Clarify staff roles and responsibilities
Get everyone on board
- Ask all team members to review the 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats and to arrive with questions for discussion at your next team meeting.
- Consider holding a meeting of veterinarians and technicians to discuss how you will implement and/or integrate the guidelines into your fluid therapy protocols.
- Hold a whole-team meeting to discuss how you plan to use the guidelines.
- Familiarize yourself with all the items in the guidelines.
- Review the parts of the toolkit and discuss how you will use each portion.
- Discuss each team member’s role in fluid therapy, client communication and record-keeping.
- Discuss the ways you can inform your clients about fluid therapy (e.g., information and links on your website, as printed material, via social media and in the practice).
- Encourage questions. Only when team members are sure of the relevance of every item will they be able to make confident recommendations.
Client service representatives
- Be prepared to answer general client questions or to let clients know who will answer more-specific medical questions.
- Ensure that every client receives relevant printed information upon checkout. Review with them the procedures that were performed with their pet.
- Ensure that clients are aware that fluid therapy involves more than just using a product; it includes selecting appropriate fluids and monitoring the patient.
Technicians
- Discuss the entire toolkit and guidelines with the doctors. Discuss the actions that the technician will perform and which ones will be reviewed/performed by the veterinarian.
- Review and discuss with the practice manager and veterinarians the desirable location of technical materials, charts and checklists for ease of use.
- Ensure fluid therapy procedures and assessments are documented in the record.
- Use charts and checklists as appropriate during ongoing fluid therapy. (Several checklists and charts are available in this toolkit and online at https://staging.aaha.org/aaha-guidelines/fluid-therapy/fluid-therapy-guidelines/)
- When discussing fluid therapy with clients, ensure they are aware that fluid therapy involves more than just using a product; it includes selecting appropriate fluids and monitoring the patient.
- Share educational materials with the client.
- Be prepared to demonstrate and coach clients in administering subcutaneous fluid therapy.
Veterinarians
- Discuss the entire toolkit and guidelines with the other veterinarians and the technicians. Determine the items that will be reviewed and/or performed by the technician and those that will be reviewed/performed by the veterinarian.
- Review/discuss with the practice manager and the technicians a desirable location of technical materials, charts and checklists for ease of use.
- Ensure fluid therapy procedures and assessments are documented in the record.
- Review the fluid therapy plan with clients before and after treatment is implemented. Ensure that clients are aware that fluid therapy involves more than just using a product; it includes selecting appropriate fluids and monitoring the patient.
- Meet with the veterinarians and the technicians to discuss how the guidelines and the toolkit will be used.
- Investigate and create copies of useful supplemental information available from AAHA and the AAFP.
- Ensure there is an adequate supply of materials in appropriate locations:
- Client education materials in exam rooms and at the reception desk
- Technical and background information/materials in a designated location for easy access
- Charts and checklists in treatment area
- Plan for team meetings and follow-up training to ensure the entire team is on board with the plan for fluid therapy.
- Have team members partner up to study and then present a particular facet of the guidelines to the rest of the team.
- Create a fun learning game to ensure everyone is on board, using partners or teams to compete. Model your learning using the format of television game shows or trivia board games.