30 Jan 2021

Nurses Certificate in Medical Nursing



Veterinary medicine has advanced significantly during recent years. This programme has been designed to provide veterinary nurses with the opportunity to access relevant and up to date knowledge of small animal nursing of medical cases and to use this knowledge to improve the treatment given to canine and feline patients in practice.


The certificate programme will:

  • Enhance your clinical skills and knowledge
  • Increase your confidence and job satisfaction
  • Enable you to gain an achievable and recognised qualification


This modular programme is made up of four two-day courses. For those wishing to complete the whole course and sit the exam you must complete all four two-day modules within three years. You may take longer to attend all the modules but will not be eligible to sit the exam.

Comprehensive course notes are provided for each module. Refreshments are available throughout the day and lunch is included on all modules.

Nurses Certificate in Medical Nursing Modules

Jan 2021 | Swindon

‘There is no such thing as a safe anaesthetic only a safe anaesthetist’. This module will give you the ability to approach the anaesthesia of higher risk medical patients to optimise outcomes. The ability to confidently calculate drug requirements and understand monitoring equipment will help you navigate your procedure list with ease.

Key Learning Objectives:

  • Review acid/base balance, the practical application of blood products and explain when different fluid replacement options should be used. Demonstrate the ability to perform all types of fluid administration calculations.
  • Explain the importance of client consent forms, patient anaesthesia records and be able to complete both correctly.
  • Obtain knowledge of basic through to advanced patient monitoring and the pros and cons of multi-parameter monitoring for specific cases.
  • Describe and explain abnormal capnography and pulse oximetry waveforms and suggest options to improve them.
  • Understand the use of different pre-anaesthetic medication, induction and maintenance agents, explaining the advantages and disadvantages of each in specific cases.
  • Identify different types of endotracheal tubes and their use explaining the advantages and disadvantages of each. Demonstrate the skill of intubating easy & more difficult patients.
  • Includes case discussions and calculations

Speaker: Nicola Grint BVSc PhD CertVA DVA DiplECVAA MRCVS
Jan 2021 | Swindon

This module will give you the confidence to promote patient welfare via an all-round approach to analgesia. Medical patients have their own challenges when it comes to pain and being familiar with the options available now to improve patients’ quality of life in both the short and longer term will be of great value to you and your patients.

Key Learning Objectives:

  • Appreciate the pathophysiology of pain and be able to identify pain in different species using pain scoring methods.
  • Explain the different classes of analgesia, including opioids, NSAIDs, local anaesthetics and other agents and their pharmacology and appreciate their different delivery methods for specific patients using the multi-modal approach.
  • Pre-emptive analgesia theory and practical approaches to
  • Outline the use of analgesia in medical patients for chronic and palliative use.
  • Describe appropriate analgesic agents for the use of CRI, when and how these should be used/monitored and be able to perform a CRI calculation.
  • Demonstrate different intravenous catheterisation techniques including central venous catheterisation.
  • Includes a practical session practising central venous line placement

Speaker: Nicola Grint BVSc PhD CertVA DVA DiplECVAA MRCVS
Principles – The Clinic
Mar 2021 | Swindon

Occupational health and safety in veterinary hospitals is an important topic often overlooked. This module will cover the basis of the importance of preventing physical, chemical and zoonotic hazards by giving a fresh insight into the significance of infection control. By the end of the day, you will also be familiar with the correct equipment and consumables required for medical procedures.

Key Learning Objectives:

  • Discuss how hospital layout affects the running of a clinic in relation to infection control and the importance of specific patient areas on patient recovery.
  • Understand how hospital-acquired infections are obtained and spread, as well as the different types of infection.
  • Distinguish between the terms of disinfection and sterilization and how these techniques are implemented within the hospital setting.
  • Gain knowledge of the importance of the appropriate selection and use of medical equipment for specific diagnostic procedures and patient monitoring.
  • Explain how to store, maintain and prepare the above equipment.
  • Appreciate the importance of hospital Health & Safety.
  • Be able to identify potential risks and hazards within the medical setting and have the knowledge of how to reduce these risks.
  • Includes a practical session on hand preparation.

Speaker: Laura Rosewell BSc(Hons) DipAVN(Small Animal) ISFMDipFN VTS(SAIM) RVN
Principles – The Patient
Mar 2021 | Swindon

By the end of this module you will be familiar with the patient preparation required for a wide variety of medical procedures in order to make a diagnosis. This module will also give you the ability to confidently nurse a patient with complex medical needs as well as understanding the importance of maintaining client care and clinical governance.

Key Learning Objectives:

  • Discuss the importance of daily patient assessment and record keeping of the medical patient via charting systems. Be able to outline physical examination techniques and explain their relevance.
  • Outline the importance of the specific nursing requirements of inpatients with specific pathophysiology and life stage. Be able to explain the importance of nursing care plans and their use.
  • Obtain knowledge of the role of nutrition in the medical patient, identifying the advantages and disadvantages of both enteral and parenteral administration and how to manage these cases within the clinic.
  • Select the appropriate patient preparation technique and positioning required for specific medical procedures.
  • Identify medical diseases and procedures that result in an outpatient assessment and the significance of outpatient monitoring.
  • Become familiar with identifying medical complications and consolidate your knowledge of how to minimise them.
  • Explain the set up and maintenance of endoscopes and when they are most useful as part of a diagnostic work-up
  • Appreciate the importance of clinical governance & client communication within the veterinary clinic.
  • Includes case discussion and nutritional calculations

Speaker: Laura Rosewell BSc(Hons) DipAVN(Small Animal) ISFMDipFN VTS(SAIM) RVN
May 2021 | Swindon

This module will introduce many of the concepts of oncology to allow you to take an active role in the cancer patients presented to your clinic. By the end of this module you should feel confident in assisting with a wide variety of cancer presentations from diagnosis through to treatment and ongoing monitoring.

Key Learning Objectives:

  • Discuss the biology of cancer and paraneoplastic disease
  • Describe the principles, challenges and ethics of cancer treatment in dogs and cats
  • Outline the options for local management of tumours including surgery and radiation therapy
  • Explain how systemic management of tumours can be achieved through chemotherapy, immunotherapy and targeted therapy
  • Select appropriate diagnostic methods for the investigation and management of:
    • Lymphoma
    • Mast Cell Tumours
    • Bone tumours, splenic tumours, oral tumours and selected other common tumours
  • Familiarise yourself with specific feline tumours
  • Identify and understand oncological emergencies
  • Evaluate the unique challenges of starting an oncology clinic – practicalities of administering chemotherapy and management of clients
  • Demonstrate an understanding of the significance of drug safety, staff and owner protection

Includes a practical session of oncological cytology

Speaker: Owen Davies MA VetMB MVetMed MANZCVS(SAM) DACVIM(Oncology) MRCVS RCVS & American Specialist in Veterinary Oncology
May 2021 | Swindon

This module will allow you to have a deeper understanding of the part imaging plays in diagnosis and monitoring of medical cases. The ability to confidently acquire diagnostic radiographs, triage patients using ultrasound and identify those patients who would benefit from advanced imaging will be of great benefit to you.

Key Learning Objectives:

  • Explain the different radiographic techniques available, their pros and cons and uses in specific situations
  • Evaluate radiographic image quality to ensure diagnostic radiographs are available for interpretation and improve your basic film reading, identifying radiographic artefacts and faults.
  • Revise contrast studies, becoming familiar with their use and the specific equipment required to perform them
  • Understand the principles of ultrasound imaging and be familiar with how to set up and maintain the ultrasound machine and probes
  • Identify specific equipment and materials required for ultrasound-guided procedures
  • Employ the principles of FAST scanning to triage emergency cases
  • Review advanced imaging (CT/MRI and scintigraphy) and their uses in diagnosis and monitoring medical cases

To be confirmed
Body Systems
Jun 2021 | Swindon

This highly applicable module will enable you to feel more confident in your clinical examination skills to identify more subtle changes than just temperature, pulse and respiratory rates. With a logical approach to a variety of abnormalities you will come away from this module full of renewed enthusiasm for a medical diagnostic challenge.

Key Learning Objectives:

  • Appreciate clinical assessment and how it that can be used to narrow down location of a respiratory problem.
  • Explain the typical presentations, treatment and follow up required for a variety of respiratory diseases in small animal practice including feline asthma/bronchitis, chronic canine bronchitis, lungworm, pneumonia and nasal disease.
  • Discuss the common signs of acute and chronic gastrointestinal disease and logical approaches to investigating the underlying causes
  • Describe the most common gastrointestinal diseases and how to treat and/or manage them successfully.
  • Demonstrate an understanding of the complexities of liver disease in the cat and dog
  • Compare pancreatitis in cats and dogs in relation to presentation and treatment options
  • Recognise the importance of the classification of chronic kidney disease in relation to management and monitoring
  • Become familiar with the diagnostic, therapeutic and monitoring challenges of a variety of endocrine diseases including those associated with the pancreas, adrenal and thyroid glands.

Speaker: Kate Murphy BVSc(Hons) DSAM DipECVIM-CA FRCVS PGCert(HE)
Medical Pharmacology
Jul 2021 | Swindon

Understanding the pros and cons of laboratory testing and perfecting your interpretation skills are invaluable objectives for this module. By expanding your working knowledge of a variety of toxins and infectious diseases this module will also help you with those difficult vaccination conversations.

Key Learning Objectives:

  • Appreciate the challenges involved in getting the best out of laboratory tests including sampling methods and test selection
  • Describe a general approach to all poisoning cases including what resources are available, what diagnostic tests may help and how to treat common toxicities
  • Discuss rational drug use– consider how we protect antibiotic use, other considerations in therapeutic trials in medicine cases and monitoring for side effects
  • Consider traditional UK infectious diseases – how they are diagnosed, managed and treatment options
  • Become familiar with infectious diseases new to the UK and discuss the challenges in diagnosis and treatment of these conditions
  • Describe how antibody testing can be useful in vaccination protocols
  • Be familiar with WSAVA vaccination guidelines

Speaker: Kate Murphy BVSc(Hons) DSAM DipECVIM-CA FRCVS PGCert(HE)

Booking Options

Payments Initial
Payment Options All prices exclude VAT
NCert Programme £2,200.00 £295.00 £2,495.00
NCert Programme (Deposit and Direct Debit 12 Monthly Payments) £195.00 £295.00 £2,635.00
NCert Programme (Deposit and Payment in Full) £2,200.00 £295.00 £2,495.00

To book any option please click the "Book Now" button and select your preferences in your shopping cart.

Payment Terms & Conditions

  1. Payment for the course can be paid by credit card or bank transfer.
  2. Please contact us for pricing relating to corporate veterinary groups and multiple booking discounts.
  3. Full details regarding the course cancellation procedure can be found here: https://www.improveinternational.com/uk/terms-and-conditions/

Registration Information

  1. Applications are accepted on a first-come, first served basis.
  2. Where all available places are full, applicants will be offered first refusal for the next available date.
  3. Confirmation and enrolment details will then be sent to confirm your booking.

Key information

Nurses Certificate in Medical Nursing
30 Jan 2021
3 Jul 2021
8 Day Course
Nicola Grint, David MacKenzie, Kate Murphy, Laura Rosewell, Owen Davies
£2,495.00 + VAT