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Organization
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Phone
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Email
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Number of current staff
Number of veterinarians
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Number of CVTs
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Number of assistants and other staff
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Practice manager
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Yes
No
Hours of operation
Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
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Emergency hours
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Facility details
How would you classify your facility?
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Companion practice
Food animal practice
Research
Emergency
Mixed animal practice
Equine practice
Shelter
Referral, specialty, or other
What animals are seen at your facility
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Dogs
Cats
Rodents
Cattle
Horses
Birds
Reptiles
Swine
Sheep
Goats
Other
Referral, specialty, or other
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Other (please specify)
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Is free parking available at your site?
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Yes
No
Is public transportation to your site available?
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Yes
No
Who will be PCC's primary contact for your facility?
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Who will be supervising the student(s)?
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Do you have an existing training program for new CVTs?
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Yes
No
Please describe in as much detail as possible what the Student Veterinary Technician’s learning experience at your site will be like
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Diagnostic imaging
The use of personal protective equipment such as lead shields, thyroid shields, and lead-lined gloves is required. PCC provides student dosimetry badges.
Check all that apply
*
Radiography
Digital radiography
Dental radiography
Digital dental radiography
Automatic processor
Ultrasonography
Endoscopy
Other
Other (please specify)
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Surgery
Check all that apply
*
Laser surgery
AHAA Certified
Steam autoclave
Gas sterilization
Ultrasonic dental scaler
Dental unit
Other
Other (please specify)
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Please describe surgeries typically performed at this facility
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Laboratory equipment
Check all that apply
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Blood gas analyzer
Blood chemistry
Microscopy
Gram stain
Cytology
Centrifuge
Tonometry
CBC analyzer
Other
Other (please specify)
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What percent of lab work is typically sent to a commercial laboratory vs. being performed in-house?
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0%
10%
25%
50%
75%
100%
Anesthesia
Inhalation gases typically used
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Nitrous oxide
Sevoflurane
Isoflurane
Halothane
Other
Other (please speficy)
*
Injectable agents typically used
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Propofol
Ketamine/Valium
Domitor/Antisedan
Xylazine/Yohimbine
Opioids
Barbiturates
Other
Other (please specify)
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Monitoring equipment
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Pulse oximeter
ECG
Blood pressure monitor
IV fluid pump
Ventilator
Other
Other (please specify)
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Procedures
At your facility, what procedures do technicians typically do?
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Admit patients
Make appointments
Client education
Examine patients
Discharge patients
Prep for surgery
Administer anesthetic
Cytology
Place IV catheters
Monitor anesthesia
U/A
Prepare prescriptions
Blood chemistry
Fecal analysis
Intubate surgical cases
Perform dental cleaning
Draw blood
Obtain other biological samples
Administer injectable medication
Take radiographs
Restrain animals
Other
Other (please specify)
*
Please describe other technician responsibilities
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Agreement and guidelines
As a PCC Veterinary Technology Cooperative Education Partner, you agree to the following guidelines
*
Provide a clinical training site by:
Preparing staff to welcome the student as a member of the team.
Providing structure and direction for the student.
Utilizing new employee training procedures regarding policies and procedures such as dress code and sick days.
Supervise the student by
Identifying who on staff will guide the student, assign dailytasks, schedule lunches, breaks and do the student’s performanceevaluation.
Giving the student direction on daily activities.
Promote and support the student by:
Providing feedback and positive reinforcement for work well done.
Being willing to meet and talk with the student on a regular basis regarding their performance.
Recognizing problem areas with students, provide direction to resolve conflict or disagreement.
Contacting the PCC Co-operative Education Coordinator for training and problem-solving support.
Instruct the student by:
Identifying procedures the student has been taught, and help them gain confidence and competency by giving them opportunities to practice these procedures, both with help and then independently.
Teaching the student new skills specific to your site, and give them opportunities to practice with supervision and then independently.
Answering the student's questions whenever possible.
Abide by all Oregon Veterinary Medical laws and regulations.
I agree to the Cooperative Education guidelines
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Phone
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