Referral Veterinarian (rDVM)

For cases where you would like to refer a patient for surgery services provided by Dr. Le-Nguyen, a skilled veterinary surgeon in or near the Sacramento region, please follow this referral protocol for preparation.

Contact TREAT Veterinary Surgery Service through our website form, email, or phone for any inquiries about our surgery services and referral protocol. 

A) https://treatveterinarysurgeryservice.com 

B) TREATVeterinarySurgeryService@gmail.com 

C) 916-230-8103 (Call or Text) to speak with a veterinary surgeon.

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, and consider adding a calibration device such as a QUARTER coin.  

e) Pre-Anesthetic BloodWORK (cbc/chemistry/+/-urinalysis) should be conducted a few days before the surgery date.  

f) Medical Notes (prefer email) with any pre-surgery diagnostics results such as cytology or biopsy, bloodwork, +/- urinalysis, culture & sensitivity.  

g) Provide the owner with an appropriate surgery handout (to prepare them for the procedure and commitment to the surgery and at-home physical rehabilitation), which can be found directly on the TreatVetSXService website link below.  

This referral protocol is essential for our veterinary surgeons to ensure a smooth process.

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 $300 surgery schedule deposit date. This deposit is non-refundable up to <72 hours (3 days) prior to a cancellation, which will incur a fee. See below for additional information.  

c) The surgery date will be confirmed by both the veterinary surgeon and the referring DVM (rDVM).  

d) Surgery confirmation will be conducted again the day before the scheduled surgery.  

e) On Surgery Day: Dr. Le-Nguyen will confirm the estimated time of arrival (ETA) hours before the surgery.

a) The referring veterinarian (rDVM) will conduct a physical exam and establish an appropriate anesthetic protocol as part of the referral protocol.  

c) TREAT veterinary surgeon will provide all necessary surgical equipment and procedures, including epidural supplies, SIMINI, and Nocita.  

c) After surgery, Dr. Le-Nguyen will communicate with the owner(s) regarding the anesthesia and surgery performed, alongside discussing the post-operative plan, discharge, and pick-up of their pet.  

d) The rDVM and staff will carry out a discharge visit with the owner and patient at the time of pick-up, ensuring all surgery services have been clearly explained.  

e) TREAT veterinary surgeon will email a complete medical record/report of the surgery to the rDVM, ensuring comprehensive documentation of the surgical procedure.

a) Prep O.R. (sterilize surfaces and clean & dust off all areas including lights, tables, and floors).  

b) Prep Meds (pull up pre-meds, antibiotics, 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)  

- 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 and manage recovery, ensuring the highest standards of our surgery services provided by our skilled veterinary surgeon.

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 and perform the following after surgery:  

  • Transfer to the hospital anesthesia team for monitoring & discharge.  

  • Clean instruments.  

  • Post-op TPR.  

  • Apply Primapore adhesive bandage.

a) After the surgery services, conduct a follow-up call with the client to discuss the patient's post-surgery and 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 two weeks with the client and 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.