The document outlines the process for spaying and neutering animals at an animal shelter. It describes 6 stages: intake, preparation, surgery, immediate recovery, later recovery, and discharge. At each stage different tasks are performed like logging information, examinations, premedication, surgery, monitoring vitals, vaccinating, and discharging the animal with instructions. The goal is to safely provide spay/neuter services and ensure the animal is alert before being sent home.

1. Animal Flow
Waiting area
If people will wait with their animals, be sure they have sun and rain protection, chairs, and slip leashes for better
control of their pets.
Intake
The intake volunteer logs client information. A volunteer records the weight of the animal, and a vet performs a
pre-surgery examination. When the animal is close to surgery time, she receives premedication.
Preparation
Volunteers induce, intubate, catheterize, shave, and scrub the animal. Fluids are given if recommended by
examining vet. Time and quantity of induction is noted. Induction should be timed so as to minimize the wait
from the prep table to an open surgery table.
Surgery
The vet spays or neuters the animal. A roving vet tech takes vital statistics throughout surgery. Once the animal
moves to recovery, the surgery area is thoroughly cleaned and the instrument pack is sterilized.
Immediate Recovery
The recovery volunteer checks for medical notes (i.e. more fluids required, etc.) and takes regular Temperature,
Pulse and Respiration measurements. Temperature is monitored carefully, and blankets and warm water bottles
are used as required (latex gloves filled with hot water can serve as hot water bottles). The animal is extubated. If
tattoos are to be used, they should be given at this stage, when the animal is out of surgery but still somewhat
anesthetized.
Later Recovery
When the animal is awake enough to walk easily, he’s taken to later recovery. Volunteer vaccinates, deworms,
performs any other services requested by veterinarians, and fills out the vaccination record for the owner. At this
stage, animals will need to be either kenneled or tied to prevent escape.
Discharge
When the animal is alert and walking around, she can be discharged. Owner should be provided with discharge
instructions and vaccination record. Before discharge, volunteer checks that all services have been performed and
checks for additional medical notes on paperwork (i.e. antibiotics to go home, etc.). Discharge of animal is noted
on intake log.