Showing posts with label dog dentistry. Show all posts
Showing posts with label dog dentistry. Show all posts

Saturday, April 20, 2013

You Might Ask: Why Do I Need to Hire a Trainer?


Why do you need to hire a trainer?  Maybe the truth is; you don't! And if that is the case...I want to take this time to congratulate you.  The ability to practice medicine; whether as a veterinarian or a technician, or to manage a veterinary practice AND to stay abreast of new ideas and best practices while maintaining any semblance of a life is a challenge.  

My experience, even in my clinical practice is that we decide we are going to add a service, how we are going to communicate that service, what we are going to charge for it, and who is responsible for it.  We commence to provide that new service and we adjust everything we originally thought or decided, based on feedback.  Trail and error.  Then once we work it out to the point that we no longer have any problems with it and everyone is comfortable, we will do it every day, the same way and we will never question it again until we are forced to.

I will give you an example. For years, feline patients would come into the practice, be admitted for a procedure and be gently and lovingly placed in a cage with a blanket, a kitty litter pan and a catnip pillow.  A few hours later, it would be time to work with some of these cats and it would seem as though "Lovey" was having an allergic reaction to stainless steel.  Some of these cats would go from a lovely little purr bucket to a whirling dervish of teeth and nails.


We would mutter a curse word, don a pair of welders gloves, lock the doors, grab the biggest quilt we could find, call the employee that has earned the title "cat wrangler" and add a little more sedative to the injection or a cancel the procedure due to it no longer being a safe or atraumatic experience. 

Result:  More curse words, one escapee cat, four employees running wildly trying to apprehend the patient and eventually, one very injured employee, a trip to the ER, one completed worker's comp form and a cat that doesn't sedate well due to an extreme catacholamine flood.




Then an outsider came in and witnessed said experience.  She had experienced many of the same type problems before and she realized that the same cat was a doll baby in the exam room for her vaccines.  She suggested that we identify and schedule these patients as a "Do First" experience and sedate them, on the baby scale in the room with the owner.  A no-brainer some may think...but it took an outsider to show us the way out of our rut.  And, the clients love it.  They feel we are taking special care of their baby...and we are!

So, what ruts do you find yourself in?  Are dentistries the bane of everyone's existence?  Are your client service representatives getting yelled at because the client doesn't understand the bill?  Is the surgeon frustrated because they have to fit in carnasseal tooth extractions between surgeries?  Is it frustrating to do be expected to clean teeth and perform anesthesia at the same time?    if so, please know you are not alone.  



You might ask then ,what does the typical in-house dentistry training look like?  For larger practices, we divide the staff in half.  One half of the vets and techs work in a 3 hour wet lab concentrating on proper cleaning, charting, and honing their radiographic skills so that they can offer a full mouth series efficiently.  The other half of the professional staff is running appointments so that the day is not a total loss.

During lunch, we do a communication lecture.  There is no sense learning how to do a skill if you can't get the client to understand its importance enough to comply with your recommendations.  

Then the staff switches roles and the half that ran appointments, now gets to experience the wet lab. 

By the time the day is complete, we also have created a wish list.  This is a list of equipment that will help you provide this new or upgraded service efficiently.  Change also can seem overwhelming and the trainers can set expected timelines for change and equipment purchases.

The anesthesia training day looks slightly different.  The first half of the day is the trainer will observe anesthetic cases to see where the staff strengths are.  She will then provide a lecture over lunch and in the afternoon, a wet lab tailored specifically for your practice based on her observations and a PetED pre-visit survey the practice provides returns to her.

In closing, a trainer provides great opportunities for the staff:
  • to think and troubleshoot with "outside-of-the-rut" thinking
  • to be able to tweak protocols and procedures to fit within your practice
  • to work with your own equipment and environment
  • for the entire staff to get the same education at the same time instead of relying on one staff member to return and share all of the information to which they were exposed 
  • to provide RACE CE credits* to all staff members simultaneously without the travel, lodging and registration fees for each staff member.
  • PetED also has a Willow Grove, PA site where wet labs can be scheduled for small groups.  This enables practices to send employees for training without the need to amend appointments or their surgery schedules.
If you think that your practice could benefit from a  PetED Veterinary Education and Training Resource experience, contact us through the website at www.PetEDVeterinaryTraining.com or we can schedule a free Skype consultation (Skype name: Vickie.Byard). 

*RACE CE credits have only been submitted and approved for the dentistry experiences.  Anesthesia is pending approval.




Saturday, March 2, 2013

"I didn't say they could extract THAT MANY TEETH!"



Sorry it has taken me a while to post the next blog.  Right after I posted the first, I was in the midst of a whirl wind pet sitting for a dear friend, speaking to a class of sophomore and junior high school students, speaking at Rau Animal Hospital's  client education seminar and preparing to travel to Las Vegas to present at the Western States Veterinary Conference.  The wind has settled and I have poured a cup of coffee to sit and catch up with you.  Can I refill your cup before we chat?

I had the opportunity to speak to a large group of technicians while in Las Vegas about developing a thriving dentistry department.  One of the discussions we had concerned dentistry admissions processes and consent forms.  I shared that when I visit practices often I see that the consent form has three selections from which to sign off:

Some look like this:

If further problems are detected while my pet is under anesthesia (initial all that apply)
__________ Do whatever is needed to give my pet a healthy oral cavity, but not limited to tooth extractions.
__________ Do only what is authorized
__________ Please contact me before doing any additional procedures.  if I can not be reached while my pet is under anesthesia then:
                         ___________ Perform whatever procedures are needed
                         ___________ Do only what I have authorized

I would like to challenge this form of consent.  I understand that this is an attempt to handle problems that occur every day in practices across the country.  Our patient is under anesthesia, the mouth is cleaned, charted and all X-rays have been taken.  We now know that there is much more pathology than originally expected.  A call is placed to the pet's guardian and they can not be reached.  This leaves the veterinarian in a quandary and a state of frustration.  Do we do whatever is needed or not?  With this form of consent many feel they have "informed consent" to proceed with therapy and surgery or at least it gives them guidelines and client expectations under which to proceed. 

I also know from having talked to many employing this type of consent, that clients are still disappointed with the bill.  They feel they did not give consent to spend "that much money" and they are shocked at the number of teeth extracted.   And, unfortunately, it is common practice for the receptionist to present the client with the total bill and it is often she/he that has to take the initial heat...in front of all of the other clients.  So, in many cases, the person that has the least amount of dentistry training on staff, the person that was probably not involved at all, the person that has no power to amend the bill, often bears the brunt of the client's disappointment.  And we wonder why practices find it hard to keep wonderful customer service representatives and why some our front line staff members can get surly with our clients!

So, my question is, if we asked these clients; did we meet your expectations, do you think they would say "YES!"  Do you think they are going to be apt to provide the same services next year?  Do you think these clients are going to recommend this experience?