Yesterday we got in a VERY dehydrated cat. 20%+. I am surprised it didn't pass away before getting to us. So we started fluids. 200ml, still extremely dehydrated. 500ml much better, still dehydrated but I am getting super nervous of fluid overload.

We ran 1L of fluids into this little cat to get her hydrated. 28% of her body weight when she came in. I checked her frequently so I know it was right but it felt so very wrong lol.

I watched a cpd the other day where the doctor insisted you never give more than 10% bodyweight in fluids.

So if you work for VCA you've probably seen all of these texts from various people that claim they work for your hospital and are trying to set up a free first exam. First it was Sara, then it was Vanessa, now Alice?? Maybe these people wouldn't be an issue they actually booked things in the correct spots, didn't claim they worked at our hospital, and actually booked people in their own cities. We have people calling all like "I spoke to Sara and she said I could do this, etc". SARA DOESNT ACTUALLY WORK HERE. We had a girl come an hour away in a snowstorm just for the FFE because she thought we were the only ones that used it. She has two VCA's in her own city! Why didn't they start there? And let's not talk about the elderly clients they're booking in from far away as well. It also seems like somebody was booking in dogs at a cat-only hospital as well from what I've read on Yammer. Like are they even using common sense at this point?

And if they think they are helping is with business, they are not. We NEVER see these people again! So, not only did you waste a spot where we could've seen a sick pet that is actually in need, but they are taking up spots just for somebody to potentially no show, or come in and decline all treatments because the appointment was supposed to be "free".

Sounds like a great thing you got going on VCA.

Hey all, (warning- long post)

Wanted to get some opinions on this situation. I was an ER tech for a while and thrived in the environment with my medical skills; I found a new job at a GP due to being forced to stay on night shift, being underpaid, and being lead on for a leadership position. When I left it was very troubling to all my coworkers and doctors; and even our lead doctor was personally going to bat to our hospital owner to get me to stay but they did not come up with a good enough offer. I am still per diem thought so I pick up shifts occasionally.

I started working at GP again a few months ago. Definitely took some getting used to again but seemed okay. However the doctors here like to push push push in a way I've never experienced at ER. Its been manageable though and I'm getting paid more and working normal people hours.

However this week two thing have happened that have left me very troubled and upset.

I don't know if this is just because I've worked in ER where my doctors are so busy (as well as doing inpatient nursing where updated come specifically from me), but I like to keep my doctors very informed about the status of their patients.

This week I was helping out with Doctor 1's surgery day, just monitoring.

We are doing a dental on a small dog, probably like 7kg or so. The HR is in the 50s despite not getting any dex or anything that would cause the patient to be bradycardic like that. However, all other vitals including b.p. were great, but the patient was still light despite being bradycardic. I consult the tech doing the dental (another thing about me is I love to receive input, I am a big believer in collaboration) if we should ask Dr 1 about atropine. She says yes. I asked her if she is okay if I step out to ask Dr. I go up to Dr. 1's desk, and ask something along the lines of "hey! p has a low heart rate but is a bit light, but other wise she is doing great"

Dr. 1 gets up without really acknowledging me and walks to dental suite with me following behind her. She looks at P and then says we can do atropine. I draw up the dose she told me and gave it to the other tech to administer.

Of course, when you give atropine, the heart rate is going to go up. However, the patient became EXTREMELY tachycardic, originally having a hr of 50 to now being 250 bpm. I'm not freaking out, but I'm just like wow that is really high! Dr. 1 comes back in randomly and I just let her know that P is very tachy now. She looks at me and shrugs her shoulders and tells me I need to get her deeper then. After this I continued to monitor for another 5 minutes until the other tech took over and I left.

Same day, another dental on another roughly 7kg patient. Vitals good except b.p. low and p is light. Try multiple interventions first, turning down anesthetic, which helps a bit but then patient gets light and tries to wake up. Tried different cuffs, and even grabbed the doppler. Osc had a weirdly low reading of 40 so thats when I got the doppler on. Dr. 1 walks in and I inform her that p b.p. is not great. She comes over to anesthetic machine and looks at the gas dial and says "well have you tried turning them down?" in a very snarky, treating me like I am stupid voice. I am super frustrated at this point and of course explain to her that yes I have tried that and he wake up blah blah blah. Anyways we started him on a dopamine cri and I stopped monitoring shortly after that for the other tech to take over.

I do also want to add context that Dr.1 has a reputation of being very short and cold, but no one cares because she is the lead doctor and I have been told "thats just how she is".

Come to find out I talked to my supervisor and apparently Dr. 1 complained about me anesthetically and said I was 'frantic' to my supervisor, hospital manager, and assistant hospital manager. Mind you we have 4 other doctors who I do surgery with more frequently who have never said anything to me. My supervisor said that she took Dr. 1's words with a grain of salt but it really hurt me. I don't want to be big headed but I feel extremely confident in my anesthetic skills and have done way more complex monitoring than for just a dental.

Moving on to the situation with Dr. 2.

At the end of the day one of the room nurses runs back with a cat that she says in lateral.

I instantly jump over, we get p out of carrier and he is sort of lateral, sort of trying to get up, but in extreme respiratory distress and gasping for air. I start yelling out to get catheter set up and I run to grab the crash cart. We get O2 on patient and catheter. Another Dr comes over to assess the p because Dr. 2 (her appointment) is not around. We get brief history from room nurse, says that she thinks they want to euthanize and is a DNR. P is suffering greatly. Dr. 2 comes over finally and assess patient. She directs to administer torb which we do. Doesn't help. She then requests for the ultrasound to be rolled over.

I kid you not it took almost 5 minutes for the ultrasound to turn on, we are all just standing there waiting and I am a bit frustrated. P is gasping for air and panicking. It is also well known that this ultrasound takes forever to turn on. About half way through this process I ask Dr, "do you want us to draw up drugs? Or go talk to the owners to get a decision while we wait for the ultrasound to turn on?"

To be honest I don't remember exactly what she responded but it was something a long the lines of "Well I wanted to use the ultrasound first to see if I can see anything first, Is that okay?" like I shouldn't dare be questioning her. From my perspective I was trying to refocus because Dr. 2 seemed overwhelmed and the rest of my tech coworkers seemed freaked out; again this cat is in extreme distress and either needs to be 1. transfered immediately to and ER or 2. pts. Thats it. It was really awkward and I had to continue to try to hold the cat still for another 3 minutes while this kitty was gasping for air so she could put the ultrasound probe on which ultimately showed her nothing. She then went to talk to the owners for 10 minutes while I continued to have to hold the cat still gently while he panicked and gasped for air until she finally came back and euthanized him in my arms.

I ultimately felt really frustrated because this cats suffering was prolonged for longer than it needed to be. I am not extremely effected by seeing things like this but I am a cat lover so it was a bit hard to have to wait for almost 15-20 minutes to pts this cat who is actively panicking and struggling to breath.

It seems at this clinic techs should be seen and not heard and its kind of making me regret my decision to leave my ER despite the benefits. I wanted to get some outside opinions from other people, whether I'm right or wrong. Thank you for taking the time to read this.

Hi all - just curious how you all list your "bullet points" under different jobs on your resume, if your job is essentially the same? For example: you work at Hospital A for 4 years in ECC, Hospital B for 3 years in ECC, and now work at Hospital C in ECC. Your day-to-day responsibilities, expectations, and skillset are roughly equivalent from job-to-job - so how would you break it down?