Veterinary Procedure Manual 1) Administration One aspect or this job as a veterinarian for Well Animal Institute is to over see the administrative procedures at the teeth cleaning clinics. The following is an outline of those procedures. Upon arriving at a teeth cleaning clinic, please check the schedule. If convenient get a copy. More on the schedule later. Check with the store to see if they have release forms. If you are at a dog day care facility verify that the release forms are signed by their owners and that the credit card information is correct.(Some clinics still take the money) During the clinic please make sure the technicians are filling out all their paper work. 1) Fill the two-part report card out correctly and give the yellow copy to the customer 2) The summary sheet, where all the financial transactions are recorded. Please note that Well Animal Institute holds all information we receive in the strictest confidence. We do NOT sell our mailing list. Your information and privacy are safe with us and it is for internal use only. At the end of the clinic we would like you to balance the money. When the summary sheet describes the precise money transactions it makes it easier for the office to process the clinic. Remind the technicians to clock in and out on the summary sheet. There is a place for you to write your hours down as well. Please mail the clinic summary sheet, money, and release forms in the preaddressed/stamped envelope the day of the clinic. Currently we mail the cash, BUT MAKE SURE YOU SEAL THE ENVELOPE WELL. Please send us a bill with-in 3 business days by e-mail in order to get paid. You are paid after each clinic is processed in the office. The Bill needs to have the date, name of clinic, amount billed and your business name and address. 2) Procedures You are also responsible for overseeing the anesthesia-free dental procedure. The safety and well being of the animals and people working with the animals or around the animals is your priority and responsibility. Please check each dog in. Take a verbal history. Sometimes people don’t write that their dog has a health concern. If the dog has a health concern inform the owner that you may administer antibiotics and that is an extra $20 charge. You are to observe the dogs while the techs are working on them. I realize you will be running back and forth to check in and return animals. Please help the techs with struggling animals. (Lay the big dogs down gently) Every small dog must be wrapped in a towel. It is your call if you feel it is necessary to stop a dental for the safety and well being of the dog or our staff. Please check the mouths before they are returned to their owners using the black light. It goes a long way to show the owners the good job our techs have done. If you get tied up it is OK to send one of the senior techs to return a dog to its owner. Do not let new techs return dogs by themselves; take them with you so they learn what to say and what not to say. Please if in a store that sells food or dental products turn them over to an employee of the store to help them with purchase. They are extremely well trained and know how to talk to the clients. If you have any concerns over a technician’s performance please call Cindy. 3) WAI Representative The third and just as important aspect to your job, as a representative of WAI, is to portray a professional image to the store owners, customers, and to the technicians. We ask that you don’t bring your personal life into work. We are there to help them get new customers. DO NOT recommend Iams, Science Diet, etc. to customers. The Veterinary board in CO requires that you communicate the pros and cons of an anesthesia free dental to the pet owner. If you find dental disease in the mouth my advice to you is: 1. If you find disease and you think we can still clean the area thoroughly then communicate with the owner and give them the choice to proceed with the dental or not. I never try to talk them out of a dental cleaning if I feel we can do a good job. I make it very clear that they still need to follow up with their vet concerning the affected area(s). 2. If you find disease and it is fairly clear we cannot adequately clean the area, this must be explained to the owner. To continue with the dental is at your discretion. 3. If while doing a dental you find a deep pocket or a loose tooth then finish the dental and then share that information with the owner and emphasize that they must follow up with their vet. They have still received valuable information from the exam and cleaning. If I find a loose tooth before I start the dental I explain to the owner that we can still do the cleaning but they will have to follow up with their vet concerning the effected tooth. Most owners choose to continue with the dental and are glad to know about the tooth so their vet can extract it or X ray it or pack it with antibiotics, do a root canal or whatever. (At this time you should have them sign the disclosure waiver) I believe there is value in lessening the time spent under anesthesia by not having to perform the dental cleaning under anesthesia. Most clients agree with this. The Store Owners – These people are the back bone of our company. They are our most important customers and we want to treat them like royalty so that they have a positive experience and look forward to having us back for a future clinic. Think of yourself as a guest in their “home” and we do not want to offend them. Please ask permission and be polite. Please keep them informed so we maintain a good report. 1) Upon arrival introduce yourself to the owner/manager. 2) Ask where you should park your vehicle. 3) Ask where they would like you to set up. 4) Inquire if they have release forms. 5) Could you see the schedule? 6) What is their arrangement with WAI about who takes the money. If they don’t know ask if they would allow us to take the money. You should receive a check from them before you leave if they take the money. There are a few old clients we allow to mail checks, but call Cindy to verify if you have any questions about this. Technicians – Certainly you can be more casual around the technicians unless the customers are nearby. Techs need to be wearing head lights, and all equipment should be clean. No cell phone use, unless it’s an emergency. The technicians are you team members. You are there to support them and lead them in good decision making. Conversation should be appropriate and respectful. Please no cursing, gossiping, or inappropriate subject matter. We advocate a sense of teamwork and like to promote a respectful environment where everyone feels welcome, comfortable and supported. The Clients – Please be polite, accommodation, listen carefully and try to be patient. Answer any questions or concerns they may have. If they ask to watch tell them to give you 10 minutes to get the dog settled then they can peek in. Some of the dogs do better with the owner there and most do better with the owner gone. Tell them you will call them if you need them. The Dogs – Treat the dogs nicely! No picking up and flopping them down. Roll them so they do not get stressed. The Schedule – On arrival please look at the schedule. If you see any late appointments dangling out by themselves at the end of the day, try to call those people and move them up or reschedule them for another clinic. For example the bulk of the appointments end at 1:30 but at 3:00 there is one appointment. It doesn’t make any sense for WAI to pay a group of people to sit around for one and ½ hours to wait for this one appointment. Having said this, before you change an appointment time please check with the store owner to get their permission to do it. If you have permission to do this and can’t reach the customer who has the appointment at 3:00 leave them a message telling them to reschedule. If you don’t have permission to do this send all but one tech home and wait for the dog. Any other glaring scheduling errors please call Cindy at 303.514.0076 Miscellaneous -Past incidents we would like to avoid, vets bringing their children, dogs, friends to a clinic without permission. A dog day care owner felt one the vet bossed their employee around. The owner of the store perceiving the vet is conducting personal business during the clinic. Vets not dressing professionally. Vets not parking where the store would like. Store owners being upset with vets who don’t ask about …you name it. Contact – We will need a way to contact you in a timely manner. We must be able to reach you by phone or email sometimes the same day if we have an urgent question. You must commit to work dates months in advance and not change them unless there is an emergency. Dr. Norman commits 6 months in advance to her work schedule. If you have any pressing questions about procedures during or after a clinic call Cindy first 303 514 0076. Then try the following numbers, the office (during the week) 303.654.0560, or Dr. Norman’s cell 303.378-0635. Any schedule or paycheck questions should be directed to the WAI office at 303.654-0560, or if it is on the weekend to Cindy 303.514-0076. Please leave a message if you cannot reach us and we will return your call ASAP. Money – Currently the dentals cost $185 the store owners receive $30 of this amount. The biggest problems for the office processing the clinics are mistakes made writing down credit card numbers correctly. I personally write the card information down for the customer. I also double check that check amounts are correct and write the check number down on the summary sheet. If WAI takes the money, I calculate what we owe the store owner and leave them a receipt. Number of dogs x $30. Then note this on the summary sheet. If the store takes the money calculate what the store owes WAI. Number of dogs x $155 Plus any antibiotics ($20.00), minus any coupons. I write the store a bill and note this on the summary sheet. Liability Insurance – Because you are working as a contract worker you need to have your own professional veterinary liability insurance and provide WAI with a copy. Also you will need a current veterinary license to work in the state of CO. WAI also requires you to sign a non-compete contract. Please remember to order supplies with 2 weeks’ notice as we mail or send with one of the techs, or check with one of the senior techs they carry extra supplies (Consent forms, Dental report cards, etc.)