Troubleshooting - what to do if….?
You have no data/phone signal.
Once you have assessed the animal and administered first aid, you may need to leave the scene to get help. Leave the advice notice at the scene so anyone else arriving can see the animal is receiving attention. You may be able to make a 999 call without signal from your network provider, so try before leaving the scene. You may also be able to text 999 and make an emergency SMS message.
If you know the area has no signal, contact the Police prior to your arrival and request someone meets you at the site or a nearby location to ensure you do not end up without assistance.
You don’t have time to acquire a second opinion.
Prioritise the animal’s welfare. Second opinions are just as valid after decisions have been made. Make sure to document your findings and clinical reasoning for the decisions made, along with any opinions that have been made either prior to/after treatment/euthanasia.
The animal requires immediate euthanasia before authorisation can be sought.
Where the animal cannot be stabilised with first aid measures, no-one will expect immediate euthanasia required on welfare grounds to be delayed for authorisation. Efforts to stabilise the patient should be made where appropriate and clearly recorded. Where euthanasia is the sole option, this should be done without delay and the reasons for doing so clearly documented. In all cases, authorisation must be sought as soon after euthanasia as practicable.
You do not receive authorisation for euthanasia in the required time scale to protect the animal’s welfare.
Similarly to the above situation, the animal’s welfare must always take priority. In cases which have received first aid, but destabilise clinically beyond that which is reasonable to support life whilst awaiting authorisation to be processed, euthanasia should be performed without delay. The clinical deterioration and reasoning must be clearly documented and the authorising body updated of the situation as soon as practicable.
You fear for your safety.
If the situation becomes dangerous, or you feel threatened in any way, you must prioritise your own safety and leave the scene. Call 999 and explain the situation requesting immediate assistance. If you believe your safety may be at risk prior to attending, call 999 and request Police attendance at the scene as you leave. Arrange to meet at a nearby location in a place of safety if needed, and enter only with Police accompaniment.
You think you might be trespassing to access the animal.
Contact the Police and do not enter the site without their assistance. In Scotland, the SSPCA have power of entry and Police attendance may not be required. If there is a public right of way, the animal is on public land, or the animal is in clear distress in a field to which there is no private dwelling attached, access may be made.
The Passport Issuing Authority (PIO) or Central Equine Database (CED) cannot be reached to acquire owner details even though the microchip is present and registered.
Access to these organisations is limited to working hours, and from specific organisations. At present, it is highly likely information held by these organisations will not be readily accessible in the timescale required to protect the animal’s welfare. The veterinary decision making must reflect prioritising the animal’s welfare at all times. Where it is practicable to contact these organisations, this should be done, but it is often a good idea to delegate this responsibility to another member of your team, or the Police in the case of the CED.
You recognise the condition as treatable but requires hospitalisation or further intervention.
Where an owner is unknown, the animal must not be removed from the premises without authorisation from the Police. The Police may take advice that the animal can be treated and agree to take the animal into possession for treatment. Unfortunately, this is increasingly unusual without supporting financial funding. Where an owner cannot be identified, financial costs for ongoing treatment will fall to the Practice providing the care, unless otherwise agreed.
Your practice has financial concerns relating to providing veterinary care.
Unfortunately, where an owner cannot be identified, financial costs for ongoing treatment will fall to the Practice providing the care, unless otherwise agreed. According to the RCVS Code of Professional Conduct, veterinary surgeons should not unreasonably refuse to provide first aid and pain relief. This includes euthanasia where indicated. As such, Practices should be prepared to shoulder the financial responsibility for this initial triage process. Practices may submit a claim form to BEVA for review by the Emergency Rescue Fund should this be thought appropriate.
You are leaving the site following euthanasia by lethal injection.
The BEVA Guidance Notes cover who to contact for carcass management following euthanasia. It is prudent to make reasonable attempts to cover the carcass to avoid scavenging as far as possible and support assistance with removing the carcass in a timely fashion. Methods of euthanasia other than Somulose may also be considered where it is likely the carcass collection may be delayed.
See FVE/FEEVA Best Practice Protocol for Euthanasia of Horses for more information.
The BEVA Advice Notice should be completed and left secured in a prominent location so that anyone managing the carcass is aware of the means of euthanasia employed. This should be photographed and uploaded to the clinical record.