2/22/2011 1 Guidelines for Standards of Care in Animal Shelters: d The Association of Shelter Veterinarians Management and Record Keeping Association of Shelter Veterinarians Veterinarians Sandra Newbury, DVM Mary Blinn, DVM Martha Smith, DVM
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Guidelines for Standards of Care in Animal Shelters:
d
The Association of Shelter Veterinarians
Management and Record Keeping
Association of Shelter Veterinarians
Veterinarians
Sandra Newbury, DVM
Mary Blinn, DVM
Martha Smith, DVM
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Let’s take a random walk
Association of Shelter Veterinarians
You need a plan!
Implementation requires:
D fi d i i• Defined mission• Policies and protocols
• Management of animal care
Association of Shelter Veterinarians
• Training
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EmployeeEmployeeAnimal Health and Well‐beingAnimal Health and Well‐being
OrganizationalF i i
OrganizationalF i i
HealthHealthAnimal Health and Well‐beingAnimal Health and Well‐being
Nirvana
FunctioningFunctioning
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Animal Health and Well‐beingAnimal Health and Well‐being
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Control
• Nurses study• Lutzen K A Cronqvist et al (2003) "Moral stress: • Lutzen, K., A. Cronqvist, et al. (2003). Moral stress:
synthesis of a concept." Nurs Ethics10(3): 312-322. • Sensitivity to patients vulnerability• External factors prevent them from doing what is best• Feel that they have no control over the specific situation• Association between cardiac disease and lack of control
Association of Shelter Veterinarians
in work place with high demands
• How does this play out for the patients?
Veterinary Involvement
• “Because animal health is woven into almost every aspect of sheltering or rescue programs every aspect of sheltering or rescue programs, veterinarians should be integrally involved with development and implementation of an organizational plan, and must have supervision of medical and surgical care.”
Association of Shelter Veterinarians
-ASV Guidelines for Standards of Care in Animal Shelters
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A NEEDS-ASSESSMENT AND DEMOGRAPHIC SURVEY OF INFECTION-CONTROL AND
DISEASE AWARENESS IN WESTERN US ANIMAL SHELTERS
K A Y K . S T E N E R O D E N , A S H L E Y E . H I L L , M . D . S A L M A NP R E V E N T I V E V E T E R I N A R Y M E D I C I N E , 2 0 1 1P R E V E N T I V E V E T E R I N A R Y M E D I C I N E , 2 0 1 1
• Who: a couple of epidemiologists and a post-doctoral fellow– All have authored multiple papers on shelters, infectious
disease risk• Why: To characterize animal shelters in a region of
the western U.S., describe infection control to direct f t t i i ff t d d t i h th
Association of Shelter Veterinarians
future training efforts, and determine whether disease concerns varied with shelter demographics.
• What: Descriptive cross sectional shelter survey carried out in early 2007
Who’s in charge of disease control?
• 42% shelter director or manager• 30% more than one person30% more than one person• 6% veterinarian• 8% no-one
• Guidelines for Standards: “All health care practices and protocols should be
developed in consultation with a veterinarian ideally
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developed in consultation with a veterinarian, ideally one familiar with shelter medicine.”
“Authority and responsibility must be given only to those who have the appropriate knowledge and training.”
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Nationwide Survey of Shelter M & Di t Sh lt Managers & Directors on Shelter
Veterinary Services
Dr. Barbara Jones, DVM, MSShelter Medicine Specialist
Graduate Koret Shelter Medicine Residency Program
Association of Shelter Veterinarians
Graduate, Koret Shelter Medicine Residency ProgramUniversity of California, Davis, USA
[email protected] OR [email protected]
Perceived relative expertise of vets & shelter managers / directors
S bj t Average
Average knowledge rating forSubject area Average
knowledge rating for
vets
rating for shelter
managers / directors Difference
Diagnosis of other medical problems 3.5 2.8 0.8
Treatment of common shelter infectious diseases 3.6 3.2 0.4
Diagnosis of common shelter infectious diseases 3.6 3.2 0.4
Association of Shelter Veterinarians
Vaccination protocols & products 3.5 3.4 0.1Cleaning & disinfection products & protocols 3.0 3.6 -0.6
Population management 3.1 3.7 -0.6
Behavior of shelter animals 2.7 3.4 -0.8
Overall shelter operations 2.8 3.7 -0.9
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Mission: a specific task with which a person or a group is charged
Association of Shelter Veterinarians
“Mission statements briefly describe what briefly describe what
the organization believes, why it exists,
d h t it d ”
Association of Shelter Veterinarians
and what it does.”-American Humane Association
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Guess whose mission?
Association of Shelter Veterinarians
Mission
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Policies and protocols
Mission
Contracts Resources
CARETREATMENT
INTAKEEUTHANASIA
ADOPTION
Resources
StaffTreatment funds
Volunteers
Training
fundsVeterinary
Care
Association of Shelter Veterinarians
FacilitiesAdoptions
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Resources
Veterinary Care
Staff Training
Treatment funds
Care
Volunteers
Adoptions
Facilities
ResourcesPolicies & protocols
Mission
Contracts
Association of Shelter Veterinarians
CARETREATMENT
INTAKEEUTHANASIA
ADOPTION
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“Protocols must be developed and documented in sufficient detail to achieve and maintain the standards”
• Vaccination and deworming: 88%• Cleaning and disinfection: 75%• Specific disease protocols: 36%• Infection control manual: 15%
Association of Shelter Veterinarians
• Isolation area: 90% ☺
- K A Y K . S T E N E R O D E N , A S H L E Y E . H I L L , M . D . S A L M A NP R E V E N T I V E V E T E R I N A R Y M E D I C I N E , 2 0 1 1
Documenting policies and protocols
• What is sufficient detail?O b d• Outcomes based
• For most organizations, this means written down.
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Access to policies and protocols
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Management Structure
• Accountability, responsibility and authorityM b i d• Must be communicated
• Living process-Periodic review with updates
“Supervision and accountability must apply to ALL staff and volunteers to ensure policies
Association of Shelter Veterinarians
and protocols guide daily decisions.”
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Management Structure
Association of Shelter Veterinarians
Management Structure
Association of Shelter Veterinarians
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Decision Making
Authority
Association of Shelter Veterinarians
Supervision Accountability
Training
Association of Shelter Veterinarians
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Training
Association of Shelter Veterinarians
Training
Association of Shelter Veterinarians
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Training!!!• Must allocate time and resources• Training opportunities are readily available
• Demonstrate skills BEFORE responsibility• Continual education
Association of Shelter Veterinarians
Continual education• Documentation / Certification
Skills before responsibility
RESPONSIBILITY
SKILLS ContinualEducation
Association of Shelter Veterinarians
TRAINING Education
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Proactive training
RESPONSIBILITY
SKILLS
TRAINING
Association of Shelter Veterinarians
TRAININGTRAINING
Proactive training
• Reactive training training much more common than proactive or ongoing
Association of Shelter Veterinarians
g g
- K A Y K . S T E N E R O D E N , A S H L E Y E . H I L L , M . D . S A L M A NP R E V E N T I V E V E T E R I N A R Y M E D I C I N E , 2 0 1 1
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What’s out there: Online?
• ASPCApro webinars • Sheltermedicine.com
• PetSmart Charities webinars
• HSUS
• American Humane
• ASPCApro.org
• UF Shelter medicine
• ARL Center for Shelter Dogs
Association of Shelter Veterinarians
• UC Davis recorded class sessions
What’s out there in person?
• North American Veterinary
• HSUS Expo• AHA Annual Veterinary
Conference• Western Veterinary
Conference• Mid-West Veterinary
Conference
• AHA Annual• SAWA• NACA• No More Homeless Pets
• State or regional
Association of Shelter Veterinarians
Conference• Wild West Veterinary
Conference• UF conference
State or regionalfederation conferences
• Adoption Options
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Training Resources
Association of Shelter Veterinarians
ASPCApro calendarhttp://www.aspcapro.org/calendar.php
What’s out there: Books?
• Shelter Medicine for Shelter Medicine for Veterinarians and Staff
• Infectious Disease Management in Animal Shelters
Association of Shelter Veterinarians
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Volunteer Training / Certification
F t M l• Foster Manuals• Presentations• Hands on• Phone consultation
system (triage team)
Association of Shelter Veterinarians
• Mentoring programs• Certification levels
What’s out there: Specialized training for veterinarians
• Shelter Medicine Courses and rotations• Shelter Medicine Courses and rotations• Shelter Medicine Residency programs
– University of California– University of Florida– Oregon Humane Society
• Shelter Medicine Internships
Association of Shelter Veterinarians
• Shelter Medicine Internships• University of Florida certification program
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Animal Records
IdentifierMicrochip scan resultsChi bChip numberSpeciesAgeGenderPhysical description (caution with breed and colors?)
Available medical and behavioral f
RECORD KEEPING
•91% keep medical records (9% don’t)
•64% had “computerized data systems”
(Biased sample from search method or compliance?)
Association of Shelter Veterinarians
informationSourceDates of entry and departureOutcome
method or compliance?)
- K A Y K . S T E N E R O D E N , A S H L E Y E . H I L L M . D . S A L M A N
P R E V E N T I V E V E T E R I N A R Y M E D I C I N E , 2 0 1 1
Why caution?
• Why would we want to be careful about breed and colors in an animal’s record?and colors in an animal s record?
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Comparison of Adoption Agency Breed Identification and DNA Breed
Identification of Dogs
• Victoria L. Voith a, Elizabeth Ingram a, Katherine Mitsourasb, and Kristopher Irizarry a
• a College of Veterinary Medicine, Western University of Health Sciences, Pomona, CA• b College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA
This study was undertaken to compare breed
Association of Shelter Veterinarians
identification by adoption agencies to identification by DNA analysis of 20 dogs of unknown parentage.
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RESULTSRESULTS
• 16 of the 20 dogs were identified by an adoption agency as having (probably) a specific breed in their genetic g (p y) p gmake up
• In only 4 of these 16 dogs (25%) were these breeds detected as a predominant breed by DNA (3 of these were only 12.5%)
Association of Shelter Veterinarians
• 75% (or more) incorrectly identified
• DNA of a less dominant breed was detected in one additional dog. (31%)
Animal Identification
DIABETIC!!!IA TIC!!!
Association of Shelter Veterinarians
Lucciano?#36721 Domestic shorthair, male, neutered, white with grey
markings, green eyes, stunningly attractive!!!
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How important is this?
Read my tag!
Identification saves lives!
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Physically affixed identification:What are the choices?
• Collar and tag• Plastic collar• Microchip• Options for neonates
Association of Shelter Veterinarians
Identification saves lives
250.0%
300.0%
350.0%
400.0%
Percent of birth weight gained
Dave
Association of Shelter Veterinarians
0.0%
50.0%
100.0%
150.0%
200.0%Beefcake
Iceberg
Bubbles
Triple
Little Joe
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Thanks! Questions?
Association of Shelter Veterinarians
Thank you for joining us today!
Visit www.ASPCApro.org/asv
• Download the Guidelines • Listen to webinar recordings
Association of Shelter Veterinarians
Listen to webinar recordings• Download presentation slides & bonus materials• Register for additional webinars in the series – next:
o The Five Freedoms and Shelter Wellness 3/31