This article takes a case-based approach to a scenario in veterinary practice. The actions of the registered veterinary nurse are analysed from a legal and professional perspective, with the aim to generate recommendations to improve future practice. References Key points z Errorsincommunicationandinformationtransfercaneasilyoccurandcanhavedisastrouseffectsonthepatient,clientorteam. z Veterinaryworkassumesanimportantdutyofcaretowardstheanimalandalsotothe client,breachesinthiscanleadtolitigationorbreaktheclient'sorpublic'strustinthe practiceandprofession. z Personalaccountabilityisimportantforaprofessionandeachmemberoftheteammust takeresponsibilityfortheirownactionsandtheirroleinanyseriesoferrors. z Apatient-focuseddiscussioninvolvingthesurgical,nursingandanaesthesiateamfacilitatesdisseminationofvitalinformationandprioritisespatientcare. z Standard operating systems, such as a surgical checklist, can help prevent the team overseeingkeyerrors.