Veterinary Technician | December 2009 by davidpsu

The Complete Journal for the Veterinary Health Care Team

Vol. 30 No. 12 | December 2009

Canine Osteosarcoma

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J O I N T H E A LT H

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Editor’sLetter

The Complete Journal for the Veterinary Health Care Team

Vol. 30 No. 12

December 2009 EDITOR IN CHIEF Marianne Tear, MS, LVT

EDITORIAL STAFF Tracey L. Giannouris, MA, Executive Editor 267-685-2447 | tgiannouris@vetlearn.com Paul Basilio, Associate Editor Allyson Corcoran, Editorial Assistant VETERINARY ADVISER Dorothy Normile, VMD, Chief Medical Officer SALES AND MARKETING Tom McCabe, Vice President, Business Development 267-685-2662 | tmccabe@vetlearn.com DESIGN Michelle Taylor, Senior Art Director David Beagin, Art Director Bethany Wakeley, Production Artist Stephaney Weber, Production Artist OPERATIONS Marissa DiCindio, Director 267-685-2405 | mdicindio@vetlearn.com Christine Polcino, Traffic Manager CUSTOMER SERVICE 800-426-9119, option 2 | info@vetlearn.com

Taking It Digital in 2010... That’s right—we’re going digital (and green) in 2010! What does this mean, you ask? Well, for starters, it means that VETERINARY TECHNICIAN® will publish monthly online at our new Vetlearn.com site. The journal will continue to be peer reviewed and provide the high-quality content that you have known and trusted for nearly 30 years. Now here’s the exciting part of our transition Tracey with her son, Michael Francis to digital: digital gives you more—more content; more CE; more peer-to-peer interaction, including online instructional step-by-step videos; Q&A forums with key opinion leaders and experts in the field; practice management analytic tools; and an online veterinary community—all in one central location and backed by our editorial team and advisory board of experts. All of us here at VETERINARY TECHNICIAN and Vetlearn.com are committed to meeting the growing educational and practice management needs of you, our readers, and are energized about our new online presence at Vetlearn.com. This is your final print issue, so I urge you to go online today and register or update your profile at Vetlearn.com. Sign-up is FREE to all veterinary professionals. All of us here at VETERINARY TECHNICIAN wish you a safe, healthy, and happy holiday season and look forward to seeing you online in 2010! Very truly yours,

PUBLISHED BY

Tracey L. Giannouris, MA Executive Editor 780 Township Line Road • Yardley, PA 19067

PRESIDENT Derrick Kraemer

Our Mission VETERINARY TECHNICIAN is designed to support and actively promote the professional status and value of veterinary technicians and assistants in their own eyes, in the eyes of their colleagues and employers, and within veterinary medicine as a whole. Indexing: VETERINARY TECHNICIAN ® is included in the international indexing coverage of Index Veterinarius (CAB International), Focus On: Veterinary Science and Medicine (ISI), SciSearch (ISI), and Research Alert (ISI). Article retrieval systems include The Genuine Article (ISI) and The Copyright Clearance Center, Inc. Yearly author and subject indexes for VETERINARY TECHNICIAN are published in December on our website.

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for free access to Veterinary Technician. Vete Veterinary Technician | DECEMBER 2009

EditorialBoard Our Mission VETERINARY TECHNICIAN is designed to support and actively promote the professional status and value of veterinary technicians and assistants in their own eyes, in the eyes of their colleagues and employers, and within veterinary medicine as a whole.

Glenn Triest

EDITOR IN CHIEF

Elaine Anthony, MA, CVT St. Petersburg College

Kimberly A. Baldwin, LVT, VTS (ECC) Cornell University

Marianne Tear, MS, LVT Program Director Veterinary Technology Program Baker College of Clinton Township, MI

Andrea Battaglia, LVT Cornell University

Tracy Blais, BS, CVT, MEd

SECTION EDITORS

Mount Ida College

BEHAVIOR Julie Shaw, RVT

David Bolette, RVT, LATg University of Pittsburgh

Animal Behavior Clinic Purdue University

Susan Bryant, CVT, VTS (Anesthesia) Tufts Cummings School of Veterinary Medicine

DENTISTRY Jeanne R. Perrone, CVT, VTS (Dentistry)

Mary Tefend Campbell, LVT, VTS (ECC)

Tampa Bay Veterinary Specialists

Mindy A. Cohan, VMD

EQUINE DeeAnn Wilfong, BS, CVT

Fort Washington Veterinary Hospital

Littleton Large Animal Clinic Littleton, CO

Elizabeth Davis, DVM, PhD, DACVIM

NUTRITION Ann Wortinger, BIS, LVT, VTS (ECC, SAIM) Wayne State University

Kansas State University

Harold Davis, BA, RVT, VTS (ECC, Anesthesia) University of California, Davis

DeeAnn Wilfong

Katherine Dobbs, RVT, CVPM, PHR interFace Veterinary HR Systems, LLC Appleton, WI

Jeanne R. Perrone

Joseph A. Impellizeri, DVM, DACVIM Wappingers Falls, NY

Tara Lang, BS, RVT Critter Communications, LLC Cape Girardeau, MO Julie Shaw

Donna Letavish, CVT

Marianne Tear Ann Wortinger

Peter Olson

Michigan State University

Heidi Lobprise, DVM, DAVDC Pfizer Animal Health

Alfred State College (CE Accreditation)

Melvin C. Chambliss, DVM Program Director

Douglas J. Pierson, VMD, MPS Kathleen M. Bliss, LVT, MALS Kelly Collins, LVT Tracey M. Martin, LVT

Laura McLain Madsen, DVM Central Valley Veterinary Hospital Salt Lake City, UT

Rosandra (Rose) Manduca, DVM Miami Dade College

Betty A. Marcucci, MA, VMD VCA Burbank Veterinary Hospital

Trisha McLaughlin, CVT Newtown Veterinary Hospital Newtown, PA

Kathryn E. Michel, DVM, MS, DACVN University of Pennsylvania

Christopher Norkus, BS, CVT, VTS (ECC, Anesthesia) Ross University School of Veterinary Medicine Basseterre, St. Kitts, West Indies

Jody Nugent-Deal, RVT University of California, Davis

Kristina Palmer-Holtry, RVT University of California, Davis

Karl M. Peter, DVM Foothill College

Ann Rashmir-Raven, DVM, MS, DACVS Mississippi State University

Virginia T. Rentko, VMD, DACVIM Medway, MA

Nancy Shaffran, CVT, VTS (ECC) Margi Sirois, EdD, MS, RVT Penn Foster College

P. Alleice Summers, MS, DVM Cedar Valley College

Any statements, claims, or product endorsements made in VETERINARY TECHNICIAN are solely the opinions of our authors and advertisers and do not necessarily reflect the views of the Publisher or Editorial Board. VETERINARY TECHNICIAN® (ISSN 8750-8990) is published monthly by Veterinary Learning Systems, a division of MediMedia USA, 780 Township Line Road, Yardley, PA 19067. Copyright ©2009 Veterinary Learning Systems. All rights reserved. Canada Post international publications mail product (Canadian distribution) sales agreement number 40014103. Return undeliverable Canadian addresses to MediMedia, PO Box 7224, Windsor, ON N9A 0B1. Printed in USA. No part of this issue may be reproduced in any form without written permission from the publisher. Periodicals postage paid at Morrisville, PA, and at additional mailing offices. Subscription rate: $49 for one year, $88 for two years, $126 for three years. Canadian and Mexican rates: $55 for one year, $102 for two years, $142 for three years. Foreign rate: $129 for one year, $219 for two years, $349 for three years. (All checks must be payable to Veterinary Learning Systems in US funds drawn on a US branch of a US bank.) Selected back issues are available for $8 each (plus postage). Reprints are available for all VETERINARY TECHNICIAN articles; call 800-426-9119. POSTMASTER : Send address changes to Veterinary Technician, Veterinary Learning Systems, 780 Township Line Road, Yardley, PA 19067.

DECEMBER 2009 | Veterinary Technician

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Contents

CE ARTICLE

Canine Osteosarcoma Marisa Rhyne, RVT, VTS (ECC, SAIM) Osteosarcoma is a devastating diagnosis, both for a veterinary health care team to give an owner and for a pet owner to accept. Osteosarcoma is the most common primary bone cancer diagnosed in veterinary medicine. This article focuses on the presentation, diagnosis, treatment options, and nursing care of canine osteosarcoma patients. The peer-reviewed CE articles contained in VETERINARY TECHNICIAN meet the standards set by Alfred State College for 1.0 credit hour. Documentation will be issued by Alfred State College, a State University of New York (SUNY) College of Technology.

DEPARTMENTS Editor’s Letter ......................................1

Advertisers Index .........................22

Editorial Board ....................................2

Market Showcase ........................... 24

Tech Tips..........................................10

Classiﬁed Advertising .................... 25

Correction The glossary in “Correction of a Canine Left-to-Right Shunting Patent Ductus Arteriosus” (October 2009), contained an error. The definition of ductus arteriosus should have read, “fetal vessel that allows blood flow from the pulmonary artery to the aorta, bypassing the lungs.”

Volume 30, Issue 12

Let Your Voice Be Heard As president-elect of NAVTA, Denise Mikita, MS, CVT, works with the executive board and committees to ensure that the entire veterinary health care team is recognized for its efforts and has a voice in the profession. Read an in-depth Q&A with one of the most visible advocates for the veterinary team.

COLUMN 28 Management Matters Follow the Leader: Are They Behind You? Katherine Dobbs, RVT, CVPM, PHR

This is the final printed issue! To receive the digital edition, register now at

Receive 24/7 access to complete digital issues and searchable archives of our industry-leading publications, as well as continuing education, video tips, client handouts, practice management advice, expert blogs on current issues, and much more. Simply go to www.vetlearn.com/pin, enter your unique 8-character pin (located at the top right of your address label), and get instant access to today’s top veterinary information. 4

DECEMBER 2009 | Veterinary Technician

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December 2009

The Complete Journal for the Veterinary Health Care Team

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Data on file at Merial TS-USA-28701. McCall JW, Alva R, Irwin JP et al. Comparative efficacy of a combination of fipronil/(S)-methoprene, a combination of imidacloprid/permethrin, and imidacloprid against fleas and ticks when administered topically to dogs. J Appl Res Vet Med 2004;2(1):74-77. 3 Franc M, Beugnet, Vermots. Efficacy of fipronil - (S)-methoprene on fleas, flea egg collection, and flea egg development following transplantation of gravid fleas onto treated cats. Vet Ther 2007;285-292. 2

Cover Story

Let Your Voice Be Heard Allyson Corcoran Editorial Assistant

Denise Mikita, MS, CVT, wants your voice to be heard. As president-elect of the National Association of Veterinary Technicians in America (NAVTA), Denise works with the executive board and committees to ensure that the entire veterinary health care team is recognized for its efforts and has a voice in the profession.

When NAVTA—originally called the North American Veterinary Technician Association—was founded in 1981, its goal was to give veterinary technicians a voice regarding national issues. Today, with the same aim in mind, NAVTA focuses on three goals: 1. Inﬂuence the future of NAVTA members’ professional goals 2. Foster high standards of veterinary care 3. Promote the veterinary health care team Here, Denise discusses the ins and outs of NAVTA.

Who should join NAVTA? NAVTA welcomes anyone in the veterinary industry. If you are a veterinary technician or veterinary assistant or are considering becoming one, you should consider joining NAVTA.

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Why should technicians join? NAVTA is the national association that represents the veterinary health care team. The more members we have, the louder our voice. It’s important because NAVTA gives people a chance to have a say in their profession. Another great reason to join NAVTA is that the association is very extroverted, even if individual members are not. Most technicians enter the veterinary ﬁeld because they work well with animals—not necessarily with people. If you are an introvert, you can let the association do the talking for you. If you want a voice, but you’re too timid to say something yourself, use the association to get the message out! 6

DECEMBER 2009 | Veterinary Technician

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Cover Story

Is there an advantage to joining NAVTA over a state association? It’s not about advantages because the two play very different roles. They are both important to the success of the profession. I encourage technicians to join their state associations and NAVTA if they really want to make a difference. What is NAVTA’s relationship with the AVMA? We are constantly working with the AVMA. We both want to share resources and, ultimately, promote the veterinary community as a whole. The AVMA has contributed media pieces promoting technician awareness and National Veterinary Technician Week. We reached a milestone in 1992 when the AVMA recognized NAVTA as a solid association that represents the profession. Today, technicians have to belong to NAVTA to sit on AVMA committees. We have also had a very good presence at the last three AVMA conferences, and we continue to support the AVMA and encourage our relationship. What is NAVTA’s relationship with the state associations? Many state associations have an elected NAVTA representative. This is a great way for state associations to have input into NAVTA and for NAVTA to directly communicate with state associations. It’s a two-way street. In addition, many NAVTA Board members have been present at state conference meetings over the past several years. This is a great way to meet with the people from that individual state.

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What would you say to people who claim they don’t have time to commit to an association? I think some people have misconceptions about what it means to be part of an association, and some of the blame for that rests on the shoulders of the associations for not getting the right message across. You don’t give up part of your

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What is the NAVTA Leadership Conference? It’s a 2-day meeting for state representatives. On the ﬁrst day, we have speakers who directly enhance the profession. It’s not a clinical conference. We focus on the leadership aspect, association management, volunteers, etc. At our last conference, we brought in a motivational speaker who shared some key points about how associations can better serve members. We also had the NAVTA lawyer speak about the legal issues involved in incorporating state associations. We talked about what the national and state associations were doing and how we could work with them.

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DECEMBER 2009 | Veterinary Technician

5/15/09 11:47:59 AM

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Cover Story

What would you say to people who say they cannot afford the membership fee? We’re not in a high-paying ﬁeld, so individual’s budgets can be tight. I understand that people have to be careful with their money, but when we educate people about what our association does, we don’t focus much on tangible beneﬁts. NAVTA is made up of individuals who are constantly monitoring the profession and making decisions to enhance the profession, and I think that’s worth the fee. What should people do if they are interested in joining? If a person is interested in joining, he or she can visit www. navta.net. We are having a general membership meeting at the NAVC Conference in Orlando, FL. The meeting will be held on Monday, Jan. 18 at noon in the Jade Room at the Marriott and is open to anyone interested in NAVTA. What are NAVTA’s future goals? We are looking at legislative issues, such as the Veterinarian Services Investment Act (HR3519), and are trying to encourage our members to support the bill and get involved in the legislative process at the national level. We have hired a legislative affairs professional to monitor the association’s interest in legislation. We are increasing our communication about the roles of veterinary health care team members. We also have a committee working on a veterinary technician assistant credentialing program and have established a National Credentialing Standard Task Force to assess overall arching issues across the nation. We’re focusing not only on the veterinary profession but also on clients and the general public so they understand our role within the veterinary health care team. Everyone knows what a veterinarian does, but not everyone understands what the rest of the team members do. To help with that plan, we are partnering with AAHA to create a consumer publication to distribute to clinics. www.Vetlearn.com

Veterinary Technician | DECEMBER 2009

life to join an association. In fact, just paying your membership fee and having your name on a member list have a big impact. With a large association, it can be a numbers game. If we have higher numbers, we can offer valuable and tangible benefits to the members, such as discounts and savings that may help develop their careers. However, if you want to have a voice, you have to make some effort. By making an effort, getting involved, and understanding how the association works, you can make a difference. Communicating problems to NAVTA is the first step. We need to know what’s going wrong in order to fix it. Simply recognizing and supporting the group as a whole also makes a difference.

Jaz, a black Labrador, steals a kiss from Denise, who is surrounded by Tay, a white border collie, and Kit. As always, we will strive to meet our three main goals and promote unity and recognition of veterinary technicians and the entire health care team. VT

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TechTips Postsurgical Phone Calls

In each of our examination rooms, we have dry erase boards with helpful tips and updates for clients. Staff members develop interesting and informative themes for each examination room, and an artistic team member illustrates the ideas. If needed, the doctors can also use the boards to illustrate concepts for clients. The staff at Bayside Animal Hospital Cambridge, MD

Courtesy of the staff at Bayside Animal Hospital

Each published Tip of the Month contributor receives a surprise gift in addition to $50.

Holiday Cheer During the holidays, we use Vetrap (3M) to make shapes and designs to decorate bandages. This allows us to be creative and use our imagination, and the clients really love it. Last Christmas, we cut out stockings using red Vetrap, placed white tape at the top, and wrote the name of the pet on the tape. Angela Martin, LVT Ashburn, VA

Our phone lines can become ﬂooded with postsurgical inquiries from owners. To alleviate this, we call owners after their pets are out of surgery, no matter how routine the surgery may be. Owners are grateful because this gives them some peace of mind until they pick up their pets later in the day. Julie Squibb Lively, ON, Canada

Surgical Prep Idea When preparing a surgical area, I use a lint roller to pick up ﬁne, shaved hairs that cannot be brushed away. Magda Sobanski Charlotte, NC Courtesy of Da’Neil Spencer, CVT

TIP of the MONTH

To keep blood tubes organized in the laboratory area, we use a piece of the Styrofoam tray in which the tubes were originally packaged. We cut the tray and tape a piece of it next to each blood machine and in the area where we prepare our outgoing laboratory work. This keeps the tubes from rolling, helps prevent spills, and is a great way to recycle. Da’Neil Spencer, CVT Neenah, WI

Fluid-Bag Covers

Courtesy of Rebecca Manninen

Courtesy of Christina Kamprad

Pamphlet Holder We had many product pamphlets, but no efﬁcient way to store them. So we purchased a clear plastic shoe holder and hung it on the back of a door. This allows easy access, requires little space, and keeps our pamphlets in plain sight. Rebecca Manninen Paradise, CA

Blood-Tube Holder

We use old scrub pant legs to cover our light-sensitive ﬂuids. We cut 1.5 ft from the bottom of the pant leg and sew the top together, leaving a small slit through which the bag loop can pass. This is inexpensive, and the covers are machine washable. It is important to remember to frequently lift the cover to check on the bag. Christina Kamprad Washington, DC

Staff Recognition Microchipping Idea When a pet is microchipped, we take a picture of the pet and the microchip numbers and print the pictures on the client’s invoices. Clients love to see the pictures, and the identiﬁcation number is handy if the pet goes missing. The pictures are beneﬁcial for us to have when animal control or clients bring in lost animals that have microchips. Cameron Guest Greer, SC 10

DECEMBER 2009 | Veterinary Technician

Our ofﬁce manager created a “Good Job Wall,” which is a small bulletin board that hangs in the back of the clinic. When someone does something noteworthy, we can post a note of thanks or congratulations on the board. At the monthly staff meeting, a note is randomly picked and read, and the person of honor is given a prize. The wall is a great way to encourage employees and ensure that they get the recognition they deserve. Darcey Thoits Cumberland, ME www.Vetlearn.com

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CE Article #1

Canine Osteosarcoma

steosarcoma is a devastating diagnosis, both for a veterinary health care team to give to an owner and for a pet owner to accept. Osteosarcoma is the most common primary bone cancer diagnosed in veterinary medicine. There are also other less frequently diagnosed bone malignancies, including chondrosarcomas, hemangiosarcomas, and ﬁbrosarcomas.1,2 This article focuses on the presentation, diagnosis, treatment options, and nursing care of canine osteosarcoma patients.

By Marisa Rhyne, RVT, VTS (ECC, SAIM)

History Osteosarcoma accounts for approximately 80% of diagnosed bone tumors in dogs.1–4 Osteosarcoma is most common in middle-aged or older, large- and giant-breed dogs.1,2,4,5 However, it can also be seen in medium-sized dogs.1–3,5 Osteosarcoma is a highly aggressive cancer, typically manifesting as soft tissue swelling at the affected site. Metastasis is not commonly seen in radiographs of the lungs at the time of diagnosis; however, approximately 85% to 90% of patients have micrometastasis at the time of diagnosis.3,5 In patients with osteosarcoma, the lungs are the primary site of metastasis; secondary sites include the bones, viscera, and lymph nodes.6 Although osteosarcoma tends to be aggressive, it typically does not cross the joint space to affect other bones.2 12

DECEMBER 2009 | Veterinary Technician

Presentation On presentation, the most common owner complaint is lameness, along with swelling and pain in the affected area. The onset of the lameness is followed by swelling in the affected limb within 1 to 2 weeks, although the time can vary depending on the location of disease involvement.3,4,7 Osteosarcoma is classified as appendicular or axial. Appendicular osteosarcoma affects the appendages of dogs and is most common in large-breed dogs. The most common sites of appendicular osteosarcoma are the distal radius and proximal humerus in the forelimbs and the distal femur and proximal and distal tibias of the hindlimbs. Axial osteosarcoma, a less aggressive type,1–3,5 commonly involves the pelvis, ribs, or various areas of the skull.1 Axial osteosarcoma is most common in mediumsized dogs.1 The diagnostic process for osteosarcoma is similar to that for other cancers. Definitive diagnosis requires a biopsy. Often, a presumptive diagnosis of osteosarcoma is made based on clinical signs, physical examination, and radiography of the affected limb or area. Most often at the time of diagnosis, whether presumptive or definitive, osteosarcoma has developed into an advanced stage (i.e., stage III) due to its aggressive nature.1,2,5,8 The tumor staging is based on the World Health Organization’s and Veterinary Cancer Society’s clinical staging Continues on page 15 www.Vetlearn.com

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Continued from page 12 systems of tumors.8 Stage III indicates that distant metastasis is present.8 A common alteration on the blood chemistry profiles of patients with osteosarcoma is an elevated alkaline phosphatase (ALP) level.5,7 Studies have associated an increased ALP level with a guarded prognosis.5,7 Cancer staging is valuable because it provides the veterinary team with the information needed to help the owner make the best decision for the pet. Before a treatment protocol is initiated, preferably by an oncologist, several components are evaluated. Staging a tumor involves evaluating local and distant disease, whether or not it is neoplastic. The following diagnostics are critical for helping determine how to best manage a patient: physical examination, complete blood count, blood chemistry profile, urinalysis, ultrasonography, three-view chest radiography, and/or computed tomography (CT) of the thoracic cavity to detect subtle metastatic lesions. Traditional radiography is unlikely to detect micrometastasis because the metastases are too small. CT can detect small changes much more effectively. Paraneoplastic syndromes can be identified and managed.5 These syndromes are clinical manifestations of neoplasms affecting areas of the body distant from the tumor. Examples of potential paraneoplastic complications include anorexia, protein-losing enteropathy, hypercalcemia, anemia, hypoglycemia, hyperglycemia, thrombocytopenia, and alopecia.

Osteosarcoma is the most common primary bone cancer diagnosed in veterinary medicine.

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Treatment The goal of treating osteosarcoma is to control local pain and distant disease.2,4,7–10 Treatment options include surgery, chemotherapy, pain management/analgesia, and radiation therapy. Local pain can be controlled with analgesics, surgery, and radiation therapy. Distant disease can be controlled with chemotherapy. Managing the patient’s pain is a critical concern for owners and the veterinary team. As osteosarcoma progresses, it becomes increasingly painful because increased pressure within the bone stretches the periosteum.4,9 As a result, osteosarcomas grow outward, accounting for the pain and swelling generally noticed on physical examinations. www.Vetlearn.com

DECEMBER 2009

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The prognosis for most osteosarcoma patients is grave. Most have a median survival time of 4 to 12 months, with or without treatment.2–5,7 The patient’s prognosis and treatment options are discussed with the owner after evaluation of the patient and a physical examination and diagnostic results have been determined by a board-certified oncologist. Discussion with the owner regarding the correct treatment modality or combination of modalities for the patient is vital for clear communication and expectations. For example, a severely obese, arthritic dog may not do well after an amputation; therefore, medical management with palliative care may be the best choice. Surgery—Depending on the patient, surgical amputation can be appropriate for treating appendicular osteosarcoma. The patient should be evaluated by an experienced specialist (i.e., an oncologist or surgeon) to determine whether it is a candidate for amputation. A common client concern regarding amputation is the quality of life for three-legged animals, especially large dogs. Most dogs adjust quite well and fairly quickly to having three legs. The median survival time with amputation alone is approximately 4 to 6 months.1–3,5,8 Adjuvant chemotherapy can be used to delay the progression of metastatic disease. If the patient is not a good candidate for surgery or if the owner does not want to pursue it, medical management must be implemented. Chemotherapy—Chemotherapeutic drugs for treating osteosarcoma are used to alter the course of the metastatic disease process (i.e., slow down the metastatic component of the disease). Commonly used chemotherapeutic drugs include platinum drugs (i.e., carboplatin or cisplatin) and doxorubicin.5 Immunotherapy—Immunotherapy is an increasing area of research in which autogenous vaccines are under investigation.a Pain Management/Analgesia—Because of the painful nature of osteosarcoma, pain management is critical to patient care. Pamidronate, an aminobisphosphonate, can be used in combination with other treatment options to provide analgesia.5,11 Studies are being performed to establish its efficacy. One study has shown a decrease in pain when pamidronate is used in conjunction with NSAIDs5 (anecdotally, many oncologists think there is value in controlling bone pain). Osteosarcoma is extremely painful, and finding a drug or combination of drugs to alleviate the pain can be difficult. Analgesia options include administration of opioids, NSAIDs, tramadol, amantadine, or gabapentin as well as radiation therapy. Radiation Therapy—Radiation therapy can be used as a palliative or definitive treatment. In treating osteosarcoma, radiation therapy is most often used for palliation, to eliminate or reduce pain. Radiation therapy does not prolong survival7 but can improve the quality of life by reducing pain. To alleviate pain, radiation therapy not only kills tumor cells and inflammatory cells but also decreases bone destruction caused by osteoclasts.4 Oral a

Impellizeri JA. Personal communication.

DECEMBER 2009

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Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian. Indications: For use in dogs for correction of conditions associated with low circulating thyroid hormone (hypothyroidism). Dosages: The initial recommended daily dose is 0.1 to 0.2 mg/10 pounds (4.5 kg) body weight in single or divided doses. Dosage is then adjusted by monitoring the T4 blood levels of the dog every four weeks until an adequate maintenance dose is established. Administration: Thyro‑Tabs® may be administered orally or placed in the pet’s food. Warnings: The administration of levothyroxine sodium to dogs to be used for breeding purposes or in pregnant bitches has not been evaluated. There is evidence to suggest that administration to pregnant bitches may in some instances affect the normal development of the thyroid gland in unborn pups. How Supplied: 0.1 mg, 0.2 mg, 0.3 mg, 0.4 mg, 0.5 mg, 0.6 mg, 0.7 mg, 0.8 mg, and 1.0 mg tablets in 28, 120, and 1,000 count. READ PACKAGE INSERT FOR COMPLETE DIRECTIONS

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pain medications are administered after radiation therapy. The radiation therapy protocol should be designed by a board-certiﬁed radiation oncologist. Many protocols exist. One protocol uses two consecutive treatments of 8 Gy/day on days 0 and 1 for a total dose of 16 Gy.4,7 Another protocol uses three spaced treatments of 10 Gy/day on days 0, 7, and 21 for a total dose of 30 Gy.4,7 The treatment ﬁeld generally involves the radiographic extent of the tumor with 2to 3-cm margins on all sides.4,7 Generally, pain relief begins approximately 2 weeks after treatment and can last 2 to 4

Glossary Adjuvant chemotherapy— chemotherapy that assists in treating cancer (i.e., after surgery) Appendicular—relating to an appendage such as an arm or leg Axial—relating to the skeletal parts of the trunk or head Definitive treatment—treatment focused on curing a disease process Dry desquamation—peeling of the skin or area being radiated in a dry manner Gy—abbreviation for gray (the unit of measure used for radiation therapy), which is equal to 1 joule/ kg of irradiated material Micrometastasis—the presence of microscopic tumors at secondary sites; it is not detectable on radiographs Osteoclasts—large, multinuclear cells in bone that remodel damaged bone Palliative treatment—treatment focused on relieving pain, not curing a disease process Paraneoplastic syndrome—cancerassociated structural or functional changes in a patient’s body occurring at sites distant from the primary cancer location Periosteum—fibrous membrane covering the outer surface of the bone except for the articular surface

DECEMBER 2009 | Veterinary Technician

months.4,5,7,11 If pain returns, the radiation oncologist may recommend repeating the previous radiation protocol. Retreatment is not performed if the owner declines it or if a fracture has occurred at the affected site. Radiation therapy protocols are designed to deliver an effective dose of radiation that is unlikely to cause signiﬁcant acute effects. The adverse effects vary according to the patient and area being treated. With protocols involving two or three treatments, adverse effects are rare but may involve dry desquamation or alopecia.

The Technician’s Role

Brief Summary: For full product information see product insert. Caution: Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian. Description: ATOPICA (cyclosporine capsules, USP) MODIFIED is an oral form of cyclosporine that immediately forms a microemulsion in an aqueous environment. Indications and Usage: ATOPICA is indicated for the control of atopic dermatitis in dogs weighing at least 4 lbs body weight. Dosage and Administration: The initial daily dose of ATOPICA is 5 mg/kg/day (3.3-6.7 mg/kg/day) as a single daily dose for 30 days. Following this initial daily treatment period, the dose of ATOPICA may be tapered by decreasing the frequency of dosing to every other day or two times a week, until a minimum frequency is reached which will maintain the desired therapeutic effect. ATOPICA should be given at least one hour before or two hours after a meal. If a dose is missed, the next dose should be administered (without doubling) as soon as possible, but dosing should be no more frequent than once daily. See Product Insert for dosing chart. Contraindications: ATOPICA is contraindicated for use in dogs with a history of neoplasia. WARNINGS: ATOPICA (cyclosporine) is a potent systemic immunosuppressant that may increase the susceptibility to infection and the development of neoplasia. Human Warnings: Not for human use. Keep this and all drugs out of reach of children. For use only in dogs. Precautions: Gastrointestinal problems and gingival hyperplasia may occur at the initial recommended dose. ATOPICA should be used with caution with drugs that affect the P-450 enzyme system. Simultaneous administration of ATOPICA with drugs that suppress the P-450 enzyme system, such as ketoconazole, may lead to increased plasma levels of cyclosporine.

Veterinary technicians must closely monitor patients that are sedated or under general anesthesia while undergoing surgery, diagnostics, chemotherapy, or radiation therapy. Bone affected by osteosarcoma can fracture easily, which is important to remember when affected patients are waking from anesthesia. To avoid a fracture, these patients should be placed in a cage or run under technician supervision. Veterinary technicians may also be responsible for client communication, which can help determine the patient’s needs. Changes in the patient that are noticed by the owner can indicate the recurrence of pain and a need to adjust the treatment protocol. These changes include the eating and drinking habits of the patient, lethargy, lameness, or other signs of pain. In cases of appendicular osteosarcoma, the patient can be ﬁtted with a sling before leaving the clinic to allow mobility but reduce pressure on the affected limb. The veterinary technician should describe the appropriate home care for the pet. The owner will need to know what to watch for to assess the pet’s pain level. The owner will also need to inhibit the physical activity of the pet, even though the pet may feel better and appear to be nonpainful (likely because of pain medication). The owner must know that allowing the pet to use the affected limb in a normal capacity can result in a fracture. Continues on page 22

The safety and effectiveness of ATOPICA has not been established in dogs less than 6 months of age or less than 4 lbs body weight. ATOPICA is not for use in breeding dogs, pregnant or lactating bitches.

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Since the effect of cyclosporine use on dogs with compromised renal function has not been studied ATOPICA should be used with caution in dogs with renal insufficiency. There have been reports of convulsions in human adult and pediatric patients receiving cyclosporine, particularly in combination with high dose methylprednisolone. Killed vaccines are recommended for dogs receiving ATOPICA because the impact of cyclosporine on the immune response to modified live vaccines is unknown. As with any immunomodulation regimen, exacerbation of sub-clinical neoplastic conditions may occur. Adverse Reactions: A total of 265 dogs were included in the field study safety analysis. One hundred and eleven (111) dogs were treated with placebo for the first 30 days. For the remainder of the study, all dogs received ATOPICA capsules. Four dogs withdrew from the study after vomiting. One dog each withdrew from the study after diarrhea; vomiting, diarrhea and pruritus; vomiting, depression and lethargy; lethargy, anorexia and hepatitis; gingival hyperplasia, lethargy, polyuria/polydipsia and soft stool; seizure; sebaceous cyst; pruritus; erythema; or otitis externa respectively. Vomiting (30.9%) and diarrhea (20.0%) were the most common adverse reactions occurring during the study.In most cases, signs spontaneously resolved with continued dosing. In other cases, temporary dose modifications (brief interruption in dosing, divided dosing, or administration with a small amount of food) were employed to resolve signs. Persistent otitis externa (6.8%), urinary tract infections (3.8%), anorexia (3.0%), gingival hyperplasia (2.3%), lymphadenopathy (2.3%) and lethargy (2.3%) were the next most frequent adverse events observed. Gingival hyperplasia regressed with dose tapering. Owners of four dogs reported seizures while dogs were receiving ATOPICA. In one dog, seizures were the result of a brain tumor diagnosed one month into the study. Another dog experienced seizures before and after the study. The following clinical signs were reported in less than 2% of dogs treated with ATOPICA in the field study: constipation, flatulence, Clostridial organisms in the feces, nausea, regurgitation, polyuria/ polydipsia, strong urine odor, proteinuria, pruritus, erythema/ flushed appearance, pyoderma, sebaceous adenitis, crusty dermatitis, excessive shedding, coarse coat, alopecia, papillomas, histiocytoma, granulomatous mass or lesion, cutaneous cyst, epulis, benign epithelial tumor, multiple hemangioma, raised nodule on pinna, seizure, shaking/trembling, hind limb twitch, panting, depression, irritability, hyperactivity, quieter, increased light sensitivity, reluctance to go outside, weight loss, hepatitis. Clinical Pathology Changes: During the study, some dogs experienced changes in clinical chemistry parameters while receiving ATOPICA, as follows: elevated creatinine (7.8%), hyperglobulinemia (6.4%), hyperphosphatemia (5.3%), hyperproteinemia (3.4%), hypercholesterolemia (2.6%), hypoalbuminemia (2.3%), hypocalcemia (2.3%) and elevated BUN (2.3%). Post-approval Experience: Neoplasms have been reported in dogs taking ATOPICA, including reports of lymphosarcoma and mast cell tumor. It is unknown if these were preexisting or developed de novo while on ATOPICA. In post-approval drug experience reporting the following additional adverse reactions have been associated with ATOPICA administration in dogs: vomiting, diarrhea, depression/ lethargy, anorexia, pruritus, liver enzyme elevations, trembling, convulsions, polydipsia, polyuria, weight loss, hyperactivity, nervousness, neoplasia. To report suspected adverse reactions or for technical assistance, call 1-800-332-2761. Manufactured for: Novartis Animal Health US, Inc. Greensboro, NC 27408, USA NADA 141-218, Approved by FDA ©2009 Novartis Animal Health US, Inc. ATOPICA is a registered trademark of Novartis AG. NAH/ATO-GC/BS/5 07/08

Rekindle the warmth of friendship. Atopic dermatitis can disrupt even the best relationships. Restore their closeness by prescribing ATOPICA (Cyclosporine Capsules, USP) MODIFIED. Its targeted action gives dogs lasting comfort without the serious health risks associated with steroids. What could be better than bringing friends back together? As with all drugs, side effects may occur. In a field study, the most common side effects were gastrointestinal signs. Gingival hyperplasia and papillomas may also occur during the initial dosing phase. ATOPICA is a systemic immunosuppressant that may increase the susceptibility to infection. ATOPICA is not for use in reproducing dogs or dogs with a history of neoplasia. ®

See Page 18 for Product Information Summary

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Continued from page 18

Conclusion Osteosarcoma is a serious and painful disease, but there are options for improving patient comfort. Although amputation is the most common recommendation, it is not always accepted by owners for ﬁnancial or other reasons. When owners decline amputation, other options need to be presented to improve patient comfort. The most common option is multimodal pain management with various drug combinations and palliative radiation therapy. Regardless of the treatment protocol, the veterinary technician needs to be an advocate for the patient and its comfort. VT

Acknowledgements The author would like to thank Dr. Philip Treuil and Leah Barbee, RVT, for their help and guidance with this article.

To read the references for this article, or to take this month’s CE quiz, visit www.Vetlearn.com ABOUT THE AUTHOR

Marisa Rhyne, RVT, VTS (ECC, SAIM) Marisa is a radiation oncology technician at the Veterinary Specialists of North Texas in Dallas.

Alley Cat Allies Feral Kitten Socialization...................................................................................................... 6 Andis Company Grooming Tools .................................................................................................................... 7 Antech Diagnostics FastPanel PCR ...................................................................................................................... 3 Bayer Health Care Animal Health Advantage Multi for Dogs .................................................................................................. 23 Flea Susceptibility Monitoring Program ........................................ Back Cover (Student Only) Microchipping CE Course .................................................................................................... 16 resQ..................................................................................................................................... 8 Boehringer Ingelheim Vetmedica Growing Product Portfolio ...........................................................................................20–21 Hill’s Pet Nutrition Prescription Diet j/d Canine.................................................Inside Front Cover (Canada Only) Intervet/Schering-Plough Animal Health Canine Influenza Vaccine ...............................................Inside Front Cover (US and Student) Merial Frontline Plus ....................................................................................................................... 5 Novartis Animal Health Atopica............................................................................................................................... 19 P&G PetCare NAVC and WVC Symposia ............................................................................Inside Back Cover Sound-Eklin DR Promotion............................................................................. Back Cover (US and Canada) St. Petersburg College Online Veterinary Technology Program ............................................................................... 9 Summit VetPharm Vectra for Dogs & Puppies .................................................................................................. 11 Vet-A-Mix Thyro-Tabs ......................................................................................................................... 17 Veterinary Learning Systems Vetlearn.com ................................................................................................................. 4, 27 Vet-Stem Stem Cell Treatment .......................................................................................................... 13 Vetstreet Practice Management and Communication Tool........................................................... 14,15

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22 DECEMBER 2009

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Advantage Multi® for Dogs (imidacloprid + moxidectin) Topical Solution CAUTION: Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian. WARNINGS: For the ﬁrst 30 minutes after application: Ensure that dogs cannot lick the product from application sites on themselves or other treated dogs, and separate treated dogs from one another and from other pets to reduce the risk of accidental ingestion. Ingestion of this product by dogs may cause serious adverse reactions including depression, salivation, dilated pupils, incoordination, panting and generalized muscle tremors. In avermectin sensitive dogs, the signs may be more severe and may include coma and death. CONTRAINDICATIONS: Do not administer the product orally. Do not use this product (containing 2.5% moxidectin) on cats. HUMAN WARNINGS: Children should not come in contact with the application site for two (2) hours after application. See Page 22 for Product Information Summary

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24 www.VetTechJournal.com DECEMBER 2009 | Veterinary Technician

Veterinary Technician | AUGUST www.Vetlearn.com 2009 24

ClassiﬁedAdvertising TECHNICIANS WANTED ALASKA – Full/part-time LVT or veterinary assistant with 2 years experience wanted to join outgoing team at 24/7 AAHA-accredited emergency hospital in beautiful Anchorage. Emergency experience a plus. Technician interns welcome. Competitive wages, health and dental insurance, paid vacation, CE, plus more. Fax resume and three professional references to 907-274-5133, or email akbmd@aol.com. Visit www.pet emergencytreatment.com. CALIFORNIA – RVT or experienced veterinary technician needed for busy two-doctor small animal clinic. Well-equipped, competitive salary and medical benefits. No evenings, one Saturday morning a month. Standiford Veterinary Center, 1409 Standiford Avenue #4, Modesto, CA 95350. 209-577-3481, Fax: 209-577-0317, Attention: Linda Lattig.

FLORIDA Coral Springs Animal Hospital is always accepting applications from enthusiastic, motivated, compassionate, dedicated, quality-minded CVTs and similarly experienced technicians without a degree. New graduates are encouraged to apply. We practice professional, excellent veterinary medicine and surgery with the highest degree of ethics and integrity at our general/specialty/emergency/critical care facility, which is open 24/7. We are looking for individuals who want to utilize their veterinary nursing skills to the fullest. Technicians with the desire to work at a premium facility that has a great record of retaining excellent veterinary professionals are encouraged to apply. Salary is commensurate with experience but will range from $32,000–$44,000+ plus shift pay differentials. We also have a generous benefits package that includes health and dental insurance, paid vacation, paid sick or personal days, paid holidays, CE, uniform allowance, retirement plan with employer matching, bonuses, and discounted pet care. Drug-free workplace. Flexible scheduling. Please visit us and take a virtual tour of our brand-new 39,000–sq. ft. state-of-the-art facility at www.coralspringsanimalhosp.com. Please send resume to: Coral Springs Animal Hospital 2160 North University Drive Coral Springs, FL 33071 Attn: Shayne Gardner, Hospital Manager Phone 954-753-1800 • Fax 954-343-0238

TECHNICIANS WANTED

TECHNICIANS WANTED GEORGIA

FLORIDA – Miami Veterinary Specialists is a state-of-the-art referral practice that provides highquality, cutting-edge veterinary medicine. We are always seeking highly enthusiastic, self-motivated, experienced team players to join our fast-growing technician staff. New graduates welcome. Work to your fullest capability assisting our onsite board-certified specialists in: Ultrasonography • Computed Tomography (CT Scans) • Endoscopy • Fluoroscopy • Dermatology • Oncologic Surgery • Neurologic Surgery • Orthopedic Surgery • Soft Tissue Surgery • Internal Medicine • 24-hour Emergency Care • and much more Specialized duties include: patient monitoring (including anesthesia), ICU and critical care, surgical prep, sterility assistance, specialized diagnostics and treatments, and digital radiography. The ability to think and handle responsibility is a must! Our benefits package includes a 401(k), CE, paid vacation, medical/dental insurance, pet discounts, and more. Interested veterinary technicians, please apply in person: Miami Veterinary Specialists, 8601 Sunset Drive, Miami, FL 33143; or fax resume to 305-665-2821, Attn: Brad For more information, call 305-665-2820 or visit www.mvshospital.com

FLORIDA Veterinary Technicians/Nurses We are a state-of-the-art small animal emergency/critical care and referral hospital located in West Palm Beach. Fueled by a dedicated team of professionals, our practice specializes in emergency/critical care, surgery, internal medicine, oncology, neurology, cardiology, radiology, and ophthalmology. We have a place for you, whatever your interests may be! Qualities required in our technicians and nurses include: • Clinical and interpersonal skills • Desire to directly assist with case management • Self-motivated and team-oriented New graduates welcome! Excellent compensation adds to our quality working environment. Additional benefits include medical and dental insurance, 401(k), paid vacation, uniform reimbursement, CE, and discounted services for your pets!

Credentialed veterinary technician wanted for the Radiation Oncology Service of the University of Georgia Veterinary Teaching Hospital. The individual in this position will work alongside a board-certified veterinary radiation oncologist to run the radiotherapy program at the Teaching Hospital The technician will be essential in all aspects of treatment delivery including administration of radiation treatments using a linear accelerator, administering and monitoring anesthesia, and assisting in delivery of plesiotherapy using a strontium-90 applicator. He/she will work collaboratively with the medical oncology service. This position is suitable for a career technician or other qualified professional who is highly motivated and has excellent interpersonal and leadership skills. Experience in radiation oncology is not required. Salary is commensurate with education and experience. An excellent benefits package includes insurance, retirement, paid vacation, sick and holiday leave, uniforms, and tuition remission. Interested candidates are encouraged to apply as soon as possible. For a full job description and to apply online, visit www.vet.uga.edu/var/radtherapytech

VETERINARY TECHNICIAN POSITION The Veterinary Specialty Center Emergency and Critical Care Services is in partnership with a state-of-the-art multi-specialty referral hospital located in the northern suburbs of the Chicago area. We are searching for talented, caring and experienced veterinary technicians. Our team-oriented approach to patient care offers the highest possible quality of care to our patients. Our creative business plan provides for an excellent work environment with outstanding compensation, profit sharing and benefits.

Send resume attention Evelyn Feekin Email: efeekin@vetspecialty.com or fax 847-459-1848

MARYLAND – Veterinary technician: Small animal hospital in Damascus, Maryland (located near Mt. Airy, Germantown and not far from Frederick) seeks an experienced technician/LVT ideal. Salary dependent upon experience. Excellent beneﬁts. Please call 301-258-6144.

BONUS ONUS EXPOSURE O ON

Please call Jennifer at Palm Beach Veterinary Specialists: 561-434-5700; and/or send your resume, Attn: Jennifer: Fax: 561-296-2888; Email: careers@palmbeachvetspecialists.com

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Veterinary Technician | DECEMBER 2009 25

ClassiﬁedAdvertising TECHNICIANS WANTED

TECHNICIANS WANTED

VETERINARY TECHNICIAN SUPERVISOR Experienced veterinary technician supervisor wanted for busy emergency and specialty hospital in western Massachusetts. We are looking for a highly-skilled technician with 3 years minimum experience as a supervisor in an emergency or specialty setting (preferred) or large wellness or specialty practice (10 plus technicians). Certification required. Excellent interpersonal and written and verbal communication skills required. Salaried position. We offer a very competitive benefits package including 401(k), CE, health and dental, life insurance, and disability insurance. Would consider a moving stipend for the right candidate. Send resume to Brenda Salyer Veterinary Emergency & Specialty Hospital 141 Greenfield Road South Deerfield, MA 01373

EMERGENCY/ICU VETERINARY TECHNICIANS Full-time emergency/ICU veterinary technicians wanted for busy emergency and specialty hospital in western Massachusetts. We are looking for highly-skilled technicians with experience in an emergency/CCU setting (preferred) or large wellness or specialty practice (5 plus veterinarians). Certification required. Excellent interpersonal and communication skills required. Three-day work week (36 hours) requires ability to work a rotational schedule including days, overnights, and some holidays. We offer a very competitive benefits package including 401k, CE, health and dental, life insurance, and disability insurance. Would consider a moving stipend for the right candidate. Send resume to Brenda Salyer Veterinary Emergency & Specialty Hospital 141 Greenfield Road South Deerfield, MA 01373

NEW JERSEY – Technical supervisors wanted. We have immediate placement, and future opportunities for growing specialty and ER/Trauma hospital in New Jersey. Looking for candidates who have good communication, management, training and technical skills to fill our weekend, training and other management positions. Check out why we are becoming the employer of choice by going to: www.northstarvets.com for more details on position and how to apply.

TECHNICIANS WANTED PENNSYLVANIA Gwynedd Veterinary Hospital and Emergency Service is a busy 24-hour medical care and referral facility with a 16-doctor and 30-technician team providing comprehensive care and ER services, located 45 minutes northwest of Philadelphia. We have two board-certified specialists on our staff who regularly perform endoscopy, ultrasound, and orthopedic surgery. Our clients appreciate the excellent patient care delivery that we offer, including digital radiography, in-house coagulation testing, multilumen catheterization, capnography, and TPN. Salary is commensurate with experience. Your colleagues are talented and focused on quality patient care using the latest techniques and medications. We offer a flexible schedule and excellent benefits. Please fax resume to 215-699-7754, Attn: Cindy Lorenz E-mail: gwyneddvethosp@comcast.net Visit our website at www.gwyneddvethospital.com

RHODE ISLAND– Veterinary technicians. The Rhode Island Community Spay/Neuter Clinic is a new highvolume, high-quality spay/neuter facility opening in early 2010 in Warwick, Rhode Island. We are seeking several full- and part-time experienced/certiﬁed veterinary technicians and technician assistants. These positions offer a competitive salary and beneﬁts package. Please contact: Liz Skrobisch at info@oceanstateanimalcoalition.org, or OSAC, P.O. Box 6785, Warwick, RI 02886.

SOUTH CAROLINA– Veterinary Emergency Care in

Look no further.

Charleston, South Carolina is seeking enthusiastic, experienced technicians to work emergency hours. The position requires multitasking, typing skills, working busy shifts, teamwork, and enjoys animals and their humans. Full-time employees enjoy full benefits. If interested, please fax your resume to 843-573-4906.

It All Begins Here at DCCCD Cedar Valley College is currently accepting applications for the Director, Veterinary Technology position: Requirements: Doctor of Veterinary Medicine, D.V.M.., plus three years teaching experience and administrative responsibility or comparable experience. Ability to utilize computer technology to access data, maintain records, generate reports and communicate with others. Requires technical communication skills to deal with veterinary technology faculty and other health professionals and individuals from diverse socio-economic backgrounds. Official transcript will be required. Salary: $51,876 - $90,783 Annually, depending on education and experience (Comprehensive benefits package) APPLICATION REQUIREMENTS: Official DCCCD Application for Employment (www.jobs.dcccd.edu ) Resume, Unofficial copy of graduate transcripts. Deadline for all applications (electronic/non-electronic) and other required documents is Open Until Filled. Resume and unofficial transcripts may be faxed to 972-860-8279, emailed to CVCHR@dcccd.edu , delivered in person or mailed to: Cedar Valley College, Human Resources, 3030 North Dallas Ave., Lancaster, TX 75134. Please include position number (030909051) on all documents submitted. For complete job description information and online application please visit our website at: www.dcccd.edu/Business+Community/jobs.htm To send supplemental information email apply@dcccd.edu. Employment opportunities are offered by the Dallas County Community College District without regard to race, color, age, national origin, religion, sex, disability or sexual orientation.

It's FREE! 26

DECEMBER 2009 | Veterinary Technician

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ClassiﬁedAdvertising TECHNICIANS WANTED UTAH – We are seeking skilled veterinary

technicians with a perfect mix of technical and client service capabilities for a high-energy practice in the quaint 9th and 9th district in beautiful Salt Lake City. Our brand-new, state-of-the-art, AAHAaccredited facility is now open. Full-time positions are now available with very competitive wages, great benefits, and team-based work environment. Commitment to excellent patient care and client service a must! Highly motivated technicians who thrive in a fast-paced, challenging, and rewarding position may fax resumes with an intro letter to 801-328-9158 or e-mail info@upcvet.com www.uvhdc.com

VIRGINIA – Part-time/full-time LVT wanted. We are looking for a full-time or part-time licensed veterinary technician to join our growing AAHA practice. We are a four doctor, two LVT practice with great clients and a welltrained, highly committed staff. Your duties will include providing nursing care, taking radiographs, dentals, monitoring anesthesia and assisting in surgeries. You will also be responsible for collecting and processing laboratory specimens and giving routine vaccines. We offer highly competitive beneﬁts including paid vacation, continuing education and insurance. Salary will be commensurate with your skills and experience, and new graduates are welcome. Please contact Sherry Meier, Ofﬁce Manager, at Independent Hill Veterinary Clinic, 13444 Dumfries Road, Manassas, VA 20112, 703-791-2083, or via email: kirby13444@aol.com. (Your best bet is to call.)

TECHNICIANS WANTED

VIRGINIA – Licensed veterinary technician. We are growing! Full-time position available for a personable, energetic, and motivated individual. 6,400 square foot facility, multi-doctor practice (6), digital x-ray, and all new inhouse lab equipment. We strive to practice high caliber medicine in a personalized and compassionate environment. Practice associated with two full-time groomers and a professional trainer. Centrally located between Richmond and Washington, D.C. If you are interested in joining our team, contact us with resume and references - attention Ashley, White Oak Animal Hospital, 10 Walsh Lane, Fredericksburg, VA 22405, or call: (540) 374-0462, or email: woah@woahvets.com.

VIRGINIA – LVT needed for a three-doctor, small animal

Licensed Veterinary Technician Seeking a highly-motivated, self-starting technician that possesses a great attitude and the desire to be highly compensated. The Veterinary Emergency Center, centrally located in Richmond, VA, provides 24 hour emergency, critical care and specialty referral services. To date our location offers board certified specialists in emergency/ critical care internal medicine, radiology, cardiology, surgery, dermatology and ophthalmology as well as providing I-131 treatment for hyperthyroid cats. Our AAHA-accredited hospital is seeking an energetic, goal oriented technician to join our team for a full time or part time position. The VEC offers a skillbased pay scale in which technicians are encouraged and supported to reach the highest skill/ pay level possible. Starting compensation is $16-18/hr DOE, with additional compensation for supervisory responsibilities or VTS certification. In addition to providing a challenging learning environment, the VEC offers an excellent benefits package. Please send resumes to our patient services manager Emily Cox, LVT via mail 3312 W. Cary St., Richmond, VA 23221 Fax 804-353-9271 or E-mail: emilycoxvec@gmail.com

practice near Williamsburg. Located near beaches, mountains, and historic areas. Spacious, well-equipped, AAHAhospital emphasizing client education, preventative medicine, behavioral counseling, and geriatric care. We are looking for an individual who will work well with our motivated, compassionate and team-oriented staff. Excellent opportunity with competitive salary and beneﬁts. Will aid with travel expenses. Please send resume to Dale Sprenkel, P.O. Box 1222, Williamsburg, VA 23187, or e-mail: jmoon@ noahsark.hrcoxmail.com.

Internal Medicine Technician - VA Veterinary Emergency Center (VEC) a 24 hour emergency/critical care hospital and referral center, has an opening in our established internal medicine department. Experience is preferred. The internal medicine department enjoys the ability to collaborate with board certified specialist in radiology, surgery, cardiology and critical care. LVT starting salaries range from $16 -$20 per hour based on experience level and technical ability. LVTs with pertinent specialty certification and/or supervisory experience are additionally compensated. Full-time employees will enjoy our generous benefits package: Vacation/sick pay; CE/licensing/professional membership dues; full medical/dental, short & long term disability/ life insurance; profit sharing and incentive bonuses; uniform allowance; discounts off of specialty pet care. A positive attitude and the ability to work well as a team member are essential. We encourage and support all our staff to achieve the highest skill level and salary possible. Please send resumes to our patient services manager Emily Cox via mail 3312 W. Cary St., Richmond, VA 23221 Fax 804-353-9271 or E-mail: emilycoxvec@gmail.com.

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Veterinary Technician | DECEMBER 2009 27

ColumnName ManagementMatters

Follow the Leader:

Are They Behind You? A

leader is not always defined by his or her title. It is possible to become a leader regardless of your position in a practice, and leaders often lead others who have the same job description. Leaders have a mixture of characteristics and qualities that set them apart from those who are inclined to follow. On the flip side, a leader can be designated as an authority figure but lack the characteristics that inspire people to follow him or her. Through introspection, you may discover that you are one of the leaders in your practice or that you are seen as a leader. The following are the qualities that you should either possess now or cultivate in the future.

and their personal relationships and still be able to maintain friends outside of the work environment.

Integrity

Attitude

A leader typically follows an internal code of ethics that steers him or her toward the right choices. Leaders have a “moral compass” that leads the way, so leaders typically do not lie, deceive, gossip, or steal. When leaders make a decision, they can explain their reasoning in a way that demonstrates adherence to an ethical code of honor. A leader in a veterinary practice will also follow the code of conduct or ethics that applies to that practice and to veterinary medicine in general.

Most important, a leader is a constant source of positive energy in the practice. He or she may not always be in a jovial mood but should be able to maintain a level attitude that does not sink into anger or annoyance. Leaders seem to understand that it is possible to catch more flies with honey than with vinegar, and they want followers who want to be around that positive energy. Anyone can be a leader in a practice. A leader can emerge from the kennel, the front office, or the medical team. Hopefully, a leader has emerged from the manager’s office or the practice owner’s desk. These practice leaders can stabilize the team in a positive way and point everyone in the right direction on the path to the future. VT

Katherine Dobbs, RVT, CVPM, PHR

Consistency A leader should treat everyone the same. Leaders should be fair and impartial and steer clear of favoritism. If one person on the team is praised for doing a good job, the leader should praise others on the team for doing a good job as well. If one team member needs to be reprimanded, the leader should give the same reprimand to others who stray. This can be difﬁcult because the leader must be fair regardless of personal relationships within the practice. Yet, because they are following their internal moral compass, leaders should be able to separate their professional role 28

DECEMBER 2009 | Veterinary Technician

Cooperation A leader is always willing to step in and help, even if the task is not in his or her job description. For example, if a leader is a credentialed technician and the kennel assistant is overwhelmed with boarders, the leader should be willing to roll up his or her sleeves and join in the work. No task is “beneath” them, and they will do their best to also help with tasks that may seem above their knowledge or skill levels. If the practice owner has a project he or she wants to tackle, the leader is willing to step in and learn if he or she can be of assistance.

ABOUT THE AUTHORS

Katherine Dobbs, RVT, CVPM, PHR Katherine is the president of interFace Veterinary HR Systems, LLC. She is a compassion fatigue specialist and presents workshops and lectures on the topic. Contact her at ManagementMatters@sbcglobal.net. For this month’s Final View, visit www.Vetlearn.com www.Vetlearn.com

Two opportunities to hear the latest in clinical science

PRACTICAL APPLICATIONS FOR ACHIEVING GASTROINTESTINAL WELLNESS NAVC CONFERENCE Crystal Salon H, Marriott Tuesday, January 19, 2010 8:00 am–Noon

WESTERN VETERINARY CONFERENCE Tradewinds DF, Mandalay Bay, Level 0 Wednesday, February 17, 2010 8:00–11:50 am

GI Diagnostics for the Busy Practitioner

Dr. Jörg Steiner What About This Case? Canine Clinical GI Cases

Dr. David Twedt (NAVC)/Dr. Stan Marks (WVC) What About This Case? Feline Clinical GI Cases

Dr. Claudia Kirk Why “Biotics”? Using Prebiotics and Probiotics in Your Practice

Dr. Sherry Lynn Sanderson Attend this symposium, complete a short survey, and be entered for a chance to win an ASUS Eee PC mini-laptop!