References

Ahmed-Little Y. Implications of shift work for junior doctors. BMJ. 2007; 334:(7597)777-8 https://doi.org/10.1136/bmj.39154.516667.BE

Animal Welfare Act 2006. https://www.legislation.gov.uk/ukpga/2006/45/contents (accessed April 5th, 2016)

BBC. Duty based ethics. 2015. http://www.bbc.co.uk/ethics/introduction/duty_1.shtml (accessed April 10th, 2016)

Unqualified carers ‘doing nurses’ jobs' including taking blood samples, reviving patients and supervising entire wards. 2012. http://www.dailymail.co.uk/news/article-2084964/Unqualified (accessed March 23rd, 2016)

Branscombe L. Keeping it legal: delegation to veterinary nurses. In Pract. 2012; 34:(1)52-53 https://doi.org/10.1136/inp.d7818

Brennan W. Safer lone working: assessing the risk to health professionals. Br J Nurs. 2010; 19:(22)1428-1430 https://doi.org/10.12968/bjon.2010.19.22.1428

Chartered Institute of Personnel and Development. Health and Safety Employment Law in Practice. 2006. http://www.cipd.co.uk/NR/rdon-lyres/…0587…/ELiP_sampchap06.pdf/ (accessed 25th February, 2016)

Coffey LC, Skipper JK, Jung FD. Nurses and shift work: effects on job performance and job-related stress. J Adv Nurs. 1988; 13:(2)245-54 https://doi.org/10.1111/j.1365-2648.1988.tb01414.x

Commission for Social Care Inspection. ‘Handled with care? Managing medication for residents in care homes and children homes – a follow up study’. 2006. https://www.gov.uk/…/commission-for-social-care-inspection-annual-report-and-accounts-2005-to-2006 (Assessed on April 25th 2016)

Dawson R. Veterinary care 24/7. Vet Rec. 2011; 169:(8) https://doi.org/10.1136/vr.g7161

De Angelis B. Nonmaleficence and Beneficence. In: Morrison EE Texas: Jones and Bartlett; 2009

Gillon R. Medical ethics: four principles plus attention to scope. BMJ. 1994; 309:(6948)184-8 https://doi.org/10.1136/bmj.309.6948.184

Health and Safety at Work Act 1974. http://www.legislation.gov.uk/uk-pga/1974/37 (accessed January 10th, 2016)

Health and Safety Executive. Management of Health and Safety at Work Regulations 1999. 2009. http://www.hseni.gov.uk/l21_management_of_health_and_safety_at_work.pdf (accessed 25th February, 2016)

Keeney S, Hasson F, McKenna H, Gillen P. Nurses', midwives' and patients' perceptions of trained health care assistants. J Adv Nurs. 2005; 50:(4)345-55 https://doi.org/10.1111/j.1365-2648.2005.03399.x

Kemp J. Primary nursing. Night-time associates. Nurs Times. 1991; 87:(4)63-5

Maxwell RB, Toby JP. 24 Hour cover: time for reappraisal. Br J Gen Pract. 1993; 43:(371)226-7

Manning P. Out-of-hours cover. Vet Rec. 2005; 156:(9) https://doi.org/10.1136/vr.156.9.290

Matheson A, O'Brien L, Reid JA. The impact of shiftwork on health: a literature review. J Clin Nurs. 2014; 23:(23-24)3309-20 https://doi.org/10.1111/jocn.12524

NHS England. The Evidence Base from the Urgent and Emergency Care Review. 2013. https://www.england.nhs.uk/wp-content/up-loads/2013/06/urg-emerg-care-ev-bse.pdf (accessed March 25th, 2016)

Nehru J. Practical Theory. In: Morrison EE (ed). Texas: Jones and Bartlett; 2010

Oxtoby C, Ferguson E, White K, Mossop L. We need to talk about error: causes and types of error in veterinary practice. Vet Rec. 2015; 177:(17) https://doi.org/10.1136/vr.103331

Pearson A, Pallas LO, Thomson D Systematic review of evidence on the impact of nursing workload and staffing on establishing healthy work environments. Int J Evid Based Healthc. 2006; 4:(4)337-84

Ramprogus V, O'Brien D. The case for the formal education of HCAs. Nurs Times. 2002; 98:(27)37-8

Veterinary nurses true professionals.: RCVS News; 2015a

RCVS. Practice standards scheme, Modules and Awards. 2015b. http://www.rcvs.org.uk/document-library/small-animal-modules/ (Accessed: April 5th 2018)

RCVS. Code of Professional Conduct for Veterinary Nurses. 2019a. http://www.rcvs.org.uk/advice-and-guidance/code-of-professional-conduct-for-veterinary-nurses/ (accessed on February 25th, 2019)

RCVS. Code of Professional Conduct for Veterinary Surgeons. 2019b. https://www.rcvs.org.uk/setting-standards/advice-and-guidance/code-of-professional-conduct-for-veterinary-surgeons/ (accessed on February, 25th 2019)

Cats and dogs are gaining more rights, reports author David Grimm. 2014. http://news.national-geographic.com/news/2014/04/140406-pets-cats-dogs-animal-rights-citizen-canine/ (accessed April 1st, 2016)

Shilcock M, Sutcliffe G. Veterinary Practice Management: A Practical Guide.London: Elsevier Saunders; 2008

Society of Practicing Veterinary Surgeons. SPVS Salaries survey 2015. 2015. https://www.bvna.org.uk/downloads/salary-survey-2015.pdf (accessed April 8th, 2019)

Soest EM, Fritschi L. Occupational health risks in veterinary nursing: an exploratory study. Aust Vet J. 2004; 82:(6)346-50 https://doi.org/10.1111/j.1751-0813.2004.tb11101.x

The Working Time Regulations. 1998. http://www.legislation.gov.uk/uksi/1998/1833/made (accessed April 1st, 2016)

Tremlett N. Out-of-hours emergency cover. Vet Rec. 2007; 160:(18) https://doi.org/10.1136/vr.160.18.634-a

Truth Legal. Veterinary Nurse awarded compensation following a dog bite. 2015. http://www.truthlegal.com/case-studies/veterinary-nurse-awarded-compensation-following-a-dog-bite/ (accessed April 1st, 2016)

Vets Now. Why are Vets Now prices higher than my regular vet?. 2016. https://www.vets-now.com/pet-owners/faqs/why-are-vets-now-prices-higher-than-my-regular-vet/ (accessed April 1st, 2016)

‘Your Policy is Evolving’, Special Edition. : Newsletter; 2015

Veterinary Surgeons Act. Schedule 3 amendment Order 2002. 1966. https://www.rcvs.org.uk/document-library/veterinary-nurses-and-the-veterinary-surgeons-act-1966/schedule-3-guidance-july-2016.pdf (accessed March 1st, 2019)

West S, Mapedzahama V, Ahern M, Rudge T. Rethinking shiftwork: mid-life nurses making it work!. Nurs Inq. 2012; 19:(2)177-87 https://doi.org/10.1111/j.1440-1800.2011.00552.x

Worksafe. Welcome to the safe@work veterinary module. 1996. http://www.education.vic.gov.au/Documents/school/students/beyond/veterninary-print.pdf (accessed March 26th, 2016)

Ethical dilemmas surrounding 24-hour nursing provision for patients in veterinary practice

02 April 2019
10 mins read
Volume 10 · Issue 3

Abstract

Providing suitable 24-hour patient care is a difficult topic for many veterinary practices (VP) and involves many ethical dilemmas to ensure that the patient's, staff's and clients' needs are met. Following rules and regulations to prevent litigation, providing care for good patient outcomes and upholding client expectations at an affordable price, alongside the provision for staff wellbeing makes this a difficult task. Evidence-based research, technology and effective communication skills may help to solve these dilemmas.

Concern regarding the provision of out-of-hours care in veterinary practices (VPs) has high-lighted the mismatch of the public's perception of 24-hour emergency care availability against what is actually achievable in practice (Tremlett, 2007). As litigation increases in VP the Veterinary Defence Society (2015) stated the importance for veterinary professionals to act within the guidelines of regulatory bodies. The Guide to Professional Code of Conduct for veterinary surgeons (VSs) and registered veterinary nurses (RVNs) (RCVS, 2019a,b) offers guidelines surrounding inpatient care and clearly states that the VS and RVN are responsible for providing appropriate and adequate inpatient care by persons with the relevant knowledge and expertise. RVNs and animal care assistants (ACAs) play an important role in the provision of overnight patient care in hospital facilities but there are many ethical, moral, and legal dilemmas involved when implementing such provisions that affect the patients, staff, and clients.

Register now to continue reading

Thank you for visiting The Veterinary Nurse and reading some of our peer-reviewed content for veterinary professionals. To continue reading this article, please register today.