Remove malpractice risk from anesthetic risk
My office frequently receives calls from the general public after visiting my Web site.
More often than not, such calls are requests for advice or referral to plaintiff's attorneys who might be able to help disgruntled clients pursue a malpractice case against their veterinarian.
Of such calls, a disproportionate number involve pet deaths that have occurred while an animal was sedated or under anesthesia. Many also involve anesthesia-related deaths that have occurred shortly after completion of the procedure for which the animal was put under.Although I rarely become involved in plaintiff's work, I frequently speak with such callers. I have learned a great deal about distressed clients and what they are looking for from us as veterinary practitioners when an anesthetic-related problem crops up.
Key points There are a number of key points involved in avoiding and managing accusations of wrongdoing related to sedation and anesthesia.
As is the case with avoiding problems with forming a partnership or buying a practice, the most useful steps are those that can and should be taken before the event occurs. What does this involve?
Anesthesia is, by its nature, an inherently risky undertaking. Think of it as you would about walking through a slippery parking lot. Before you leave the house, you put on your shoes or boots that have the best traction. In other words, every possible step should be taken to minimize risk. This applies to your surgery suite.
Do you have a plan to instantly address a respiratory or cardiac crisis? Does your technician or assistant know that plan? Does everybody know the precise location of the drugs you would need as well as their dose and route of administration?
When the malpractice deposition comes along, you will want to be able to answer these questions affirmatively and with confidence.
Let's extend our analogy: If it's icy and slippery, you don't go on an errand at all unless there is a good reason to do so. It really pays to think twice before undertaking something dangerous. Can the problem be handled other than with a procedure involving anesthesia? Would sedation suffice rather than a general? Is the anesthetic risk great enough that a referral to a veterinary school teaching hospital or multiple-specialty referral center should be offered?
No surprises With this analogy in mind to help guide us prior to the surgery, what can we do to keep a client suing us after her pet dies during or after a procedure? Your best protection is to do everything possible to avoid surprising the client.
Disappointed clients rarely sue veterinarians. Neither do sad clients. Clients who sue are shocked clients; they sue after they bring in a reasonably healthy looking pet but leave with their animal in a plastic bag. They sue when their high-risk pet dies under anesthesia and no one fully explained the concept of anesthetic risk.
The good news is your practice can use this reality to couple malpractice avoidance with practice-building. Consider taking these steps:
And don't forget to charge the client an extended office visit for the time you took giving your professional risk evaluation.