The nurses are being paid for their time there regardless of what they do there, they don't get paid extra for certain things they do, it's hourly and you get paid the same working reception as you would working surgery. So the answer is it doesn't actual cost the vet more to have their nurse do these tasks.
The breeder said at the vet she works at it's standard to check an animals ears and clip the nails while they're under. They didn't even clip her nails like I asked.
Correct, but in the instance that there is a patient in for a procedure that required GA and a request to check something extra that did not require a terrible lot from them there wouldn't really be cause for the extra consult fee, I'm not arguing I'm just pointing out that there are extra things you charge for because they require a great deal of time and effort but some things are not as invasive or difficult that a bit of goodwill for the client is reasonable. Imo checking if the ears have infection and clipping nails come under the latter umbrella.
Wow, Thanks for devaluing the study, experience and hard work Vet Nurses go through to be recognized. Yes, we're paid an hourly rate but our skills are worth something and that does mean it needs to be on-charged to clients.The nurses are being paid for their time there regardless of what they do there, they don't get paid extra for certain things they do, it's hourly and you get paid the same working reception as you would working surgery. So the answer is it doesn't actual cost the vet more to have their nurse do these tasks.
In response to the original query, the dog was scheduled for anaesthetic and xrays and referral for hip scoring. The check over given to that patient, which is part of the anaesthetic charge, is assessing the patient's health in relation to the anaesthetic and how it would be expected of them to metabolise the anaesthetic agents.
How is the patient's heart? How is the patient's hydration status? How is the patient's capillary refill time, ie peripheral blood flow? Body temperature? Pulse rates and strength & quality of pulse? Patient demeanour? The answers to all of these will determine the vet's choice and quantity of pre-medications and anaesthetic agent choice and protocol. Because it was booked for hip scoring, the pre-checks would have also included a joint soundness check (movement trials, palpation and extension trails).
The status of a patient's ears would not play a part to the anaesthetic protocol so charging a consultation to evaluate, test and formulate a treatment plan these would be considered normal practice.
I think sadly vet time is grossly undercharged for in many instances and it's one of the things that clients often don't appreciate. It's not just the time involved but also the expertise that is being charged for. It's all well and good saying that the nurse can spend the time doing the procedures but it's up to the vet to use their clinical judgement to decide what treatment to dispense and advice along with it. Dermatology is an area I'm very interested in and 9 times out of 10 an inflammed ear is not just something that needs a few days of drops. It often indicates an underlying allergy and my training and experience would allow me to evaluate if this may be the case (depending on breed, age, type of infection, inflammation etc) and I would then usually spend time printing off information sheets (made by myself) for the owner to discuss these possibilities and further investigation or treatment. All of which would take longer than a standard 15 minute consult so in my opinion charging a consult fee is well justified.
I do however stand by that checking ears can be done without a massive extra fee incurred, if you look at them and see there is way more than meets the eye it's not hard to pick up the phone and let the client know that it's a bigger job and will be more expensive or even on admission you should be able to see that the ears are in a bad way to warrant that kind of intervention.
Last edited by Tdez; 28-08-2016 at 07:33.
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