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Case NameActivity or IndicationZIMS ActionExpected Outcome
Training Scenario
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0 - Log-inNo "real data" is present in this build, so no need to worry about creating false data while you learn.Log into ZIMS with your ZIMS User Name and Password. Under the Help menu > ZIMS Academy > Practice with LearnZIMS. Or follow the link provided in your email and select the Medical option.ZIMS will open1
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2 - DashboardViewing recordsPull up Prescriptions/Treatments for the last 12 monthsPrescriptions/Treatments should be displayed2
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2 - DashboardMoving a record to the dashboardDrag and drop a patient from the center panel to the left upper panelRecord should display in the left-hand dashboard3
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2 - DashboardViewing medical recordsSelect all medical records for that animalMedical records should display in the center panel4
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2 - DashboardMaximize and minimizeSelect a record and Maximize it, then MinimizeRecord should maximize and minimize5
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2 - DashboardFind Identifiers and delete animal from dashboardFrom Basic Info select Identifiers. Remove the animal from the left dashboardIdentifiers should be displayed6
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2 - DashboardColumn sortGroup the columns by Animal, then regroup by Date. change sort order then change backColumn display should change as selected7
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3 - SearchesClinical NotesSearch for all Subjective Clinical NotesRecords should display in dashboard8
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3 - SearchesAnesthesia searchSearch for anesthesia records for your CarnivoresRecords should display in dashboard9
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3 - SearchesTest Results searchSearch for Test Results for FecesRecords should display in dashboard10
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3 - SearchesNecropsy searchSearch for any Necropsies with a Status of SubmittedRecords should display in dashboard11
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3 - SearchesCurrent problemsSearch for any active medical concerns or proceduresRecords should display in dashboard12
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4 - Individual Tests, Anesthesia and Treatment
Create an Incomplete Accession for your favorite mammal species. You will use this record for the remainder of this Case Incomplete Accession will be created13
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4 - Individual Tests, Anesthesia and Treatment
Keeper reports cough and runny nose.Use a date of 3 weeks ago and adjust other dates as appropriate
 1) Clinical Note - Notes/Examinations/Report Entry
 2) Clinical Diagnosis (signs)
 		1) Clinical Note is created
2)Clinical Diagnosis (signs) are created		14
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4 - Individual Tests, Anesthesia and Treatment
Keeper reports decreased appetite and decreased activity. Cough worsens.1) Clinical Note - SOAP
2) Create Calendar task to recheck tomorrow from right hand Basic Info
 3) Clinical Disgnosis (signs)
1)Clinical Note is created
2)Calendar task is created
3) New Clinical Diagnosis (signs) are created		15
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4 - Individual Tests, Anesthesia and Treatment
Looks worse.1) Clinical Note
 2) Schedule Anesthesia with Calendar item		1)Clinical Note is created
2)Calendar task is created
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4 - Individual Tests, Anesthesia and Treatment
Anesthesia event.1) Anesthesia Record - update Health Status and BCS, record a new weight
2) Samples taken:
 a. Blood-->Test Requested
 b. Serum-->Test Requested-->Storage
 c. Tracheal wash-->Test Requested-->Culture
3) Clinical Note with Animal Care Staff Summary regarding the Anesthesia
 4) Radiographs-->Findings: Consolidated left caudal lung
 5) Prescriptions:
 a. Antibiotic ordered: Amoxicillin, 2 times a day for 14 days
 b. Vaccine booster
 c. Fluids during procedure
 6) Clinical Diagnoses: Pneumonia
 7) Schedule Calendar recheck in 2 days		1)Anesthesia event is recorded, HS updated, BCS added, weight is added
2)Samples are created and tests requested
3)Clinical note is captured in both Medical and Husbandry modules
4)Radiograph results are captured
5)Prescriptions are created
6)Clinical Diagnosis is created
7) Calendar task is created		17
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4 - Individual Tests, Anesthesia and Treatment
Observation, keepers assessment.1) Clinical Note
 2) Review blood test results-->Clinical findings: Elevated WBC		1)Clinical Note is added
2)Elevated WBC is captured
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4 - Individual Tests, Anesthesia and Treatment
Observation.1) Clinical Note1) Clinical Note is created19
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4 - Individual Tests, Anesthesia and Treatment
Tests come back from lab.1) Review test/culture results: Klebsiella pneumonia
 2) Review antibiotic sensitivity
 3) Discontinue (terminate) Amoxicillin Rx
 4) Antibiotic ordered: Cefalexin, 10mg/kg, 2 times per day for 14 days		1)Test results are recorded
3) Treatment is discontinues
4) New treatment is recorded		20
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4 - Individual Tests, Anesthesia and Treatment
End of Antibiotic.1) Assess treatment effect
 2) Clinical Note
 3) Resolve Pneumonia and other active issues and update Health Status		2) Clinical note added
3)All issues resolved, HS updated		21
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5 - Group parasite treatmentCreate an Incomplete Accession for another mammal species. This is a group of animals so record the number in the Notes section. You will use this record for the reminder of this Case.Incomplete Accession is created22
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5 - Group parasite treatmentA keeper submits a composite fecal sample for the group.
Use a date one week ago and adjust other dates as needed
1) Add sample record
 2) Test request record -fecal
  		1)Sample is created
2)Test is requested		23
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5 - Group parasite treatmentSample returns and is positive for endoparasites.Update test resultsTest results are recorded24
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5 - Group parasite treatmentThe veterinarian prescribes a group treatment of fenbendazole in the food.Quick Rx for the fenbendazole for the group record.Prescription is recorded25
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6 - Anesthesia, Treatment and NecropsyCreate an Incomplete Accession for a third mammal species.  You will use this record for the reminder of this scenario.Incomplete accession is created26
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6 - Anesthesia, Treatment and NecropsyAnesthesia event for a routine examination and vaccinations.





1) Record Anesthesia record, darted for immobilization. Record weight. Record all drug and milestone information
 2) On exam a 1.5 cm superficial abscess over the left shoulder is found. The veterinarian lances the abscess and obtains a culture, flushes the abscess with dilute chlorhexidine and leaves the site open to drain. Add Clinical note detailing the exam. Enter Diagnosis/Procedure of the abscess
  3) The technician collects temperature, heart rate, respiratory rate, and pulse oximeter readings every 15 minutes throughout the procedure, administers tetanus. Record Physiological measurement records. Record the tetanus
 4) Collects 2ml of whole blood in EDTA, and 8ml of blood is placed in a serum separator tube. Record Sample records.
  5) Recovery is normal. Complete Anesthesia record.
 6) The veterinarian prescribes amoxicillin for 10 days to address any residual bacteria present in the wound. Record Full Presription record.
 7) In the lab, the technicians process the serum sample and split it into two, one for submission for biochemistry testing and the other for banking which will later be submitted to researcher. Add Sub sample records, 1 serum sample for banking and 1 serum sample for researcher
  		1)The Anesthesia record is started and weight recorded
2)Clinical Note and Diagnosis is recorded
3)Physiological measurements are captured, Quick Prescription is recorded.
4)Sample records are captured
5)Anesthesia record is completed
6)Full Prescription is recorded
7)Subsamples are created		27
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6 - Anesthesia, Treatment and NecropsyThe next day the lab technician submits the records to the researcher and sends off the testing sample.The next day the lab technician submits the records to the researcher and sends off the testing sample.
1) View/edit sub sample record and send subample to researcher
 2) Test request recorded for CBC, chemistry		1)Sample is sent
2)Test is requested		28
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6 - Anesthesia, Treatment and NecropsyPrescription changes2 days later the Rx compliance report indicates that patient is refusing to take the amoxicillin
1)Discontinue the treatment
2)Prescribes cephalexin
  		1)Amoxicillin is discontinued
2)Cephalexin is prescribed		29
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6 - Anesthesia, Treatment and NecropsyAnimal is found deadRecord a Necropsy recordNecropsy record is created and finalized30
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7 - Samples and DiagnosisCreate an Incomplete Accession for a porcupine named "Mr. Prickles-INITIALS" where your initials are after "Mr. Prickles-....".  You will use this record for the reminder of this scenario.Incomplete Accession is created31
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7 - Samples and Diagnosis

Exam, anethesia and radiographs		1) Porcupine is evaluated for an exam due to change in respiratory pattern and palor. Record a Clinical note detailing exam
 2) Animal is anesthesized. Record the Anesthesia record including anesthesia drugs, milestones, and physiologic measurements.
 3) Samples are taken for whole blood CBC and chemistry (EDTA) and 1 serum
 4) Radiographs and echocardiogram are performed and reveal an enlarged heart and evidence of pericardial effusion. Enter problems of cardiomegaly, effusion, DCM
 5) Veterinarian performs pericardiocentesis to submit for culture and cytology. Test request records for CBC, chemistry
 6) Animal is recovered and treatment with diuretics, and ACE inhibitors is initiated. Finalize Anesthesia record, update Prescription records for Full Rx for diurectics and ACE inhibitor
  		1)Clinical note is created
2)Anesthesia record is created and details included
3)Samples are recorded
4)Radiograph is recorded and diagnosis captured
5)Procedure is recorded, Samples and Test Requests recorded
6)Anesthesia record is completed and Rx recorded		32
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7 - Samples and DiagnosisConsultation with cardiologistImaging studies are sent to a consulting cardiologist for review. Veterinarian records diagnosis/medical condition of cardiomegaly, suspected dilated cardiomyopathy, and pericardial effusion.Clinical note is created33
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7 - Samples and DiagnosisDiagnosis and Treatment updated1)2 days later, cardiologist calls to confirm diagnosis of dilated cardiomyopathy and secondary congestive heart failure and sends an email with full report with treatment recommendations. Report is entered into clinical notes as a consultant report.
2)Update Treatment records
3)Add a Health Status. 		1)Clinical note is added
2)Treatment is updated
3)Helath Status is added
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7 - Samples and Diagnosis1) Veterinarian follows recommendations and adds pimobendan to treatment regimen,
2) Also updates diagnosis/problem list to confirmed DCM.		1) Veterinarian follows recommendations and adds pimobendan to treatment regimen. Update Prescription
2) Also updates diagnosis/problem list to confirmed DCM. Update condition
  		1)Prescription is updated
2)Problem list is updated		35
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7 - Samples and DiagnosisAfter 5 days, patient will not take pimobendan in form offered, so compounded drug is ordered.After 5 days, patient will not take pimobendan in form offered, so compounded drug is ordered. Edit Prescription records, add new formula to drug dictionary, discontinue a Rx, and write a new Rx
Prescription is discontinued and new Prescription is recorded36
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8 - Test PanelYou start using a new laboratory. Need to set up a new test panel template for it.1) Instutition module -  -Add new laboratory record
 2) Test and results records -  -Add new test panel		1)New lab is created
2)New test panel is created		37
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9 - Aquatic PrescriptionCreate an Aquatic Enclosure PrescriptionCreate a prescription for copper for two of your aquatic enclosures for 2 weeksThe Prescription is created38
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9 - Aquatic PrescriptionCheck CalendarCheck My Calendar to make sure a Treatment End Alert was created for the end of treatmentCalendar Alert created38
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10 - Diagnosis and PrescriptionsRecord an Incomplete Accession for a female river otterIncomplete Accession created40
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10 - Diagnosis and PrescriptionsShe is underweight and unthriftyRecord a Health Status and Body Condition score (use a date of 2 weeks ago)HS and BCS are created41
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10 - Diagnosis and PrescriptionsShe appears to have a urinary infectionCollect a urine sample and request a urinalysisSample is created and test requested42
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10 - Diagnosis and PrescriptionsPrescription writtenWrite a full prescription (use a date of 2 weeks ago, 1 week duration) (use the dose calculator). Record a weight.Prescription is created43
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10 - Diagnosis and PrescriptionsShe appears much improvedResolve a Clinical problem (use a date of 2 days ago)Problem resolved44
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10 - Diagnosis and PrescriptionsUpdate HS and BCSUpdate the Health Status and BCS (use a date of 2 days ago)HS and BCS are updated45
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10 - Diagnosis and PrescriptionsHer infection appears to be backRecord a DiagnosisDiagnosis is captured45
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10 - Diagnosis and PrescriptionsPrescription writtenClone the original prescription. Record a new weightPrescription is cloned47
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11 - Sample StorageAdd sample storage locationAdd a new Sample Storage location for a Refrigerator. Name it FRIDGE-YOUR INTITIALS
Refrigerator is created48
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11 - Sample StorageSample collectedPick a current animal and record a Sample for whole blood taken one week agoSample is created49
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11 - Sample StorageMove to storageMove the Sample into storage in the refrigerator the day you collected itSample is in storage50
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11 - Sample StorageFridge stops workingMove the sample to a different refrigerator (if there is none, create a new location)Sample is moved51
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11 - Sample StorageRemove SampleRemove the half the sample for testing at your Institution 2 days agoHalf the sample is removed, rermainer remains in storage52
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11 - Sample StorageDiscard SampleThat fridge also breaks and sample must be discardedThe Sample is discarded53
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12 - Batch RecordsCreate an Animal ListFrom the Husbandry module create an Animal List of six birds. Name it BIRDS-YOUR INITIALS
Animal List should be created54
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12 - Batch RecordsUse the list for batch Clinical notesFrom the Medical module record a Batch Clinical Note using the Animal List
Batch Notes should be created55
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12 - Batch RecordsRecord batch vaccinationsRecord batch vaccinations for the Animal ListVaccinations are recorded56
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12 - Batch RecordsRecord batch Health Status, Weight and Body Condition ScoreRecord batch Health Status, Weight and Body Condition score on the six birds HINT: use Medical AppsHS and BCS are updated57
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13 - Pharmacy InventoryAdd new drugRegister a new bottle of a controlled substance into the pharmacy inventoryNew drug added to inventory58
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13 - Pharmacy InventoryMark drug as FinishedWhen you go to dispense it you drop it into the sink and all is lost, Mark as Finished and add a note about what happenedBottle marked as finished59
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14- Clinical Note TemplatesCreate SOAP Mammal Routine Exam TemplateFrom the Start Menu>Tools>Manage Note Templates - create a note template named "SOAP Mammal Routine Exam", choose "Clinical Note Template" as template type and enter following SOAP note into appropriate sections:

Subjective:
History: Keeper reports patient is eating well and behaving normally. Appetite and elimination are typical. No clinical concerns from animal care staff.

Objective:
Physical exam findings: eyes, ears, nares, oral exam are unremarkable. Heart and lungs auscult normally. Abdomen palpates normally. Joints have full range of motion. Skin and coat in good condition. No obvious neurologic or ambulatory abnormalities. Confirmed identifiers:

Assessment:
Patient appears to be in good general health.

Procedures:
Venipuncture for cbc, chemistry. Vaccinated.

Plan:
Reassess pending lab results.

Imaging:
Full body lateral and VD views obtained. No radiographic abnormalities identified.		When entering a clinical note under the medical dashboard, choose the template drop-down and pre-fill in the SOAP note with the template.60
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14- Clinical Note TemplatesCreate SOAP Reptile Routine Exam TemplateFrom the Start Menu>Tools>Manage Note Templates - create a note template named "SOAP Mammal Routine Exam", choose "Clinical Note Template" as template type and enter following SOAP note into appropriate sections:

Subjective:
History: Keeper reports patient is eating well and behaving normally. Appetite and elimination are typical. No clinical concerns from animal care staff.

Objective:
Physical exam findings: eyes, ears, nares, oral exam are unremarkable. Heart and lungs auscult normally. No palpable abnormalities. Joints have full range of motion. Integument in good condition. No obvious neurologic or ambulatory abnormalities. Confirmed identifiers:

Assessment:
Patient appears to be in good general health.

Plan:
Reassess pending lab results.

Procedures:
Venipuncture for cbc, chemistry.

Imaging:
Full body lateral and VD views obtained. No radiographic abnormalities identified.		When entering a clinical note under the medical dashboard, choose the template drop-down and pre-fill in the SOAP note with the template.61
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14- Clinical Note TemplatesCreate SOAP Avian Routine Exam TemplateFrom the Start Menu>Tools>Manage Note Templates - create a note template named "SOAP Mammal Routine Exam", choose "Clinical Note Template" as template type and enter following SOAP note into appropriate sections:

Subjective:
History: Keeper reports patient is eating well and behaving normally. Appetite and elimination are typical. No clinical concerns from animal care staff.

Objective:
Physical exam findings: eyes, ears, nares/beak, oral exam are unremarkable. Heart, lungs, airsacs auscult normally. Caudal coelom palpates normally. Joints have full range of motion. Skin and feathers in good condition. No obvious neurologic or ambulatory abnormalities. Confirmed identifiers:

Assessment:
Patient appears to be in good general health.

Plan:
Reassess pending lab results.

Procedures:
Venipuncture for cbc, chemistry.

Imaging:
Full body lateral and VD views obtained. No radiographic abnormalities identified.		When entering a clinical note under the medical dashboard, choose the template drop-down and pre-fill in the SOAP note with the template.62
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15-Hoof TrimGenerate the following records for a hoof trim: Clinical Note, diagnosis, health status, anesthesia and prescription issued and tests run.a. Add a clinical note
i. create/use a template
b. Add a clinical diagnosis
c. Update the health status
d. Add an anesthesia
i. Enter physiological measurements- use a panel
ii. Enter lost drug for the dart that hit the ground and discharged
iii. Mark a bottle of ketamine as closed
iv. Run an end of bottle report
e. Write a quick prescription for a single dose of analgesics
f. Review a test result spreadsheet report for WBC in your patient to evaluate trend		In the dashboard for the selected animal, you will have a complete record of all the data created for the hoof trim activities.63
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16-Animal Care Staff requests a visual examIdentify the animal, update clinical signs, health status, BCS and write prescription after exam.a. Confirm the identifier
b. Add a clinical sign
c. Update the health status
d. Write a full prescription
i. Use the dose calculator
e. Update the body condition score
f. Schedule a calendar task to recheck in 7 days		Exam is performed, task is scheduled for follow up.64
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17-Recheck after previous visual examAfter 7 days, recheck completed.a. Resolve a clinical problem
b. Update the health status		Clinical problems and health status updated after follow up.65
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18-Repeate preventative health treatmentsClone an existing perscription to save time for routine care.a. Clone a prescription
b. Review the weight and update it for today’s treatment
c. Record top dressing feed with anthelmintic for a herd of animals		Time saved when common prescriptions are cloned.66
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19-Herd/Flock RoundupEfficiently complete roundup via batch notes for group medical management.a. Write a batch clinical note
b. Record vaccinations for all the animals in the group
c. Record health status, weight, body condition score		Time saved when using batch clinical notes, and group vaccinations.67
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20-Presciption for therapy careRecord prescription for physical therapy.a. Physical therapy
b. Assist feeding		Using the precription module to record theraputic interventions other than pharmaceuticals and nutraceuticals.68
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21-SearchingUse the search at the bottom right in the medical dashboard to search for various records:a. Search for cases of aspergillosis in penguins (confirmed or suspected)
b. Search for anesthesia protocols in gorilla
c. Search for chlamydia PCR test results		Gain comfort with the collapsable search menus for each record type.69
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.1. Routine exam
a. Confirm transponder/identifier
b. Record a blood sample collection (use favorite samples)
c. Request a test
d. Create a test panel
e. Enter test results
Technician record entries completed.70
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.2. Animal care staff requests a visual exam
a. Record a clinical note
b. Create a calendar task for follow up
c. Drag and drop the calendar task		Technician record entries completed.71
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.3. Repeat preventative health treatments
a. Record a fecal sample for a group
b. Clone a prescription
c. Record top dressing feed with anthelmintic for a herd of animals		Technician record entries completed.72
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.4. Herd flock round up
a. Record batch prescription for vaccinations
b. Record batch health status, weight, body condition score		Technician record entries completed.73
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.5. Controlled drugs
a. Dispense tramadol tablets
b. Register new bottles of ketamine into the pharmacy inventory
c. Search for an existing bottle of midazolam
d. Run a bottle usage report		Technician record entries completed.74
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.6. Record a fecal sample from a group of birds and enter resultsTechnician record entries completed.75
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.7. Record a urinalysisTechnician record entries completed.76
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.8. Add a treatment item/drug to the dictionaryTechnician record entries completed.77
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.9. Search for McMasters egg countsTechnician record entries completed.78
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.10. Search for analgesics in felidsTechnician record entries completed.79
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.11. Record an animal weightTechnician record entries completed.80
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.11. Record an animal weightTechnician record entries completed.81
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22- Technicial WorkflowsVarious record entry examples for veterinary technicians.12. Dashboard:
a. Determine the last time an animal was vaccinated
b. Look at a sample record to determine where blood was collected
c. Find the endotracheal tube size from an anesthesia record
d. Look up where the blood pressure cuff was placed		Technician record entries completed.82
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