Maximizing in house spay neuter services-dykstra1


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Maximizing in house spay neuter services-dykstra1

  1. 1. Maximizing In-House Spay/Neuter Services Amanda Dykstra - Wessel, DVM Veterinarian Jefferson City, Missouri Animal Shelter UC Davis Loren Eslinger Fellow Sandra Newbury, DVM Koret Shelter Medicine Program Center for Companion Animal Health U C Davis School of Veterinary Medicine Evaluating what you have o o Does an in-house program benefit you? What do you / would you pay now per outsourced cat surgery? ______________ What do you pay now per dog surgery? ______________ How many cat surgeries do you/would you perform per month / year? ___________ How many dog surgeries per month / year? ___________ What will the cost be per surgery in-house? _____________ • For help determining this, use resources available online ( Figure the difference and determine if it is worthwhile to invest in the start-up cost. • Cost savings per dog/cat _________ • Cost savings per month/year_________ Would it be more cost effective for cats or dogs? _______ Could you also offer low cost spay/neuter to the community to bring in revenue? ______ Do you have an appropriate space? Do you need a premise permit/facility license? ________ • Would you qualify for a premise permit? _________ Would you require other licensing? (eg. DEA) _______ Would a current space be appropriate or will you have to add on to a building? • ventilation • ability to disinfect • work flow • space for O2 tanks/other anesthesia equipment • appropriate housing/recovery
  2. 2. o o o o • separated room for surgery • separation between public / private animals • scrub sinks • storage for packs/suture/other surgery supplies • lighting Do you have the staff? __________________ How much staff do you need? • Veterinarians_______ • RVT’s________ • Vet assistants, office staff, other unlicensed _______ • If you are considering low cost spay/neuter, that will require more staff. What qualifications / training level do you need staff to have? Can your organization provide additional training? _______ Will you be able to make this work with the current staff you have or will you have to hire more? ________ Can you hire or contract a part time veterinarian or will you need full time? ____________ Will your insurance cover liability? ___________ If you choose to hire only part time, is there a pool of qualified veterinarians in the area? ___________ • Many people will not relocate for a part time position. Can you get volunteers to help? ________ Do you have ability to provide emergency care for surgical patients during surgery? ________ Do you have ability to provide emergency care / triage for surgical patients post-operatively or after returning to their owners? ______________________________ Do you have access to start-up funds? ______________ Can you get grants or will the shelter fund this? _______________ Determine cost of start-up. • Humane Alliance has many resources available to provide assistance with this, especially when considering low cost spay/neuter • • Start up costs will vary greatly depending on what supplies you currently have and if you need to hire staff or remodel. • Higher price items include the table, anesthesia machine (think about O2 and scavenging system), instruments, a surgery light, and an autoclave. Improving Efficiency or Building an Efficient In-House Program o Start with scheduling Review the many models of shelter scheduling and determine which would work for you.
  3. 3. “Points” systems, block scheduling, defining a set number of surgeries, et al Remember to avoid burn out and staff injuries. Determine if it is more efficient for you to schedule surgery pre- or postadoption. • Look at your euthanasia rate and local laws. Reconsider all job duties Do you have veterinarians performing RVT and lay staff duties? Are they performing unnecessary job duties during surgery time? Evaluate and minimize interruptions and distractions Would training improve efficiency? Consider the benefit of paying to send staff to Humane Alliance training. If another shelter or clinic in the area operates more efficiently, will they let a staff member observe? Look at every step performed to determine if protocol could be changed to improve speed without effecting outcome. Could you use an injectable protocol? Do you need to intubate cats? Can you use two surgery tables per surgeon? Have someone not directly involved with surgery observe the flow to find bottlenecks. Look at anesthetic protocols. Could another combination be used that would improve efficiency? Consider reversals when appropriate • o o o o o