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8 Equine Palpation Labs Fall (Y3)

Lab Summary

Lab Summary:

  • Lab Name: Equine Palpation
  • Course: CVM 6727 (001, 002)
  • Cohort Year: 3
  • Semester: Fall

Course Information:

  • Course Coordinator: Dr. Kerry Kuhle
  • Course Instructor: Dr. Kerry Kuhle & Dr. Scott Madill (back-up)
  • Technician Lead: Melissa Prokop
  • Additional Instructors: Eileen Kuhlmann & Sally Lightner (back-up)

Lab Location:

  • Building: Leatherdale Equine Center (UMEC or Piper)
  • Location & Storage:
    • Storage: Theriogenology Lab
    • Lab Location: Equine Theriogenology Collection Room
    • Alt. Storage: Tan Metal Cabinet – UMEC Teaching Store Room
  • Support Staff & Contacts: Max Meyers (Dudley Barn Manager)

Pre-Lab/During/Post-Lab

4 weeks Prior to Lab

  • Check Supply Stock Levels in the Therio Repro Lab Cabinets
  • Move over any supplies from Tan Metal Cabinet (UMEC)
  • Order any supplies needed
  • Supply List: 3yr Palpation Lab (tab)

1-2 weeks PRior to Lab

Stock the Main Supply Cart

 

1- week Prior to Lab

  • Secure 3 carts for ultrasounds (u/s)
  • Set-up time with Max to help you move stocks
    • Time depends on hospital use of the Therio Collection Room
    • Coordinate w/ Max’s schedule
  • Check for Blank Record Sheets
    • In the Blue Binder on the Supply cart
    • Used For:
      • Recorded in during lab
      • Allow to look back on sedation history in lab
      • DVMs make cycle notes on mares for future reference
      • Make notes about any abnormal findings like:
        • abnormal anatomy
        • Blood on rectal sleeve = time off for mare
      • Transfer to Official horse record books at end of lab

 

2-3 Days Prior to Lab

  • Plug in U/S in UMEC Therio Repro Lab area (counter w/ multi-strip)
  • Final Check: Carts /Supplies  (Hospital borrows things)
  • Draw up Drugs: (sometimes draw up a week in advance)
    • Draw up drugs in separate syringes
    • Use rubber syringe caps
    • Pre-printed Labels – make sure expiration date is on label
    • Use clear tape to hold label on
    • Draw up only enough for a lab or two
    • Make sure Sedation and Oxytocin are kept separate
    • Oxytocin is LIGHT SENSITIVE – keep in small brown ziploc bag

 

1-2 Days Prior To Lab

Note: Possibly done AM of lab depending of room usage

  • Set-up Stocks for Lab: (see picture at end of chapter)
    • move into place
    • crank up all 4 wheels & make sure stock floors are on the ground/balanced on each set of stocks
    • Cross Ties are on appropriate end for horse’s head
    • Tail ropes are on each of the stocks opposite the head end
  • Grey Buckets:
    • Can set these up in Therio lab by Sink
    • Make sure there is not a stallion collection
  • Set-up Room: If room is not being used you can set-up Supply Carts

 

1.5hours before Lab

Set-up Therio Jump Room

  • Bring in Main Supply Cart: place in front of half wall (near collection dummy)
  • Set-up 3 Ultrasounds on their respective carts
    • Blued towel covering top of cart
    • 1 U/S per cart w/ probe coiled up nicely
    • U/S Carts:
      • place behind the Jump Dummy
      • Move after horses are in stocks (keeps them safe)
  •  Hook up Extra Grey Hose in Rm 162 (storage) to Sink & put just inside the Jump Room
  • Prepare Grey Butt Wash Buckets: (while Students Start Palpating)
    • place small garbage bag in each bucket
    • Fill 1/4-1/3 of way with pieces of roll cotton
    • Fill Grey Buckets (with bag & cotton) with Hot water
    • Place buckets near the Therio double doors – H2O will cool and be warm at end of lab
    • ***NOTE: if this is AI Pipette or Vaginoscopy lab:
      • Need 6 buckets – one per horse
      • Complete BEFORE Lab – will need them at beginning of lab

 

15min before Lab

Bring in Horses

  • Max will help with this if he is on campus
  • Bringing in Horses:
    • Will take longer with one Person – Start earlier
    • Can bring in 2 horses at a time if you are comfortable
      • Horses must be from same paddock & willing
      • Handler must be comfortable navigating doors with 2 horses
    • DoNOT leave horses in stocks UNATTENDED or with only students in room
    • Every horse can have bad days NO ASSUMPTIONS that they will be fine
    • DO NOT Assume students will know what to do in a crisis 
      • DVM & Technician work together to navigate based on experience & knowledge of resources
      • DVM makes decisions about animal care and is ultimately in charge
      • Get students and others safe & give them a task
      • Make a plan & don’t assume students know hospital or where to find help
      • Seek out students that were student techs or know hospital
      • Send Max to get help if needed

Start of Lab

  • DVM will do an intro for the students depending on what lab it is (in-depth or brief)
  • Pass out Drugs – oxytocin & sedation
  • Students MUST be observed (Tech or DVM) for ALL injections
    • Remind them what size needle for IM – 1.5″ (due to being new at this I usually have them use a 1″ for IV injection)
    • Remind them to Double CHECK the drug, drug amount, route BEFORE poke the animal
    • ONLY poke with needle off of Syringe – visualize
      • NOT Arterial Blood
      • Blood flow slows down when stop holding off vein
  • Record Keeping – Post Injections
    • Use UNOFFICIAL sheets in Blue Binder
    • Record 5 rights:
      • Drug
      • Amount in Mg
      • Route
      • Location (R or L Jug – R or L Neck)
      • Time
    • Recording Notes:
      • Rectal Palpation: note on record – amount not needed
      • Transrectal Ultrasound: note on record – amount not needed
      • Vaginoscopy: note on record & how many times
      • AI Pipette: note on record & how many times
      • Uterine Culture: note on record, why was done, how many times
    • Student Start Palpating/Ultrasounding
      • Some may need help with tying tail up
      • Some may need help with assessing horses behavior (i.e. recommend more lube)
      • refer to DVM if have procedural questions

During Lab

Tech Responsibilities

  • Assess horse sedation levels & communicate with DVM (there call to re-sedate)
  • Lifeguard for Safety:
    • Observe horse behavior
    • Observe student behavior
    • Step in to keep both safe

End of First Lab Section Procedures

  • Students are responsible for cleaning up horses prior to stocks departure
  • Students make sure any blood from injections is cleaned
  • Dump Manure Buckets in Spreader
  • U/S: cleaned w/ damp towel & placed on their cart behind the jump dummy
  • Move any obstacles away from stocks before unloading animals
  • Remind Students: NO HORSES UNLOAD FROM STOCKS UNTIL DVM instructs to

Removing Horses from Stocks

*Students help with this

    1. Unload Horses 1 at a time (prevent costly collisions/Injuries)
    2. Make sure Cross Ties are unclipped & Lead Rope untied, attached to horse & in control PRIOR to removing butt bar
    3. Open Butt Bar without standing directly behind it
    4. Do not stand behind a backing horse
    5. If a horse rushes out doNOT try to stop them, guide them
    6. Once out horses will move into hallway
    7. Make sure a horse is visible to those still in the stocks as horses are unloaded so they don’t feel left behind
    8. Typically Max will lead the group with a horse or two and Melissa will take up Rear without a horse

Starting the Second Lab Section

  • Early Students along with Max & Melissa will get Second batch of horses
  • Load horses 1 at a time
  • 1 horse in Therio lab at a time is usually best for students
  • Make sure that load horses in a way that if they back out suddenly they won’t run another horse/human over

End of Second Lab Section (End of Day) Procedures

  • Clean-up Meeting in first lab
  • Students Clean up horses & ultra sounds
  • Move all carts to Therio Lab Room
  • Students unload horses
  • 1/2 Take horses out
  • 1/2 Stay and clean up room
    • Stocks on Rubber: crank up above the wheels (so they can swivel)
    • Stocks NOT on Rubber (near window): crank up just high enough to spray under
    • Spray off stocks on rubber first
    • If needed move stocks on rubber outside (if have stallion collection)
    • Spray floor, other stocks, poop bins & buckets.
    • Clean drains & put any buckets/bins upside down to dry near wall
    • Dirty Towels in laundry basket just outside of Jump Room – Melissa washes
    • Wrap up  Therio room hose neatly on Floor
    • Detach & Hang up small grey hose on wall in Jump room by big double doors

Clean-up

After Students Leave

  • Hydrofoam the Jump Room Rubber Floor & don’t rinse (protocol dictated when floor was replaced years ago)
  • Put carts away neatly in corner of Therio Lab
  • Restock Carts for next lab
  • Plug in ultrasounds on the counter in Therio Lab
  • Every other week as needed spray down empty Therio Colletion Room
    • Deep clean spray back
    • Hydrofoam Soak

Record Keeping

  • Take a picture of daily records in Blue Binder on Supply Cart
  • Use info to record in Equine record books (see section below for materials on how to do that)

Closing/Securing Dudley Barn (Leaving for Day)

  • Paddocks:
    • Check all Horses (quick visual – awake, mobile, not injured/colicky from gate)
    • Paddock Gates Closed & locked with chain
    • Paddock Electric Line Hooked (spiral gate line – only touch yellow handle)
  • Barn:
    • Inner & Outer Garage Doors Shut
    • Inner People Door Shut
    • Outer People Door pulled shut tight so it locks
    • Shut and Latch the outer perimeter fence (chain link) gate

 

Lab Materials

Supply Documents:

Set-up Documents:

  • Lab Sub Plans PDF

Lab Documents:

Clean-up Documents:

  • Animal Procedures
  • Supply Clean-up/Cleaning

Tip & Tricks

Horse Record Recording

  • Record Use on the Monthly Record Sheet
    • Front of Binder Tells you Categories
    • Inside has monthly sheets

 

  • Record Individual Horse Binder
    • Daily record (see photo below)
    • Detailed with sedation/procedures/locations etc

 

  • Note: In lab blue binder is not official
    • useful for in lab use & transfer of info in Official Binders in the barn
    • Official Record Binders NOT taken out of the barn
    • Please make sure Un-Official sheets are placed back in blue Binder
      • Info is tracked
      • Info is transferred to google sheets document

 

Theriogenology Repro Lab

 

Theriogenology Collection Room Set-up

 

Therio Supply Cart w/ Binder & Drugs

 

End of Day Clean-up

 

Recording in Teaching Horse books (Dudley Barn)

Location of Books in Dudley Barn

 

Official Documents (Protocol): How Records Should Look

Monthly Document

 

Individual Horse Daily Record Sheet

License

Substitute Lab Plans Copyright © by mprokop. All Rights Reserved.