Internships

POOL HOUSE EQUINE CLINIC: INTERNSHIP PROGRAM

INTRODUCTION

Pool House Equine Hospital offers 18 month internships designed to provide a well balanced exposure to equine medicine, reproduction, surgery and diagnostic imaging. The hospital has 13 stables as well as hospital paddocks and field shelters, 1 surgical theatre with dedicated induction/recovery room, standing surgery, 2 examination rooms, two direct digital radiography units, standing MRI, ultrasonography, video endoscopy, video arthroscopy, laparoscopy, and laser surgery. The in house lab includes haematology and microbiology.

JOB DESCRIPTION

PERIOD OF PROGRAMME: Fixed term 18 month position is divided into three 6 month periods. The second and the third period renewals are conditional on the mutual satisfaction of both the intern and Pool House Equine Clinic
AFTER HOURS DUTY: Weekly and weekend hospital duty on a one in three rotation. Some ambulatory work will be available as required.
WEEK DAY DUTY Rotations through surgery, inpatient care (including post-operative colics & foals), anaesthesia and diagnostic imaging including MRI. Management and presentation of hospital cases in conjunction with senior clinicians. Twice daily hospital rounds.
WEEKLY JC Papers and cases discussion (one morning)

                                            
From the start of the program interns will be gradually introduced to various procedures by the previous existing interns & clinicians. They will be exposed to techniques in which they are expected to become proficient. This training is supervised by a European College of Veterinary Surgery certified equine surgeon & RCVS recognised Advanced Practitioners & certificate holding clinicians. This includes performing anaesthesia, receiving emergency patients, running laboratory tests, minor surgical procedures and general inpatient management. Working hours are typically 7.30 am to 8pm, excluding emergency duties. The intern will receive one day off per weekend on intern duty.

A large out‐of‐hour emergency on‐call commitment is required, as our hospital admits a high number of referral cases including colics. For all surgical cases, the intern in the anaesthesia rota will perform anaesthesia. Together all the interns are responsible for ensuring inpatients receive all necessary treatments (as indicated by senior clinicians) and keeping accurate records of such, performing routine radiography and ultrasonography services.

Inpatient requirements are discussed twice a day during patient rounds. Patient records are an essential part of the functioning of the clinic. The record keeping system will be explained in the introductory period and will be the intern’s responsibility to make sure they are up to date. It is the intern’s duty to communicate with owners under the senior clinician guidance.

The interns are responsible for equipment care (ultrasound and x-ray machines)particularly cleanliness and hygiene, downloading and uploading images onto the main practice system at the end of each working day.

The clinic is affiliated with different Universities so we regularly have students in their final years on rotation here.

PHEC will provide a practice car for which all running costs are paid by the practice with the exception of the cost of fuel for private mileage. PHEC will also provide a mobile phone and the car will be fitted with a hands-free phone kit.

PHEC will cover the cost of BEVA membership but you are responsible for RCVS membership fees when they are due for renewal, however if, for any reason, you leave the practice within 6 months of the fees being paid, PHEC reserves the right to ask for some or all of the payment to be refunded.

DAILY PLANNING

TIME

PROCEDURES

RECORDINGS

Before morning rounds

(with nursing assistance)

Full subjective and objective assessment made of all inpatients including TPR of all inpatients and intensive care and colic checks where indicated.

Intensive care and colic check findings recorded on intensive care sheets.

Subjective and objective observations including attitude, appetite, faecal and urinary output and case specific notes on other inpatients recorded

Sample and run blood

Record in consumables + on ICU monitoring sheet

8.00 – 8.45

Morning rounds with all clinicians- feed back on previous days findings, status overnight, assess progress where indicated i.e. walk out orthopaedic cases

Notes on procedures planned for the day recorded

8.45 – 9.00

Drugs administered

All drugs given recorded in the patient file

8.45 – 10.45

Hospital in-patients- including bandage changes, synoviocentesis, repeat rectal examinations etc

Record all findings in the hospital notes and ensure all consumables and procedures are costed

10.45 – 11.30

Communication with clients on the telephone to deliver progress report

Communication with referring vets where appropriate

Communications recorded on communication sheet.

Ensure it is noted when RVS to be updated next

10.30 – 13.00

All in-patients are monitored throughout the day by the team.

Critical patients are also monitored on CCTV displayed in the vet’s office

Check carried out as necessary

All findings recorded

13.00 – 13.30

Colic checks and intensive care where indicated

Findings recorded on intensive care sheet.

13.30 – 16.00

All in-patients are monitored throughout the day by the team.

Critical patients are also monitored on CCTV displayed in the vet’s office

Checks carried out as necessary

All findings recorded

16.00-17.00 (with nursing assistance)

Full subjective and objective assessment made of all in patients including TPR of all in patients and intensive care and colic checks where indicated.

All findings recorded

Sample and run blood if necessary

Record in consumables + on ICU monitoring sheet

Administer parental drugs

All administered drugs recorded as consumables

17.00 – 17.30

Evening rounds with supervising clinician (as deemed appropriate).

Feed back on day’s findings. Discuss protocol for overnight checks- the clinician determines the frequency of checks necessary through the night beyond the minimum required of midnight and 6 am checks.

23.00-24.00

Full subjective assessment made of all inpatients.

Colic checks and intensive care where indicated.

Administration of drugs

All findings recorded

All drugs administered recorded

Week (from Thursday to Thursday) Hospital 1 Hospital 2 Imaging
1 A B C
2 C A B
3 B C A
4 A B C

 

MONTLY ROTA

Hospital 1 Intern in charge of the hospital from Thursday to Thursday. Duties: organising daily sheets for other hospital staff, directing owner communications and work in the hospital. After a week on duty Thursday is free time after the morning round. Responsible for inpatients care on weekend days (feed, water in the afternoon etc). Supervision of all drugs administered according to senior clinicians plan. 1 in 2 rota overnight equally shared with Hospital intern 2.
Hospital 2 Intern in charge of anaesthesia (when appropriate included afterhours on call), discharge instructions and lab work (supervise and direct nurses). Check of inpatient undergoing anaesthesia. Weekend to help with inpatients and then just available for surgical emergencies. Help with dental cases when necessary. 1 in 2 rota overnight equally shared with Hospital intern 1.
Imaging Intern in charge for the MRI unit (admit inpatients, liaison with referring vets and owners), amnesis, thorough record keeping, image acquisition and storage. Responsible for all imaging upload at the end of the day. Direct supervision of sedation and recording use of any controlled drugs in the statutory register. To undertake some ambulatory when appropriate or to help with inpatients. Responsible for imaging discharge instructions. Weekend off.

 

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