Weeknight and 24 hr weekend emergency service 07 220 9775 Bay After Hours Veterinary Hospital1450 Cameron Road,Greerton, Tauranga Home About us Services Forms Blood Donors Contact Blog Pet Tribute Bay After Hours Veterinary Hospital Overnight Monitoring Transfer Form ; Owner DetailsFirst Name* Surname* Email Tonights contact number*Clinical notes/diagnostics with Owner Clinical notes/diagnostics with Owner Patient DetailsPatient Name* Species* Age* Breed* Weight today* Clinical notes/diagnostics with Owner Clinical notes/diagnostics emailed to BAHVET Transferred from:Clinic* Veterinarian* Mobile number*Latest time to call : HH MM AM PM AM/PM If treatment plan requires modification call Transferring Veterinarian Yes No Transferred for:Differential Diagnosis* Required Care* Fluid Type* LRS NaCl 0.9% No Fluid Additives?* Yes No Additive Concentration Fluid Rate(ml/hr) Fluids provided(Y/N) Critical Care PackagesIs there an IV in place?* Yes No* Do you think it's likely that the patient will need veterinary intervention overnight?* Yes No Is the patient stable on maintenance or rehydration fluid rates?* Yes No Have you provided all medications/fluids necessary for your patient overnight?* Yes No* Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 1: Cost to Owner $350Critical care 1 (weekend transfer): $450• This is designed for patients that have been stabilised. • There will be an initial and final clinical assessment done by the Vet. • Nursing care includes intravenous fluid therapy monitoring, administration of medications, feeding as required, urinary catheter flushing, 4 hourly TPR checks and pain assessment. If you answered no to IV in place or providing medications/fluids, your patient can still be admitted under this package, but there will be additional costs if an IV catheter or fluids are required, and for any medications administered. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner.Critical Care 2: Cost to Owner $500Critical care 2 (weekend transfer): $600•This is designed for unstable patients who require ongoing veterinary assessment of their clinical status and treatment/fluid plan. Veterinary intervention may be required in response to a changing clinical status. • Treatment included: as for CC1 plus blood BP monitoring and ECG as indicated. • Any further intervention would be at an additional cost eg. repeat bloodwork, imaging, oxygen therapy, intensive care, transfusions, anaesthesia, enemas, catheterisation, extra medications etc. These potential extra costs will be discussed with the owner upon admission. • We will endeavour to follow your requested treatment plan, but unforeseen changes in the clinical status of the patient can occur with any case. We will communicate with the owner if we feel we need to increase the level of care, or additional Vet intervention is required during your patients stay. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner. Critical Care 2: Cost to Owner $500Critical care 2 (weekend transfer): $600•This is designed for unstable patients who require ongoing veterinary assessment of their clinical status and treatment/fluid plan. Veterinary intervention may be required in response to a changing clinical status. • Treatment included: as for CC1 plus blood BP monitoring and ECG as indicated. • Any further intervention would be at an additional cost eg. repeat bloodwork, imaging, oxygen therapy, intensive care, transfusions, anaesthesia, enemas, catheterisation, extra medications etc. These potential extra costs will be discussed with the owner upon admission. • We will endeavour to follow your requested treatment plan, but unforeseen changes in the clinical status of the patient can occur with any case. We will communicate with the owner if we feel we need to increase the level of care, or additional Vet intervention is required during your patients stay. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner. Critical Care 2: Cost to Owner $500Critical care 2 (weekend transfer): $600•This is designed for unstable patients who require ongoing veterinary assessment of their clinical status and treatment/fluid plan. Veterinary intervention may be required in response to a changing clinical status. • Treatment included: as for CC1 plus blood BP monitoring and ECG as indicated. • Any further intervention would be at an additional cost eg. repeat bloodwork, imaging, oxygen therapy, intensive care, transfusions, anaesthesia, enemas, catheterisation, extra medications etc. These potential extra costs will be discussed with the owner upon admission. • We will endeavour to follow your requested treatment plan, but unforeseen changes in the clinical status of the patient can occur with any case. We will communicate with the owner if we feel we need to increase the level of care, or additional Vet intervention is required during your patients stay. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner. Critical Care 2: Cost to Owner $500Critical care 2 (weekend transfer): $600•This is designed for unstable patients who require ongoing veterinary assessment of their clinical status and treatment/fluid plan. Veterinary intervention may be required in response to a changing clinical status. • Treatment included: as for CC1 plus blood BP monitoring and ECG as indicated. • Any further intervention would be at an additional cost eg. repeat bloodwork, imaging, oxygen therapy, intensive care, transfusions, anaesthesia, enemas, catheterisation, extra medications etc. These potential extra costs will be discussed with the owner upon admission. • We will endeavour to follow your requested treatment plan, but unforeseen changes in the clinical status of the patient can occur with any case. We will communicate with the owner if we feel we need to increase the level of care, or additional Vet intervention is required during your patients stay. Please advise your clients that the monitoring package fee will be required as their deposit at the time of drop off to our clinic. Any additional charges will be finalised upon discharge with the owner. MedicationsDrug/Dose Due: : Hours Minutes AM PM AM/PM Provided: Yes No Drug/Dose Due: : Hours Minutes AM PM AM/PM Provided: Yes No Drug/Dose Due: : Hours Minutes AM PM AM/PM Provided: Yes No Drug/Dose Due: : Hours Minutes AM PM AM/PM Provided: Yes No Additional CommentsIf your patient needs to be referred to a specialist for further treatment, are you happy for us to refer your patient? Yes No Would you prefer us to contact you first? Yes No
