Information for Veterinarians
Recruiting Patients for Minimally Invasive Laparoscopic Procedures
Updated! Special packages are available for the following procedures: Ovariectomy (“spay”), gastropexy, cryptorchidectomy, or a combination of the above (aka ovariectomy AND gastropexy). Patients must be healthy. For additional details click here. Referral only.
Consultation or Referral Requests
Consults and referrals can be requested online, by phone or by fax. These are picked up during normal business hours Monday through Friday from 8am to 5pm.
If you have a patient who needs to be seen after hours, please contact our Small Animal Emergency Service at 919-513-6911 or our Large Animal Emergency Service at 919-513-6630 for assistance.
Select an option:
A consultation is a service provided to veterinarians who are seeking advice or an opinion regarding the evaluation and/or management of a specific problem. We make every attempt to fulfill consultation requests within 48-72 hours. Consults should only be used for non-urgent cases only.
A referral request provides the necessary documentation that you would like your client and patient to schedule an appointment with one of our specialty services. If you do not need to speak to a service team member regarding the referral of a non-urgent case, then an online referral request may be a great option. After the referral is submitted, please have your client contact the specialty service by phone to schedule an appointment.
Resources and FAQs
- Patient Hospitalization & Discharge Once your patient has been hospitalized, you will receive updates from a member of the patient’s care team, which includes a senior faculty clinician, an intern or resident and a 4th year student.At the time of discharge from the hospital, we will provide you with a written summary and work with you on a follow-up plan for continuity of care. The summary will be faxed to you on the day your patient leaves the hospital.
- What fees can my client expect to pay for services at the VH? Even though the VH is partially supported by the state of North Carolina, the Hospital is responsible for paying operating costs through fees charged for services. Total costs are generally comparable to other specialty practices, although complex problems requiring more extensive workups may exceed these costs. If your animal must be hospitalized, an estimate of the anticipated cost of treatment will be provided to you. A deposit equal to the low end of the estimate is required at the time of admission to the hospital. Full payment is expected at the time of discharge. We accept payment by cash, check, credit card (Visa, MasterCard, American Express or Discover Card), or Care Credit.
- Who provides the services to my clients at the VH? All services at the VH are provided by a team of expert faculty clinicians (board-certified in their discipline), veterinary students, residents and interns. As a teaching facility, involvement of students and doctors in training is mandatory. We believe that a team approach to health care delivery outweighs some of the perceived inconveniences. Also, cross-disciplinary teams of internal consulting specialists enhance the quality of expertise and medical care. What should I do if I have not been promptly contacted following a referral?Our intent is to always provide you with a case summary on the day of discharge. If you do encounter a problem with communications, please call the referred specialty service.
We are committed to continuously improving the quality of our hospital and the services we provide for you and your clients. Please let us know about your experiences in referring patients to the VH via our RDVM Survey form, or contact:
Hardcopy radiographs or digital images on a CD or other solid media can be sent with the patient at the time of referral. Hardcopy images are typically returned to the clinic via USPS. CDs are not returned to the owner or clinic unless otherwise requested.
Ideally, digital images should be sent electronically directly to the VH using a standard ‘DICOM connection’. The emailing of images is to be avoided where possible as this necessitates considerable image compression resulting in a loss of image quality. The DICOM address for images accompanying a patient being referred to the VH is:
Application Entity (AE) Title = NCSU
Internet Protocol (IP) address = 18.104.22.168
Port = 104
If you are unable to configure a workstation within your hospital to send images via a DICOM connection to a destination outside your hospital, you should contact your workstation vendor or IT engineer for assistance. Almost all popular workstations have this functionality and once the setup screen is accessed, adding a remote destination is usually relatively straight forward. The workstation must be able to access the internet. Sometimes firewall modifications are necessary.
Once you have submitted images, you should email either Radiology, (email@example.com), or the service to which you are referring the patient. Contact details for the various clinical services are available here. If you do not contact us in some way, either by telephone or email, we will not know the images have been sent nor will we be able to identify them on our server. When emailing notification that you have sent images to our server, please include the following information:
- Clinic name and phone number
- Patient name and owner last name
- VH service to which you are referring
- Approximate date of appointment
- Your entry in the Patient ID field or date the images were acquired
If it is necessary to email images, please email images directly to the service to which you are referring. For after-hours emergency patients being seen by the Small Animal Emergency Service, contact the service directly, (919-513-6911), to ensure they are aware images are available for review. This will minimize the need for repeat imaging on presentation.
Imaging studies being submitted solely for radiographic interpretation should be submitted via the Teleradiology Service. This service provides veterinarians with online radiographic interpretations by ACVR board certified radiologists.
Why are radiographs and laboratory tests often repeated following admission to the VH?
Every effort is made not to repeat diagnostic testing. Ideally, we would only perform diagnostic tests that complement your previous evaluation. However, patients are often referred to NCSU with undiagnosed or progressive conditions making repeat diagnostic imaging and laboratory testing necessary to better understand the disease process and progression. Also, repeat diagnostic testing is often helpful to monitor response to therapy. Additional tests may be performed at the time of admission or throughout the patient’s hospitalization. Clients prepared in advance seldom have concerns about additional tests.
Click on the name of file to access. Once you click on the desired file name below, click on the symbol in the upper right hand corner of your screen to download native file. Excel spreadsheets are macro-enabled.
- Acid-base analysis: A macro-enabled Excel template that provides comprehensive evaluation of acid-base status. Be sure to click on the “Instructions” tab when you first open it.
- Fluid therapy calculator: A macro-enabled Excel template that walks you through the steps of designing a fluid therapy plan customized for individual patients. It allows you to choose from a list of fluid types and includes automatic calculations of potassium and magnesium supplementation.
- Drug CRI calculator: An Excel template that allows you to choose from a list of drugs that are commonly administered as continuous rate infusions. Once you choose a drug, syringe size, desired dose, and desired fluid volume administration rate it provides plain-language instructions on how to set up the infusion.
- Diagnostic thoracocentesis technique: Illustrated step-by-step instructions how to safely perform diagnostic thoracocentesis with a single needed.
- Female urinary catheter placement technique: Illustrated step-by-step instructions how to reliably insert a female urinary catheter using a clean technique.
- Severe sepsis and septic shock protocol: A standardized treatment protocol used by the Emergency/Critical care faculty to treat severe sepsis and septic shock.
- Therapeutic thoracocentesis technique (butterfly catheter): Illustrated step-by-step instructions how to safely insert a winged needle catheter to rapidly evacuate air or fluid from the thoracic cavity without lacerating the lung.
- Therapeutic thoracocentesis technique (fenestrated catheter): Illustrated step-by-step instructions how to create a fenestrated “mini chest tube” from an IV catheter to use as a temporary chest tube for complete evacuation of the pleural space.
- Using computers to customize fluid therapy: A word document with embedded links to several sites that provide calculators for fluid therapy and drug infusion therapy.
- Venous cutdown technique: Illustrated step-by-step instructions how to rapidly and reliably secure venous access with a large catheter for treating canine emergencies when peripheral circulation has failed.
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Winter 2018 The Oath Magazine
For this special edition of The Oath, we're celebrating everything equine. As North Carolina's impactful horse industry continues to grow and diversify, the CVM remains committed to innovative therapies and state-of-the-art medical care that is practiced here each and every day.