admit appointments

Re: admit appointments

Nick Shackleton — Sun, 25 Apr 2010 20:41:56 GMT

We used to admit between 8 - 9.30

had 4 exam rooms, so no fighting for space. vets normally didn't start cons until around 9.30.

10mins slots for each patient.

We used to have interns (qualified vets wanting to gain experience) and they pre-op checked every patient. prior to premedication

Some of our soft-tissue, medical or cardio cases weren't premedicated until the vet in charge of the case was in the practice!

All pre-meds were worked out by VNs and checked by intern or anaesthetist prior to addministration

Re: admit appointments

Vicky RVN — Sun, 25 Apr 2010 20:07:50 GMT

[quote user="Rachel Jayne"]

What are other people's policies? If it's fit & well & has been seen before does it get a check with the vet before the pre-med is given? Or do you have a standard routine dose chart that every patient gets a dose from as soon as they come in?

[/quote]

All of ours will have had a pre op appt with vet in the few days prior to surgery. So we will pre-med it without vet seeing it. If the vet specifically wants anything different from the norm for pre-med they will let us know. And if it's old/ill we will check with vet before pre-med. If owner wants PAB we'll take blood then wave results under vets nose before pre-med.

Re: admit appointments

Rachel Jayne — Sun, 25 Apr 2010 19:04:06 GMT

If you've got a dedicated VN consulting room to do them in, I guess it's much easier

At my first practice we did, and admitted from 8-10am, just one nurse, so there'd sometimes be a long queue unless there was someone free to help, as a good day would see about 20-25 ops.

At my second practice, we were much smaller, a busy day was 4 ops & admitting was done across the reception counter (which I initially found quite weird!) and the animals were kenneled straightaway to await health checks from the vet before any premeds were given (even if they'd been seen before recently, which I also used to find quite frustrating..!)

Re: admit appointments

vickylianne — Wed, 21 Apr 2010 13:10:51 GMT

We start admits at 8am and run appts until 10am, we have a dedicated colum on our diary just for admissions appt and they are 10mins long, and a consult room for the nurse, we open at 8:30am officially and vets start consulting at 9am in the other 2 consult rooms.

seems to work well for us![quote user="Chippet"]Were having some trouble with our admit appointments and wondering how long other practices appointments are? We start at 8:30 and appointments are 10mins long, but by 9am the vets start taking them off the diary and causing chaos ! What do the rest of you do?

[/quote]

Re: admit appointments

tw1 — Sat, 17 Apr 2010 13:08:22 GMT

we open at 8am for admits and the vets admit all the ops

we have 10min appts for the first half hour and then 5mins appts once there are more in the building.

we have 1 nurse doing in-mates/handing over from the night nurse and 1 nurse setting up ops/doing bloods and 1 ana. then more nurses start at 8.30am.

Re: admit appointments

Anneke Kuipers — Thu, 15 Apr 2010 11:51:21 GMT

we do admits from 8.30-11am and average of 10 patients coming in, if you're unlucky about 18... most of the time we're doen admitting at 10am but you've got the odd person bringing in their animals at 10.45..
We have 3 consult rooms so we do have 1 available in the morning.

I find it helps a lot when there is another nurse/hospital assistant to take animals to bed as soon as admit is done so I can crack on with next one instead of faffing about with pre-med, putting to bed etc.
and by the time she/he is finished I've finished with my next admit so she/he can take that one through again and so on.

Re: admit appointments

Polly P — Tue, 13 Apr 2010 21:43:56 GMT

We admit between 8.30- 9am and consults are 9am- 11.30am but can run until 12 if it's busy- appointments are booked in for 15 minute slots.

Afternoon consults run from 15.30 til 7pm but we try to book the last ones for 6.30 pm.

Re: admit appointments

Phrin Vernon RVN — Tue, 13 Apr 2010 20:28:11 GMT

We average maybe 4 or 5 ops a day, and usually have 2 nurses admitting between 8.30 and 9am. Causes problems as we only have one consulting room, so ops are often being admitted in the prep room too, which means we can't get started with any bloods, premeds etc!

Occasionally the receptionists (VERY occasionally) or vets will admit which is pain in the bum, as they inevitably don't cover all the bases!

Re: admit appointments

Claire Cameron — Tue, 13 Apr 2010 10:56:30 GMT

Sometime if I'm overrun the receptionist will go through the client's details to make sure they're all ok and animal's details. Just to make my consults a little bit quicker. They don't go through the clinical info but it helps by them confirming all the details before the clients see me

Re: admit appointments

Sal the 1st — Tue, 13 Apr 2010 10:05:49 GMT

at a previous practice - all admits done between 8.15 and 8.45. Similar caseload. Earliest vets appt unless extreme emergency wasnt until 8.45. Everything had cannulas placed before 9 and pre op bloods were all drawn and run in most cases before 9.15 (after admits 1 nurse concentrated on bloods only until they were done and other nurse and vet took care of premeds and drawing anaesthetics whilst the other vet consulted) it was a good system everybody knew what they were doing and how much time they had to get it done. We didnt really have too many in patients tho and I suppose that made things easier

I do tend to agree that admits can be a lot easier and have more meaningful information(ie phone contact numbers in case of emergency and date of last season if spaying) on the consent form sometimes if the vet isnt involved. I am lucky I work in a small practice now with a decent vet and that doesnt seem to be a problem

Re: admit appointments

Kerry Spain — Tue, 13 Apr 2010 09:52:27 GMT

[quote user="Chippet"]

We average about 10 ops a day and only have 2 nurses in first thing to do admits, sort inpatients and start ops, so it gets a little hetic.

[/quote]

Ditto - same for us too

Re: admit appointments

Chippet — Tue, 13 Apr 2010 09:37:07 GMT

I was thinking of suggesting we change our start time and get the admits in a little earlier.

We average about 10 ops a day and only have 2 nurses in first thing to do admits, sort inpatients and start ops, so it gets a little hetic. We do have a designated room for doing our admits, that is if a vet hasn't already stolen it.

I know the vet only takes them in, to make our job 'easier' but they don't understand it actually makes it harder, since they don't go through all the information we do, so the day doesn't run as smoothly.

Re: admit appointments

Kerry Spain — Tue, 13 Apr 2010 09:06:05 GMT

We admit between 8.30am - 9.30am, its done on reception and takes about 30 seconds due to the waiting room being like beirut. Usually 2 nurses on reception to admit, take payment, answer phones, shove mop up bums and clean floor, etc, etc...

We don't have any other rooms free as both vets usually consulting so we have to make do with what we've got. ALL admits remain on the comp but are filed under the ops list so they are seperate from the consult diary to avoid confusion.

Re: admit appointments

Vicky RVN — Tue, 13 Apr 2010 09:03:31 GMT

We admit 8-8.30, there is between 1-3 nurses on duty to do it. Vets start consults at 9 so gives us time to use their rooms.

Re: admit appointments

Katie Tallett RVN MBVNA — Tue, 13 Apr 2010 08:42:23 GMT

i admit between 8- 8.30 usually 4-5 ops as a branch surgery. we officially open at 8.30 so this makes it much easier for me and usually the vet is just arriving about 8.15ish.

the main surgery are the same but have lots of nurses to admit through 3 consult rooms before vet consults start. any late admits are generally put onto the consult nurse list for her to do between clinics

Re: admit appointments

Claire Cameron — Tue, 13 Apr 2010 08:34:48 GMT

We take around 5 - 10 minutes but scope for longer depending on procedure and owner.

We admit between 8.30am - 9am

I am the only VN and we have one vet. We're a busy small practice but I have my own consulting room so doesn't really cause much problem with overlap of vet time