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Cat
friendly practices . . . what we learned
When
we set out this first year to promote cat friendly practice we
collected ideas and tips from many of our feline experts around
the world for our guide to ‘Creating a cat friendly practice'.
We also wanted to find out what was happening in practice and
to learn from others in the front line of feline care. There are
many individuals and practices pushing forward the importance
of cats in practice and championing their care. It has been a
very exciting experience – here's what we learned:
You don't have to be cat-only to be cat friendly.
It's not all about feline pheromone products.
It's not just about cat-only waiting rooms.
It's not all about fancy equipment.
Attitude (cattitude) and ‘thinking cat' can overcome many design/equipment/space
problems
Very small things can make a big difference – eg, quietness, good
handling, nutrition, analgesia.
Small practices can, by their nature, offer a more personal touch
and be quieter for cats. It is also possible for very large clinics
to achieve this - it does, however, require more thought, planning
and organisation, but it is very achievable.
Making waiting areas as calm as possible for the cats does not
necessarily meaning having a cat-only room. Practices are being
creative with timing of cat appointments, screening, having an
outside area for dogs to be walked to reduce numbers in the waiting
room, bringing cats straight through to a consulting room, etc.
A cat-only waiting area positioned in a busy thoroughfare may
be dog-free but can still be stressful – ‘thinking cat' needs
to be creative!
An impressive number of practices have recognised the importance
of a quiet calm approach with minimal restraint, and less haste.
This can be difficult to achieve with the time pressures of a
busy practice but many are enjoying the rewards of calmer and
happier feline patients, more successful management of cases and
fewer feline inflicted injuries.
A very high standard of feline medicine is being practised in
many clinics.
Nurses have a key role in making the practice cat friendly. A
good nurse who understands the needs of cats is a key factor to
the successful running of a cat friendly practice. His, or her,
input is vital for optimal management of hospitalised cats and
ensuring that clients receive clear information and explanations.
The ‘Safari' system being used in some practices is potentially
very useful for giving time to clients and their cats, eg, demonstrating
administration of medications.
New graduates can be very motivated and refreshing and while they
may lack experience, what some of them bring in enthusiasm, commitment
and desire to improve the veterinary care of cats is far more
valuable. These committed and caring individuals need to be recognised,
encouraged and rewarded.
Many vets are motivated to keep improving standards of practice.
It was impressive just how quickly practices were taking on board
and implementing ideas that they had learned from attending CE
days or reading FAB literature.
Some practices were really impressively equipped - not just the
larger practices. Some 1-2 person practices were equally well
equipped.
There is more to hospitalisation than we thought. A lot of practices
are recognising the benefits of cat-only wards. However, equally
important to the location of the cat ward in a calm and quiet
area where cats can be constantly observed, is the size of the
ward and layout of cages.
Size of hospitalisation cages is a very important consideration;
some practices have cages which are far too small for larger cats
to recover in and definitely too small for any length of hospitalisation.
They have little space for a litter tray and no chance of putting
food/water at any distance from it. However, some practices have
been innovative and adapted two smaller cages into one, giving
cats a type of ‘en-suite' area for the litter tray. Depth and
height of cages also needs to be considered in terms of enabling
staff to clean them effectively and take cats in and out safely.
Practices are being innovative about bedding in cages and giving
cats somewhere to hide or something to sit on.
Anaesthetic monitoring equipment varies a lot between practices,
from pressure monitors, pulse oximeters and ECG in some, to no
monitoring equipment at all in others. Being small, cats can get
lost under drapes and not easily seen, so monitoring equipment
is important.
Most practices have a variety of good warming equipment for use
during anaesthesia and recovery.
Cuffed endotracheal tubes are still commonly being used in cats.
Ideally, larger uncuffed tubes should be used to reduce the risks
of tracheal trauma.
Syringe drivers/infusion pumps are not widely used in general
practice but are a useful aid in safely administering appropriate
volumes of fluids to cats.
We
will be pulling together our extra tips into an additional booklet
to be launched at BSAVA Congress in Birmingham next April for
the second year of our Cat Friendly Practice Competition.
Claire
Bessant BSc
Chief
executive of FAB
Andrea
Harvey BVSc DSAM(Feline) DipECVIM-CA MRCVS
FAB
feline expert panel and visiting judge for the awards
Suzanne
Rudd DipAVN (medical)VN
Head
feline nurse at Bristol University Feline Centre and visiting
judge
Produced by Karen Bessant, FAB Press Officer
kbessant@aol.com
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