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TECH141-0707: Advanced Nursing - Critical Care Module 2

Andrea Steele, BSc, VTS (ECC)

July 5-August 11, 2007
Real Time Sessions: Wednesday evenings; July 11, 18, 25, and August 1; 9:30pm-11pm ET (USA)


This is module 2 of a two part course in Advanced Nursing Skills for emergent and critically ill patients. Throughout the series, technicians will be encouraged to critically think, problem solve, and develop new skills. These courses will be presented in a "systems approach", beginning with nursing techniques that may be universal to any critical illness, followed by techniques that focus on the various body systems.

All members of the veterinary support staff may join the course and its discussions; however, this course is focused toward any technician who routinely deals with emergent or critical cases, or has an interest in obtaining the VTS (ECC) designation. Module 1 is a required prerequisite for Module 2; this is to help insure a complete understanding of advanced nursing techniques of critical care.

Upon completion of TECH141-0707 participants will be able to understand and discuss

Overall Goal: To provide a basic understanding of many disease processes, while emphasizing the role the technician plays in the emergent and on-going care of these patients.

TEXTBOOKS: There are no required texts for this course; however, the instructor recommends the following:


Week 1: Renal
Patients in acute renal failure can be very difficult to manage, and have very specialized requirements in nursing and monitoring. This session will focus on an overview of renal physiology, acute versus chronic renal failure, management of anuria, oliguria and polyuria, peritoneal dialysis and specialized requirements of renal patients.

Week 2: Endocrine
A good Addisonian Crisis arriving on your doorstep can get the adrenaline flowing in any seasoned technician. They can arrive moribund, and a few hours later appear almost normal´┐Ża very gratifying disease. Diabetic ketoacidosis however, can also arrive quite moribund, and with appropriate treatment require a long term stay in your ICU to normalize. These are just two of the disease processes we will discuss in this session which will include: an overview of common endocrine diseases, understanding treatment goals, understanding common fluid and electrolyte movements and recognizing complications during therapy.

Week 3: Neurologic and Gastrointestinal
Specialized nursing concerns for neurologic patients including: seizures, head trauma, and IVDD. We will also discuss neurological sequelae to other disease processes. Primary and secondary disorders of the gastrointestinal tract will also be examined in this session. Both of the subjects in this session will emphasize the role of the technician in identifying changes in patient parameters.

Week 4: CPCR
Of course we hope that our patients will not advance to cardiopulmonary arrest, but unfortunately, in critical patients this is common. In this session we will discuss the techniques for CPCR, as well as the importance of having owner discussions, "do not resuscitate" orders and levels of CPCR.

Library materials will be made available prior to the topic week so participants will have plenty of time to prepare for the real time sessions and discussion.

Message board discussions regarding the topic presented will begin on the day the course opens and continue for one week following the last real time session. These discussions will be held in the VSPN CE course area.


$111 ($100.00 early bird special if registered before June 21, 2007).
*Enroll in both Modules before May 2, 2007 and receive a 15% discount off the regular course price.
*Students currently enrolled in and taking at least 2 classes or 5 units at an AVMA accredited or CAAHT approved Veterinary Technician Program may be eligible to receive a 50% discount off the regular rate for this course (upon verification of student status). You must include the following information in the comments section of the CE enrollment form in order to be eligible for this discount: your program director's name and contact information (email/phone) and school name.

** NOTE: Registration will be closed when the maximum number of participants is reached or at 5pm ET the day of the first real time session

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  1. Each enrollee must individually be a registered member of VSPN or VIN ( Membership in VSPN is free; VIN membership includes VSPN membership.
  2. To enroll in any VSPN CE course click on the ENROLL NOW link below the course title on the right side of the page at
  3. Each enrollee must be able to receive emails from and addresses. This is our major form of communication with participants. It is highly recommended that course participants use their own, personal emails rather than clinic/hospital email addresses.
  4. VIN Member veterinarians SHOULD NOT register for their staff. Please have the staff member register through VSPN. Please email if you have questions.

Note: "This course has been submitted (but not yet approved) for 6 hours of continuing education credit in jurisdictions which recognize AAVSB RACE approval; however participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery of continuing education. Call VSPN CE at 1-800-700-4636 for further information." (Attendees are encouraged to check with their licensing jurisdiction(s) for information regarding recognition by their board).

COURSE WITHDRAWAL AND REFUND POLICY: Withdrawal prior to the listed start date of a course entitles the registrant to a complete refund or a credit toward a future VIN CE course, whichever is preferred. Withdrawal within 1 week after the listed start date (i.e. including no more than one real-time session) entitles the registrant to a credit toward any future VIN CE course. (Does not apply to courses with only one real-time session.) After the first real-time session, a registrant may withdraw due to special circumstances and receive prorated credit towards a future VIN course. These requests will be handled on an individual basis. The amount of the prorated credit will be determined based on 65% of the time remaining in the course at the time of withdrawal. It is not possible to withdraw retroactively.
Note: To ensure rapid handling of your request for withdrawal, we recommend that you call the VIN office at 1-800-700-INFO (4636).
Nanette R. Walker Smith, M.Ed., RVT, CVT, LVT
VSPN Content Director & CE Coordinator
1-800-846-0028 or 1-530-297-4950, ext 187

Ginger Sanders (, ext 183
Charlotte Waack (, ext 193
VSPN CE Services
1-800-846-0028 or 1-530-756-4881

**For More Information on VSPN's upcoming CE Courses, check out


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