,
,Surgical patient care for veterinary technicians
and nurses
,
,Surgical patient
care for veterinary
technicians and
nurses
Gerianne Holzman, CVT, VTS (Dentistry)
Orthopaedic and Renal Transplant Coordinators
UW Veterinary Care
School of Veterinary Medicine University of Wisconsin
Madison, WI
USA
Teri Raffel, CVT, VTS (Surgery)
Laboratory Coordinator
Veterinary Technician Program
Madison Area Technical College
Madison, WI
USA
,This edition first published 2015 © 2015 by John Wiley & Sons, Inc
Editorial offices: 1606 Golden Aspen Drive, Suites 103 and 104, Ames, Iowa 50010, USA
The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
9600 Garsington Road, Oxford, OX4 2DQ, UK
For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright
material in this book please see our website at www.wiley.com/wiley-blackwell.
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Blackwell
Publishing, provided that the base fee is paid directly to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923. For
those organizations that have been granted a photocopy license by CCC, a separate system of payments has been arranged. The fee codes for
users of the Transactional Reporting Service are ISBN-13: 978-0-4709-5976-3/2015.
Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in
this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated
with any product or vendor mentioned in this book.
The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and
should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by health science practitioners for any
particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the
contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular
purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information
relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package
insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage
and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or
Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the
publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be
aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read.
No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable
for any damages arising herefrom.
Library of Congress Cataloging-in-Publication Data:
Holzman, Gerianne, author.
Surgical patient care for veterinary technicians and nurses / Gerianne Holzman and Teri Raffel.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-470-95976-3 (paperback)
1. Veterinary surgical nursing. 2. Veterinary surgery. I. Raffel, Teri, author. II. Title.
[DNLM: 1. Surgical Procedures, Operative–veterinary. 2. Animal Technicians. 3. Surgery, Veterinary–methods. SF 911]
SF911.H65 2015
636.089′ 7–dc23
2015006913
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.
Typeset in 8.5/12pt MeridienLTStd by Laserwords Private Limited, Chennai, India
1 2015
,Contents
Foreword, vii
Preface, ix
About the companion website, xi
1 History and physical examination, 1
2 Preoperative planning, 11
3 Asepsis and infection control, 28
4 Surgical assistant and circulating nurse, 95
5 Surgical procedures, 124
6 Wound management, 160
7 Postoperative care, 171
8 Aftercare and home care, 192
Glossary, 202
Index, 207
v
,
,Foreword
It is a privilege to write the Foreword to Surgical Patient Both graduates of Madison Area Technical College,
Care for Veterinary Technicians and Nurses by Gerianne they quickly brought their combined talents to the
Holzman and Teresa (Teri) Raffel. The objective of the academic environment of the newly created School
authors was to create a comprehensive text targeted to of Veterinary Medicine in Madison, Wisconsin in the
the Veterinary Technician interested or involved with all mid 1980s. When I was recruited at University of
aspects of veterinary surgical practice. This text follows Wisconsin in 1984, I was a young and relatively naïve
a logical progression beginning with deciphering clinical veterinary surgeon specializing in orthopaedic surgery.
information by history taking and physical examina- Geri and Teri were instrumental in the refinement and
tion, then onto preoperative planning, asepsis, infection development of my skills, both inside and outside of the
control, a description of common surgical procedures, a operating room. Over the ensuing years, the authors
description of common surgical instruments and finish- have continued to educate and groom thousands of vet-
ing with postoperative patient care. The authors support erinary surgeons, veterinary students, and Veterinary
each chapter with eloquent details and illustrations Technicians. This book will stand as a legacy to their per-
derived from their clinical experience, highlighting the severance and endurance and will serve as a primer for
crucial role played by the Veterinary Technician at each all those interested in the practice of veterinary surgery.
step. This text offers a unique perspective for Veterinary
Technicians by two very capable Veterinary Technicians Paul Manley, DVM, MSc, DACVS
and educators. Professor Emeritus
The authors, Gerianne Holzman and Teresa Raffel School of Veterinary Medicine
bring a wealth of clinical experience to this book. University of Wisconsin, Madison
vii
,
,Surgical patient care for veterinary technicians
and nurses
,
,Surgical patient
care for veterinary
technicians and
nurses
Gerianne Holzman, CVT, VTS (Dentistry)
Orthopaedic and Renal Transplant Coordinators
UW Veterinary Care
School of Veterinary Medicine University of Wisconsin
Madison, WI
USA
Teri Raffel, CVT, VTS (Surgery)
Laboratory Coordinator
Veterinary Technician Program
Madison Area Technical College
Madison, WI
USA
,This edition first published 2015 © 2015 by John Wiley & Sons, Inc
Editorial offices: 1606 Golden Aspen Drive, Suites 103 and 104, Ames, Iowa 50010, USA
The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
9600 Garsington Road, Oxford, OX4 2DQ, UK
For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright
material in this book please see our website at www.wiley.com/wiley-blackwell.
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Blackwell
Publishing, provided that the base fee is paid directly to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923. For
those organizations that have been granted a photocopy license by CCC, a separate system of payments has been arranged. The fee codes for
users of the Transactional Reporting Service are ISBN-13: 978-0-4709-5976-3/2015.
Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in
this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated
with any product or vendor mentioned in this book.
The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and
should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by health science practitioners for any
particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the
contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular
purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information
relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package
insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage
and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or
Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the
publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be
aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read.
No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable
for any damages arising herefrom.
Library of Congress Cataloging-in-Publication Data:
Holzman, Gerianne, author.
Surgical patient care for veterinary technicians and nurses / Gerianne Holzman and Teri Raffel.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-470-95976-3 (paperback)
1. Veterinary surgical nursing. 2. Veterinary surgery. I. Raffel, Teri, author. II. Title.
[DNLM: 1. Surgical Procedures, Operative–veterinary. 2. Animal Technicians. 3. Surgery, Veterinary–methods. SF 911]
SF911.H65 2015
636.089′ 7–dc23
2015006913
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.
Typeset in 8.5/12pt MeridienLTStd by Laserwords Private Limited, Chennai, India
1 2015
,Contents
Foreword, vii
Preface, ix
About the companion website, xi
1 History and physical examination, 1
2 Preoperative planning, 11
3 Asepsis and infection control, 28
4 Surgical assistant and circulating nurse, 95
5 Surgical procedures, 124
6 Wound management, 160
7 Postoperative care, 171
8 Aftercare and home care, 192
Glossary, 202
Index, 207
v
,
,Foreword
It is a privilege to write the Foreword to Surgical Patient Both graduates of Madison Area Technical College,
Care for Veterinary Technicians and Nurses by Gerianne they quickly brought their combined talents to the
Holzman and Teresa (Teri) Raffel. The objective of the academic environment of the newly created School
authors was to create a comprehensive text targeted to of Veterinary Medicine in Madison, Wisconsin in the
the Veterinary Technician interested or involved with all mid 1980s. When I was recruited at University of
aspects of veterinary surgical practice. This text follows Wisconsin in 1984, I was a young and relatively naïve
a logical progression beginning with deciphering clinical veterinary surgeon specializing in orthopaedic surgery.
information by history taking and physical examina- Geri and Teri were instrumental in the refinement and
tion, then onto preoperative planning, asepsis, infection development of my skills, both inside and outside of the
control, a description of common surgical procedures, a operating room. Over the ensuing years, the authors
description of common surgical instruments and finish- have continued to educate and groom thousands of vet-
ing with postoperative patient care. The authors support erinary surgeons, veterinary students, and Veterinary
each chapter with eloquent details and illustrations Technicians. This book will stand as a legacy to their per-
derived from their clinical experience, highlighting the severance and endurance and will serve as a primer for
crucial role played by the Veterinary Technician at each all those interested in the practice of veterinary surgery.
step. This text offers a unique perspective for Veterinary
Technicians by two very capable Veterinary Technicians Paul Manley, DVM, MSc, DACVS
and educators. Professor Emeritus
The authors, Gerianne Holzman and Teresa Raffel School of Veterinary Medicine
bring a wealth of clinical experience to this book. University of Wisconsin, Madison
vii
,
