Referral Protocol
For cases that you would like to have Dr. Le-Nguyen provide surgical services for one of your patients in or near Sacramento region, follow this protocol for preparations.
#1: Contact Dr. Le-Nguyen, DVM
Contact TREAT Veterinary Surgery Service by website form, email or phone.
A) https://treatveterinarysurgeryservice.com
B) TREATVeterinarySurgeryService@gmail.com
C) 916-230-8103 (Call or Text)
#2: Referral Client/Patient Info. & Dx - Diagnostics
Provide the following info. about your referral patient (dog or cat):
a) Client Name & Phone #
b) Patient Name & Signalment (age, breed, weight & sex).
c) Tentative Diagnosis &/or DDx
d) Radiographs (prefer email for the best resolution). Please add the following in the radiographs: -Left (L) or Right (R) marker; also consider adding a x-ray calibration device such as a QUARTER coin.
e) Pre-Anesthetic BloodWORK (cbc/chemistry/+/-urinalysis) should be performed a few days prior to the surgery date.
f) Medical Notes (prefer email) with any pre-surgery diagnostics results ie cytology or biopsy, bloodwork, +/-urine test, culture & sensitivity.
g) Provide the owner with appropriate surgery handout (to read in preparation & commitment to the surgery & the aftercare with at home physical rehabilitation), which can be found directly on TreatVetSXService website button below.
#3: Scheduling & Confirmation
a) Request dates & time (AM or PM) to help coordinate surgery schedule date.
b) Collect a $500 surgery schedule deposit date. Non-fundable up to <72 hours (3 days) short notice cancellation fee. See below for additional information.
c) Surgery date will be confirm by both veterinary surgeon & rDVM.
d) Surgery confirmation will be perform again the day before the surgery.
e) Surgery Day: Dr. Le-Nguyen confirmed ETA (estimate time of arrival) hour(s) before the surgery.
#4: rDVM Surgery Day Preparation
a) rDVM will conduct a physical exam & planned out appropriate anesthetic protocol.
c) TREAT veterinary surgeon will provide all surgical equipment & procedures. Also, epidural supplies, SIMINI & Nocita will be provided.
c) After surgery, Dr. Le-Nguyen will communicate with the owner(s) about the anesthesia & surgery & discuss post-OP plan, discharge & pick-up.
d) rDVM & staff will conduct a discharge visit with the owner & patient at pick-up.
e) TREAT veterinary surgeon will email a complete surgery medical records/report to the rDVM..
#5: Pre-Surgery: Surgery Day - Prior to TREAT Team Arrival
a) Prep O.R. (sterilize surfaces, clean & dust off all surfaces ie lights, tables & floors.
b) Prep Meds (pull up pre-meds, antibiotics, setup IV fluids, CRI if using, etc).
c) Prep Patient
- Record initial TPR in medical record
- IV Catheter
- Administer Pre-Med (>15min prior to induction)
- Induction & Intubation (remove collar)
- Pre-op IV antibiotics (at induction, then q 90min)
- Shave & Dirty Scrub (knee cases: vet wrap foot to above hock)
TREAT Team • Transport patient out of O.R. • Post-Op RADS • Extubation & Recovery
#6: Intra-OP Surgery: IN SURGERY OR ”Theatre”
a) If you need to enter the O.R. during surgery, please wear a cap & mask.
b) Most surgeries take 1hr or less. We’ll provide a ~10min heads up as we’re closing so you can prepare for post-op rads, extubation & recovery with heat support.
b) TREAT Surgery Team will perform the following after surgery:
• Transfer to hospital anesthesia team for monitoring & discharge. • Clean instruments.
• Post-op TPR. • Apply Primapore adhesive bandage.
#7: After Surgery
a) rDVM follow-up call with client for patient post-surgery/anesthesia recovery, client’s questions or concerns. Update your veterinary surgeon if any problems or issues arises.
b) Recheck date @2 weeks should be confirmed with the client. Report any concerns to your veterinary surgeon.
c) Post-Op radiographs (prefer email) are welcomed to be evaluated by your veterinary surgeon at no additional cost.