Personal/Professional DevelopmentThe Fourth Vital SignA note from Editor in Chief Kara Burns on how multimodal pain management can address a patient’s condition, improve patient function, and allow for a better quality of life.Personal/Professional DevelopmentWhy the Current VPA/MLP Model Falls Short and What the Profession Deserves InsteadThere are systemic issues facing our veterinary profession that many people and organizations are working to alleviate.Personal/Professional DevelopmentEnhancing Patient Care by Strengthening RoundsVeterinary nursing rounds are often seen as a chore, but this should not be the case, as rounds are essential to proper patient care.ToxicologyUsing Over-the-Counter Drug Tests for Veterinary PatientsOver-the-counter (OTC) drug tests are immunoassays that are designed to detect a certain level of drug or drug metabolite in human urine. Emergency Medicine/Critical CareHow to Place Nasogastric and Nasoesophageal Feeding TubesLearn the indications, contraindications, potential complications, and placement techniques for nasogastric and nasoesophageal feeding tubes as well as maintenance and troubleshooting tips.Preventive MedicineNoncore Vaccines: Tailored Protection for Every PetNoncore vaccines allow clinicians to design preventive care strategies that reflect the lived realities of pets and the families who love them.NutritionClient Communication About Nutritional Management of Gastrointestinal ProblemsThis article provides examples of how core communication skills can help with effective information gathering, allowing for categorizing or triaging symptoms to support nutritional recommendations and improved client compliance and health outcomes. OncologyMultimodal Pain Management for a Patient With Metastatic Invasive Urothelial CarcinomaQuality of life is the key goal in oncology in veterinary medicine. Sometimes that care includes not just treating the patient’s cancer but also treating the pain that may be associated with the neoplastic process.AnesthesiologyNavigating Common Anesthetic ComplicationsAnesthesia veterinary nurses and other veterinary professionals must be proactive in identifying and managing anesthetic complications to ensure patient safety. Emergency Medicine/Critical CareSmall Patients, Specific Protocols: Implementing the RECOVER Newborn Resuscitation GuidelinesThe RECOVER Initiative has released the Newborn Resuscitation Guidelines to provide a standardized, evidence-based framework designed specifically for these first minutes of life.Page 1 of 212