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Culture can seem like a nebulous concept, but a positive culture is essential to a successful practice. Joanne Graham, CVPM, SHRM-CP, CCFP, a certified veterinary practice manager (CVPM), has been helping hospitals improve their work culture from real-world experience she garnered at her own hospital. She shows what a positive culture can do for a workplace and how you can take steps to improve your own.

By Deb M. Eldredge, DVMSometime when it is fairly busy, take a few minutes and go out to sit in your clinic waiting room. Sit down, close your eyes and just listen. Listen carefully for little noises as well as the loud and obvious noises.

After a minute, the sounds may seem a bit overwhelming to you. Think of how much more cats and dogs hear than we do and how they don’t understand what many of the noises are. For our pets, the veterinary hospital may be a horror house of sound.

How can we help pets with sound issues to feel more comfortable at the clinic? Carpet is often used to mute sounds, but it doesn’t really make sense in a clinic where cleanliness is important. Barriers can help to block sounds, and soundproofing exams rooms is not a bad idea, although it can be expensive.

Playing background music may help some pets, but an individual pet may not like your music choices. That sounds silly but anyone who has done musical freestyle with a dog can tell you that dogs have definite opinions on music. Luckily, there are some research-backed CDs of soothing music composed specifically for dogs and/or cats. Through A Dog’s Ear, for instance, has pioneered soothing music for anxious pets. These CDs are excellent for waiting rooms, exam rooms, and kennel areas.

To really help your patients prepare for a veterinary visit or hospital stay, consider making a CD of the sounds at your clinic. Start by doing a walking tour of the clinic with one of your own pets. Begin with the sound of the door opening and closing and the sound of toenails on the floor. If the scale squeaks, catch that. Try to record the voices of all of your receptionists as well as the ringtone of your phones and your computer and printer beeps and squeaks.

Move on to the noises heard in a waiting room: doors opening and closing, laboratory equipment dinging off, refrigerator and cupboard doors opening and closing. Record the voices of your veterinary technicians, assistants and kennel help. Record some barking dogs, cage doors opening and closing, and cats meowing (or even screaming or hissing). Note any noises that your own pet reacts to. Washing machines, dryers, blow dryers, vacuums, furnaces, and air conditioners can all make noises that startle or panic an already anxious pet.

The goal is to create a CD of sounds that pet owners can take home to play for pets to accustom them to the sounds they will hear at your hospital. These are not CDs to play at your clinic but rather CDs to loan out to clients. Have them start by playing the sounds very quietly and try to pair the CD with positive things such as meals or belly rubs. If you have any clients who are breeders, loan them a copy of the CD to play for their litters so the puppies and kittens are familiar with the sounds right from the start.

Some pets will never smile about their veterinary visits. But if you can at least make the noises a pet will encounter seem routine, you will have helped reduce the pet’s fear of the veterinary clinic.

Client Service Representatives (CSR) are often the first and last person whom clients interact with. CSRs play an integral part of the Fear Free experience before, during, and after the clients visit. Stacey Wheeler, the Client Care Services Supervisor of Bloomberg Animal Hospital, talks to us about how Fear Free training can benefit CSRs day-to-day work life and the clients they interact with.

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Even the best strategies and ideas will fall flat if you can’t get your staff on board with them. This is especially true when it comes to implementing Fear Free. In this first part of Episode One, featuring Kathryn Primm, DVM, and John Talmadge, DVM, we not only talk about the importance of getting your staff excited and invested in implementing Fear Free, but also how that process looks in both a small and large practice. Do you need to set staff meetings? How do you pick your “Fear Free Advocate” like discussed in the modules? These questions and more are addressed in part one of our very first episode.

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After becoming certified, it’s not just about the how you implement the Fear Free strategies you have learned, but also how you market your newly earned certification. Being certified not only helps you practice better medicine, but it tells your clients and potential clients that you’re a step above the competition. In this podcast, we talk about how to use social media, video, email, and more to market your certification and communicate with clients.

Customer Service Representative Fear Free Training Tool

This checklist is mainly used for customer service representatives. Each client can be assured a Fear Free experience because the person on duty is ensuring that each box is checked throughout each client’s experience.

See What Changes Can Be Made in Your Hospital

This tool will guide you through recognizing stimuli that may affect the senses of clients and patients. As you take a fresh look at your own practice, you’ll begin to see what changes can be made. From there, you’ll write down what changes can be made while having access to helpful tips and resources to ensure your practice is sweet on the senses.

Talking points and resources to facilitate a successful Fear Free visit

Share these helpful handouts with your staff to ensure a Fear Free visit for every client and pet. Get everyone on board from the moment the client and patient walk in the front door, to the exam room, and when saying goodbye. The Fear Free approach takes the whole team.