Day of Surgery for rDVM: Surgery & Anesthesia Protocol
For cases where you would like to refer a patient for surgery services provided by Dr. Le-Nguyen, an experienced veterinary surgeon in or near the Sacramento region, please follow the protocol for preparation.
#1: Contact Dr. Le-Nguyen, DVM, GPCertSAS, (Practice Limited
Contact TREAT Veterinary Surgery Service through our website client &/or rDVM referral form, email &/oor mobile # for inquiries about our surgery services & referral protocol.
A) https://treatveterinarysurgeryservice.com
B) TREATVeterinarySurgeryService@gmail.com or TREATVetSxService@gmail.com
C) 916-230-8103 (Text Preferred).
#2: Referral Patient History & Diagnostics
Please provide the following information regarding your referral patient (dog or cat) for our surgery services:
a) Client Name & Phone #
b) Patient Name & Signalment (age, breed, weight & sex).
c) Tentative Diagnosis &/or Differential Diagnosis (DDx).
d) Radiographs (preferably via email for the best resolution). Ensure to include a Left (L) or Right (R) marker & include a calibration ball.
e) Pre-Anesthetic BloodWORK (cbc/chemistry/electrolyte/urinalysis) should be conducted a minimal of 3 days prior to the surgery date.
f) Medical Notes (prefer email) with any pre-surgery diagnostics results such as cytology or biopsy, bloodwork/urinalysis, culture & sensitivity, radiographs+report & ultrasound+report.
g) Provide the owner with the surgery handout to prepare them for the procedure & commitment to the surgery & at-home physical rehabilitation, which can be found directly on the TreatVetSXService website link label "SURGERY HANDOUTs."
This referral protocol is essential for our veterinary surgeons to ensure a smooth process.
#3: Scheduling & Confirmation
a) Request dates & times (AM or PM) to assist in coordinating the surgery schedule date as part of the referral protocol for our surgery services.
b) Collect a $900 surgery schedule deposit to schedule a date.
This deposit is non-refundable up to <72 hours (3 days) = $300 prior to a cancellation &
if cancelled <24 hours (1 day) = $900, which will incur a cancellation fee.
We do allow 30 days to reapply the cancellation fee to re-schedule another surgery date.
c) The surgery date will be confirmed by both the veterinary surgeon & rDVM.
d) Surgery confirmation will be conducted again the day before the scheduled date.
e) On the Surgery Day: Dr. Le-Nguyen will confirm the ETA with the client & rDVM.
#4: rDVM Surgery Day Preparation
a) The rDVM will conduct a physical exam & establish an appropriate anesthetic protocol as part of the referral protocol.
c) TREAT veterinary surgeon will provide all necessary surgical equipment & procedures, including lick sleeve, sling support, nerve block &/or epidural, SIMINI, Nocita & experienced RVT.
c) After surgery, Dr. Le-Nguyen will communicate with the owner(s) regarding the anesthesia & surgery performed, alongside discussing the post-operative plan, discharge & pick-up time.
d) The rDVM & staff will carry out a discharge visit with the owner & patient at the time of pick-up, ensuring all surgery services have been clearly explained.
e) TREAT veterinary surgeon will email a complete surgical report including documentation of client & surgeon conversation & surgery photos/radiographs of the surgery to the rDVM hospital email, ensuring comprehensive documentation of the surgical procedure.
#5: Pre-Surgery: Surgery Day - Prior to TREAT Team Arrival
a) Prep O.R. (sterilize surfaces & clean & dust off all areas including lights, tables & floors).
b) Prep Meds (pull up pre-meds, antibiotics IV (cephazolin), set up IV fluids, CRI if using, etc.).
c) Prep Patient
- Record initial TPR in the medical record
- IV Catheter
- Administer Pre-Med (>15 min prior to induction)
- Induction & Intubation (remove collar)
- Pre-op IV antibiotics (administered at induction, then every 90 min)
- Wide Margin Shave & Dirty Scrub (for knee cases: vet wrap foot to above hock)
TREAT Team • Follow the referral protocol to transport the patient out of the O.R. • Conduct Post-Op RADS • Perform extubation & manage recovery, ensuring the highest gold standards of our surgery services provided by the veterinary surgeon.
#6: Intra-OP Surgery: IN SURGERY OR ”Theatre”
a) If you need to enter the O.R. during surgery services, please wear a cap & mask.
b) Most surgeries performed by our veterinary surgeon take 1 hour or less.
We’ll provide a ~10-minute heads up as we’re closing so you can prepare for post-op rads, extubation & recovery with heat support.
c) The TREAT Surgery Team will follow the referral protocol & perform the following after surgery:
• Apply on the incision with a Primapore bandaid with antibiotic ointment.
• Transfer to the hospital anesthesia team for monitoring & discharge.
#7: After Surgery
a) After the surgery services, conduct a follow-up call with the client to discuss the patient's post-surgery & anesthesia recovery, addressing any questions or concerns they may have.
If any problems arise, update your veterinary surgeon following the referral protocol.
b) Confirm the recheck date at 2 weeks skin incision/suture & 6-8 weeks radiographs with the client & report any concerns to your veterinary surgeon for further guidance.
c) Post-op radiographs are welcomed for evaluation by your veterinary surgeon at no additional cost, preferably via email.