{"id":127333,"date":"2024-09-26T18:41:45","date_gmt":"2024-09-26T18:41:45","guid":{"rendered":"https:\/\/todaysveterinarynurse.com\/?p=127333"},"modified":"2024-09-26T18:41:45","modified_gmt":"2024-09-26T18:41:45","slug":"how-to-write-a-case-report-and-case-log-for-a-vts-application","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/personal-professional-development\/how-to-write-a-case-report-and-case-log-for-a-vts-application\/","title":{"rendered":"How to Write a Case Report and Case Log for a VTS Application"},"content":{"rendered":"<p>Applying to become a veterinary technician specialist (VTS) positively impacts the veterinary nurse\/technician, their patients, and the profession. The application process is both arduous and exciting. A core part of the VTS application includes the creation of 4 comprehensive case reports and 60 case logs (this number varies by academy).<\/p>\n<p>The case report is a scientific paper that captures the planning, critical thinking, and extent of the knowledge a veterinary nurse\/technician has gained while pursuing a VTS credential. The writing, grammar, and presentation of information in the case report must demonstrate these achievements.<\/p>\n<p>The case log portion of the application is a diverse collection of cases encountered over the year. This portion challenges the applicant to condense an entire case or procedure into approximately a paragraph. This requires the VTS applicant to only highlight the important aspects of their patient care.<\/p>\n<p>Recognizing that the VTS applicant may not have previous experience in the creation of these scientific reports, this article aims to assist the future VTS in submitting a comprehensive, professional, and scientific packet. Individual requirements vary between specialty academies; please ensure the below recommendations align with the specific instructions and directions of the academy of interest.<\/p>\n<h3>Choosing Cases for Case Reports<\/h3>\n<p>How does a VTS applicant choose a case to develop into a report? The veterinary nurse\/technician should confirm that they are able to elaborate and support each section required by their preferred academy. It is possible that the most exciting and adrenaline-filled case or procedure may not allow one to adequately detail the scope of the skills or depth of knowledge required for the case.\u00a0 For example, imagine you are submitting to the Academy of Veterinary Emergency and Critical Care Technicians and Nurses (AVECCTN). A very complex case arrives in your emergency department and, although you are able to perform advanced interventions that help stabilize the patient while bolstering the skills list, you are unable to support the discussion needed to detail the breadth and depth of the case. Recognizing this limitation, case selection criteria should include the ability to:<\/p>\n<ul>\n<li>Discuss the physiology of the case that demonstrates understanding in your own language<\/li>\n<li>Display critical thinking to support the reason(s) why a treatment\/procedure was initiated<\/li>\n<li>Collaborate with and inform the doctors responsible for the case<\/li>\n<li>Detail the planning and preparation needed to avoid complications or obstacles<\/li>\n<li>Convey your reasoning for using\/not using a treatment\/intervention that is communicated with the veterinarians managing the case<\/li>\n<li>Explore and document the possible outcomes in the case discussion sections<\/li>\n<\/ul>\n<h3>Curating a Case Log<\/h3>\n<p>The case log assembly requires the same level of diligence and editing as the case reports. This process involves a succinct, heavily abbreviated but detailed overview of cases that represent the extent of an applicant\u2019s specialized skills in the past year. The number of required case logs varies between academies, but it is recommended to submit the maximum number allowed. This technique adds a safety net for the applicant in the event that individual case logs are rejected.\u00a0 Similar to the criteria to select a case for a report, ideal case logs demonstrate:<\/p>\n<ul>\n<li>An understanding of the case\/procedure performed<\/li>\n<li>The ability to capture attention to detail (even in routine\/standard cases)<\/li>\n<li>An explanation of what equipment or techniques are used and why<\/li>\n<li>The correct units of measurement<\/li>\n<\/ul>\n<h3>The Basics of Scientific and Professional Writing<\/h3>\n<p>The ability to convey the scope of your advanced skills, knowledge, and abilities relies on your ability to describe and document it in the case reports and case logs. Professional and scientific writing uses elevated language that is well-organized and effective. As a rule, scientific writing does not contain contractions, slang\/jargon, and\/or common vocabulary. In addition, the use of proper writing mechanics will ensure that the attention to detail exercised in patient care is conveyed in writing. These mechanics include correct grammar, lack of sentence fragments, proper punctuation and spelling, and elimination of redundancy. Lastly, it is also important to confirm the desired font, font size, and formatting required by the academy of interest.<\/p>\n<h3>Weasel Words and Hedging<\/h3>\n<p>Within the case reports and case logs, the use of accurate, timely, and direct information conveys confidence, understanding, and meaningful insights. Weasel words and hedging are phrases that convey uncertainty and vague noncommittal actions. Weasel words \u201cundermine or contradict\u201d the definition of a word through vague and misleading language <strong>(TABLE 1)<\/strong>.<sup>1<\/sup><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"4\" width=\"511\"><strong>TABLE 1 Weasel Words<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"128\"><strong>Time transitions<\/strong><\/td>\n<td width=\"128\"><strong>Vague words<\/strong><\/td>\n<td width=\"128\"><strong>Double verbs<\/strong><\/td>\n<td width=\"128\"><strong>Absolutes<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"128\">Just, then, as, soon<\/td>\n<td width=\"128\">Many, few, lots, a lot, some, most, almost<\/td>\n<td width=\"128\">Started to, began to<\/td>\n<td width=\"128\">Every, very, everything<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>As a comparison, hedging is the use of terms that indicate a \u201clack of commitment\u201d to the writing <strong>(BOX 1)<\/strong>.<sup>2<\/sup> The use of these words can weaken the impact of your report while adding ambiguity.<sup>3<\/sup> Appreciating that the case report is the thorough detail of one\u2019s hard work, language should emphasize the confidence and assuredness that was displayed while working with patients.<\/p>\n<table style=\"height: 279px\" width=\"174\">\n<tbody>\n<tr>\n<td width=\"50%\"><strong>BOX 1 Hedging<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"50%\">\n<ul>\n<li style=\"text-align: left\">May<\/li>\n<li style=\"text-align: left\">Would<\/li>\n<li style=\"text-align: left\">Possible<\/li>\n<li style=\"text-align: left\">Could<\/li>\n<li style=\"text-align: left\">Might<\/li>\n<li style=\"text-align: left\">Suggest<\/li>\n<li style=\"text-align: left\">Seems<\/li>\n<li style=\"text-align: left\">Assume<\/li>\n<li style=\"text-align: left\">Indicate<\/li>\n<li style=\"text-align: left\">Should<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>References and Citations<\/h3>\n<p>A proper reference page and in-text citations ensure that the applicant has assembled a cohesive and factually accurate packet. The use of American Psychological Association (APA) formatting is ideal for scientific papers; however, confirm that the academy of interest recommends or requires APA formatting. For example, the Academy of Veterinary Surgical Technicians requires American Medical Association (AMA) formatting. The main purpose of APA formatting is the facilitation of \u201cscientific communication\u201d via the promotion of clear expression and the organization of research.<sup>4<\/sup> A complete breakdown of the APA style can be found at apastyle.apa.org and the AMA manual of style can be found at academic.oup.com\/amamanualofstyle.<\/p>\n<p>Most academies require a minimum number of references be used in case reports. For example, the Academy of Internal Medicine for Veterinary Technicians (AIMVT) requires case reports to include at least 4 references. In contrast, case reports for the Academy of Veterinary Technicians in Anesthesia and Analgesia (AVTAA) must be written \u201cas if the applicant were explaining all details of the case to another veterinary professional in their own words without the need to quote reference material.\u201d<sup>5 <\/sup><\/p>\n<h3>Voice and Style<\/h3>\n<p>The use of active or passive voice and first- or third-person will be used in case logs. Understanding what \u201cvoice\u201d to use in one\u2019s writing also helps the reader to understand the author\u2019s participation and role in the case. The style determines which pronouns are used.<\/p>\n<p>The use of active voice in case reports instills connection to one\u2019s writing. This voice allows for more concise and direct language while conveying confidence.<sup>6<\/sup> As a comparison, passive voice can be considered vague and complicated.<sup>6<\/sup> The use of passive voice is common in medical records.<\/p>\n<p>As a rule, third-person style is written without using \u201cI\u201d or \u201cyou\u201d pronouns. As the narrator of the case, actions and interventions are described using third-person pronouns (e.g., he, she, they) or referring to themselves as \u201cthe applicant.\u201d An example of this is: \u201cThe applicant prepared the patient for an upper and lower GI endoscopic procedure.\u201d The AIMVT requires applicants to submit case reports using the third person. Alternatively, the AVECCTN allows their applicants to use first-person statements. Review the requirements of your preferred academy to ensure the correct voice and style are used.<\/p>\n<p><strong>TABLE 2<\/strong> details the differences between active first-person, active third-person, and passive voice.<\/p>\n<div class=\"su-table su-table-responsive su-table-alternate\">\n<table>\n<tbody>\n<tr>\n<td colspan=\"3\" width=\"511\"><strong>TABLE 2 Examples of Voice<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Active First Person<\/td>\n<td>Active Third Person<\/td>\n<td>Passive<\/td>\n<\/tr>\n<tr>\n<td>After confirming the patient\u2019s blood work was complete and the consent forms were signed, I reviewed my anesthetic plan with the attending doctors.<\/td>\n<td>After confirming the patient\u2019s blood work was complete and the consent forms were signed, the applicant reviewed the anesthetic plan with the attending doctors.<\/td>\n<td>The blood work and consent forms were signed. The anesthetic plan was reviewed with the attending doctors.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h3>How to Elevate Your Language and Vocabulary in a Case Report<\/h3>\n<p>The level of medicine used to assemble a VTS application requires and exemplifies advanced medicine and techniques. The language and grammar used to explain these lifesaving and lifechanging measures should match. This dignified and professional language highlights the importance of the work performed. Although this technique may add extra words to the case report, the reader will be able to comprehend that your writing abilities match your advanced technical skills. <strong>TABLE 3<\/strong> details how similar takeaways have more impact with elevated language.<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\" width=\"511\"><strong>TABLE 3 Examples of Elevating Language<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"319\"><strong>Instead of:<\/strong><\/td>\n<td width=\"319\"><strong>Use:<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"319\">Patient had a low PCV<\/td>\n<td width=\"319\">The complete blood count (CBC) revealed a low packed cell volume (PCV) *include reference range*<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">Patient presented to Location 1 for seizures<\/td>\n<td width=\"319\">Use the patient\u2019s name without quotation marks: Buddy presented to Location 1 on 5\/25\/2024 for further evaluation of seizures that were initially observed on 5\/1\/2024.<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">Shortly after starting a lidocaine CRI, the arrhythmia got better<\/td>\n<td width=\"319\">Within 10 minutes of administering a lidocaine loading dose (2 mg\/kg IV) and beginning a CRI at 40 mcg\/kg\/min, the ventricular arrhythmia resolved.<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">At this point, a fluid bolus was given<\/td>\n<td width=\"319\">Because of the patient\u2019s tachycardia (include heart rate and reference range) and persistent hypotension (include blood pressure and reference range), a 10 ml\/kg IV crystalloid bolus of Plasma-Lyte was delivered over 15 minutes.<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">The fentanyl CRI could allow the iso to be decreased<\/td>\n<td width=\"319\">Due to the potency of fentanyl, isoflurane vaporizer settings will be lowered. The goal will be to reduce MAC requirements as much as possible while maintaining an appropriate anesthetic and surgical plane.<\/td>\n<\/tr>\n<tr>\n<td width=\"319\">\u201cBuddy\u201d started to vomit after apomorphine<\/td>\n<td width=\"319\">Upon administration of apomorphine (dose and route of administration), Buddy vomited.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Editing of Case Reports<\/h3>\n<p>A pivotal component of writing a successful case report is the opportunity to obtain feedback from peers and colleagues. <strong>FIGURE 1<\/strong> details the additions and edits added to a case report written by a VTS candidate pursuing specialization in neurology. The candidate\u2019s application was accepted, and they passed the exam. By reviewing the track changes in the document, you can appreciate where the language was elevated. Prior to the edits, the case report lacked the inspiration and feeling that is accompanied by the use of an active first- or third-person voice. This was achieved by making the changes outlined in <strong>TABLE 4<\/strong>.<\/p>\n<p><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/vts-case-reports-edits.png\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-127341\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/vts-case-reports-edits.png\" alt=\"\" width=\"936\" height=\"458\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/vts-case-reports-edits.png 936w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/vts-case-reports-edits-300x147.png 300w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/vts-case-reports-edits-768x376.png 768w\" sizes=\"(max-width: 936px) 100vw, 936px\" \/><\/a><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\" width=\"511\"><strong>TABLE 4 Before and After Example Sentences in an Edited Case Report*<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"312\"><strong>Before edits<\/strong><\/td>\n<td width=\"312\"><strong>After edits<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"312\">Rocky presented to Location 1<\/td>\n<td width=\"312\">Rocky <u>was<\/u> presented to<\/td>\n<\/tr>\n<tr>\n<td width=\"312\">Rocky was previously diagnosed\u2026<\/td>\n<td width=\"312\"><u>In previous visits to Location 1<\/u>, Rocky was diagnosed\u2026<\/td>\n<\/tr>\n<tr>\n<td width=\"312\">During episodes Rocky\u2019s whole body became stiff, he was unable to respond to external stimuli and he had generalized tremors.<\/td>\n<td width=\"312\">During <u>these <\/u>episodes, Rocky\u2019s <u>body<\/u> became stiff, and he was unable to respond to external stimuli. <u>In addition, he experienced generalized tremors.<\/u><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"511\">*<em>Case report was obtained with permission from the neurology VTS<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>It is also possible to appreciate where the editor questioned the patient history. This was not done to dispute the veterinarian\u2019s treatments or diagnostics; it was done to confirm that the applicant understood the reasoning and outcome of these interventions.<\/p>\n<h3>Dos and Don\u2019ts of Case Logs<\/h3>\n<p>Echoing the recommendations from above, the case log section of the VTS application requires a large amount of information in a limited space. Each VTS academy requires its applicants to submit their case logs that provide an abbreviated but thorough overview of cases seen during the year. Due to limited space, this is an ideal time to use passive voice. <strong>TABLE 5<\/strong> provides an overview of the key aspects that should be considered for each case log. \u00a0As a comparison, see <strong>FIGURE 2<\/strong> for an example of an ideal case log for the AVTAA. In the summary of care section, the entirety of an 80-minute case is distilled into a single paragraph.\u00a0 Despite the limited space, the inclusion of information such as, \u201cpt wrapped in bubble wrap under Bair Hugger\u201d shows attention to detail and the thoroughness needed to demonstrate VTS-level patient care.<\/p>\n<p><a href=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/case-log.png\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-127342\" src=\"https:\/\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/case-log.png\" alt=\"\" width=\"720\" height=\"314\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/case-log.png 720w, https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/wp-content\/uploads\/sites\/3\/2024\/09\/case-log-300x131.png 300w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><\/a><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\" width=\"511\"><strong>TABLE 5 Dos and Don\u2019ts of Case Logs<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"198\"><strong>Do<\/strong><\/td>\n<td width=\"198\"><strong>Don\u2019t<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"198\">Use passive voice<\/td>\n<td width=\"198\">Use \u201cI\u201d or \u201cthe applicant\u201d<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">Be succinct<\/td>\n<td width=\"198\">Use unnecessary adjectives or descriptors<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">Confirm units of measurement<\/td>\n<td width=\"198\">Omit or change the unit of measurements<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">Check spelling<\/td>\n<td width=\"198\">Ignore the corrections recommended by spellcheck<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">Ensure correct treatment or intervention is performed<\/td>\n<td width=\"198\">Mention a complication\/irregularity and fail to explain the importance or significance<\/td>\n<\/tr>\n<tr>\n<td width=\"198\">Confirm correct\/accurate treatment is administered<\/td>\n<td width=\"198\">Detail a complication or abnormality and fail to explain the relevance<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Summary<\/h3>\n<p>The production of a VTS application is an exciting opportunity to present the scope of one\u2019s advanced skills and knowledge. Similar to the care and attention exhibited while learning the advanced and difficult skills, the VTS application should display the same level of attention. Most importantly, these advanced skills required practice until they were mastered; viewing the VTS application in the same capacity allows an understanding that a first and even second or third draft will likely need to be edited and reviewed. Although this process can be filled with stress and even frustration, it is a very worthwhile endeavor.<\/p>\n<p>Contact the author at <a href=\"mailto:HCarter@PartnerVESC.com\">HCarter@PartnerVESC.com<\/a> for resources or help with your VTS application.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The production of a VTS application is an exciting opportunity to present the scope of one\u2019s advanced skills and knowledge.<\/p>\n","protected":false},"author":236,"featured_media":127343,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[211],"tags":[],"class_list":["post-127333","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-digital-exclusive","clinical_topics-personal-professional-development"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized 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