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Nurses Course

Advanced Certificate Surgical Nursing

ISVPS (NAdvCert)

8 Modules
Online
Nursing Advanced Certificate Surgical Nursing
Price From £2,479.00 + VAT

Elevate your practice and delve deeper into surgery!

The Advanced Certificate in Surgical Nursing modular veterinary nurse CPD programme is designed for those wanting to advance their surgical skills and build on the knowledge gained in the Surgical Nursing Certificate programme. This programme will cover more advanced surgical techniques and complex clinical cases enabling you to manage a theatre suite, consider all of the elements that impact patients, staff, and infection control, and improve your practice standards with audit and reflection.

 

What you’ll learn...

  • The programme starts with the management of the surgical suite and would provide expert knowledge for an RVN who is interested in progressing into a specialised surgical management role. 

  • The modules encourage evaluation and reflection of the current theatre guidelines, protocols, and systems in your practice and implementing changes as required.  

  • The importance of surgical day planning, preparation, and communication in order to work most effectively are discussed, alongside current antibiotic guidelines and the concept of a biofilm with the infection control aspect of theatre maintenance covered from a sustainability perspective.  

  • Specific areas of surgery; thoracic, abdominal, neurological, airway, PSS, etc. looking at the pre-, peri, and post-operative considerations for each of these.  

  • While also including information on stabilisation prior to surgery, the use of ventilators, chest and wound drains, bone grafting, nerve blocks, and post-op monitoring amongst other aspects of surgical nursing involvement.  

 

Why choose this programme?

  • This Advanced programme encourages the reflection and analysis of current protocols, systems, and nursing care provided so that you can regularly evaluate and make improvements to keep in line with new evidence-based research and provide a gold standard of care to patients.  

  • Provides content in an engaging and interactive way that covers advanced surgery, equipment, and levels of nursing involvement in greater depth. The knowledge and skills gained will equip you to take on a more specialised role within this discipline.  

  • This programme can be undertaken by either referral or general practice veterinary nurses with 5+ years of experience and will provide the framework to direct your own learning but also create links and connections within the veterinary surgery community by interacting and engaging with the discussion forum.    

 

Understanding pre-requisites 

Although no prerequisite is required to join the Nurse Advanced Certificate training programme and achieve its associated ISVPS (International School of Veterinary Postgraduate Studies) qualification, it is strongly recommended that delegates considering enrolling in the programme:  

  • Have previously achieved an ISVPS NCert in Surgical Nursing (or its academic equivalent),   

or  

  • Have 5+ years’ experience in general practiceas a Veterinary Nurse. So that you are confident in your knowledge of common surgical procedures and have an appreciation of resource material from where further research can be undertaken into more unusual conditions and/or situations. An understanding of normal anatomy and physiology, and how these impact on the pathogenesis and surgical treatment of various conditions will be also expected.

Secure your place

Unlock Your Expertise, hear from Allison Mann, BSc (hons) Dip HE CVN Dip AVN (small animal) RVN, Advanced Surgical Nursing Course Director

Our Advanced Surgical Nursing Programme is designed for veterinary nurses wanting to advance their surgical nursing skills and build on their knowledge.

Hear what our delegates have to say

Don’t just take our word for it - our delegate feedback speaks for itself.

Garrick Ponte

Garrick Ponte

BVSc GPCert(SAM) MRCVS

The teaching at Improve is excellent and I have been able to take what I have learnt back to use in practice. It’s not just the lectures themselves but the practical work we did straight afterwards which drives home everything, which is why Impro … Read more

Colin Dickson

Colin Dickson

BVMS CertAVP MRCVS

Having previously completed a postgraduate surgery certificate with another provider, I was confident in my knowledge and understanding of the theory but felt underprepared from a practical perspective. I was initially hesitant to register for another … Read more

Key features of this programme

Comprehensive 100% online training
One year RCVS Knowledge Library access
Discussion forum
Recognised Course Director
Dedicated Programme Coordinator
Accredited CPD

Programme details

Module Summary

4 Online sessions
4 Webinars
01 - Management of the Theatre Suite
E-learning
April 2026
Online

Learning Outcomes

  • Explain the rationale of surgical day planning, team communication including pre-surgical discussions and preparation, planning for high risk surgeries, ‘clean’ and ‘dirty’ procedures, kit and instrument turnaround and other practice-specific limitations/considerations.  

  • Evaluate and reflect on current practice guidelines on all aspects of theatre management and intra-operative patient care. Instigate audits on site, critically review this collated data and initiate change as required and reaudit when necessary.  

  • Recognise the importance of a theatre log to aid in the use of auditing.  

  •  Perform a literature review on topics as required.  

  •  Discuss the importance of closed loop communication, checklists and theatre etiquette.  

  •  Explain the pathology of post operative infections, be aware of current antibiotic guidelines and when to administer pre-peri-operatively.  

  •  Explain the concept of a biofilm and its relevance in practice. Consider sustainability and the ecological impact of infection control. 

  • Compare and contrast the mechanism of action of monopolar and bipolar cautery. Understand the equipment and patient preparation requirements for each of these forms of cautery including advance bipolar equipment. 

  • Describe the operation and maintenance of theatre equipment e.g. Suction and electrocautery.   

  • Explain the use of advanced surgical equipment e.g. LigaSure, CO2 laser, Surgairtome, VAC systems, surgical staplers, intraoperative fluoroscopy and the indications for use. 

  • Explain the process of ethylene oxide as a method of sterilisation. Identify key health and safety requirements and training for its use    

 

Debbie Howe RVN A1 GradDipAVN (surg) Cert ECC CertAVN PgC AVN (surg)
02 - Webinar 1: Management of the Theatre Suite -Webinar
Webinar
May 2026
Online
Debbie Howe RVN A1 GradDipAVN (surg) Cert ECC CertAVN PgC AVN (surg)
03 - Patient Management I - Thoracotomy Patients, Wound Drains and Effusion Catheters
E-learning
June 2026
Online

Learning Outcomes

  • Outline pre-op stabilisation of a thoracic patient, describe thoracocentesis, chest drain placement (kit required, patient preparation, post op care).   

  • Explain atelectasis and the importance of this process in the thoracotomy patient, outline how important positioning is to these patients.  

  • Describe the process of V/Q mismatch and why this is more common in a patient undergoing a thoracotomy. Summarize the impact this may have on ventilation intra- and post-operatively.  

  • Discuss the importance of having medical air available to thoracotomy patients undergoing general anaesthesia.  

  • Discuss how to monitor effective ventilation and oxygen saturation intra- and post-operatively.  

  • Outline options for multimodal analgesia approach to the thoracotomy patient.  

  • Demonstrate knowledge of chest drain selection and justification depending on the disease process.  

  • Describe the pathophysiology of pyothorax, chylothorax, pneumothorax, tension pneumothorax, flail chest, diaphragmatic hernia, peritoneopericardial diaphragmatic hernia and lung lobe torsion.    

  • Discuss different types of drains used in thoracic surgery including wound drains and analgesic catheters. Compare and contrast passive and active drains.  

  • Describe post operative care of patients with drains, including patient comfort, recognizing drain failure, minimising patient interference.  

  • Discuss risks and complications associated with wound drains.  

  • Explain the rationale of wound analgesic catheters. Discuss where they are suitable for use. Explain how these are used in conjunction with wound drains.   

  • Compare and contrast the nature of fluid expected from drains, explain the different characteristics and describe how fluid can evolve over time.   

  

Grainne Kelly BSc (Hons) CertVN ECC PgCert VAA RVN
04 - Webinar 2: Patient Management I - Thoracotomy Patients, Wound Drains and Effusion Catheters - Journal Club
Webinar
To be confirmed
Online
Grainne Kelly BSc (Hons) CertVN ECC PgCert VAA RVN
05 - Patient Management II - Exploratory Laparotomy/Abdominal Patient, The Airway Patient, Liver Disease And Pre Surgical Blood Tests
E-learning
August 2026
Online

Learning Outcomes

  • Outline pre-op assessment and stabilisation of the acute abdomen, including POCUS for abdominal trauma patients and abdominocentesis.  
  • Explain intra-operative considerations such as positioning, ventilation, warming, vascular access.  
  • Describe the technique of placing a jugular catheter. Discuss the rationale behind placement. Recognise patients that would benefit, as well as those who have contraindications for placement. 
  • Define and discuss sepsis, including the pathophysiology of sepsis, the surgical approach and intra-operative patient requirements (lavage, temperature control).    
  • Outline post-operative care of the ex-lap patient.   
  • Compare and contrast feeding tube selection for the post operative surgical patient - discuss the importance of colloid oncotic pressure and the role nutrition has.   
  • Discuss liver disease and the impact it has on drug selection, glucose, clotting and metabolism of proteins.   
  • Discuss the pathophysiology of portosystemic shunts, including intra-hepatic and extra-hepatic shunts. Discuss the process of ligation- comparing full ligation to partial closure and the rationale for choosing such. Outline portal hypertension and post-ligation neurological syndrome.   
  • Explain the post-operative care requirements for liver disease patients, including glucose monitoring, seizure control and analgesia.   
  • Describe the pre-operative tests on surgical patients including PT APTT, BMBT, Bile Acid Stim test, ammonia. Understand abnormal results and their impact on the patient and surgical approach.  
  • Briefly describe the role of auto-transfusion in surgery, where it is contra-indicated and where it may be appropriate to consider. Discuss the method and equipment required.   
  • Discuss the pathophysiology of laryngeal paralysis. Describe the stabilisation of these patients including airway exam and how the diagnosis is reached. Describe the surgical approach of a laryngeal tieback as well as patient preparation for said procedure.  
  • List the post-operative requirements for airway recoveries such as tieback or BOAS patients. Explain the importance of sedation, oxygen delivery and analgesia as well as regurgitation/vomiting prevention in these patients.   
  • Discuss the mechanism of regurgitation and compare this to vomiting. Identify the patient profiles more likely to regurgitate under anaesthesia. Explain the potential consequences of regurgitation under GA. Describe the treatment for regurgitation under anaesthesia including treatment and pharmacological support.  
Hannah Nicholls RVN CertECC ISFM CertFN
06 - Webinar 3: Patient Management II - Exploratory Laparotomy/Abdominal Patient, The Airway Patient, Liver Disease And Pre Surgical Blood Tests - webinar
Webinar
September 2026
Online
Hannah Nicholls RVN CertECC ISFM CertFN
07 - Patient Management III - Peri-operative Care, Neurological Patient And Nerve Blocks
E-learning
October 2026
Online

Learning Outcomes

  • Discuss the mechanism of nerve blocks.  

  • Explain the use of a nerve stimulator, including the mechanism of action and the difference between the needle used with a stimulator vs a hypodermic needle.   

  • Describe the technique of ultrasound guided nerve blocks.   

  • Discuss the advantages and disadvantages of nerve blocks.  

  • Compare and contrast local anaesthetic agents, including Bupivacaine, Lidocaine, Ropivacaine and explain rationale on their selection.   

  • Describe common nerve block techniques including the femoral and sciatic nerve block, the RUMM block..   

  • Describe epidural anaesthesia including indications and contra-indications, patient preparation, drug selection, risks, and complications.      

  • Describe the pathophysiology of IVDD. Compare and contrast the different types of discs, (Hansen type 1, Hansen type 2 and Hansen type 3/ANNPE) and their treatment. Understand the spinal grading system from 1-5 and describe each of these grades accordingly   

  • Explain the difference between disc disease and FCE, outlining diagnoses and treatment differentiations  

  • Describe the limitations of CT vs MRI for diagnosing disc disease.   

  • Outline post-operative care for the neurological patient including recumbent patient care, urinary catheter placement and maintenance and rehabilitation/physio  

  • Describe a post-surgical neurological exam to determine the patient’s status and monitoring for signs of improvement or deterioration  

  • Explain the development of myelomalacia, the pathophysiology and progression of the condition  

  • Describe the different types of wound drains and their applications in the post surgical patient and the use of diffusion catheters for analgesia. 

 

Mark Lowrie MA VetMB MVM DipECVN RCVS Specialist in Veterinary Neurology and EBVS®️ European Specialist in Veterinary Neurology
Tristan Merlin MSc, MVetMed, Dip. ECVAA, MRCVS EBVS®️ European Specialist in Veterinary Anaesthesia and Analgesia RCVS Recognised Specialist in Veterinary Anaesthesia & Analgesia
08 - Webinar 4: Patient Management III - Peri-operative Care, Neurological Patient And Blocks - Journal Club
Webinar
To be confirmed
Online
Mark Lowrie MA VetMB MVM DipECVN RCVS Specialist in Veterinary Neurology and EBVS®️ European Specialist in Veterinary Neurology

Qualifications

(NAdvCert)

This course is accredited by ISVPS and allows you to achieve a

If you wish to obtain the Advanced award qualification will need to complete all four online interactive modules which are made available every other month and attend webinar/ journal club sessions online.  

Within every two-month block, you will be required to complete an assignment or a practice-based task. These will form part of the formative assessment and must be completed in order to complete the associated module. 

Please note there is no minimum mandatory requirement to attend, however, it is strongly recommended to attend all four live events to gain maximum benefit from this course.  

Pricing

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We're completely confident in the quality of our training and CPD. So much so that if you're not 100% satisfied with your certificate course, we'll give you a 100% refund. Just get in touch with us within 30 days of your start date and we'll sort the rest. T's and C's apply.

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Online Learning & Platform

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Advanced Veterinary Nurse Certificates

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