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                                                                  VOLUNTEER’S RELEASE




1894 Ohio Pike  Amelia, Ohio 45102  513-797-7387




In consideration of the opportunity to do volunteer work for All Creatures Animal Hospital,
I, ______________________________, hereby waive, on behalf of my heirs, executors
and assigns, all claims of any nature arising from my volunteer work at All Creatures
Animal Hospital and do thereby release All Creatures Animal Hospital, Drs. Daniel and
Linda Meakin and all other employees of All Creatures Animal Hospital from any claim
whatsoever arising from my volunteer work.

If under 18 years of age, parent or legal guardian must sign.

Signed ____________________________                  Date_______________________
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                                  ABOUT THE DOCTORS
Dr. Dan and Dr. Linda Meakin graduated from the Ohio State University Veterinary College
in 1989. Following graduation, Dr. Dan began a one-year internship at the West Los Angeles
Veterinary Medical Center, while Dr. Linda worked at another progressive Los Angeles practice.
During the internship, Dr. Dan had opportunities to work closely with veterinarians specializing in
gastroenterology, surgery, oncology and ophthalmology. These experiences broadened their
clinical knowledge base and taught them skills in handling a variety of cases.

Prior to veterinary school, Dr. Dan had a strong interest in exotic pets...reptiles, birds, ferrets and
rodents. This interest enabled him to see these types of animals in California and later while
working at the Cherry Grove Animal Hospital. Currently he is a member of the Association of
Avian Veterinarians and the Association of Reptile Veterinarians.

Dr. Linda has had a strong interest in preventive medicine and behavior therapy. She practices
preventive medicine in her own life, with daily jogs and proper diet. Medical treatment is
becoming so expensive in both human and animal practices, and preventive measures are going
to play a much greater role in our lives. One of the most common reasons to euthanize an
owner's animal is due to some form of behavior problem. Educating and working with the owners
of these animals early on is important so that treatment is initiated before the problem is so
disruptive that the owner has given up before starting treatment. Linda worked at Eastgate
Animal Hospital prior to starting Meakins' Mobile Veterinary Hospital, which eventually grew into
All Creatures Animal Hospital in the fall of 1992.

Together Dr. Dan and Dr. Linda combine education, and experience, with compassion and
communication to treat "All Creatures" (except horses and livestock). The vets and their 5
children live on 15 acres in New Richmond with 7 dogs, 3 cats, 3 pigs, 1 steer, 5 goats, 4 ducks,
an iguana, and 1 snake.

Dr. Santiago Yerovi was born in Ecuador, South America in 1966. He moved to New Jersey
when he was three, and lived there for 24 years. He received a BA in economics from Rutgers
College and a BS in animal Science from Cook College. He graduated from the Ohio State
Veterinary College in 1997. Upon graduation he moved back to Ecuador where he mostly worked
on large animals. In September 2001 he moved to Cincinnati, and shortly after joined the All
Creatures team.

Dr. Wendy Lim was born and raised in Kuching, Malaysia, a small country in South East
Asia. She completed both primary and secondary education in Kuching. She then spent
six years pursing her dream and obtained the Doctor of Veterinary Medicine degree from
the Fakulti Perubatan Veterinar of Universiti Putra Malaysia.
Dr. Lim did a lot of work on veterinary parasitology during her final year in veterinary
school. Her final year project was entitled “Blood gastrointestinal parasites of the
Malayan Water Monitor Lizards”. This project was among the few chosen to represent
Malaysia in an international competition.
Dr.Lim’s main interest is small animal tissue and surgery. She also likes exotic pet
medicine and small animal emergency and critical care. Her long-term goal is to become
a specialized small animal surgeon.

Dr. Kristine Raab grew up in Cincinnati, Ohio. Dr. Raab and her husband, Richard, were
stationed in the Air Force in Little Rock Arkansas, where Dr. Raab received her Bachelor
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of Science degree in Biology in 1994. She graduated from Louisiana State University in
Baton Rouge, in 1998. Dr. Raab’s first job was here at All Creatures Animal Hospital
where she treated all species of animals. She and her husband moved to Louisville, KY,
in 1999, where she practiced at a variety of veterinary hospitals including relief veterinary
work, emergency work and at a referral small and exotic hospital. She moved back to
Cincinnati in 2000, where she settled for 5 years at a small animal clinic and started a
family. Pregnant with her second child, she recently returned to All Creatures Animal
Hospital to work part time.
Dr. Raab’s hobbies include running and gardening. Her household consists of her
husband Richard, daughter Megan (2), 2 dogs, 4 parrots, 4 finches, a veiled chameleon
and a child due in December.
.




                    All Creatures Animal Hospital Goals

1. Establish excellence in patient care (top priority).
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2.   Give the highest attention to the needs of the client.
3.   Place high value on the role of the animal in our society.
4.   Develop excellence in people skills and customer service.
5.   Ability to adapt to change. This key issue will separate the best practices. There are
     many things that stand the test of time and we should be slow to abandon them. We
     must recognize that competition may change the way we deliver our services, but the
     quality of our care and the way we treat people must remain top priorities.

Everyone wants to work in a practice that they think is one of the best. In our own way
we can all strive to be our best. Your obligation is to determine the areas our clinic
needs to address for improvement. Understanding new technologies, better utilization of
the computer, improving clinical skills, and developing better client communication skills
are just a few of the areas you might address. You can plan now for our clinic to be one
of the best and brightest in the years to come, and enjoy the satisfaction that comes from
knowing you played a role in the process.




                              MISSION STATEMENT
The mission of our hospital is to fulfill the needs of our clients by providing quality health
services through a responsive, professional staff with the emphasis on individual
attention and commitment to our clients, their pets, and our community.
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                    BASIC PHILOSOPHY OF THE PRACTICE:

We will be the spokesperson for the pet. It's our job to tell clients what they need and to
teach them what to do at home to keep healthy pets. We will tell the clients what signs to
watch for, and what action to take when we suspect something is wrong.

If our clients follow the preventative health care program we recommend, and purchase
what is needed to prevent disease, the pet will live a longer life. With preventive care,
the pet will be easier to care for, and the client will be able to avoid expensive
emergencies and disease. We will perform thorough physical examinations and attempt
to catch any and all problems; this will allow us to treat, cure, or manage disease and
ensure a quality lifestyle for our patients and their owners. For this reason we will
recommend physical exams and not cheaper vaccine clinics. Vaccine clinics are an
alternative, not necessarily the better alternative.

We will never be the reason any pet does not have a chance for optimum preventative
health care. We will allow the client to decide what level of preventative health care they
wish and can afford to provide for their pets. It is our obligation to offer all clients the
best preventative health care the veterinary profession has to offer.


                          ANIMAL CARE AND TREATMENT

We appreciate our clients trusting us to care for their pets. All animals are to be cared for
as if they were our own pets. They are to be observed often, kept clean, and given
PERSONAL attention. Any abnormalities observed are to be reported to the DVM on
duty immediately. All animals are to be clean and smell clean when discharged. Any
problems undetected when the animal was admitted and not treated (such as fleas)
because it was unknown when the owner left the pet, are to be thoroughly explained to
the owner when the pet is discharged. All pets that have a bath should be dry and
brushed before discharged. Groomed animals should especially receive this attention.

           VOLUNTEER STAFF RESPONSIBILITY AND LIABILITY

All volunteer staff members are responsible for the lives of patients cared for at the
hospital. At no time can this responsibility be taken lightly or ignored; for it is then that
negligent action or non-actions may occur. If there is a question in your mind as to
procedures, policies, instructions, etc., it is your obligation to seek further information.

All Staff members have a confidentiality responsibility concerning the records kept within
the hospital and personal information regarding our clients. All records and information
regarding our clients are for purpose of carrying out the business of veterinary medicine
and should remain on the property of 1894 Ohio Pike. All this information is strictly
confidential and should never be released or used for any other reason.
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FOOD/REFRESHMENTS/TOBACCO USE
No smoking is permitted in the public or client areas at any time. NO SMOKING IS
ALLOWED IN THE CLINIC AT ANY TIME. Cigarette butts are to be disposed of in the
sand pots outside the doors, not in the parking lot. Underage smoking is not permitted at
All Creatures at any time. FOOD/REFRESHMENTS ARE NOT ALLOWED IN THE
EXAM ROOMS, IN THE RECEPTION AREA or near the computers. All
food/refreshment containers are to be disposed of properly when empty and not left
sitting on counters, shelves, etc., and may be placed in recycling can(s).
PERSONAL PHONE USE
The company telephones are for business purposes only. Personal use of telephones
during working hours is prohibited. Since the company is part of the service industry, it is
mandatory that all telephones be available for prospective customers during business
hours. However, we are aware emergencies may arise and all incoming and outgoing
calls are for emergencies purposes only. You can return calls on your own time but only
for quick use (during lunch or after you are clocked out). No personal long distance calls
are to be made except in case of emergency situations, with proper notification to the
doctor(s).
HONESTY
The hospital expects all employees to be as fair to it as it is to them. The removal of any
hospital property from the premises is not acceptable behavior. It is expected that all
employees will be aware of this and will monitor themselves as well as others. It is also
expected that the privacy and integrity of clients, doctors and other staff will be
respected. Any conversation, discussions or other information gathered from the
hospital is to remain in the hospital.
VISITORS
Visitors are allowed but only for short visits.
VOLUNTEERS ARE NOT PERMITTED TO:
                     Handle aggressive animals
                     Prepare vaccines or handle needles
                     Make recommendations to clients regarding pet care
                     Dress improperly
ATTENDANCE
Punctuality and regular attendance are essential to the proper operation of any business.
This will also help you establish a good working reputation. All camp members are
expected to report promptly for the work time scheduled, as this is a basic requirement.
FEEDING PETS
                    Do not waste food. Wet to improve taste and make go farther. You
                   can always give a second helping to any pet cleaning its plate.
                   Do not give partial food left over from one pet to another


CAGES SHOULD BE CHECKED EVERY2 HOURS. THESE ANIMALS ARE YOUR
RESPONSOBLITY FOR PROPER CARE. TREAT THEM LIKE YOU WOULD WANT
YOUR ANIMALS TO BE TREATED BY OTHERS.
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                                        DRESS CODE
UNIFORMS AND GROOMING
The professional atmosphere of the hospital is to be maintained by all employees while
present in the hospital. A clean uniform should be worn each day (a scrub top will be
provided). During the day, make a spot check of your uniform for stains or odors, and
clean or change them if necessary. Remember that you work very closely with others, so
keep your clothes clean and sweet smelling.
                        1.
      Wear clean and comfortable tennis shoes in good repair.
      Jeans or jean shorts are not permitted.
      Nametags are required for all staff.
      Volunteers should wear scrub tops or ACAH camp t-shirts, which will be given to them.


BASIC GROOMING STANDARDS:
HAIR: Long hair should be pulled away from the face and secured in some way. Long
hair, hanging loose, is unprofessional, unsanitary, and unsafe. No matter what the
length of your hair, it should be kept clean and neatly groomed.

PERSONAL HYGIENE: Make personal cleanliness of the utmost importance. Before
going up front to work, always check you face, arms, hands, and uniform for blood and
other stains.

PROFESSIONAL APPEARANCE: We limit piercing to ears only and visible tattoos must
be covered.
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                    OSHA COMPLIANCE TRAINING
INTRODUCTION:
This training manual has been developed for two purposes:
 1. Clinic compliance with OSHA Protection Regulations
 2. Protection of all staff members from hazardous working conditions

All Employees are REQUIRED to read and thoroughly understand this material at the
time of INITIAL employment. It is important that the information be studied sufficiently for
each staff member to understand "how to play it safe." For more information regarding
any of these topics refer to the safety manual located on the shelf above the
doctor’s station.

Working in a veterinary hospital can be lots of fun. It also exposes those staff members
to many products and procedures that can be harmful to one's health. There is also the
threat of wounds, which can open the body to possible infections. Additionally, there are
many infectious agents, such as bacteria, which can be harmful to the body. It is
important that you take your job seriously and constantly work in a safe manner to
protect yourself, other staff members, clients, and the pets we examine and treat.

It is important that any time you have questions about possible harmful agents, to which
you are exposed, you immediately you seek the veterinarian in charge to get the proper
answers to those questions. Many procedures are performed routinely, thus minimizing
the thought of potential problems that can arise. Our goal is to provide quality veterinary
care to the pets of our clients while at the same time guarding our own health and safety.

Any hazardous condition you observe should immediately be reported to the
veterinarian-in-charge.

OSHA (Occupational Safety and Health Administration) regulations mandate safety and
compliance training for all workplaces. These regulations require training in the areas of
chemical hazards, fire, and electrical safety, response to an emergency, and procedures
for infection control and waste management. The safety manual and MSDS are located
above the doctor computer on the shelf in the treatment room. It is there for people to
look at. Mike is in charge of Safety in this hospital. Report Safety concerns or accidents
to him.

OSHA has the authority to inspect our records and veterinary hospital at any time to
ensure compliance with a safe working environment as defined by their standards.

LOCATION OF IMPORTANT SAFETY MATERIALS:

HAZARDOUS CHEMICAL LIST - Above Doctors station in binder
FORM 2203 (Safety & Health Poster)  - STAFF LOUNGE
STAFF INFORMATION BULLETIN BOARD    - STAFF LOUNGE
REQUIRED POSTED DOCUMENTS           - STAFF BULLETIN BOARD
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WORKER'S COMPENSATION CERTIFICATE - Staff Lounge


ELECTRICAL SAFETY PRECAUTIONS:
Tight Electrical Connections
Intact Electrical Wiring Insulation
3-Pronged (Grounded) Electrical Plugs Utilized
Keep Electrical Cords away from Water
Do Not Let Cords Get Twisted or Tangled
Do Not Touch Electrical Equipment with Wet Hands
Do Not Overload Circuits, Motors, or Electrical Equipment
Keep Electrical Appliances Away From Flammable Substances & Vapors
Do Not Use Electrical Appliances in a Manner Other Than Intended & Approved Use
Turn Off Electrical Circuits at the Circuit Breaker before Working on
Electrical Outlets

FIRE SAFETY:
Flammable liquids, such as: alcohol’s, petroleum distillates, etc. are a common fire
hazard. The single most important concern is that vapors become flammable when they
mix with air and come into contact with an ignition source. Flammable vapors spread
quickly. They move even more quickly when the air is warm and still. Also, mixing
incompatible chemicals may cause a fire or an explosion.

FIRE SAFETY TIPS:
1. Use flammable liquids in areas with adequate ventilation.
2. Do not use flammable products near heat or fire.
3. Do not smoke around flammable products.
4. Do not use sparking tools around flammable products.
5. Store flammables away from ignition sources.
6. Store flammables in approved, tight, metal containers.
7. Clean up leaks and skills immediately.
8. Immediately remove clothing that has absorbed a flammable liquid.
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                             EMERGENCY PROCEDURES
For more detailed information refer to the ALL CREATURES ANIMAL HOSPITAL OSHA
SAFETY MANUAL.

                                     IN CASE OF FIRE
Employees on duty are to call 911 and inform the emergency service of the situation. Be
sure to tell them the hospital name, address and location of the fire. If the fire is not life
threatening, one individual should try to extinguish or contain the fire with the appropriate
fire extinguisher, while other employees move patients to a safe area in the hospital.
If there appears to be no safe area in the hospital, patients should be moved outside to
employees' cars, tied to fences, or placed in other appropriate areas. The hospital
administrator should be contacted as soon as possible.

FIRE EVACUATION PLANS are placed conspicuously throughout the clinic. If a fire is
spotted, immediately pass the word to other employees and call 911. If the fire is small,
you may attempt to extinguish the fire by using one of the fire extinguishers located in the
treatment area, kennel, laundry hallway or kitchen area of the hospital. Know where your
closest fire exit is located. Everyone should meet in the parking lot after exiting the
facility.

Steps in Using Fire Extinguisher:
       1. Point the barrel in the direction of the fire.
       2. Remove the safety pin.
       3. Press the handle and lever together.
       4. Protect your eyes when using the fire extinguisher.
       5. When the extinguishing agent contacts the fire, the flame will first grow
        larger before the chemical extinguishes it.
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                                HAZARDOUS CHEMICALS

MEDICAL GAS CYLINDERS.
Oxygen is contained within green metal cylinders within the surgery room and laundry
area. It is to be secured to the wall by the appropriate material at all times. Do NOT
smoke around any gas cylinder, as most of these gases are highly flammable and can
cause an explosion.

HAZARDOUS CHEMICALS IN THE WORKPLACE
Many chemicals used in the day-to-day practice of veterinary medicine can be poisonous
if used in the wrong way. This may include eye contact, skin contact, inhalation,
ingestion, etc. Additionally some people may be allergic to particular drugs that are used
to treat various conditions.

CHEMICAL INVENTORY LIST:
A complete inventory description is available in the Safety Manual located above the
doctor’s station, which lists all products, contained within the hospital, along with the
active chemical ingredient. In many cases, you will note an (*) in the column for chemical
name. This means that the active chemical is listed in the inventory description. In most
all cases, the stock container of the product will also list the active ingredients, which can
be referred to in cases of human exposure to these products or questions from the client.
Complete information is available on the product by referring to the MSDS sheets
contained in a notebook on the shelf above the doctor’s station.

MSDS SHEETS. These information sheets are contained in a notebook on a shelf above
the doctor’s station. There should be a complete information sheet for each product in
the hospital. These information sheets are provided by the manufacturer and give
complete details about the particular product. They are filed alphabetically in the
notebook. They are available for your inspection at all times. Feel free to ask for
assistance if you cannot determine the information you need.

CONTAINER LABELS: Stock containers purchased for hospital use contains most of the
needed information on the label. In cases, where materials are placed in a smaller
container ("secondary container"), there should be a label attached which provides the
required information dealing with human exposure to the particular product.

PROTECTIVE EQUIPMENT: Appropriate protective equipment, such as protective
glasses, aprons, rubber gloves, leather gloves, animal restraint snares, muzzles, face
masks and shields, etc. are provided for the clinic. Each employee is required to wear the
appropriate equipment when needed to avoid exposure to hazardous chemicals. Vent
fans are also available and should be used as needed.
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                                        FIRST AID

INGESTION OF HAZARDOUS SUBSTANCES:
Swallowing chemicals can result in reactions that range from irritating the stomach to
serious injury and death. The best way to prevent ingestion is by not allowing any
chemicals to be directed toward the mouth. Also, do not use contaminated containers to
store food, or eat food with contaminated hands.

It is best not to eat or drink in areas where chemicals are being stored. A Staff Lounge
has been provided for employees and should be the sole place where foods are
consumed. Do not store food and chemicals in the same refrigerator and always wash
your hands before eating.

Signs of chemical poisoning can include irritation or burning lips, throat, mouth; nausea
and vomiting; diarrhea; or breath odor. If mouth contact or swallowing of a chemical
occurs, you must know the proper course of action.

TREATMENT: The treatment objective in poisoning by mouth is to dilute or neutralize the
poison as quickly as possible. Induce vomiting except when a corrosive poison is
swallowed or if the victim is unconscious or having seizures. Maintain respiration,
preserve vital functions, and seek medical assistance without delay.

If the victim has swallowed a strong acid, strong alkali, or petroleum product, but you do
not have the original container:
        1. Dilute poison with water or milk
        2. Induce vomiting except for those chemicals above
        3. Get medical help immediately

If you do not know what poison the victim swallowed:
       1. Dilute with water or milk
       2. Try to find out what poison was taken and when
       3. Get medical help

               DO NOT INDUCE VOMITING EXCEPT IF THE LABEL
                            ADVISE YOU TO DO SO.
Vomiting may cause more harm if the chemicals leave the digestive tract.

INHALATION
For fume poisoning from inhaled gases, move victim into fresh air. Start artificial
respiration if needed. Call for medical help.

Toxic chemicals may enter the body through the respiratory system in the form of vapors,
gases, dusts, or even liquids. This can cause permanent damage to the lungs, nervous
system, other body organs, and could result in death. Know the chemicals you are
handling. Do not smell chemicals that are not properly identified. The signs of severe
poisoning may not be seen for several hours.
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Handle chemicals in well-ventilated spaces or exhaust the fumes to remote areas. Be
advised that the work area can contain vapor or dust levels too low to detect by smell.
Effects of chemicals may be cumulative or not known for hours, weeks, months, or years.

Maintain a clean work area. Do not smoke in areas where chemicals are handled.

Irritations of the skin, eyes, or respiratory system are signs of severe poisoning.
Additional signs may include difficulty in breathing, headache, nausea, malaise,
unconsciousness, or poor coordination. If any of these signs occur, leave the area at
once, get fresh air, and seek medical assistance.

SKIN CONTACT
Avoid contact of chemicals by wearing protective clothing such as gloves, goggles, and
aprons. The skin can come in contact with chemicals from splashing, immersion, or
saturation of clothing. This contact can lead to skin irritation and chemical burns of the
skin. Know the chemicals you are working with and the proper protective clothing to
wear. When removing gloves that have come in contact with the chemicals, wash the
gloves before you remove them to prevent the chemical from being transferred to the
skin. Remove saturated clothing that contacts the skin and immediately flush the skin
with large amounts of water. Cleansing soap or detergent can aid in the removal of some
chemicals, but may not neutralize them. Know the first aid for the particular chemicals
you are working with.

Do not use organic solvents in cleaning any skin surface. These solvents may be
absorbed through the skin or may increase the rate of absorption of other chemicals.

The signs associated with chemicals contacting the skin may include irritation,
inflammation, blistering, and severe tissue damage. Chemical burns may not be
apparent for some time after the skin contact has occurred.

In case of contact with a chemical on the skin, flush the area with water for at least 15
minutes, unless the manufacturer advises otherwise. Do not reuse any contaminated
clothing unless it is properly decontaminated.

EYE CONTACT
Wear proper eye protection when you are working with chemicals and when you are in
an area where others are working with chemicals. Liquid, solid, or gas chemicals entering
the eye can cause permanent injury or blindness. Do not touch your eyes with
contaminated hands. Eye protection should be worn whenever particles or liquids may be
thrown into the eye.

Contact lens should not be worn in areas where chemicals, dusts, mists, or particles can
be found. Gases can concentrate under the contact lens causing damage to the eyes or
cause the soft lens to stick to the eye.

Signs of eye injury may include a painful burning sensation, watering of the eye,
inflammation, and sensitivity to light. Strong alkalis may not produce pain immediately.
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Even a 30 second delay in the treatment of eye contact with a chemical can result in
permanent loss of vision.

Action must be taken quickly when an eye injury occurs. Use a soft flow of cool water
immediately when a chemical enters the eye. Wash the eye for 15 minutes. Hold the lids
open and roll the eyeball around, washing the eye thoroughly.

An eyewash station is located in the lab/pharmacy area attached to a sink faucet. Please
locate this eyewash station and practice using it so you will be prepared in an
emergency.

EYEWASH STATION USE INSTRUCTIONS:
    1. Remove the rubber outlet caps
    2. Turn on COLD water
    3. Pull out the lever on the front of the eyewash station to divert the water up
            through the two water outlets.

SKIN WOUNDS
Infection of skin wounds can result from normal skin bacteria entering the wound at the
time of injury or from bacterial that happened to be on the penetrating object such as a
scalpel or injection needle.

 It is important that all small puncture wounds be made to bleed to wash out the wound.
Squeezing the area around the wound to increase blood flow out the puncture wound
can do this.

 It is important that all wounds be washed thoroughly with antibacterial soap and water.
Small wounds may then be treated with the appropriate antiseptic or antibiotic solution
and bandaged if needed. Larger wounds may require medical attention. Our clinic carries
worker’s compensation insurance, which covers all medical costs, associated with a job
injury. The veterinarian-in-charge should be notified when an injury occurs and will then
initiate appropriate action. It is important that tetanus immunizations be kept up-to-date.

A FIRST AID KIT IS LOCATED IN THE TREATMENT AREA OF THE HOSPITAL.
                                 IN CASE OF ACCIDENT
The injury should be reported to the Business Manager or D.V.M. in charge at the time of
occurrence. Workmen's Compensation Insurance covers all employees of our hospitals.
Needed medications may be furnished by our hospital. The veterinarian in charge will do
referral to the hospital emergency room or local physician when deemed appropriate and
necessary.
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SPILL CLEAN-UP
1. Attend immediately to anyone contaminated by the spill.
2. Notify personnel in the immediate area of the spill.
3. If flammable, turn off ignition, electrical, & heat sources.
4. Acids should first be neutralized with baking soda. Then contain the spill. "Oil Dry" is
located in the Cat Ward.
5. Using a small shovel or scupper, work the absorbent located around the perimeter into
the middle until the entire chemical is absorbed.
6. Wear gloves during cleanup, as well as other necessary protective clothing.
7.Establish ventilation if needed.
8. After the spill is removed, flush with water and mop. Dry thoroughly.

CHEMICAL STORAGE
Chemicals are to be stored in cool, dry areas. Storage areas should be away from direct
sunlight, high heat and humidity, and potential ignition sources. All chemicals are to be
stored in properly labeled containers. Always read the manufacturer's directions before
you use a product. Be aware of all possible hazards of the product. Make sure all proper
information is on the label of the container.

MSDS (Material Safety Data Sheets) are available in a notebook in the Associate DVM’s
office library. These information sheets provide complete details of all products in the
hospital. These sheets are kept in alphabetical order by product name. These sheets will
supply the information that determines to what extent a worker needs to protect
himself/herself when working with a product that contains a hazardous chemical in it.

It is the responsibility of each staff members to understand the chemicals you are
working with, since many chemicals can be harmful if not handled properly. Explosion,
fire, and release of dangerous vapors are but some of the typical hazards of improperly
handled or mixed chemicals.

CHEMICAL SAFETY PRACTICES
    1. Use chemicals only with adequate ventilation.
    2. NO food, drink, or smoking in work areas.
    3. Containers should be closed when not in use.
    4. Carefully remove all contaminated clothing, and then dispose of properly.
    5. Wash thoroughly after working with corrosives.
    6. Report spills or leaks immediately.
    7. Follow proper clean-up procedures.
    8. Get immediate medical attention for exposure.
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PREVENTING TRANSMISSION OF DISEASE
The following materials are useful in preventing the spread of disease:
       1. Proper Hand washing
       2. Safety Glasses
       3. Rubber Gloves
       4. Masks
6. Water-resistant Clothing (Aprons, Smocks)
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                                        IMMUNIZATION PROTOCOL
   We want vaccination information on all pets if vaccinations were given somewhere else, we
    still want to enter it in our records so we can send them a reminder. If the client does not
    know the exact date, just guess or approximate. The point is to put something down and
    enter in the CPU or vax history.

                                          Rabies Vaccination
   Dogs, cats, ferrets – Required by low at three months of age
   Annual booster required for the first year, then every 3 years for dogs and cats
   Annual booster required for ferrets
   It is the least likely disease for dogs, cats and ferrets to contract, but it required by law and
    the vaccination has eradicated this disease in most of the country.

                                                DOGS
DHLP-Parvo Vaccination
 This vaccine is required for all hospitalized, boarded, groomed, or training dogs.
 Puppy Series includes 4 injections in initial series. Puppies between the ages of 6 and 18
  weeks need a series of DHLP-P boosters every 3 weeks. Boosters can be given as early
  as 2 weeks apart or as late as 4 weeks apart. The practicing veterinarian will make the
  final decision.
 Start vaccinations as soon as weaned (six weeks of age).
 Annual Boosters required after initial series.
 5-way vaccines include: Distemper, Hepatitis, Leptospirosis, Parainfluenza, Parvovirus.

Bordatella Vaccination
 Vaccination to help prevent "kennel cough", a respiratory infection common in dogs
 Kennel cough is extremely contagious. Dogs suspected of kennel cough should be isolated.
 Infected dogs sound like they have a bone in their throat.
 It is required when boarding your pet or enrolling in an obedience class.
 The vaccine is most effective when given more than 48 hours before boarding or training.
   We prefer it to be given 1-2 weeks prior.
 Biannual booster vaccinations are necessary and required by All Creatures Animal Hospital.

Lyme’s Disease Vaccination
 Vaccinations are available and recommended for dogs that travel to the northeast or
   Wisconsin/Minnesota.
 The disease is sporadically present in Ohio and is carried by deer ticks
 It is not a normal part of the vaccine schedule

                                      Giardia Vaccination
   Vaccinations are available and recommended for all dogs that spend a lot of time outdoors,
    especially in the woods and by lakes or streams
   Caused by dirty water and seen more commonly in younger dogs
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                                             CATS
FVRCP-C Vaccination
 Start vaccinations at 6-8 weeks of age. Vaccinate for Feline Parvo (Distemper,
  panleukopenia), Rhinotracheitis, Calici Virus, and Pneumonitis(FVRCP-C). Series of 2-3
  injections and then annual boosters.
 Panleukpoenia is also known as cat distemper and is a highly contagious and often fatal
  disease in young cats. It is easily transmitted from cat to cat. Signs include depression, loss
  of appetite, vomiting, and diarrhea.
 Respiratory diseases may have virus in body for several years before sick.
 Often flares up when stressed by other diseases several different infectious agents.
 They are all highly contagious and are widespread. .
 Even a stray cat that seems to be healthy, may be a carrier of the disease and can infect pets
 Signs of these diseases include: sneezing, fever, nasal discharges, runny nose, coughing,
  conjunctivitis (eyelid infections), mouth ulcers, and general

Feline Leukemia Vaccination (FELV)
 We recommend testing all cats and kittens for this deadly virus
 Considered to be the leading cause of death in cats.
 It is a cancer-causing virus that often suppresses the ability to fight other infections.
 Kittens can be born with the virus.
 Cats can have the leukemia virus for years before showing signs of the disease.
 Feline leukemia is highly contagious from cat to cat and is spread by licking, sneezing,
    fighting, sharing food bowls, or sharing litter pans.
 There is no successful treatment once signs develop. Due to the seriousness of this disease,
    we highly recommend that all cats be tested and, if negative, vaccinated.
 Cats and kittens over 9 weeks of age receive an initial series of 2 vaccines 3-4 weeks apart.
    After this, a booster is given yearly.

Feline Infectious Peritonitis Vaccination (FIP)
     Is a contagious and fatal virus shed in the saliva, urine and feces of infected cats.

   It is the number 2 infectious killer of cats in the U.S.
   Signs may include loss of weight, labored breathing, enlarged abdomen, and generalized
    illness. Cats at risk are outdoor cats and those that live in multiple cat households.
   There is no successful treatment once signs appear.
   Cats and kittens over 16 weeks need an initial series of 2 vaccines 3-4 weeks apart, then an
    annual booster.

Feline Immunodeficiency Virus (FIV)
 Labeled as the cat "AIDS virus" because of its similarities to human AIDS virus.
 In cats the virus is spread through bite wounds or urine. Not transmissible to humans.
 It depresses a cat’s immune system making it susceptible to many secondary infections.
 There is a reliable blood test that can be done alone or in conjunction with the feline leukemia
    test in the hospital. Cats and kittens should be tested prior to vaccination.
The vaccine is recommended for all outdoor cats. Cats and kittens over 8 weeks need an
initial series of 3 vaccines 2-3 weeks apart, then an annual booster.
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                COMMONLY USED ACRONYMS
A          Assessment
Abx        Antibiotics
ABD        Abdominal exam
ADH        AntiDiuretic Hormone
ACTH       Adrenal CorticoTrophic Hormone
ADR        Ain’t doing right
Ad lib     Freely as wanted
AF         Atrial Fibrillation
AI         Artificial insemination – artificial breeding
ARF        Acute renal failure
AO         Advise owner
As,Ad,Au   Left ear, right ear, both ears
AIHA       Autoimmune Hemolytic Anemia
ATT        At this time
BAR        Bright Alert Responsive
BDLD       Big dog Little Dog (dog fight)
BDT        Bordatella
BDT1       Bordatella Vax #1
BDTI       Bordatella Intranasal
BTW        By the way
BID        Two times per day
CHF        Congestive heart failure
CO         Call owner
CBC        Complete blood count
D          Diarrhea
Dx         Diagnosis
DDD        Degenerative Disc Disease
DJD        Degenerative Joint Disease
D1         DHLP-P Canine Vaccination 1st
D2         DHLP-P Canine Vaccination 2nd
D3         DHLP-P Canine Vaccination 3rd
DB         DHLP-P Canine Vaccination Booster
D/C        Discontinue
DDX        Differential diagnosis
DE1        Distemper only #1
DEB        Distemper only booster
DEC        Deceased
DIS        Discount
DW         Deworm
EKG        Electrocardiogram
EENT       Eyes/ears/nose/throat
EOD        Every other day
EQ         Equine
EU         Euthanasia
EX         Emergency call
FEL        Feline
FDA        Food and Drug Administration
F1         FVRCP-C vaccine 1st shot
F2         FVRCP-C vaccine 2nd shot
F3         FVRCP-C vaccine 3rd shot
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FAD           Flea allergy dermatitis
FB            FVRCP-C vaccine booster
FB            FeLv Booster
FeLV          Feline Leukemia Virus
FIA           Feline Infectious Anemia
FIP           Feline infectious peritonitis
FIP1          FIP vaccine 1st shot
FIPB          FIP vaccine booster
FIV           Feline Immunodeficiency virus
FS1           Farrowsure 1st shot
FSB           Farrowsure booster
FUO           Fever, unknown origin
FWIW          For what it’s worth
GI            Gastrointestinal
H2O          Dehydrated
HBC           Hit by car
H.R.          Heart rate
HW            Heartworm
Hx            History
H/L           Heart/Lungs
IME           In my experience
IM            Intramuscular
INTEG         Integument – skin problems
KIH           Keep in hospital
L1            Feline leukemia 1st shot
L2            Feline Leukemia 2nd shot
LB            Feline leukemia booster
LD            LYME’S Disease
LM            Left Message
LMOM          Left message on machine
LV            Left Ventricle
LA            Left Atrium
LN            Lymph Node (s)
LOL           Laugh out Loud
MI            Myocardial Infarction
MCS           Mean cat syndrome
MSCL          Musculoskeletal
N/C           No charge
NA            No answer
NEURO         Neurological
NPO           Nothing by mouth
NSF           No significant finding
NVL           No visible lesions
NSR           Normal Sinus Rhythm
NTS           Not too smart
O             Owner
OSI           Owner stopped in
OCC           Occasion
Ou,Os, Od     Both eyes, left eye, right eye
OV            Office visit with vaccines
OC            Office call
P             Plan – a numerical list of what we’ll do
PC            Phone call
P1 thru P90   Phone call 1 day thru 90 days
PCV           Packed cell volume – a blood test to determine dehydration and anemia
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PLN’s      Peripheral lymph nodes
PRN        As needed
PO         Orally
Pu         Pickup
PITA       Pain in the ass
PE         Physical exam/Pulmonary edema
PUPD       Polyuric Polydypsic –Drinks a lot, urinates a lot
Q          Each, every
QID        Four times per day
Re         Recheck
Rec to O   Recommend to woner
R/O’s      Rule outs
RS1        Respisure 1st shot
RTGH       Ready to go home
RSB        Respisure booster
RV1        One year rabies vaccine
Rx         Dispense medication
RV3        Three year rabies vaccine
SID        One times per day
Sl         slightly
Sig        Drug dosage, instructions
SQ         Subcutaneous (under the skin)
Sx         Sugery
TID        Three times per day
TGH        To go home
TTCO       Tried to call owner
TNT        Toe nail trim
Tx         Treatment
TTO        Talk to owner
U/G        Urogenital exam
Vax        Vaccines, used as a code for identifying Vax Clinic
V/D        Vomiting/Diarrhea
w/         With
WNL        Within Normal Limits
Wo         Warned owner
W/O        Without
W/U        Work up
WS         We’ll see
XM         Exam
’S        Changes
         2 testicles descended
URI        Upper Respiratory Infection
U          Urine
UTI        Urinary Tract Infection
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                                    PET IDENTIFICATION

Homeagain Companion Animal Retrieval System.
Permanent pet identification comes from a tiny microchip that’s quickly and safely injected in the pet by the
veterinarian. The microchip has a unique identification code that can be read with a hand-held scanner (like the hand
held scanners used in grocery stores)

A rapidly growing network of more than 12,000 HomeAgain scanners has been placed with animal shelters and
veterinarians nationwide.

   When a lost pet is found and brought to the shelter or a veterinarians office:
   A scammer reads the HomeAgain ID code
   The code is called in to the national database, available 24 hours a day, 365 days a year, through an 800 number
   The owner is contacted immediately and every possible step is taken to reunite the owner and pet

Once the pet gets the HomeAgain microchip, they only have to pay a onetime enrollment fee of $9 to be in the national
database.




                                             GLOSSARY
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Anesthesia         Loss of pain sensation
Anorexia           Loss of appetite; not eating
Castration         Removing the sex organs (testes) of male animals
Cataracts          “fogging” of the lens within the eye causing partial or total blindness
Coccidiosis        An intestinal infection by a one celled organism called coccidia
Convulsion         Seizure or “fits”
Dermatitis         Inflammation of the skin
Diarrhea           Loose “stools” (feces)
Distemper – Canine An often fatal virus disease that affects the respiratory system, eyes
                   and nervous system of dogs
Distemper – Feline An often fatal virus disease usually seen in young cats which affects
                   the gastrointestinal tract, also called “Panleukopenia”
Eclampsia          Convulsions caused by a low blood calcium level in nursing bitches
Emesis             Vomiting
Estrus             “heat”
Euthanasia         Humanely killing an animal
Feces              “stools”
Fee                Don’t say cost or price
FeLuk              Feline Leukemia Virus
Glaucoma           Increased fluid pressure within the eye resulting in blindness
                   Vomiting blood
Hepatitis          An often fatal virus disease of dogs that affects the liver
Incoordination     Inability to control movements
Laceration         Skin cuts
Leptospirosis      A bacterial disease of dogs that affects the liver and kidneys
Mastitis           Inflammation and infection of the breasts
Melena             Blood in the stool
Metritis           Infection of the uterus
Mismate            Injection to cause abortion
Otitis             Ear infection
Ovariohysterectomy “Spaying” removal of the uterus and ovaries
Paralysis          Inability to move
Paresis            Weakness
Phlegm             Mucus that accumulates in the throat and is often gagged up or
                   passed in the feces in cases of tonsillitis
Pneumonia          Inflammation and infection of the lungs
Pneumonitis –      A viral contagious disease affecting cats
feline
Pseudopsyesis      False pregnancy – the body thinks its pregnant, but really is not
Purulent           Pus-like
Pyometra           Severe uterus infections often with pus extruded from vulva
Quadriplegic       Paralyzed in all four legs
Rhinotracheitis-   A specific viral respiratory infection in cats
Feline
Seborrhea          Dry, scaly skin (dandruff)
Sutures            Stitches
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Tonsillitis         Inflammation of the tonsils
Tracheobronchitis   An inflammation of the upper air passages down to the lungs,
                    Kennel Cough
Uveitis             Inflammation of the uvea or inside of the eye including the iris
                    (anterior uveitis) and chorea/retina (posterior uveitis)
Vaccinations        Immunizations Don’t use the word “shots”
Veterinarian        Doctor of Veterinary Medicine
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   WHEN A PET SHOULD BE BROUGHT TO THE VETERINARY HOSPITAL

It is hard to properly diagnose a pet's condition over the telephone and therefore should
not be done. Clinic policy mandates that NO over-the-telephone diagnosis be attempted.
Clients are to be encouraged to bring the pet in for a correct diagnosis. No over-the-
telephone treatments are to be encouraged before a diagnosis is made, other than
simple first aid measures.

IMMEDIATELY!!
                   Symptom:                                             With:
Inability to Breathe                          Noisy respiration, blue tongue, gasping for breath
Bleeding That Won't Stop                      From any part of the body. Apply pressure and come
                                              now!
Inability to Urinate or Appears Constipated   But continues to try.
Inability to Deliver Puppies or kittens       Keeps trying or has stopped trying
Pain                                          Severe. Continuous with no relief
Vomiting, Diarrhea                            Continuous or with the Appearance of Blood
Loss of Balance or Consciousness              Includes tremors, coma, staggering, blindness, fainting
Itching                                       Continuous scratching, biting, self-mutilation
Penetrating Wounds                            Any place, but especially chest or abdomen
Poisoning                                     Bring the container or commercial name and chemical
                                              name
Injury                                        Continuous pain and/or total lameness
Hit by car
Bloat
Any other sign that looks serious!



SAME DAY
               Symptom                                               With
Difficult Breathing                    With or Without Cough. Eats and Drinks. Not Frantic
Vomiting / Diarrhea                    Without Blood; No Pain; No Unusual Contents
Sudden Lameness                        No apparent cause
Swallowed Object                       Even if you THINK pet swallowed it.
Severe Itching                         With possible self-mutilation
Strange Odor                           Usually disagreeable, from any part of the body
Burns                                  Heat, Chemicals. Go Immediately if Extensive
Injuries                               Not severe emergency but will worsen with delay- lacerations


SAFE TO WAIT OVERNIGHT
            Symptom                                                 With
Vomiting / Diarrhea                    No blood, no foreign material, no pain, not continuous
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Itching              Mild to moderate; no skin damage; not continuous, no bleeding
Lameness             Little or no pain; no discomfort in walking; not continuous
Thirst / Urination   Excessive drinking and/or elimination of urine with no blood,
                     no pain,
                      no straining or discomfort, or bloody appearance to the urine
Loss of Appetite     Skipped one main meal, but no other signs of illness
Most Skin Problems
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             PERFORMING PRELIMINARY PHYSICAL EXAMINATIONS

A major key for the successful practice is proper utilization of the technician as an extension of
the veterinarian in the practice. Technicians should be delegated many of the time-consuming
activities involved with each client visit to better utilize the time of the veterinarian for efficiency.
Education of your staff technicians in obtaining a good history and performing preliminary
physical examinations coupled with appropriate forms for these purposes can result in efficient
use of time by both technician and veterinarian. The end results being that all pets receive
thorough examinations because the DVM is no longer rushed to get to the next room along with
increased gross income from the extra needed services that are discovered and suggested to
the owner.


Technicians have a great opportunity to enhance credibility and client loyalty by simply relaying
information they find to either the client or the veterinarian; whichever is most appropriate.


Thorough physical examinations using PET REPORT CARDS allows the hospital to provide a
valuable service to both the client and pet during every appointment. Clients entrust pets to a
particular hospital because they perceive that particular hospital pays attention to the pet. If that
perception is ever lost, the client will in most cases seek services elsewhere. Every hospital that
is successful must make it perfectly clear to every client that true concern exists for that pet--
and every effort is made to give that pet the opportunity for the best that veterinary medicine
has to offer.


The following areas can be briefly examined by the technician to seek out possible problems
that could be missed from a hurried examination performed with the veterinarian in a hurry.


1. SKIN. Run your hands over the body as part of the initial examination. Note skin condition,
growths, any other abnormalities. In most hospital situations, it would be permissible to note any
abnormalities to the client suggesting they be sure to ask the veterinarian about the particular
problem. It is important that the technician make no diagnosis, but rather point out the problem
for evaluation by the veterinarian.


2. EXTERNAL PARASITE OBSERVATION. The presence of fleas, ticks, or lice should be
pointed out to the client while asking for their current flea control program in use. Rub the hair to
dislodge flea dirt making it apparent on the exam table. A flea comb would also be useful.
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3. FEET and NAILS. Observe each pad for irritation as well as the area between the pads.
Examine the nails for the need of a pedicure.


4. EARS. Note odor, redness, and/or discharge.


5. NOSE. Observe for discharge.


6. EYES. Note discharge or any other abnormality.


7. TEETH and GUMS. Most pet owners do not know that a pet's breath should not stink.
Observe for odor, tartar, and bleeding gums. It has been estimated that 80% of all pets seen
are in need of dental care NOW.


8. RUMP AREA. Observe for loss of hair or tapeworm segments around the rectum. Ask the
client if they may have seen tapeworms passed in the stool. Too often a result of "no worms" is
given after a internal parasite examination only to hear the client respond, "But Doctor, I see the
worms!"


It is important that this preliminary examination not take the place of the examination by the
veterinarian and that the technician be reminded they are not to diagnose. But the old adage of
"two heads are better than one" can be applied to examination of the pet. We all make
mistakes--whether we want to admit it or not. It never hurts to have someone looking over our
shoulder to be sure we don't miss something that could allow the pet a better life. Involvement
in insuring and enhancing the health of pets should be one of the most rewarding aspects of
working in the veterinary hospital.
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                          MISCELLANEOUS FACTS TO KNOW

 Ringworm is contagious to people and other animals.
 Sarcoptic mange is contagious to people and other animals.
 Demodectic (red) mange is not contagious to people or other animals.
 Ear mites are contagious to animals, but not to people.
 Pets do not have pinworms - except for horses.
 Flea Control is a never-ending problem and involves treating the pet, house and the yard.
 All dogs should have heartworm prevention year round
 All outside cats should be vaccinated for Feline Leukemia & FIP.
 Start vaccinations at 6 weeks of age or immediately if weaned before six weeks of age.
 Ferrets need the same vaccinations as the dog. They are very susceptible to distemper and
  it is always fatal. Rabies shots must be yearly.
 Pets that have eaten rat poison should be brought to the clinic immediately. Bring the
  poison package to help us identify proper antidote.
 Pregnant women should not empty litter pans. The litter box should be emptied every day to
  prevent Toxoplasmosis which can lead to birth defects in new born children.
 Pet Dental Cleaning is more expensive than in humans because Infection is usually present,
  sedation must be used, and it is usually not done until mouth is in bad shape.
 Breeding: Dogs will separate naturally when breeding is completed, leave them alone. A
  "Tie" is not necessary for pregnancy to occur.
 All pets should be brought to the clinic following a delivery of the offspring for an injection to
  aid in the cleaning out of the uterus.
 Injections to prevent pregnancy after a dog has been accidentally bred can be given up to 3-
  4 days after breeding. We recommend spaying instead of a mismate injection, due to later
  complications from the injection such as Uterus infection, Cystic ovaries, and Cancers
 Trembling in a female nursing offspring often indicates eclampsia; a condition caused by a
  low blood calcium level and can be fatal if not treated immediately.
 Orphan pups/kittens: Feed our supplement, which is balanced to prevent diarrhea. Human
  infant supplements can cause diarrhea and should not be used. Home Emergency Night
  Formula is 1 egg yolk and 8 oz. of 2% milk
 Eyes open at two weeks of age.
 Wean pups/kittens completely at 5-6 weeks of age: Start offering high protein puppy food
  mixed with 1/2 water and 2% milk when eyes open.
 Cats are susceptible to heart worm also. There is no treatment for cats. We recommend
  that outside cats be on heartworm preventive.
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                                         Flea Facts


1. Fleas are wingless, bloodsucking parasites, which prefer blood of dogs and cats
   instead of people. However, if the animal is not present at feeding time, the flea will
   attack humans.

2. Fleas have well-developed hind legs and are capable of jumping 16-36 inches. For
   their size, this is equivalent to a human jumping over the Washington Monument.

3. Fleas can survive freezing. They have even been found living in birds’ nests in the
   frigid Antarctic, which became active when thawed out.

4. Female fleas may lay 500-5000 eggs during her lifetime.

5. Best breeding conditions for fleas to multiply are 65 to 80 F.

6. Some fleas have eyes, but most rely on the sense of smell and hear to find their
   victim.

7. Fleas carry tapeworms.

8. Fleas cause many skin allergies, as well as anemia from sucking blood from its
   victim.

9. Flea eggs are usually laid within 24 hours of a blood meal. They are white, and hatch
   in about 1 week into a yellowish white larva that can mature into an adult flea in as
   little as three weeks or as long as two years, depending on the climate conditions.

10. Fleas are susceptible to dry weather conditions. Wind and low humidity account for
    the reason fleas are non-existent in some areas of the United States, such as
    Nevada.

11. Many people do not believe how severe a flea problem is present until they vacate
    the house for a couple of weeks – and then return to find hungry fleas attacking them.

12. Flea infestation in the house has nothing to do with being a dirty person or dirty
    housekeeper. It is a fact of life that if your pet goes outside into a flea-infested yard,
    fleas will come into the house on either the pet itself, or even on your clothing when
    you re-enter the house.

13. A complete flea control program requires the pet, house, and yard all be treated at
    the same time and at regular intervals.
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               RECEPTIONIST/CLIENT RELATIONS JOB DESCIPTION


   Answer telephone.
   Schedule appointments.
   Maintain client records and files (pull, type, file).
   Inform clients of financial policy and collect fees.
   Present Itemized receipts and enter payment in CPU.
   Explain itemized receipt to each client.
   Record "hold" checks in chart and label checks to hold date.
   Explain, dispense, and promote drug products to all clients.
   Market ALL services needed for optimum pet health care for EVERY pet presented!
   Send or escort clients to exam rooms when available.
   Balance books and money drawer at end of each day.
   Maintain Client List and phone number for callbacks.
   Maintain Client List and phone number for follow-up visits and immunizations.
   Maintain office supply inventory.
   Be sure all animals are properly admitted and discharged.
   Collect a deposit on all hospitalized animals to be left in clinic.
   Assist in treatment when needed.
   Dispense approved medications and refills.
   Properly identify all pets to be hospitalized with Cage Cards.
   Remember client's name and use it when needed.
   Be sure Reception Area stays neat, clean and organized.
   Help straighten exam rooms, pharmacy, and reception area. Stock and dust shelves
    behind reception counter when needed.
   Stay late or come early depending on clinic flow.
   Do all other duties as assigned by Coordinator and Manager.
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Role of the Veterinary Technician in the Routine Care of Animals
The veterinary technician role in small animal nursing care is to assist the veterinarian and hospital
     staff in providing for the total health needs of animals including general care as well as specific
     medical treatment. Technicians often have the opportunity to be with the animal over a longer
     period of time than does the veterinarian. The technician has the opportunity to observe food
     and water intake, elimination habits, and behavioral changes that may suggest clinical
     problems that should be brought to the veterinarian’s attention. These observations become an
     important source of information for providing the animal’s diagnostic or therapeutic care.
Effective observation requires the understanding that many clinical problems are capable of
     rapidly changing from one time to another. A regular and reliable system for animal care must
     be in place and used by the technician to record and communicate observations and any
     changes. In other words, the technician must be able to recognize and define clinical problems.
     A clinical problem is anything that interferes with the animal’s well being or anything that
     requires diagnostic evaluation or treatment. Diarrhea, vomiting, complete or partial loss of
     appetite, and difficulty in breathing are examples of clinical problems that should be
     recognized.
Before doing any diagnostic or therapeutic procedures, it is important for the technician to
     recognize that a clinical problem actually exists. For example, if an animal’s water intake
     appears to increase, the technician should accurately measure the amount of water consumed
     over a 24-hour period and record it. The technician should always consult with the veterinarian
     before making any changes to an animal’s diagnostic or therapeutic care.
At times, the technician is responsible for doing the diagnostic or therapeutic procedures and
     continually observing results that may require change in the animal’s care. Frequently,
     procedures are modified because of changes in the clinical situation or responses to specific
     care.
It is always important to remember that the quantity and nature of nursing care provided for the
     individual animal varies from one animal to another. One animal may readily accept a
     diagnostic or therapeutic procedure, whereas another animal may resist to the point that the
     intended benefit is lost. Excessive intervention may be detrimental to some animals, but that
     should not be used as an excuse for neglected care. Some animals require a tremendous
     amount of attention and affection simply to maintain their will to live during periods of
     separation from their owners.
Technicians and the hospital staff should establish and maintain consistent standards for nursing
     care. Technicians have a professional and moral obligation to every animal to provide the
     following:
   Clean, comfortable environment, as free of stress as possible.
   Food and water at all times unless restricted for medical reasons.
   Adequate exercise and grooming care unless restricted for medical reasons.
   Prompt and humane pain relief.
   Humane treatment of every animal with dignity at all times.
   Every animal should be kept dry and clean of urine and feces unless restricted for medical reasons.
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                                      BOARDING PROCEDURES

Walking
All dogs get at least one 5-10 min walk/day while boarding at ACAH. In addition, they still
go outside to outside run twice a day- first in morning and between 5- 7 in evening for 15-
30 minutes during cleaning in a.m. and preparing for night time feedings. – dog walking
occurs in middle of day when time for, not first in a.m. or in p.m. Use the comments
column on the cage page to check off when dog was walked. Owners requesting their
dogs to be walked extra times will be paying for extra walks and will be put on a list in the
kennel and have identifying red tags on cage. These should be checked off accordingly.
Owner’s can purchase additional 10-15 minute exercise walks for $2.50 each. Walks will
be billed out ahead of time as well as boarding on extra meds.

Boarding on medicine
Medications administering is included free if pet is given meds only two time a day for
one type of medication, either pill, eye ointment, salve etc. Three time a day meds and/or
pills, ointments, salve, etc., combined are extra 2.50/day. Pills given at different times are
extra charge (ie., pills that must be separated in time when given). All diabetics requiring
insulin injections are extra $2.50/day. Boarders on medications must have highlighted
medication column on cage page. Medication white board is located in each kennel area
and one morning. One evening person will be in charge of administering all meds, and
marking the boxes on the white board in the kennel.

*** Those clients’ files requesting either extra walks or boarding on medicine must be
invoiced for them or given to Pam for invoicing prior to the file being moved to boarding
kennels.

Cat Kennel Cages:
 Empty litter box daily. (Use 1-2 scoops of arm and hammer deodorizer to Deodorize)
 Fresh water and food daily. (change daily)
 Open paper sacks in the cage. Give the cat a place to hide and feel more secure.
 Sheets or blankets can be used in cat cages when the cat continually tears up the paper making a mess
 Practice good sanitation - Remember Feline Leukemia virus can be spread from cat to cat. Never expose a cat to
    something that has contact with another cat.


Files
All files of boarding animals kept downstairs should be in order of out date. Cats files
should be separate from dogs in feline kennel. Dogs boarding upstairs need to have their
files kept upstairs. We are adding 4 cages upstairs to the kennel and calling them U1-4.

Kennel Occupancy
Kennel manager is to check and correct all discrepancies on kennel occupancy list daily.
If you move a dog out of its cage and into another cage or run, you must do two things –
change in computer, and move items in basket.
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Kennel Box
Any items mistakenly taken in must be put in kennel box. All food should be kept in the
kennel box. All medicine will now be kept in box and put back in box after administered.
Medicine in small bottles that may fall through boxes should be put in a Ziploc bag in the
box. Leashes mistakenly taken are not to hang on runs. Use our leashes to walk, and
give owners their leashes to keep in their car for pick up.

Cage Page
The Cage page was designed to keep track of animals while boarding not simply to
identify a pet. All animals boarding need to have a cage page and cover plastic sheet.
Most important things to note are appetite am and pm, walks (comments column), and
any abnormal feces, urine, or vomit. Pets on medication or epileptics need to have this
highlighted. Pets on special diet need to have this highlighted. These columns must be
filled out and kept up to date. The kennel manger is responsible for making sure
everyone is doing this. Pets requiring special diets or owners bringing own food are to
have highlighted diet column on boarding kennel cage page. When feeding record fed in
feeding column

Boarding kennel manager is responsible for following through with all treatments and medications. All Columns on
cage page get checked each day and must be up to date.

DVM reviews record for completeness, performs needed services, & then has tech take animal downstairs to kennel
manager. Medical Records are to be filed alphabetically.
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                                      Grooming
The following services take place with your pet at Riegel’s Pet Grooming at All Creatures
Animal Hospital.
A professional groomer will greet you and your pet discussing haircut style, skin condition
and care of your pet.
    Step one: toenail trim with filing and trimming of hair between pads.

      Step two: groin and rectum area shaved. This step is for hygiene.

      Step three: cleaning ears and removal of hair in canal

      Step four: shaving and scissoring haircut style and pattern

      Step five: BATH TIME! Medicated, flea bath dips and even oil treatments
       available. Anal gland release while in tub and teeth brushing upon request at no
       additional charge. Bathing completed with conditioning rinse.

      Step six: Fluff drying which enhances even dullest shortest coats.

      Step seven: detail work to pattern of the haircut. Scissoring, scissoring,scissoring.

      Step eight: cologne, bandana or bows.
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                     MOST COMMONLY ASKED PHONE QUESTIONS

Q. How long does it take for a dog or cat to deliver after being bred?
A. The average is 63 days (60-65). Pregnant dogs should be examined for worms, and
be up to date on immunizations. We like to examine the female the morning after
delivery.

Q. I think my dog has mange. What should I do?
A. There are a number of things it could be (different types of mange, bacterial, or fungal
infections, ringworm, allergy). We need to examine the pet to determine the proper
treatment or medication.

Q. What are the signs of distemper?
A. The signs can be confused with many different diseases. If your pet is sick in any
way, you need to bring it in for examination. Runny eyes, nasal discharge, vomiting,
diarrhea, and lack of appetite are early signs. Distemper is a relatively uncommon
disease.

Q. How old does my dog or cat have to be to get spayed or neutered?
A. All pets may be neutered or spayed anytime after 3 months of age. It is best and
easiest on the pet if done before the first heat period, and after 2 sets of vaccinations are
completed.

Q. How old does a pup have to be to start its shots?
A. Usually six weeks of age, or as soon as they are weaned from the mother. We also
prefer to start deworming pups at 2 weeks of age due to the severe problems that
hookworms and roundworms may cause.

Q. How long will my dog or cat stay in heat?
A.Dogs stay in heat an average of three weeks. They usually come in heat every six to
nine months. Cats are unlike dogs. They will almost constantly stay in heat until they
are bred. The act of breeding is necessary for the release of eggs in the cat.

Q. My dog is scratching its ear. Should I bring it in?
A. Yes. It could be a bacterial infection, ear mites, fungus, foreign body, or allergy
causing the problem. We need to examine the ear secretions under the microscope to
determine the exact cause and proper medication.

Q. My dog is in labor. What should I do? (TALK TO VET FIRST)
A. We need to examine the pet if the discharge is anything but clear ( green, bloody,
etc.), or the pet has been straining for two hours with no results. We have a handout on
proper care of pets during this time which you may pick up at the clinic We want to
examine the pet the morning after she has completed delivery for an injection to prevent
uterine infections.
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Q. My dog is pregnant and due anytime. What should I watch for?
A. She usually will act restless and nervous when labor begins. A clear discharge will be
present. Come by the clinic to pick up a handout about this condition.

Q. When can I bring my pet in to be spayed/neutered?
A. We perform surgery every Monday through Thursday. Do not feed your pet after
midnight the night before surgery. Water is allowed all night. We prefer to schedule the
appointment ahead of time. You should bring the pet to the clinic no later than 9 AM the
morning of surgery. You may leave your pet the night before surgery at no additional
charge if you prefer.

Q. How long will my pet have to stay after surgery?
A. We use sterile technique and the same anesthetic used in human medicine. We
usually are able to send the pet home the same day surgery is performed. The pets
usually fare much better and are much more satisfied at home in their natural
environment. If you prefer, they may be left overnight at no additional charge.

Q. What are the chances of my pet dying in surgery?
A. We use the same anesthetics that are used for human heart transplants. Pets are
constantly monitored just like in the human hospital. Of course, there is always some
small risk anytime a person or animal is anesthetized, but the risk is really very small.

Q. How long must I wait after my pet has pups before I can have her spayed?
A. We prefer to wait about one week after weaning to allow the milk to dry up. However,
we can spay her anytime, even while nursing, if the need arises.

Q. Can my pet be spayed while in heat or pregnant?
A. Yes. Due to the greatly enlarged reproductive tract, there will be a small additional
charge to cover the costs of additional supplies used in surgery. Dogs spayed while in
heat must be kept away from male dogs for 7 days because it takes that long for the
"heat scent" to disappear. Although your pet could not become pregnant if bred after
spaying, the internal sutures could be torn causing internal bleeding. There is an
additional charge for cats in heat or pregnant, depending on the supplies required.

Q. Will spaying/neutering make my pet fat and lazy?
A. NO! This is an "old wives' tale" which probably started many years ago when the only
pets spayed were pets that got no exercise, laid around all the time and ate too much.
Spayed pets live longer and are less prone to develop cancer or reproductive infections.
Proper exercise and diet are important to prevent obesity in all pets.
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Q. Can people get worms from pets?
A. It is possible to get Roundworms from eating the pet's stool if it contains worm eggs.
We recommend deworming puppies at 2, 4, & 6 weeks or age, and again 2 weeks later
on a routine basis. Our clinic can dispense you the safest, most effective medications at
reasonable fees. Do NOT use over-the-counter medications. They can be dangerous to
your pet and are often not effective. Older pets should be routinely examined for
intestinal parasites every year. Pinworms cannot be contracted from your pet. Dogs and
cats do not have pinworms. Hookworms can also infect peoples skin and cause a rash.

Q. What are the signs of heartworms?
A. Some of the signs include weight loss, tiring during exercise, labored breathing or
coughing. Your dog should be checked for heartworms each year and placed on
preventative medication to be given once each month. When heartworm disease is
caught early, before severe heart damage has occurred, we can treat these dogs very
effectively, usually with no permanent damage.

Q. My dog is pregnant. Can she have her shots now?
A. No! The best time is before they are bred.

Q. Are puppies born with worms?
A. Yes!. They also can be infected with hookworms through the mother's milk while
nursing. All puppies have hookworms and roundworms until they are wormed. We
recommend deworming puppies beginning at 2-4 weeks of age. You are welcome to
pick up medication at our hospital to perform this procedure yourself.

Q. My dog died with distemper/parvo. How long must I wait before getting another
dog?
A. Thirty days. Be sure to bring a new puppy in for vaccination before taking it home.

Q. What is the best disinfectant to use in my home for disinfecting against
distemper/parvo?
A. Four ounces of Clorox in One gallon of water. We also have another prescription
disinfectant you may obtain from our hospital, which will not damage your carpets and
furniture, as Clorox may. This product is called parvasol.

Q. When is the best time to breed my dog?
A. We want the dog to be at least 12-15 months old for breeding. You must skip the first
heat if it occurs before that time to insure that your dog obtains its maximum bone
structure before the stress of pregnancy. The dog will be in heat for about three weeks.
Best breeding usually occurs during the second week (usually day 9-12). We
recommend attempting to breed every day starting about seven days after the first
bleeding begins. Continue every day until breeding occurs., then skip one day and breed
again. Breed every other day as long as she stands for the male. We can artificially
breed dogs that well not stand for the male. We will be happy to discuss this with you.
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Q. Can I breed my dog on her first heat?
A. We don't recommend this because she is still growing. If she gets pregnant, a lot of
the nutrition she consumes will be passed on to the puppies which will stunt her growth
and development of her bone structure. She will then never reach the maximum size
she would have had she not become pregnant.


Q. How old does my pet have to be to get a Rabies shot?
A. Rabies vaccination is required by law at three months of age, and then a year later,
then every 3 years.

Q. What is the vaccination schedule for my pet?
A.Dogs: 6-8 weeks old -- DHLP-P
         then every 3 weeks until 18-20 weeks old
         12 weeks old -- Rabies
Cats:    6-8 weeks old -- FVRCP-C
         then every 3 weeks until 14 weeks old
         12 weeks old -- Rabies
         9, then 12 weeks old -- Feline Leukemia

Q. What vaccinations does my ferret need?
A. Distemper vaccinations are started at 8 weeks old. Rabies Vaccination is given when
3 months old.

Q. What is included with a "bath and dip"?
A. Shampoo, dip, nail trim, drying, and brushing.

Q. Do you bathe cats?
A. Yes. Some cats may need to be sedated for a small fee.

Q. My flea products don't work. What can I do?
A. Flea control is an ongoing battle. It requires thorough treatment of the yard, the
house, and the pet. The products we dispense are the best available and work well
when used properly. There is no easy answer to flea control. Please come by our
hospital to obtain a copy of one of our handouts on fleas. We can give you a step-by-
step program to solve your flea problem.

Q. Do you bill?
A. Our policy requires that we cannot bill except unusual circumstances with established
clients. We will be happy to hold a check for you and we accept Visa, MasterCard, and
Discover.

Q. My dog has a sore on his back. Can I come get some medicine?
A. We cannot prescribe over the phone for an undiagnosed sore. Make an
appointment.
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Q. My dog has runny eyes. Can I pick up some medicine?
A. There are many causes of eye irritation and infection. We cannot properly determine
the correct medication without examining the pet. If the wrong medication is dispensed,
additional damage may occur, even blindness. For this reason, it is important you have
the pet examined.

Q. What are the signs of Parvo?
A. Listlessness, vomiting, and diarrhea, often with blood. If your pet shows any of these
signs, you should bring it in immediately. The earlier treatment is started, the better the
chances of saving the pet. Usually unvaccinated puppies.

Q. What are the signs of distemper?
A. Listlessness, runny eyes and nose, coughing, frothing at the mouth, convulsions. If
your pet shows any of these signs, you should have it examined immediately.

Q. My dog is vomiting, but I cannot bring it in. What can I do?
A. Try one level teaspoon of Pepto Bismol and take away food for 12 hours. If that does
not work, the pet must be brought to the hospital for diagnosis and treatment.

Q. My dog was dewormed yesterday, and is now passing long round worms.
What should I do? A. A dog will pass roundworms for 24-48 hours after it is
dewormed. This is normal. Be sure and give a second dose in 2 weeks.

Q. My dog was dewormed one week ago, and is passing little white worms. Why
didn't the worm medicine work?
A. These are tapeworm segments. Unfortunately, tapeworms only show up on the lab
test about 10% of the time, as they are passed periodically. You can come in and pick
up some tablets to remove the tapeworms.

Q. My cat has stopped using his litter box. What can I do?
A. There may well be something physically wrong. The cat needs to be examined
immediately so that we can run a urine test. There is a problem called FUS that can
threaten the life of your pet.

Q. Can I speak to the vet?
A. The veterinarians are in surgery (or with a client) now. Can I help you, or take a
message?

Q. My dog is constipated. What can I give him?
A. It's possible it has an intestinal blockage and a laxative could cause serious
problems. It needs to be examined as soon as possible. Whipworms can also make
your dog strain to defecate.
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Q. My dog had a bath/dip three days ago, and now he has fleas again. Why?
A. The pet's living environment is probably infested with fleas and the residual killing
action of the insecticides applied takes time to kill them. You must treat the environment
to solve your problem. You can come pick up a flea spray that can by used in
conjunction with the dip. You must be very careful about mixing products to insure they
are not poisonous to the pet.

Q. My puppy vomited up his worm medicine on the way home from the office.
A. Some dogs do get carsick. You can come back for another dose at no charge.

Q. My dog has diarrhea. What can I give him?
A. There are many causes of diarrhea; infections, irritations, and internal parasites. For
proper diagnosis, the pet must be brought to the hospital for examination. If not
possible, try 1 teaspoon of Pepto Bismol. If that does not work, the pet must be seen for
proper medication to be prescribed. Bring in a stool sample.

Q. I have some kittens/puppies with fleas. What can I use?
A. We have a flea spray that can be sprayed on your hand and rubbed on the pet. You
must be very careful in what you use as many of the products available over-the-counter
can be toxic.

Q. I just used Ovitrol (or Frontline) flea spray on my pet. Now he's salivating
profusely. Why?
A. Some pets just do this, probably due to licking the skin, or possibly the strong alcohol
odor. It is probably nothing to worry about. But next time spray less around the face and
instead rub or apply it with your hands.

Q. I (my child) was bit by an animal. What should I do?
A. Take the person to a physician. They will probably need a tetanus toxoid shot.
Regarding the animal:
 If animal has been vaccinated – confine the animal at home for ten days; have the
    animal examined by a veterinarian at the end of the 10 days.
 If the animal has not been vaccinated – Confine the animal at the home for 10 days.
    Examine and vaccinate the animal when over quarantine - make an appointment!
 If it is a wild animal – the person should call the Health Department at 732-7499
    they will test the animal involved at no charge.

DO NOT SHOOT ANY ANIMAL IN THE HEAD THAT SHOULD BE TESTED.
DO NOT FREEZE ANY ANIMAL THAT WILL BE TESTED FOR RABIES.




                                    VET CAMP QUIZ
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1. What is a surgical pack?



2. How many employees does All Creatures have?



3. What are the three R’s?



4. What time does surgery start?



5. Can you tell me what Inpatient does first thing in the morning?



6. What type of mixture is “sub – Q fluids”?



7. How do you run a fecal float?



8. What consist of a nurse’s exam?




9. How many receptionists do All Creatures employee?
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10.Who is the “snake man”?



11. What is “Friend’s of Noah’s”?



12.What should we say when answering the phone?



13. What is the primary duty of the Out Patient nurse?



14. How long does it take to become a PROFFESIONAL
    groomer?



15. Should groomers know about medical conditions of dogs and
    cats?



16. Do cats get groomed?



17. How often should you get your pet groomed?
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18. What is Parvo?


19. Is Parvo a virus or bacterial infection?


20. Is it more common is puppies or adults?


21. What is a walk in appointment?


22. Do shorthaired pets (like labs and boxers) get groomed?


23. What are the feeding times for the clients in boarding?



24. How many pets can a groomer groom in 1 day?



25. How many toes does a pet have? (This relates to toe nail
    trimming)


26. What is Dr.Lim’s specialty?



27. Are there different kinds of shampoos to use?
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28. What are the recommended vaccines for an adult cat?




29. My dog has worms; can I get them?



30.What is a normal temperature for a dog or cat?



30. Why should I put my dog on heartworm preventive? (Please
    give 4 reasons)
    1.

    2.


    3.

    4.


31. How often do we administer frontline?



32. Are there different kinds of brushes to use?
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  33. Do dogs get their teeth brushed?
              True or False

  34. Is regular human toothpaste okay to use on dogs and cats?
               True or False

  34. Does a groomer file pets toenails?
               True or False


  35. What year did Dr.Raab get her BS in Biology degree?


  36. Where will the red paws take you?


  37. What do the green and blue paws on the floor represent?


  38. How much does a feline spay cost and what does that include?




  39. Can you tell me what a declaw is and the surgical procedure
that has to be done to accomplish this surgery? Is it a cosmetic
surgery or a necessary surgery?
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   40. How do you know if your pet has tapeworms?



   41. Give three examples of exotic pets?
                a.
                b.
                c.

   42. We prevent Lepto? True or Flase

   43. How many Parvo vaccines should a puppy receive?



   44. What is a boratellea? And what does it prevent?



   45. At what age should a dog or cat get a rabies vaccine?



Spelling List - commonly misspelled words in record. -Write correct spelling.
1. Nueter-
2. seisure-
3. diarrea-
4. lathargic-
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5. soar-
6. Put to sleep (better word?)
7. vetrinarian-




List all Drs at All Creatures?
1.
2.
3.
4.
5.

List three Groomers at All Creatures –
1.
2.
3.
4.

New words- define
1. Melena-


2. Halitosis-




3. Periodontal disease-


4. Alopecia-


5. Gestation-




6. Neoplasia-
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7. anemia-




8. obstipation –


9. pssitacine-


10. Immunization


11. cachexia-




12. CBC-


13. Cloaca-




Abbreviations- define
1. TTO,
2. WNL,
3. PE
4. TNT
5. PO
6. NPO,
7. PE,
8. BAR,
9. HBC
10. OU
11. AS

				
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