technique for taking dental radiographs (digital or manual) including premolars, incisors, and canines.
Accurately chart dental cleaning using appropriate nomenclature for canine.
Accurately chart dental cleaning using appropriate nomenclature for feline.
KNOWLEDGE BASE/COMPANION ANIMAL/EXOTIC Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Accurately describe tooth structure and components of a tooth.
Demonstrate knowledge and use of common descriptive terms of teeth (i.e., rostral, buccal, linqual, occlusal, apical, etc.).
Diagram tooth formula in canine and accurately identify each tooth.
Diagram tooth formula in feline and accurately identify each tooth.
Accurately describe normal dentition from puppy to dog.
Accurately describe normal dentition from kitten to cat.
List common abnormalities in teeth development.
Describe periodontal disease and accurately list stages and associated signs.
Describe two common periodontal diseases in felines and treatment (gingival stomatitis and FORLs).
Define accurate normal sulcus depths for canine and feline.
Describe dental problems seen in rabbits and rodents, causes, and treatment.
Describe the proper techniques and risks extracting canine, premolar, and incisors in companion animals.
Describe treatment and prevention of dental disease in companion animals.
KNOWLEDGE BASE/LARGE ANIMAL Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Accurately describe dental structure of herbivores, specifically equine, bovine, ovine, and caprine.
Describe common equine dental problems.
Describe process of "floating" teeth in horses and why it is important.
Define "wolf" teeth in equine and problems associated with them.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

     (20) Checklist for WAC 246-935-230 imaging.

ATTESTATION OF SUPERVISING VETERINARIAN


Veterinary Technician Practical Experience Task: Form 20


Checklist for WAC 246-935-230 imaging


IMAGING



     Per WAC 246-935-145(2), the supervising veterinarian will attest to the candidate's knowledge of, or completion of, the required task areas and procedures on forms provided by the secretary.


Candidate name:
Supervising veterinarian name:
Supervising veterinarian license #:
Check items as completed. Complete all items in each section.
IMAGING
PRACTICAL DEMONSTRATION/COMPANION Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Demonstrate and perform recommended safety procedures.
Use technique chart to set exposure of X-ray machine.
Demonstrate anatomical positioning options (i.e. V/D, D/V, lateral, obliques, and OFA views).
Produce radiographs appropriately including proper labeling of radiographs.
Critique radiographs regarding positioning, exposure, and collimation.
Perform at least one contrast study.
Take diagnostic, properly positioned radiographs of thoracic cavity.
Take diagnostic, properly positioned radiographs of abdominal cavity.
Take diagnostic, properly positioned radiographs of pelvis.
Take diagnostic, properly positioned radiographs of pelvic limb.
Take diagnostic, properly positioned radiographs of thoracic limb.
Take diagnostic, properly positioned radiographs of vertebral column.
Take diagnostic, properly positioned radiographs of skull.
KNOWLEDGE BASE Check as completed DATE SUCCESSFULLY COMPLETED DVM INITIALS
Describe basic principles and use of MRI.
Describe basic principles and use of CT.
Accurately describe labeling requirement for radiographs.
Describe proper care and maintenance of radiographic cassettes.
Describe proper care and storage of x-ray film.
Demonstrate proper film handling.
Accurately describe different contrast materials and their uses.
Describe common equine and ruminant radiographic anatomy and positioning.
Demonstrate knowledge of positioning avian and exotic pets for radiographs.
Describe components of x-ray machine and how x rays are developed.
Know difference between various screen types and films associated with each.
Define radiology terms associated with exposure to radiation: REM, RAD, SIEVERT, MPD, dosimeter, and TLD.
Define miliamperage, kilovoltage, miliamperage seconds, and focal spot to film distance (FFD).
Define difference between low and high contrast objects.
Describe proper environmental disposal of used processor fluids.
Describe proper environmental disposal of films to be destroyed.
Describe scatter radiation and grid usage.
Define anatomical position terminology for small and large animal.
Supervising veterinarian signature
I, the undersigned, attest that I am the person described and identified as the supervising veterinarian of the above named veterinary technician candidate. I understand that the department may require additional information from me, and that if I provide false or incomplete information, the application of the candidate may be denied, or the license ultimately suspended or revoked.
SIGNATURE OF SUPERVISING VETERINARIAN DATE SIGNED

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