Scrub in or rub in?January 30, 2014 Dr. John Smith is getting ready for his first surgery of the day. He puts on his cap and mask, adjusts them methodically, and starts to rigorously prepare his hands for surgery. He grabs a brush soaked with chlorhexidine scrub and goes to work, as if it were a ritual: First his fingers, then the palm of each hand, then the back, then his wrists, then his forearms, for a full five minutes, just like he has been doing for the past 15 years as a surgeon. Sounds perfectly acceptable, doesn't it? What Dr. Smith doesn't know is that his surgical scrub routine is actually detrimental to the health of his hands, increases the likelihood of contamination, and puts him at risk of developing occupational dermatitis. Meanwhile, Dr. Denis Verwilghen of Copenhagen, Denmark, is getting ready for his first surgery of the day. He puts on his cap and mask, adjusts them methodically, and starts to rigorously prepare his hands for surgery. He first gently washes his hands with a mild, non-medicated soap, dries them with a non-sterile paper towel, and then meticulously rubs a hydroalcoholic solution on his hands and arms for a couple of minutes — until they are …
Education Center - SponsoredWhy Some Dogs Keep Seizing: Understanding and Managing Refractory Epilepsyby • PRN PharmacalThe severe impact of drug-resistant epilepsy highlights the importance of aiming for complete seizure control in all dogs experiencing seizures. It's crucial to enhance our understanding of the reasons behind drug resistance and how they relate to various causes, progression of the disease, and affected breeds.
Do You Have a Hobby?January 23, 2014One method of coping with compassion fatigue and burnout is having a hobby that you can enjoy outside of work (and even better, away from caregiving). We talk about hobbies when I present these topics to an audience. Typically, when I ask how many people have hobbies, about one-third to one-half of the room raises their hands. Then I follow it with, how many of you spend as much TIME as you would like, doing that hobby? And many hands go down…but it's encouraging to see some stay up in the air! I like to think that I am one of those with my hand up, for the first question at least. I have hobbies, including: Writing … I love to write non-work-related fiction and non-fiction; Painting ... miniatures such as characters in strategy games like The Hobbit with tiny goblins and dwarves; Painting … 3-D pictures of seasonal scenes, such as the changing colors of Autumn or a winter holiday scene; Jewelry making ... especially beads and pretty pendants; Scrapbooking. …
Christmas Gift Ideas For Surgery LoversDecember 3, 2013 Running out of time or ideas to make your surgery-loving colleagues happy? From affordable to higher-priced, here are some suggestions to get you started. For better aseptic technique, individual self-sealing sterilization pouches are safer than cut-off pouches on a roll. The concern with the latter is that it is difficult to open them and empty their contents in a sterile manner. Self-seal pouches may cost a few pennies more, but they will improve patient care by decreasing the contamination risk. Depending on the size, each sterilization pouch costs less than 5 cents (e.g. 3.5 by 10 inch) to under 10 cents (e.g. 7.5 by 13 inch). An anesthetized cat with a warming blanket. Surgical ties are designed to keep the patient in position during surgery. Using appropriate ties will avoid cutting into the skin or causing a tourniquet effect. Proper positioning and reasonable tension can prevent lasting tissue damage. Ideally, ties should be placed right above the carpus and the hock. Arguably, two loops are better than one to even out pressure on the skin. You can get four …
How To Tame Your Email AddictionSeptember 30, 2013 I have a confession to make: I had an addiction. I was an email hoarder. I had well over 12,000 emails in my inbox--and that was counting only my main email account. I tried to treat my obsession, but "life” always seemed to get in the way. So after hitting rock bottom, one of my goals emerged: cleaning up my inbox. Accomplishing this task has been a huge relief, mentally and almost physically. Fair warning: Some readers may have arrhythmias reading this article. Dealing with email has become a very emotional endeavor. But as they say, awareness is the first step to recovery. You may need to make some bold decisions. So be bold. It is interesting how some colleagues rationalize. A practitioner explained to me, "Yes, I am a borderline hoarder, but at least with email there is no physical clutter!” If you are an email hoarder as well, here are some pointers and solutions to stop the madness. * Trim and Simplify. Seriously question your need for multiple email addresses. Do you truly need a work email, in addition to a personal Gmail account, a Hotmail account for rebates …
When Should You Retire?September 10, 2013 I have been telling myself and others I was never going to retire. I truly believed I would just keep working until I faded into the sunset. I started to work for the veterinarian across the street from my home in Mitchellville, Iowa, when I was 11. My first job was to help a sow in dystocia by delivering four live pigs. It was great fun and I was hooked from that point on. I started to help with farm calls on Saturdays and after school and then full time during the summers. When I was in Veterinary School at Iowa State University the great practical experiences I had in junior and senior high helped me put context to most everything we were taught. The hands-on experience was invaluable during professional school. Early in my career I wanted to practice companion animal surgery in private practice, which I did with my mentor/partner from Iowa, Dr. Don E. Sceli, who had moved from Mitchellville to Phoenix and had started a companion animal practice. We practiced together for six years and started three practices. Eventually we sold the practice and I returned to Iowa State University to …
Callback Programs Can Generate $404,000 A YearSeptember 10, 2013 At Main Street Veterinary Hospital in Flower Mound, Texas, every technician and client-service representative calls four clients per day with overdue-patient reminders. Employees submit completed call sheets daily to a manager. Main Street Veterinary Hospital pays employees $5 for every overdue preventive care visit that gets completed. "Some staff earn $75 to $80 extra per paycheck, so it’s a big incentive,” says Practice Manager MaryBeth Soto, CVPM. If the hospital paid a $75 bonus, the employee would have booked 15 overdue preventive care exams. According to the 2013 AAHA Veterinary Fee Reference, 8th edition, the total for an adult canine preventive health visit is $208, while cat owners spend an average of $186.1 Based on industry norms that 60 percent of patients are dogs and 40 percent are cats, you’d have nine dog exams at $208 each and six cat exams at $186 each for a total of $2,988—a great return on a $75 investment. Talking to the Clients While callbacks can produce immediate revenue, the primary purpose is to be patient advocates. Remember, dogs and cats can’t answer phones, check email or drive to …
Revitalize Reminders And Watch Income RiseAugust 22, 2013 Since adding reminders for lab work, diagnostics have increased to 26 percent of income at Park Hills Animal Hospital in Park Hills, Ky. That’s higher than the industry benchmark of 18 percent found in a 2012 State of the Profession study.1 Veterinarians target pets ages 2 to 7, offering clients a $105 screen that includes a complete blood count, chemistry panel, heartworm/tick screen, urinalysis and thyroid screen. "Doing early detection has been one of our greatest successes,” says owner Mark Collett, DVM. "It’s important to check the pets that aren’t sick.” While you can’t predict when pets will become sick or injured, you can anticipate when they’ll need preventive care. Exams, diagnostics, vaccines, therapeutic diets and parasite preventives are renewable services that generate 38 percent of revenue.2 Reminders drive future visits. As a practice consultant, I frequently overhaul reminders as the top business growth strategy. Too many hospitals approach it as "that’s the way we’ve always done it” and aren’t adapting reminder methods based on today’s trends. Here are proven strategies to revitalize your reminders and watch income soar. Reflect your standards of care. …
Explaining Finances With ConfidenceAugust 7, 2013 When Tyson, a 14-week-old pit bull puppy, was playing with another dog, he fell off the couch and fractured his leg. The pet owner had funds available on his MasterCard for the $1,000 surgery but didn’t want to max out his card. Maureen Lovett, front desk supervisor at Rutland Veterinary Clinic & Surgical Center in Rutland, Vt., explained financing through CareCredit. The client put $500 on his MasterCard and financed the balance. "About 25 percent of our clients need a little extra help beyond their credit cards,” Lovett says. Having access to financing was a win-win outcome for the client and clinic. In 2012, Rutland Veterinary Clinic’s clients financed $208,550 through CareCredit. The AAHA-accredited general practice with four veterinarians also offers emergency care and orthopedic surgery. Communicating When you communicate with confidence about finances, more clients will accept the level of care that their pets need. Here are the tips I offer when I coach teams on communicating about finances. Choose the right words. Say "treatment plan” instead of "estimate.” "Treatment plan” emphasizes needed medical care, while "estimate” is simply about money. Also update forms in …
Selling The Value Of DiagnosticsJune 10, 2013 With persuasive conversations, technology tools and effective reminders, veterinarians can get more patients the preventive diagnostics they need. Since 2007, Ellie has taken nonsteroidal anti-inflammatory drugs to manage her arthritis following two knee surgeries. The 11-year-old black Labrador retriever gets a drug-monitoring test every six months. When Peter Brown, DVM, of Chuckanut Valley Veterinary Clinic in Burlington, Wash., reviewed Ellie’s latest test results, he used Idexx’s VetConnect Plus to see trends over time. Ellie’s liver values had been steadily increasing and were now at the top of the normal range. Dr. Brown sat next to the client, showing her graphs of Ellie’s changing liver values on his iPad. He discussed adding a liver supplement and plans to recheck blood work next month. From his iPad, Dr. Brown shared lab results to the client’s Petly online pet health page through Idexx’s Pet Health Network Pro. "While she was still at our clinic, an alert on her phone indicated she had new lab results shared,” says Dr. Brown. "Now she can share results with the rest of the family at home.” A 2012 State of the Profession study found that diagnostics make up 18 percent of practice …
How To Introduce A New Product In Your ClinicJune 10, 2013 When an elderly couple visited Animal Hospital of Smithson Valley in Spring Branch, Texas, they complained about fleas covering their German shepherd. Dr. Roy Madigan confirmed the infestation and said, "Let’s put him on a dose of the new Frontline Tritak while we’re talking.” Five minutes later, fleas on the dog’s rear legs were seizing and falling off. By the end of the exam, they all saw a pile of dead fleas on the floor. "We decided to use Frontline Tritak for its quick flea-killing time,” says Dr. Madigan. "We also need strong tick control in our area.” Although the flea/tick category saw 15 new entrants between 2011 and 2012, manufacturers know veterinarians’ recommendations drive consumer demand. Last winter was the fourth warmest winter on record and prolonged the need for flea-and-tick products. "At the end of the day, we are all racing toward the same goal—to get more pets protected,” says Shawn Hooker, director of parasiticides long-term strategy at Merial Ltd. in Duluth, Ga. Before expanding pharmacy shelves, veterinarians need to evaluate whether a new drug meets the medical needs of their patients or fills a void, …
