CLINIC HQ

10.4.6.4.2. Surgery not performed, drugs drawn, holding overnight

How to use Holding Overnight

If the surgery was NOT done, do NOT click the “Surgery Done” button.

Using the hold overnight tool – selecting this option will decline this patient for surgery today, and create a new spay/neuter appointment for tomorrow. Any payments will still be on today’s appointment. You can pay it out there, or convert to a client credit and use it tomorrow. You may consider getting a new signed consent form since the surgical date has changed.

  1. Complete all of your notes, drugs, and medical tags. Ensure the vet’s surgical profile was not applied.
  2. Go to Action > Hold Overnight > Proceed

Managing the Drugs Drawn to Reuse Tomorrow.

Drugs were drawn for the animal that didn’t have surgery. It will have surgery tomorrow.

The drugs must remain on the drug log for Day 1 (today), since this is when the bottle balances were changed in the logs.
If the drugs drawn on Day 1 (today) will be used on Day 2 (tomorrow) ,follow these steps to create a non-standard protocol to use for Day 2’s appointment. If the non-standard protocol is not used, new drugs will be required to be drawn in Clinic HQ tomorrow.

  1. Go to Settings > Patient Flow Setup > Drug Charts & Protocol Setup > next to Non-standard protocols click the *+Add Protocol *
  2. Title the non-standard protocol “Held Overnight.” Select the species and save.
  3. Click the newly created protocol name to begin editing.
  4. Under the induction section, click +Create New Drug Chart
  5. From the drug menu, select the drug named “Overnight Pass.”
    Choose "Overnight Pass" as the drug.
  6. Choose the route your induction drugs would typically be administered.
  7. Click +Add weight range Cats 1-20lbs. Dogs 1-180lbs.
  8. The dosage (mg/kg) should be zero, “0.” At this point your setup should look like this:
    Overnight Pass drug protocol setup
  9. click the blue button to Create Draft Drug Chart. The dose for each weight will appear as 0ml.
  10. Scroll to the bottom of the chart and Save Final Drug Chart.

On Day 2, when the animal is checked in, give a new pre-med if pre-meds are used for this species.

  1. On the Drug Draw phase of Patient Flow, click Drugs > Held Overnight as the non-standard protocol from the Drugs dropdown.
    Selecting the held overnight non-standard protocol
  2. The draw amount for the drug here will be what was drawn yesterday. Type in the dose such as 0.04ml. Click Save.
    By using this and the drug “Overnight Pass” we can move the animal through Patient Flow without drawing more induction drugs. The system will not allow an animal to move past Drug Draw and onto Surgery without having a drug listed for use as the induction agent. As previously discussed, the drugs drawn from Day 1 will be used and were already logged.
  3. Once on Surgery, an Internal Medical Note should be made for any drugs that had been drawn on Day 1 but administered on Day 2.
    All drugs can now be recorded as normal. You will mark the induction drug “Overnight Pass” as given in place of your typical drug that would be displayed there.
    If a second dose/bump dose is needed, you would do this from Surgery. go to Drugs > Action > Other Drug to draw new induction agent on Day 2.