Project for Work

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HorsesRLife

OkState c/o 2017!!
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Hey everyone! Just wondering if my fellow SDNers could help me out with a project for a vet clinic where I work. We are very customer service and staff motivated and read a new customer service book every year (Raving Fans this year). I have to present on what the customer wants/enjoys/dislikes about not only our clinic, but every vet clinic. My question to you all is exactly that: what do you want/like/dislike either as a customer or employee of a vet clinic? Thanks in advance for any comments anyone has on this topic! :highfive:
 
what do you want/like/dislike either as a customer or employee of a vet clinic?

A couple things I like to see as a customer:

a) People skills. There's nothing worse than bringing my animal into a clinic because something is wrong and I'm additionally being treated coldly by the hospital staff. I understand that people have bad days, but when you're being paid to be up front and work with people, you need to learn how to separate your personal from your work. I don't think it's too much to ask to be given a smile and shown some decent amount of human politeness. Rudeness of even the reception alone can turn me off a clinic, because that's not what I want to deal with every time I have to go in.

b) Compassion and timing. A friend of my mother had to have her dog euthanized, made an appointment with a local vet who is known for doing an amazing job with euthanasia. He often does at-home euthanasia but in the friend's case, was not available, and as opposed to extending her dog's suffering, she made an appointment with another doctor at the clinic. She asked if it could be done in the car because the dog was very ill and it was hard to move her without the dog experiencing significant discomfort. She proceeded to be yelled at. When they finally relented and decided to do it in her car, they were stopped mid-procedure by a receptionist running out to demand a cheque. While I understand that people sometimes try and skip on paying for their procedures, and while I understand that maybe the clinic was not prepared to do a euthanasia in the trunk of the car, I honestly think that the situation could have been handled a lot better than it was. You may be compassion fatigued by the number of animals you've had to euthanise in your work, but that doesn't mean everyone else has to suffer for it.

c) Cleanliness. I don't think this one should even have to be said, but it does. 😛

d) Ability to communicate. This one's more for the vets themselves, but while I wouldn't let this be a make or break for me about a clinic, it's nice when a vet has learned to communicate what they mean to the layperson. I have a friend who's a vet tech who does a lot of that communication for the vets, but in my experience, we don't always have a vet tech to "translate," so to speak, when the vet is talking about what's going on. I have always appreciated when vets are willing to go out of their way to explain the procedures, tests, etc. and to talk about the pet's well being in terms someone unschooled can understand. I also appreciate when vets acknowledge that there are always options. Sometimes people don't have money but still want to do the best they can, so don't yell at the client (this happened to my mother once several years ago and we have never gone back to the clinic) because they don't have money at the time to do the test you want to do when there are viable alternatives.

e) I also think there's nothing worse than veterinarians or clinics who push procedures on you.

As an employee:

a) Again, people skills and commitment. I have known some people who quit after x-amount of time because the vet seemed too condescending or because the customers were hard to deal with and quite frankly? That's life. You're going to run in to people who think they know more than you - and sometimes they do. You're going to have to deal with people who take up an issue with the fact the procedure is going to cost into the several hundreds and not <$300 like they were expecting. You're going to run in to people who are going to be bossy and abrasive. You're going to run in to people who raise their voices. You're going to run in to people who get hysterical. You're going to run in to people who don't communicate and blame YOU for their miscommunication. The list goes on. Sure, you'll run into some "normal" and easy to work with people as well, but don't go into a job expecting that these are the only clients you're going to get. 😛

I remember one thing that impressed the heck out of the practice manager during my interview was when I talked about what my job as a tutor and life coach has offered me in learning how to communicate with individuals and with parents and other consumers of my work as well. She said that it takes a lot of people years to develop the skills I was talking about and exhibiting. I honestly think the only reason I was able to learn it is because I put 110% into my job. I didn't quit because someone yelled or because some parents are never going to be happy no matter how much you change and improve certain areas of their child's life. Some people are always going to want to blame YOU and you have to figure out how to deal with it without escalating the situation. Sometimes you're going to have to work with annoying people, and sometimes you'll only have to deal with them as consumers, but I think part of providing good customer service means knowing how to work with customers and that the "customer is always right."

I think sometimes people go into a veterinary setting and don't understand it's as much about the people as it is the animals. As a fellow psych major and pre-vet student on here said on one of my threads, psychology is involved in a lot of vet med, and I think it's important to acknowledge that. Some clinics really do show that some people can only work with certain personalities, and I think a part of customer service is not only providing direction and leadership but knowing when to step back, when to roll over and let the client bulldoze over without another word, and how to communicate with the individual client in order to meet and satisfy their needs. This is one thing that, as an employee, I can say we need more of in the work place. 🙂

b) Patience. I may be biased because I'm an untrained individual currently being trained on as a veterinary assistant, but one of the technicians told me about how one of her first experiences with vet med was doing jobs I'm doing now and finally having an RVT come in and actually lay into her because she's there doing laundry and cleaning kennels when "there are more important things to be doing." She said she could understand why the RVT felt that way, and perhaps I can see where the RVT was coming from. However, we all start somewhere, and I think one of the best things about the clinic I currently work and am being trained at is the fact everyone's patient with me, sensitive to where I am in my training and willing to answer my questions. In turn, I work as hard as I can and dedicate as much brain power as I can to remembering and not needing to be told how to do tasks twice, but I don't think I'd be as motivated to do my best if I weren't held to the standard that I'm doing the best that I can and my best can only get better from here. I think it's important to be patient with the newbies, or even someone who's coming in to shadow/volunteer. I think it's super easy to forget that you were once in x position once you've achied the status of y or z. 😛 I don't know if this is quite what you're looking for, but it's what I appreciate about my clinic, and what I would hope to find in future experiences, so I'm adding it as what I like to see as an employee.
 
The what a customer wants from a vet, particularly in terms of communication, is basically what I'm writing my thesis on. 🙂 As in, I have read way too many sources on this.

A lot of it is about client-centered care and making sure the client is a part of the decision-making process. Some other factors that increase compliance/understanding: make sure the client has an opportunity to ask questions, making sure you're explaining to the person who will carry out the treatment, being concise/not overcomplicated, using both verbal and written instructions, active listening, detailed explanations, and making sure the client feels you're spending enough time on their problem.

I figure you've probably got most of this already, but hopefully some of that might help you.
 
Some of the things I like:

1.) Communication-Some of the vets that I shadowed with have been great with it. For example, one had dry erase boards in all of his exam rooms, and he would draw pictures to explain things to clients. He also had tons of brochures and papers that he wrote about different diseases that he would give to people when their animal was diagnosed with something. Then, he would tell them reputable websites to look at if they wanted to learn more about it.

I also how one of the clinics that I shadow at communicates with clients outside of the clinic. They have a website and Facebook page, and he puts a lot of news articles relevant to his practice and he will sometimes put up things about cases that come in. He also will sometimes put up pictures (but this is very client dependent because you obviously need their permission); for example, if he does an ultrasound, sometimes he will put the picture up if the client will let him. Some people will even ask if there going to make the Facebook page.

2.) Empathy- I live in an area where a lot of people don't have a lot of money, and a lot of them do try to treat their pets and take them to the vet, but you have to understand with a lot of them that your working on a budget and prioritize without making the client feel too bad. They need to know that the options there, but I don't think that people should be pushed into things in all cases (for example, an older dog with a poor prognosis even with expensive treatment).

3.) Efficiency-As a customer, I like to feel that the vet spent enough time with me, but I don't wan't to be in the waiting room forever.


Some of the things I don't like:
1.) Poor treatment of employees-A clinic around me has a horrible reputation because people routinely see the vet yelling at employees. He also has very high turnover. The friend of a friend worked for him once and he made her choose between going to her high school graduation a night she normally was scheduled to work and her job.

One of the vets that I currently shadow can be very temperamental at times, and I've seen him blame an employee for telling a customer the wrong dosage when he was the one who told her what the dosage instead of admitting that he made a mistake. I've also seen him get mad at a few of his employees when he couldn't find hoof trimmers and start yelling at them even when the customer offered to let him use his and asked him to calm down. He's been a lot better the past few months even though he still intimidates me a bit.

2.) Arrogance-A few of the vets that I have met have been very arrogant, and its definitely a turn off.

3.) Vets that are condescending-One of the vets that I used before was very condescending towards me as a customer. We gave one of my goat kids milk re-placer made of soy that was labelled for goats, and she bloated and died. We called the after we found her bloated, but it was too late. Later on, I was talking to her, and she asked me if I knew what happened. I told her about the soy, and that I had heard from other people (not vets) that it was known to cause bloat in goats, but I was not sure if that was true or not. She immediately responded with "Why did you do that?" She then went on to berate me even after I told her the bag was labelled for goats and she was my first bottle baby ever, so I had no idea that it was not good for her.

3.) Vets that present themselves poorly- The same vet from the last example presents herself very poorly. For example, on her Facebook page (I personally have her blocked from my page now because I have personal problems with her, but she's friends with a lot of her clients) she uses words like ur, and a lot of her words are misspelled. To read it, you pretty much have to sound out every word (an elementary school kid could write better then she does, but she'll sometimes put some disclaimer on the end like "Sory, on phon"). She also has strong political statements on it. Its good for a laugh, but you can't take her seriously. To be honest, if I saw her page before either using her as a vet or trying to shadow her, it would not have happened. She also has an open Facebook, so before I blocked her I could see all of her comments. So, I think its very important to present yourself properly even in an online forum if you want to be taken seriously. If you have a personal Facebook, it should be private, or you should present yourself professionally.
 
Thanks everyone. I really appreciate anything good and bad. Our clinic wants to do better than just satisfying our clients. We want to exceed their expectations and keep them coming back as well as reccomending us to everyone. Thanks again!
 
I think there are some really good posts in here that have captured a lot of what I would say. 🙂 I just wanted to add timeliness to the list of things I want to see from a clinic as a customer. It drives me nuts that I'm on time for my appts and my vet is consistently 20-25 mins late. I understand that things happen and sometimes you're running behind, but this shouldn't be the norm.
 
As a customer, I find that how much I like a vet is directly correlated to how well they appear to listen to what I have to say. They might all be listening the exact same amount, but I much prefer the ones with the good active listening skills that act like my bloated cat is the most interesting case they've seen in awhile, even if they're really thinking he's just fat. I also hate it when vets play down your concerns and treat you like you don't know what you're talking about, especially when you actually do (I realize that more often than not, clients really don't know what they're talking about and think that google will diagnose their pet and the vet's just there to write the prescription)

Another thing I dislike is when the vet office doesn't have the things they prescribe me in stock. This has happened to me more often than I care to think about, and with fairly common items.
 
At one of the clinics where I work, we have a problem with communication. The technician quit and when I came in to work ( I work Saturdays) I found out she was not there when I met our new assistant. I was also unaware that the assistant would be working Saturdays because I was hired specifically so the small animal tech could have a day off. I still have no idea what is going on. I'm trying to just deal with it.
Also, I think employees should know exactly what is expected of them. I know what my job is. However, our new assistant seems to think I'm only there to clean. 😕 The vet should have explained to both of us what was expected when she started working.
Things tend to run more smoothly when everyone is told what changes are happening in the clinic.
 
I'm not sure if this was addressed already, but it's not good practice when the client agrees to a teeth clean, only to come collect the animal with half its teeth pulled and a much higher bill than originally quoted. I feel like the client should be contacted with these findings before proceeding. I know there are cases when the client doesn't answer the phone, but it should at least be attempted.
 
As a client -- I really like when vets ask "do you have any other questions or concerns?" It makes me feel like you're not rushing me out of the room and there is usually something random I wanted to ask about diet etc.

Euthanasia is a super important time to be empathetic, like a prior poster said. I think expressing that the client is making the right decision is really important because everyone feels a lot of guilt over it. The vet who euthanized my first dog was really supportive of my decision (it was a difficult and behavior based one) and told me so multiple times... made me feel a little less guilty about it. And if the client asks you some asinine question like if they will be gentle with the deceased pet's body (as I did, and I realize it's a stupid question)... just say yes and don't take it personally (as the tech did). Seriously... just be affirming and understanding because you can bet that day will be burned into that person's memory and you want them to remember you as the person that helped them.

As an employee... positive reinforcement! Tell me what I do well and that you appreciate me and I will work so much better. As they say, **** rolls downhill so as a higher-up, be professional and kind and fair and it will be modeled by your employees who feel happy and secure at work.
 
Agreed with the importance of vets validating your concerns. It makes you as the client feel so little and unimportant when the vet brushes something off that you're concerned about. If it's not a concern, at least say that you understand why it might be alarming, but that it's not a problem because x,y,z. And then make sure that the client's concerns were adequately addressed. The animal is presented because the person who knows the animal best has brought it in because something's off.

For the past year, my cat was misdiagnosed because a simple INDICATED test was not performed (it was indicated for 3 different events, but was brushed off each time due to her signalment) even when I as a client asked for it. I wasnt even pushy about it either. I just said, "hey, would it be crazy for me to ask you to run this? X,y and z symptoms fit so it would at the very least make me stop wondering." apparently he thought I was crazy, cause I Even got a lecture about my wanting to run an unnecessary test from the fourth year student (and how that's a rookie mistake underclassmen make). Because it was so easily brushed off, I didn't advocate further for my cat for fear of being "that student." Appropriate tx was delayed for over 7 mos until things got kind of alarming. I was furious for a little while, but apologies did go a long way.
 
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