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Aseptic Patient Observation

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Aseptic Patient Observation
While observing a couple catheter placements, I realized the technicians do not treat catheter placements as an aseptic procedure. The technicians don’t wear gloves and don’t scrub as religiously as we were taught in school. Placing a catheter into the bloodstream without wearing gloves or scrubbing the area correctly could introduce bacteria into the bloodstream, resulting in nosocomial septicemia. Another thing I was made aware of during this day, the rules for the hospital has changed and the doctors are the only ones allowed to draw the routine vaccines up and administer them as well. The assistants are not allowed to do that anymore, even under the doctors’ supervision. I don’t think it’s fair to the doctors, since they are so busy with …show more content…
Temperature: 101.5 Fahrenheit
Pulse and Respiration: Not taken
3. Medical Condition: Spindle Cell Sarcoma
a. The patient had been diagnosed with splenic spindle cell sarcoma and had her spleen removed. Upon further examination, the doctor realized the cancer had metastasized to the liver.
b. Spindle cell sarcomas are tumors that come from the connective tissues, sometimes called soft tissue sarcomas. They are most commonly seen on the skin but in this case, the dog had it on her spleen. Spindle cell sarcomas are usually seen on older dogs.
c. Some signs could be a noticeable lump or growth, loss of appetite, lethargy, vomiting or diarrhea.
4. Diagnosing:
a. The veterinarian will take a couple samples either through fine needle aspiration, punch biopsy, or even full excision. Radiographs could be taken prior, to see the position the sarcoma is in, or if any metastasis has occurred to any of the surrounding tissues.
With the samples taken from the tumor, the veterinarian sends it off to a lab for a histopathology. A histopathology is much more accurate in diagnosis and helps rule out any other diseases. The report can include the type of tumor it is and the grade of metastasis and malignancy. A cytology is not very diagnostic with this type of tumor since it rarely sheds any cells that could be seen in a

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