VeterinaryTechnician

Veterinary Technician NotesDocumentation Guide for CVTs

Complete guide to vet tech documentation including nursing notes, anesthesia records, treatment logs, and lab results. With templates and real-world examples for credentialed veterinary technicians.

The Importance of Vet Tech Documentation

Veterinary technicians are the backbone of patient care in veterinary medicine. Your documentation creates a continuous record of patient monitoring, treatments, and responses that is essential for quality care and legal protection.

Good technician notes capture what the DVM needs to know, when they need to know it. From anesthesia monitoring that documents every 5-minute check to hospitalization notes that track a patient's improvement, your records tell the story of patient care.

AI documentation tools like PatientNotes can help vet techs reduce charting time while maintaining thorough records. Focus on patient care while AI helps with the paperwork.

Vet Tech Documentation Scope

Understanding what you can document independently vs. what requires DVM oversight.

Can Document

  • Vital signs (TPR, weight)
  • Patient observations and behavior
  • Physical assessment findings
  • Treatments administered
  • Medications given (with DVM order)
  • Anesthesia monitoring records
  • Laboratory results
  • Nursing care provided
  • Owner communications
  • Post-operative monitoring
  • Bandage changes and wound care
  • Fluid therapy monitoring

Requires DVM Approval

  • Controlled substance administration
  • Anesthetic drug selection
  • Treatment plan changes
  • Prescription medications
  • Patient discharge
  • Surgical procedures
  • Diagnoses
  • Prognosis statements

Vet Tech Note Templates

Ready-to-use templates for common vet tech documentation tasks.

Admission/Intake Assessment

Initial patient evaluation when admitted to the hospital.

Key Elements:

Patient ID and reason for admission
Owner contact information
Current medications and allergies
Diet information
Baseline vital signs
Physical assessment findings
Comfort/stress level assessment
Special handling notes

Example:

VETERINARY TECHNICIAN ADMISSION ASSESSMENT

Date: 12/18/2024 | Time: 8:15 AM
VT: Amanda Collins, CVT

PATIENT INFORMATION:
Patient: Buddy
Species/Breed: Canine - Beagle Mix
Age: 7 years | Sex: MN | Weight: 28.4 lbs
Owner: David Park | Phone: (555) 234-5678
Emergency Contact: Same

REASON FOR ADMISSION:
Scheduled dental prophylaxis with possible extractions

HISTORY FROM OWNER:
- Last meal: 8 PM last night (fasted per instructions)
- Water removed at 6 AM this morning
- No vomiting or diarrhea
- Normal energy at home
- Previous anesthesia: neuter surgery, no complications reported

CURRENT MEDICATIONS:
- Apoquel 16 mg PO q12h (allergies) - last dose 8 PM yesterday
- No other medications

ALLERGIES: None known

BASELINE VITAL SIGNS:
- Temperature: 101.3°F
- Heart Rate: 92 bpm, regular rhythm, no murmur ausculted
- Respiratory Rate: 18 breaths/min
- CRT: <2 seconds
- MM: Pink, moist
- Hydration: Adequate, skin turgor WNL
- BCS: 5/9

PHYSICAL OBSERVATIONS:
- Mentation: BAR, friendly, wagging tail
- Gait: Ambulatory x4, no lameness
- Oral: Grade 3 dental disease visible, foul odor
- Abdomen: Soft on palpation, no pain response
- Lymph nodes: No enlargement palpated
- Ears: Mild erythema AU, no discharge
- Eyes: Clear, no discharge

STRESS ASSESSMENT: Low - accepting treats, comfortable handling

SPECIAL NOTES:
- Prefers female handlers per owner
- Nervous during blood draws - may need second person
- Likes belly rubs to calm down

IV CATHETER PLACED:
- 22g catheter, right cephalic vein
- Time: 8:32 AM
- Flushed with heparinized saline, patent
- Secured with tape and Vetwrap

PRE-ANESTHETIC BLOODWORK:
- PCV: 42% | TS: 6.8 g/dL
- BUN: 22 | Glucose: 98
- Results within normal limits

Patient settled in kennel 12B with water bowl. Ready for DVM pre-op exam.

______________________________
Amanda Collins, CVT

Anesthesia Monitoring Record

Real-time documentation during anesthetic procedures.

Key Elements:

Pre-anesthetic assessment
Induction drugs and times
Intubation details
Maintenance protocol
Vital signs q5 minutes
Complications/interventions
Recovery monitoring

Example:

ANESTHESIA MONITORING RECORD

Date: 12/18/2024
Patient: Buddy | Species: Canine | Weight: 28.4 lbs (12.9 kg)
Procedure: Dental prophylaxis + extractions
Anesthetist: Amanda Collins, CVT
Surgeon/DVM: Dr. Sarah Mitchell

PRE-ANESTHETIC STATUS:
ASA Classification: II (mild dental disease)
Pre-op temp: 101.3°F
NPO confirmed: Yes (last food 8 PM, water 6 AM)

PREMEDICATION (8:45 AM):
- Acepromazine 0.02 mg/kg = 0.26 mg IM
- Butorphanol 0.2 mg/kg = 2.6 mg IM
Patient calm within 10 minutes

INDUCTION (9:05 AM):
- Propofol 4 mg/kg IV = 52 mg IV to effect
- Intubated: 9.0 mm ET tube, cuff inflated
- Eyes: Ventromedial rotation, palpebral reflex absent

MAINTENANCE:
- Isoflurane 1.5-2.5% in O2 (2 L/min)
- IV fluids: LRS 5 mL/kg/hr = 65 mL/hr

MONITORING LOG:
| Time | HR | RR | SpO2 | ETCO2 | BP | Temp | Iso% | Notes |
|------|-----|-----|------|-------|-----|------|------|-------|
| 9:10 | 85 | 12 | 98 | 42 | 95 | 100.2 | 2.0 | Stable |
| 9:15 | 88 | 14 | 99 | 40 | 98 | 100.0 | 2.0 | Dental prophy started |
| 9:20 | 82 | 12 | 98 | 44 | 92 | 99.8 | 2.0 | Stable |
| 9:25 | 90 | 10 | 97 | 38 | 88 | 99.5 | 1.8 | Extraction 109 |
| 9:30 | 95 | 12 | 98 | 40 | 94 | 99.2 | 1.5 | Pain response - deepened |
| 9:35 | 85 | 14 | 99 | 42 | 96 | 99.0 | 2.0 | Stable |
| 9:40 | 82 | 12 | 98 | 40 | 98 | 98.8 | 2.0 | Extraction 110 |
| 9:45 | 88 | 14 | 99 | 38 | 95 | 98.5 | 1.5 | Procedure ending |
| 9:50 | 92 | 16 | 99 | 36 | 100 | 98.3 | OFF | Iso off, O2 only |

INTRAOPERATIVE NOTES:
- 9:28: Slight jaw tone, increased iso to 2.0%
- 9:45: Procedure complete, began recovery

MEDICATIONS GIVEN DURING PROCEDURE:
- Meloxicam 0.2 mg/kg = 2.6 mg SQ (9:40 AM)
- Cefazolin 22 mg/kg = 284 mg IV (9:15 AM)

FLUIDS:
- LRS total: 45 mL/hr x 55 min = ~40 mL

RECOVERY (9:50 AM - 10:25 AM):
- 9:50: Iso off, spontaneous breathing
- 9:55: Swallow reflex present
- 10:00: Extubated, lateral recumbency
- 10:10: Sternal, responsive to name
- 10:25: Standing, ambulatory

RECOVERY VITALS:
- 10:25: Temp 99.5°F, HR 95, RR 20, MM pink
- Patient alert, comfortable

Recovery Score: Excellent - smooth, no complications

______________________________
Amanda Collins, CVT

Hospitalization Nursing Notes

Ongoing patient monitoring during hospital stay.

Key Elements:

Time of assessment
Vital signs
Appetite and intake
Urination/defecation
Medications given
Treatment responses
Demeanor/comfort
Concerns for DVM

Example:

HOSPITALIZATION NURSING NOTES

Date: 12/18/2024
Patient: Luna | Species: Feline | Diagnosis: Diabetic ketoacidosis
DVM: Dr. Jennifer Adams
Kennel: ICU 3

--- 7:00 AM - Amanda Collins, CVT ---
TPR: T 101.0°F | HR 180 | RR 24
Glucose: 320 mg/dL (target <300)
Ketones: Moderate on urine dipstick
IV: LRS + 20 mEq KCl at 45 mL/hr - running well
CRI: Regular insulin 0.1 U/kg/hr via syringe pump
Attitude: QAR, mildly lethargic but responsive
Appetite: Offered recovery diet - ate ~1 tbsp
Urination: Yes, litter box checked
Defecation: No
Hydration: Improved from yesterday, skin turgor ~2 sec
Notes: Continue current protocol per DVM orders

--- 11:00 AM - Amanda Collins, CVT ---
TPR: T 100.8°F | HR 168 | RR 22
Glucose: 285 mg/dL (improved!)
Ketones: Trace on urine dipstick (decreasing)
IV: Running well, changed to new 1L bag at 10:30
Attitude: More alert, purring during exam
Appetite: Ate 2 tbsp recovery diet voluntarily
Urination: Yes x2
Defecation: Small, soft stool
Notes: Glucose trending down nicely. Patient more comfortable.

--- 3:00 PM - Jessica Martin, CVT ---
TPR: T 101.2°F | HR 160 | RR 20
Glucose: 245 mg/dL (at target!)
Ketones: Negative
IV: Patent, site clean, no swelling
CRI: Reduced to 0.05 U/kg/hr per Dr. Adams
Attitude: BAR, grooming self
Appetite: Ate full portion offered (1/4 can)
Urination: Yes
Defecation: Yes, formed
Notes: Excellent response to treatment. DVM notified of ketone resolution.

--- 7:00 PM - Jessica Martin, CVT ---
TPR: T 101.0°F | HR 155 | RR 18
Glucose: 198 mg/dL
IV: Fluids decreased to 30 mL/hr per orders
CRI: Discontinued, transitioned to SQ insulin
  - Lantus 1 unit SQ given at 6:30 PM with meal
Attitude: Bright, interactive, asking for attention
Appetite: Ate dinner (1/2 can prescription DM diet)
Urination: Yes
Defecation: Normal

OVERNIGHT ORDERS (per Dr. Adams):
- Continue LRS at 30 mL/hr
- Glucose check q4h
- If glucose <100, call DVM immediately
- If glucose >350, call DVM
- Offer food q6h with insulin
- AM insulin: 1 unit Lantus SQ with breakfast

Patient stable. Plan for discharge tomorrow if glucose remains controlled.

______________________________
Jessica Martin, CVT

Treatment/Procedure Notes

Documentation of specific treatments or procedures performed.

Key Elements:

Procedure performed
Patient response
Supplies/medications used
Any complications
Post-procedure monitoring
Owner communication

Example:

TREATMENT NOTES

Date: 12/18/2024 | Time: 2:30 PM
Patient: Max | Species: Canine - Lab | Dx: Laceration, right forelimb
VT: Amanda Collins, CVT
DVM: Dr. Sarah Mitchell

PROCEDURE: Wound care and bandage change

PRE-TREATMENT ASSESSMENT:
- Patient BAR, wagging tail
- Current bandage: Dry, intact, no strike-through
- Pain level: Appears comfortable, no guarding

SEDATION (per DVM order):
- Butorphanol 0.2 mg/kg = 6 mg IM at 2:35 PM
- Patient calm within 10 minutes, lateral recumbency

BANDAGE REMOVAL & WOUND ASSESSMENT:
- Bandage removed 2:45 PM
- Wound appearance: Healthy granulation tissue, no purulent discharge
- Wound edges: Approximated, sutures intact (5 of 5 visible)
- Surrounding tissue: Mild swelling (improved from yesterday), no erythema
- Odor: None

WOUND CARE PERFORMED:
1. Flushed with sterile saline (50 mL)
2. Gentle debridement of minimal crusting
3. Applied silver sulfadiazine cream thin layer
4. Non-adherent pad placed over wound
5. Wrapped with cast padding
6. Covered with Vetwrap (blue)
7. Secured with tape strips at top and bottom

PATIENT RESPONSE: Tolerated well, no adverse reaction

POST-PROCEDURE:
- 3:00 PM: Recovered from sedation, sternal
- 3:15 PM: Standing, eating treats
- E-collar replaced, confirmed fit

MEDICATIONS ADMINISTERED:
- Cephalexin 500 mg PO (afternoon dose)
- Carprofen 50 mg PO with food

OWNER COMMUNICATION (phone call 3:30 PM):
- Spoke with Mr. Thompson
- Updated on wound progress (healing well)
- Reminded: E-collar must stay on
- Bandage must stay dry
- Recheck in 2 days
- Owner acknowledged and thanked us

DISCHARGE NOTES:
If discharging today, include:
- Bandage care instructions (written)
- Medication schedule
- Recheck appointment
- E-collar importance

______________________________
Amanda Collins, CVT

Laboratory Results Log

Documentation of lab work performed and results.

Key Elements:

Tests performed
Sample type and collection time
Results with reference ranges
Abnormal values flagged
DVM notification if critical

Example:

LABORATORY RESULTS LOG

Date: 12/18/2024
Patient: Charlie | Species: Canine - Golden Retriever | Age: 9 years
VT: Amanda Collins, CVT
DVM: Dr. Sarah Mitchell

SAMPLE COLLECTION:
- Time: 10:45 AM
- Sample types: Venipuncture, jugular vein - 3 mL in purple top, 2 mL in red top
- Urine: Cystocentesis - 8 mL obtained

COMPLETE BLOOD COUNT (In-house ProCyte):

| Parameter | Result | Reference Range | Flag |
|-----------|--------|-----------------|------|
| WBC | 15.2 | 5.0-14.1 K/uL | HIGH |
| RBC | 6.8 | 5.5-8.5 M/uL | |
| HGB | 15.2 | 12-18 g/dL | |
| HCT | 44% | 37-55% | |
| MCV | 65 | 60-74 fL | |
| PLT | 285 | 175-500 K/uL | |
| Neutrophils | 11.9 | 2.9-12.0 K/uL | |
| Lymphocytes | 1.8 | 1.0-4.8 K/uL | |
| Monocytes | 1.2 | 0.2-1.4 K/uL | |
| Eosinophils | 0.3 | 0.1-1.3 K/uL | |

CHEMISTRY PANEL (In-house Catalyst):

| Parameter | Result | Reference Range | Flag |
|-----------|--------|-----------------|------|
| BUN | 42 | 9-29 mg/dL | HIGH |
| Creatinine | 2.8 | 0.5-1.5 mg/dL | HIGH |
| ALT | 55 | 18-121 U/L | |
| ALP | 89 | 5-131 U/L | |
| Glucose | 105 | 65-120 mg/dL | |
| TP | 6.5 | 5.5-7.5 g/dL | |
| Albumin | 3.2 | 2.5-4.0 g/dL | |
| Phosphorus | 6.8 | 2.9-6.2 mg/dL | HIGH |

URINALYSIS:

| Parameter | Result |
|-----------|--------|
| Collection | Cystocentesis |
| Color | Yellow |
| Clarity | Clear |
| USG | 1.018 (low - expected 1.030+) |
| pH | 6.5 |
| Protein | 1+ |
| Glucose | Negative |
| Blood | Trace |
| WBC | 0-2/HPF |
| RBC | 2-4/HPF |
| Bacteria | None seen |
| Casts | None seen |
| Crystals | None seen |

ABNORMAL VALUES SUMMARY:
1. Elevated BUN and Creatinine with low USG - consistent with renal disease
2. Elevated phosphorus - supports renal assessment
3. Mild leukocytosis - monitor

DVM NOTIFICATION:
- Dr. Mitchell notified at 11:30 AM of renal values
- Discussed findings, recommend SDMA and urine culture
- Owner to be contacted regarding diagnosis

ADDITIONAL TESTING ORDERED:
- SDMA (send out to IDEXX)
- Urine culture and sensitivity (send out)
- Samples submitted 12:00 PM via courier

______________________________
Amanda Collins, CVT

Documentation Best Practices

Tips to make your vet tech notes thorough, accurate, and legally sound.

Be Specific with Times

Always document exact times for medications, treatments, and observations. This is critical for anesthesia records and controlled substances.

Use Objective Language

Document what you observe: "Patient ate 50% of offered food" rather than "Patient had good appetite." Stick to facts.

Document Communications

Note all owner communications including who you spoke with, what was discussed, and any instructions given.

Flag Abnormalities

Clearly highlight concerning findings and document when the DVM was notified. This protects you and ensures follow-up.

Complete Controlled Drug Records

For controlled substances, document: drug name, dose, route, time, patient, who administered, who witnessed.

Initial Your Entries

Always sign or initial your notes with your credentials (CVT, RVT, LVT). This establishes who made the observation.

Frequently Asked Questions

What can veterinary technicians document?

Vet techs can document patient observations, vital signs, treatments administered, anesthetic monitoring, lab results, patient responses, and nursing care. Diagnoses and treatment plans must be documented or approved by the supervising veterinarian.

Do vet tech notes need to be co-signed?

Requirements vary by state and practice. Generally, routine observations and treatments don't require co-signature, but controlled substance administration, anesthetic procedures, and any clinical assessments should be reviewed by the DVM.

What is a TPR and how should it be documented?

TPR stands for Temperature, Pulse, and Respiration - the core vital signs. Document: temperature (°F), heart rate (bpm), respiratory rate (breaths/min), plus weight, hydration status, and any abnormalities noted.

How do you document anesthesia monitoring?

Anesthesia records should include: pre-anesthetic assessment, drugs administered with doses and times, vital signs at 5-minute intervals, depth of anesthesia, any complications, recovery notes, and time to extubation.

What should be included in hospitalization notes?

Hospitalization notes include: TPR checks (typically q4-8 hours), medications administered, appetite/eating, urination/defecation, patient demeanor/comfort level, IV fluid monitoring, wound checks, and any concerns for the DVM.

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