Hi everyone,
I started at a new clinic a few days ago and I honestly really like the staff and the doctors and the place isn't bad, but there are definitely somethings that are really strange to me and I wold love some feedback! So I normally work with clinics or doctors that are FearFree certified, this place isn't and I've been managing okay with that because no one is upset if I handle the animals the way I want as long as it's safe for everyone so that been good. The other thing though is that the practice isn't AAHA certified and I have only ever worked placed that are certified or even if they aren't certified that follow AAHA regulations and suggestions.
So firstly, they only have one bear-hugger for the entire clinic and no hot water bottles. The bearhugger is only in surgery not dental, no waterblanket and no blanket in general goes on top of the pet. I think dental they may use a towel on top, but Ive only seen 1 so far. So every patient is like 97 degrees maybe 98 at most by the end of surgery.
Secondly, they will do things low cost for the owner, which I think is great, but that also means that they just won't put an IV in if the owners don't want or if the tech is unable to place one then they just don't? So that stresses me out so much because I put an IV in everything even kitten neuters.
Thirdly, Surgery suite. I have never seen anything like it. The doors to surgery are not swing positive pressure doors, they are just standard latch doors that STAY OPEN ALL THE TIME. Even when there is surgery going on the doors stay open. There is also a computer and chair in there for the tech, but instead of it just being used while surgery is going on it is just used all the time. People are going in and out all the time. Only the doctor doing surgery wears a cap and mask in the surgery suite. There are no booties on anyone, no masks on anyone and no caps on anyone in surgery even while there is a surgery going on. People bring food in there, and stand and chat in there. It's very odd and seems not sterile or safe, but it's not technically illegal.
Fourthly, anesthetic monitoring. I did check this on my states veterinary laws and what they do at the clinic is not illegal but it freaks me out. When they do any anesthesia they of course have someone monitoring, sort of. But, they don't write anything down. I was taught and every place I have every been, including a rescue center in South Africa, have always done at least q15min recording of parameters, TPR/BP/ETCO2, etc. They don't write anything down. They have a sheet that no one uses but it's not required. I am shocked because like what if you are audited or sued? Where is the record of what is happening, what if you need atropine or something, there is no record of why it is being given or what the anesthetic trends were. They also don't use any monitoring sheets for sick patients that are getting treatments throughout the day when they stay in the hospital, no hourly checks or TPR or anything, just a quick look and a "yup seems fine" and on with the next thing.
Anyway, am I being to anal-retentive? Is this weird or concerning? Should I just do my monitoring like I always have? Please help and give me guidance.