refresh your space bright ideas

June 2017 | dvm360.com

HOSPITAL DESIGN SUPPLEMENT

Refresh your spaceChange your desk for a huge impact. 02

Presurgical precisionPack/prep and scrub spaces should make surgery a breeze. 04

Design details That material looks cool but is it cleanable? 06

Exam rooms that wow Impress clients and bond them to your clinic. 08

How much money do you need?Breaking down the fi nancing numbers. 12

To groom or not to groom? Considerations for adding ancillary services. 14

Teach a lab new tricksDon’t overlook this technical space. 16

PLUS!Why you should attend the Hospital Design ConferenceOur fl owchart presents compelling evidence. 23

BRIGHT IDEAS FOR YOUR ENTIRE HOSPITAL

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dvm360.com | Supplement to dvm360 | June 2017 | 1

From reception to lab space and everything in between—we’ve got you covered

When was the last time you stopped to consider the path a patient

takes through your hospital on a journey to health and wellness?

Th is year’s Hospital Design Supplement does just that, covering ev-

erything from the very beginnings of a project—the fi nancing—to the reception

area, the exam rooms, pack/prep and scrub spaces, and even auxiliary services

you can add on at the end.

Get your creative energy fl owing as you fl ip through the pages that follow, and

then come see us at the Veterinary Economics Hospital Design Conference at

CVC Kansas City, August 23-25, for three jam-packed days dedicated to all things

hospital design. Th rough sessions dedicated to the design, building and decorating

phases of your project, you’ll get in-the-trenches tips and advice from the nation’s

most respected veterinary architects, engineers and fi nancial experts to set up your

new build—or remodel—for success. For more information, visit thecvc.com/hd.

Have you tried any of the tricks or trends we show off in this special issue?

We’d love to see your project. Send us an email to [email protected]. You never

know—we might just feature your hospital in an upcoming column.

Katie James, Associate Content Specialist

COVER ART: JANNOON028/SHUTTERSTOCK.COM,

ILLUSTRATIONS BY ADRIENNE WAGNER

Do you need a quick fi x for your hospital’s curb appeal? Sign up for the FREE “3 steps to increase curb appeal and attract veterinary clients” program. Take the exterior of your practice from drab to fab—even you leasehold practice owners—with these actionable steps. Visit dvm360.com/HDcurb to sign up.

Dying for info about dental areas and why you should consider giving oral proce-dures their own space? Find suite setup advice at dvm360.com/dentalsuitelife.

Why you shouldn’t fret if your Fear Free idea seems too “out there.” Chances are, your architect can make it happen. See one veterinary architect’s take on this at dvm360.com/DIYdesign.

Check out dvm360.com/HDgalleries for thousands of pictures of award-winning designs, room-by-room breakdowns and much more inspiration to drool over—or add to your dream hospital Pinterest board.

. . There’s more online

A small change that has huge results

is an updated reception desk, says

veterinary architect and Veterinary

Economics Hospital Design

Conference educator Heather Lewis, AIA,

NCARB, of Animal Arts in Boulder, Colorado.

It’s the first interaction clients have with your

practice, but the desk gets old and wears out.

Over time it doesn’t reflect the statement you

want to make anymore.

You can get a desk relaminated or replace

the countertops, or buy a new desk entirely.

When choosing a new desk, think about the

kind of relationships you want to cultivate

2 / June 2017 / Supplement to dvm360 / dvm360.com

If your reception area could use a refresh, start with the reception desk, says veterinary architect Heather Lewis. That one change will make a big difference in your space.

Small change,

>> The reception area at Hulen Hills Animal Hospital in Fort Worth, Texas, before the team updated their desk.

hugeimpact

between your client service

representatives (CSRs) and

your clients. Do you want

CSRs to be eye level or

seated? Do you want the

desk to be less of a wall-

like barrier?

Think about the

materials of the desk and

how to upgrade them to be

more modern and durable.

The desk will take a lot of

abuse over time and you

want something that will

stand up to that, Lewis

recommends.

You can also update

or change the lighting

above the desk to give the

reception area an entirely

new feel.

Another thing

to consider is your

receptionists’ comfort.

If they’ll be seated, give

them chairs meant for long

periods of sitting.

Think about temperature

too. Receptionists often

get cold sitting right by

the door that’s always

opening. Some practices

combat this by installing

radiant heating in the floor

so receptionists don’t have

to plug in space heaters,

Lewis notes.

One final point is to

think about any necessary

storage. Cutting down

clutter is a good idea

because it gives the desk

a clean, client-pleasing

appearance. Plan to have

space for prescription

pickup. Will you have

drawers or cubbies in your

desk? Some hospitals use

hanging pharmacy bags to

save some space.

dvm360.com / Supplement to dvm360 / June 2017 / 3PHOTOS COURTESY OF DR. STEVE HOTCHKISS; STUART GOBEY, ISLAND STUDIO

PHOTOGRAPHY; TIM MURPHY, MURPHY FOTOIMAGERY

>> Hulen Hills’ reception area after their remodel.

>> Melrose Animal Hospital in Melrose, Massachusetts, conveniently stores drugs for client pickups in hanging pharmacy bags (top left) behind the reception desk.

>> Pendant lighting hangs over the reception desk at McGregor Boulevard Veterinary Clinic in Fort Myers, Florida.

Heather Lewis, AIA, NCARB, is a partner at Animal Arts,

an architecture firm in Boulder, Colorado, and a Veterinary

Economics Hospital Design Conference educator.


Pack/prep/scrub smartsWith a little functional forethought, you can set yourself up for sterility when designing your veterinary hospital’s pack/prep/scrub area.

PHOTOS COURTESY OF JENNIFER WETTSTEIN, WETTSTEIN PHOTOGRAPHY;

KIRK GITTINGS, KIRK GITTINGS PHOTOGRAPHY

If you aren’t sure where to start when it

comes to designing a pack/prep/scrub area,

veterinary architect Heather Lewis, AIA,

NCARB, of Animal Arts in Boulder, Colorado,

has a suggestion: Th ink dirty.

In other words, begin by laying out the space

so dirty items can travel from surgery, to the

soaking sink, to the sterilizer and, fi nally, to

the packaging area in a linear and logical way.

Instrument scrubbing and hand scrubbing

should always occur in separate sinks and

should incorporate hands-free technology

(such as foot pedals or infrared sensors),

Lewis says. And while small hospitals can

put both scrub sinks in the same area where

the packing is done (the hand scrubbing sink

should be on the clean side and the instrument

sink on the dirty side), larger hospitals with

>> The two-way swing door at Happy Tails Veterinary Care in Bethlehem, Georgia, aids in a sterile transition from surgery prep to surgery.

. . Abbreviated autoclave advice

> Autoclaves tend to be wider than the typical counter. Make sure your autoclave counter measures up before installation.

> Talk to your architect about the type of autoclave you plan to use. Some large autoclaves have stands that require extra space. Others require vent hoods above them to manage the steam they generate.

> Don’t put cabinets above your autoclave—regardless of whether or not it requires a vent hood—because they’ll be destroyed by the steam generated by the autoclave.

>> The pack/prep/scrub area in Southwest Veterinary Medical Center in Albuquerque, New Mexico, features a two-way swing door and enclosed pass-through cabinets.

dvm360.com / Supplement to dvm360 / June 2017 / 5

>> Petit Brook Veterinary Clinic in Colchester, Vermont, keeps its autoclave out in the open. Building a cabinet above your autoclave is a bad idea, as it will be destroyed by steam.

>> ARKLE Veterinary Care in Smyrna, Georgia, put its autoclave on a sliding platform so it can be pulled out when in use and conveniently stored when not in use.

>> Camden Village Animal Hospital in Johns Creek, Georgia, keeps the instrument sink separate from the hand scrubbing sink.

multiple surgery rooms should keep scrubbing and pack/

prep separate. Th ese will be busy areas, and separating

them will help keep everything and everyone sterile, she

says. When it comes to designing the transition between

the pack/prep/scrub area and the surgery area, Lewis again

recommends thinking dirty. After you scrub, you want to get

to the surgery room without touching any doors. Th is can

be accomplished with a two-way swinging door that can be

bumped open with your hip, or you can get a sliding door

with an automatic sensor.

Making pack preparation functional is also really

important, says Lewis. Larger hospitals with lots

of instruments to pack may want an island layout,

extendable counters or carts for extra space. Pass-through

cabinets can be a smart way to store packs and allow

access to them from both the prep side and the surgery

side. Enclosed cabinets are ideal because the packs will

stay useable longer.

. . Surgical laundry list

> Surgical laundry should be separate from regular hospital laundry.

> Some hospitals use stackable washers and dryers in their pack/prep area to save space.

> If you can’t take the noise, create a utility room for the washer and dryer off of the surgery area.

PHOTOS COURTESY OF GARY HALL, GARY HALL PHOTOGRAPHY; JOLIE KIMMEL

RIZZI,JOLIE LOREN PHOTOGRAPHY; JENNIFER WETTSTEIN, WETTSTEIN PHOTOGRAPHY

Now think clean!Want to learn about creating clean hospital systems from Heather Lewis? Don’t miss the Veterinary Economics Hospital Design Conference August 23-25 in Kansas City! Visit thecvc.com/hd to learn more and to get registered.


Interior fi nishes and infectious disease:

PHOTOS COURTESY OF SAMANTHA THOMAS;

AARON GANG, AARON GANG PHOTOGRAPHY

As veterinary hospitals get more creative in design and look less like hospitals, it’s still important to use easy-to-clean fi nishes. Follow these tips from our favorite neat freak, veterinary architect Heather Lewis.

>> Veterinary Healthcare Associates in North Augusta, South Carolina, has literal cat trees in their feline exam room, made of easily disin-fectable material.

>> Boulevard Veterinary in Chicago, Illinois, uses wood-look plank fl oor-ing to create a welcoming reception area.

O ver the years, a focus on creating more welcoming, home-like atmospheres has driven

design in veterinary facilities to new heights. In some cases, you’d think you’d walked into a

spa, not a clinic. Th is is wonderful for patients but sometimes means that material choices

are chosen for aesthetic reasons rather than cleanliness and sterilization standards. Th is can be a

nightmare in the face of an outbreak of infectious disease. Use these tips from Heather Lewis, AIA,

NCARB, of Animal Arts in Boulder, Colorado, to keep your hospital pretty as well as cleanable.

> Do: Put cat shelves and boxes in your exam rooms that

are easy to clean and disinfect.

> Don’t: Install carpeted cat trees that are diffi cult to

keep sanitized.

> Do: Use the variety of new fl ooring products that are

available to make your hospital feel welcoming and warm.

> Don’t: Use diffi cult-to-clean fl ooring in surgery rooms.

Dos and don’ts from a veterinary architect

dvm360.com / Supplement to dvm360 / June 2017 / 7PHOTOS COURTESY OF TIM MURPHY, MURPHY FOTO IMAGERY;

SAL LONGO JR.; KIRK GITTINGS, KIRK GITTINGS PHOTOGRAPHY

>> Natural wood on the ceiling and on top of the reception-desk feature brings charm to Sachse Veterinary Hospital in Sachse, Texas.

>> Southwest Veterinary Medical Center in Albuquerque, New Mexico, uses sleek (and cleanable!) materials on their modern reception desk.

> Do: Create opportunities for dogs to play with water

and other enrichment items in boarding areas.

> Don’t: Create built-in infrastructure that can’t be

cleaned and sanitized, like doggy water fountains. Plastic

baby pools work well as an alternative.

> Do: Use artifi cial turf in areas where healthy pets play.

> Don’t: Use artifi cial turf as the only option for play and

walking. Concrete or rubber fl ooring is better for areas

where ill dogs are—it’s easier to disinfect. Use turf outside

unless it’s well-drained—it will get stinky.

> Do: Use natural wood accents for trim, ceilings and

cabinets.

> Don’t: Use rough wood low on walls or on seating,

where it will be hard to clean—especially when it’s in an

area at slobbery nose and tongue height.

> Do: Create a fancy reception desk with modern,

cleanable materials.

> Don’t: Use hard-to-clean materials for the desk, such as

natural wood. Avoid rough stone as well unless you’re uber-

careful with the sealing—it has to be done meticulously.

>> Outdoor turf works like a charm for Village Veterinary Clinic of Hamburg in Hamburg, New York.

>> Southwest Veterinary Medical Center in Albuquerque, New Mexico, has a semi-“one wall” approach with the work counter and client seating on one wall, across from the exam table.

How many rooms do you need?In both new construction and renovation projects, Chapel

has noticed a trend toward including more exam rooms in

veterinary hospitals. As a rule of thumb, when designing

he provides two exam rooms for each doctor working in

exam rooms at any given time. This allows for the second

exam room to be readied for the next patient while the

first is in use.

How do you set up those rooms?Chapel says that most exam rooms he designs are “one

wall” rooms. This means that the veterinarian’s work


Exam rooms that shineThis space sets the tone of the entire visit with your clients. These tips from architect Dan Chapel will keep your exam rooms functional and beautiful.

>> The exam rooms at McGregor Boulevard Veterinary Clinic in Fort Myers, Florida, have colorful artwork, natural light, comfy seating and treats easily accessible on the exam counter.

T he relationship between veterinarian, client and patient is one of the most critical in veterinary medicine, says

veterinary architect Dan Chapel, AIA, NCARB, of Chapel Associates Architects in Little Rock, Arkansas. Most of

that relationship is built in the exam room—often the farthest point the client comes into your hospital.

While first impressions are built in the reception area, client’s opinions of your treatment skills are made in the

exam room. These rooms, Chapel says, should be secure and comfortable for both the patient and client. A clean,

quiet, odor-free room sets the tone for a positive hospital visit. What are the keys to a perfect exam room experience

from a design standpoint? Let’s dig in.

counter, the exam table and seating for clients are all

along one wall. This configuration often features separate

doctor/staff and client/pet entry doors. Laying it out this

way maximizes open space on the floor while keeping

exam and treatment materials close at hand. Another

benefit? The veterinarian never has to turn their back to

the client and patient. The work space should also include

an easily accessible and secure “sharps” container and

trash receptacle.

The great sink debateWith the rise of antibacterial lotions and sprays, to some,

actual handwashing when entering an exam room is no

longer crucial. However, many practitioners still like to have

a small bar-sized sink in their exam room for discarding

PHOTOS COURTESY OF STUART GOBEY, ISLAND STUDIO PHOTOGRAPHY; KIRK GITTINGS, KIRK GITTINGS PHOTOGRAPHY; JENNIFER WETTSTEIN, WETTSTEIN PHOTOGRAPHY

Thinking about remodeling?Get in-person advice from Dan Chapel about capitalizing on your existing building at the Veterinary Economics Hospital Design Conference August 23-25 in Kansas City! Visit thecvc.com/hd to learn more and to get registered.


>> A fold-up exam table leaves plenty of space for exams to be done on the floor at Happy Tails Veterinary Care in Bethlehem, Georgia.

excess liquids or for washing up after an exam. Either way,

Chapel thinks every client should witness the sanitizing of

hands prior to the start of any exam or procedure.

Is your table the right size?Consider the usability of the exam table before

construction of the exam room, Chapel advises.

Generally, the work surface of these tables is

approximately 24 in x 48 in to allow for examinations

of even large dogs, and they’re 36 in off of the floor. If a

practitioner would rather perform examinations on the

floor, a fold-down table can help facilitate those cases.

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Give your clients a seat … Give clients a space to sit and place their belongings. This

can be done with bench seating, or individual chairs. The

seating should be located along the focal wall of the exam

room to allow for better face-to-face communication

between veterinarian and client.

… And drop some knowledge on ‘em The exam room is perfect for client education. Facilitate

this by adding monitors that can display educational

videos or the patient’s digital radiographs and chart

information, Chapel says. Keep a binder of frequently

used client handouts in the room for easy access when

you need them. Anatomical models or charts to aid

explanations to clients are also useful things to keep

in your exam rooms. If you’re retail savvy you might

think about placing open shelving for product display,

explanation and demonstration.

Get your chill onPlacing small refrigerators in your exam rooms gives you

quick access to vaccinations you use frequently without

having to leave the room. Chapel notes that the cost is

small, decreases staff travel and may reduce the amount of

refrigeration needed in other areas of the hospital.

It’s all about the toolsThe equipment placed in each exam room varies from

veterinarian to veterinarian, but most these days have

storage and enough power for exam lights, a radiograph

viewer, an otoscope, an ophthalmoscope and a digital

thermometer.

Try special-use exam rooms.More practices are putting in special use or multi-use exam

rooms, such as comfort rooms for euthanasia appointments

or consultation rooms, Chapel says. Ideally these rooms

are a little larger than the typical exam room, have more

comfortable seating and a private exit for clients to use.


>> Carolina Ranch Animal Hospital & Resort in Garner, North Carolina, has convenient access to a trash receptacle as well as open shelving for high-use products or products that clients often purchase.

>> Boulevard Veterinary in Chicago, Illinois, has comfy bench seats for clients to use while in the exam room.

PHOTOS COURTESY OF PAUL POTERA; NICHOLAS KASTANEK; ERIN MOONEY; AARON GANG, AARON GANG PHOTOGRAPHY

Dan Chapel, AIA, NCARB is president of Chapel Associates in

Little Rock, Arkansas, and a Veterinary Economics Hospital Design

Conference educator.>> Noank-Mystic Veterinary Hospital in Noank, Connecticut, utilizes a lift table in its canine exam room to help facilitate exams of large dogs.

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Building a new veterinary

hospital or undergoing a major

renovation is a big life step—one

that many veterinarians will only do

once. And usually, the new facility will

be larger, increase capacity and provide

the ability to off er new and diff erent

services, says Gary Glassman, CPA,

a partner at Burzenski & Company

in East Haven, Connecticut. Th e $1

million (or more) question, then, is

this: Will your clients of today and

tomorrow fi nancially support your

dream facility? Let’s think it through …

What will your new hospital’s new

fi xed costs be?

> Mortgage

> Equipment loans

> Property tax

> Utilities

> Insurance

> Maintenance contracts.

You need to pay for them with …

increased revenue.

But that takes time. So you could

either …

> Off er new services to existing

clients such as, boarding, grooming,

behavior training, expanded treatment

options like therapy laser and


The veterinary practice of your dreams may require some serious cash. Here are some back-of-the-napkin calculations you can do to fi gure out if you can get what you need, courtesy of veterinary fi nance guru Gary Glassman.

How much money do you need to build your veterinary hospital

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3 Drawers & 1 Door

105-7428-10 60" Long, White $2,005.00

105-7328-10 48" Long, White $1,940.00

Easy-glide drawers

6

Drop-In Tubs

-Faucets sold separately.

-Designed for use with your

existing or custom cabinetry.

STAINLESS STEEL TUBS

5" Deep Cut-Away Tub on Legs

with Racks

105-0420-00 60" Long $1,352.00

105-0320-00 48" Long $1,215.00

17" Deep Tub on Legs with Racks

105-0430-00 60" Long $1,532.00

105-0330-00 48" Long $1,396.00

5" Deep Drop-In Tub, Rack

105-1420-00 60" Long $1,108.00

105-1320-00 48" Long $971.00

17" Deep Drop-In Tub, Rack

105-1430-00 60" Long $1,289.00

105-1330-00 48" Long $1,153.00

5"/17" Split Level Drop-In Tub, Rack

105-1460-00 60" Long $1,411.00

105-1360-00 48" Long $1,275.00

Recessed stainless steel racks

Tubs On Legs

• Solid 18 gauge stainless steel construction—48" or 60" widths, strainer basket included

• Recessed stainless steel rack system included

• Racks rest on lip inside tub for a flush work surface – no hooks hanging over to snag clothing

• Maximum rack support prevents sagging

• Tubs on Legs feature feet with pre-attached mounting plates to secure the tub easily to the floor with no need to purchase additional sockets or straps

Split Level Tub on Legs with Racks

105-0460-00 60" Long $1,654.00

105-0360-00 48" Long $1,517.00

Racks, Undershelf, Mounting Feet

& Strainer Basket Included FREE!

Fully adjustable feet





F

A 107-0112-00 Single Lever Faucet, 84" Sprayer Hose $198

B 107-4112-01 Gooseneck Swivel Faucet, 84" Sprayer Hose $314

C 107-4112-02 Gooseneck Faucet, Heavy Duty Angled Sprayer $456

D 107-7212-01 72" Hose and Straight Sprayer $602

107-7212-02 72" Hose and Angled Sprayer $652

E 107-1112-02 72" Hose with Faucet, Straight Sprayer $704

107-1112-03 72" Hose with Faucet, Angled Sprayer $759

F 107-1112-10 Swing Nozzle Faucet with Swivel Sprayer Hose, Straight Sprayer $840

107-1112-11 Swing Nozzle Faucet with Swivel Sprayer Hose, Angled Sprayer $840

A

B C

D E

Back Deck - makes a convenient place to store supplies.

Easy one-handed operation.

ADJUSTABLE HEIGHT GROOMING TUB

with Backsplash & Telescoping Ramp

FAUCETS AND SPRAYERS

• 18 Gauge, 304 stainless steel

• Back deck—makes a convenient place to store supplies

• Strainer basket included

• No floor space obstruction—allows you to stand close

• Adjustable legs—31 1/2" to 34 1/2" deck height

• Non-skid ramp surface

• Easy one-handed operation

• Ramp locks in upright position with a watertight seal

ACCESSORIES

205-0446-01 Plastisol™ Coated Floor, 60" $295.00

205-0346-01 Plastisol™ Coated Floor, 48" $225.00

205-0446-02 Tie Down Rail System $177.00

205-0446-00 Stainless Steel Small Animal Rack - 18.5" x 22"

$195.00

8

STAINLESS STEEL CAGES

• All 20 Gauge 304 Stainless Steel Construction—23% thicker than industry average

• Heavy-duty reversible door

• One-piece stainless steel hinge plate—Multiple attachment points for stability—Prevents sagging

• 3/8" diameter frame

• 1/4" diameter crossmembers

• One-piece stainless steel corner/trim strips—Enhances strength and stability—Easier to clean

• 3/16" diameter vertical rods

• Full 1" radius corners

• Heavy-gauge latch—Padlock or door clip—Extremely quiet—Easily cleaned

• Formed Threading—Will not cross thread or strip out—Prevents self-locking stainless steel screws from loosening with everyday use

• Easier to clean, less labor cost—Larger radius corners—Fluid retaining lip—Allows for a cleaner kennel environment

• Strong door latches and assemblies—Secure, yet easy to open and close

Cage Accessories

Oxygen Therapy Door

Side Panel

Top Panel

Mobile Platform

Stationary Platform

Plastisol™ Coated Cage Floors

Center Divider Kit

Stainless Steel Clipboards,

Door Box and Card Holder

Configure Your Cage Bank OnlineSelect an assembly width and browse through the options to find the configuration that fits your needs.

Single Doors

160-1824-00 Single Door 18"w x 24"h x 28"d $375.00







Double Doors

160-4830-00 Double Door 48"w x 30"h x 28"d $787.00

160-4830-01 Double Door w/ Gravity Latch 48"w x 30"h x 28"d

$787.00

160-4836-00 Double Door w/ Gravity Latch 48"w x 36"h x 28"d

$787.00



• Modular cat condos are user friendly, stylish and durable, and are easily assembled to fit your needs.

• Manufactured with commercial grade moisture resistant MDF panel—utilizes a formaldehyde-free adhesive system and LEED® supported pre-consumer recycled wood fiber

• Condo and storage unit open adjacent to each other to allow user access to both simultaneously

• Lefts and rights are easily assembled with 6 bolts screwed into preassembled inserts – 2 each in top, bottom, and underneath the divider shelf

• Resting benches and dividers made of 3/4" high density polyethylene. All other surfaces laminated



Access Condo and either/both compartments simultaneously or individually.

MODULAR-DESIGN CAT CONDOS

2-Unit Right Modular Condos

Measures 61 1/4" tall x 24" deep

36" wide

168-2211-11 Clear Back $1,577

168-2211-12 White Back $1,577

42" wide

169-2211-11 Clear Back $1,626

169-2211-12 White Back $1,626

2-Unit Left Modular Condos


36" wide

168-2111-11 Clear Back $1,577

168-2111-12 White Back $1,577

42" wide

169-2111-11 Clear Back $1,626

169-2111-12 White Back $1,626

2-Unit Middle Modular Condos


23 3/8" wide

168-2311-11 Clear Back $1,268

168-2311-12 White Back $1,268

29 3/8" wide

169-2311-11 Clear Back $1,323

169-2311-12 White Back $1,323

2-Unit Corner Modular Condos


23 3/8" wide

168-2411-11 Clear Back $1,366

168-2411-12 White Back $1,366

29 3/8" wide

169-2411-11 Clear Back $1,410

169-2411-12 White Back $1,410

Laminated Wood Door Option Available

• Added aesthetic value

• Open visibility to your boarders

• Viewing window made of 1/4" ventilated plastic glass

10

EXAM ROOM CASEWORK

ISLAND WORK STATIONS

A 108-6000-10 60" $286

108-4000-10 48" $273

108-3000-10 36" $259

B 108-6100-10 60" $557

108-4100-10 48" $520

108-3100-10 36" $460

C 108-6500-10 60" $439

108-4500-10 48" $421

108-3500-10 36" $381

Laminate Wall Cabinets

A 101-7416-11 60" $780 101-7216-11 48" $721

101-7116-11 36" $691

B 101-7416-13 60" $926

101-7216-13 48" $851

101-7116-13 36" $825

Laminate Base Cabinets

C 101-7416-12 60" $780

101-7216-12 48" $721

101-7116-12 36" $691

D 101-7416-14 60" $926

101-7216-14 48" $851

101-7116-14 36" $825

B Clear Sliding Doors

A Open Shelves

D

Solid DoorsC

B

A

C

Exam Room TablesAvailable with stainless steel, laminate or built-in scale top.

A 101-7640-10 Stainless Steel Top $989

101-7610-10 Laminate Top $894

110-0523-10 Scale Top $1,870

B 101-7640-11 Stainless Steel Top $926

101-7610-11 Laminate Top $820

110-0521-10 Scale Top $1,797

C 101-7640-13 Stainless Steel Top $989

101-7610-13 Laminate Top $894

110-0524-10 Scale Top $1,870

D 101-7640-14 Stainless Steel Top $968

101-7610-14 Laminate Top $873

110-0525-10 Scale Top $1,850

E 101-7640-15 Stainless Steel Top $899

101-7610-15 Laminate Top $793

110-0526-10 Scale Top $1,770

105-7200-10 Base w/ 2 Doors $460

105-7100-10 Base w/ 3 Drawers $557

105-9100-10 Triangular Chase $439

105-9000-10 Rectangular Chase $397

Island Bases and Chases

B C

D

A

E

Call to design

your own custom

workstation!





STAINLESS STEEL KENNEL RUNS

12

• Constructed of 22 gauge 304 stainless steel

• 3/8" Diameter stainless steel rods (most kennel run manufacturers use 1/4" or 5/16" rod)

• 1" Stainless steel square tubing

• 4' of visual isolation with stainless steel or FRP side panel variations

• 1" Solid cell insulation between panels (impermeable to liquids)

Choice of Door Design

Standard Door—Reversible stainless steel doors – side by side units now may be opened in opposite directions. Stainless steel door hinges are mounted on top and bottom—not the side.

Sliding Door—One-hand operation. Maximizes kennel room(s) eliminates the need for “swing door” space. Maintenance free marine grade anodized aluminum glide. Available with stainless steel rod or glass panels.

Glass Door—Open view boarding for owner comfort or full view observation. Easy, convenient cleaning. Aesthetically pleasing. Scratch resistant. Available in sliding or hinged models.

Planning to build

or remodel?We can help you with your casework selections

from start to finish with:

• Free design services from the Midmark in-house design team

• Expert advice on creating an efficient, effective workflow that also looks great

• State-of-the-art 3D software—see in the blink of an eye how your design and color choices will look

• Personalized service to see your project through from delivery and installation to post-sale training and support

Boulevard Veterinary

Built with quality features designed to work together to provide you with the efficiency and ergonomics you need to help make your job pain-free and worry-free.

• Smooth and quiet actuator to reduce stress on patients

• Greatest range of motion of the market, from the floor to 44"

• 300 lb load capacity to reduce strain on you and your staff

• Wet or dry table options to meet your specific needs

• Top-notch support before and after you buy

PATIENT POSITIONING EQUIPMENT

Canis Major® Lift Tables

CMDT-45 Canis Major® Wet, 45" w/o Scale $9,939.00

CMDT-60 Canis Major® Wet, 60" w/o Scale $9,939.00

CMDT-WS-45 Canis Major® Wet, 45" w/ Scale $11,835.00

CMDT-WS-60 Canis Major® Wet, 60" w/ Scale $11,835.00

The Premier™ Mobile Lift Table

103-0170-16 The Premier™ Mobile Lift Table $2,501.00

110-2410-08 The Premier™ Mobile Lift Table w/ Scale $3,531.00

203-0170-10 Side Rails with Sliding Quick Release Restraint Cleats (2 Rails; 4 Cleats)

$270.00

The Peninsula™ Folding Lift Table

101-5640-31 The Peninsula™ Lift / Hand Control $4,219.00

101-5640-37 The Peninsula™ Lift / Foot Control $4,219.00

110-0310-10 The Peninsula™ Lift w/ Scale / Hand Control $5,196.00

110-0310-21 The Peninsula™ Lift w/ Scale / Foot Control $5,196.00

Tapered Electric Lift Table

101-5640-01 Electric Lift Table / Hand Control $3,885.00

101-5640-07 Electric Lift Table / Foot Control $3,885.00

110-0310-00 Electric Lift Table w/ Scale / Hand Control $4,917.00

110-0310-01 Electric Lift Table w/ Scale / Foot Control $4,917.00

See page 15 for $750 rebate

on Canis Major® Lift Tables!

CMWO Canis Major® Dry Table w/o Scale $6,684.00

CMWS Canis Major® Dry Table w/ Scale $7,739.00





FOLDING EXAM TABLES

• 22" x 44" exam surface

• 20 gauge stainless steel or laminate top

• Counterbalanced table for easy lift

• 4" from wall when folded

• 150 pound capacity

101-2610-00 Laminate Top, White $734.00

101-2640-00 Stainless Steel Top $838.00

Counterbalanced Action

SCALES

110-5090-07 LCD Cat Scale $261.00

Platform Scale

LCD Cat Scale

110-0110-00 Platform Scale $839.00

210-0117-02 Display Post Mount $73.00

Folding Wall Mount Cabinet

201-2640-10 FWM Cabinet, White Laminate $350.00

14

8012-00-001 Fold Down Exam Table $1,025.00

9A549001 Traction Mat Accessory $126.00

SPECIAL

BONUS

OFFER:

Cardell® Touch Multiparameter Monitor

255 Dual LED Procedure Light

255 Single LED Procedure Light

Matrx® Anesthesia Machines (excluding VMR

®)

Midmark UltraClave® Automatic Sterilizers

$200Rebate

$200Rebate

$100Rebate

$400Rebate

$300Rebate

The

EDGE 2017 PROMO

ELIGIBLE PRODUCTS AND INCENTIVES:

Cardell® Insight Diagnostic Monitor

$100Rebate

Purchase Matrx® Anesthesia, Cardell® Touch Multiparameter Monitor and a MasimoTM CO2 Module

and receive all corresponding cash rebates PLUS free Anesthesia Monitoring 101 Training. That’s

an additional $1,150 value! In order to receive the bonus, all qualifying products must be entered on

one redemption submission. Free training applies to locations in the continental U.S. only. Training is

available for other locations, but may require an additional fee.

Canis Major® Wet Dental/Treatment Lift Table

$750Rebate

Canis Major® Exam Lift Table

$750Rebate

15midmarkanimalhealth.comMidmark Corporation, Dayton, OH. 007-10020-00

midmarkanimalhealth.comMidmark Corporation, Dayton, OH. 007-10020-00

16

The

EDGE 2017 PROMO

Timing:Promotion order period: June 1 — Aug. 31, 2017

Last date to take shipment of products: Sept. 30, 2017

Invoice must be dated: June 1, — Sept. 30, 2017

Last date to claim incentives: Oct. 31, 2017

Redemption Instructions:• Visit midmarkanimalhealth.com and select “Promotions”

• Select the “2017 EDGE Promotion” icon

• Upload invoice*

• Complete the information required on the form

• Select “Terms and Conditions” and “Submit”

All serial numbers must be submitted online. Upon each submission a confirmation email will be sent for your records. Please keep the confirmation until incentives are received. Incentives must be submitted online by Oct. 31, 2017.

*Midmark must receive a copy of the end-user invoice (stating the veterinarian’s name and date purchased). Invoice must be dated June 1, 2017 – Sept. 30, 2017. Incentives will not be processed until invoice is received.

This offer is valid on eligible products purchased by a veterinarian or veterinary facility through an authorized Midmark Animal Health dealer. This offer may not be combined with any other offer, promotion or contract pricing.

Midmark AcademySM

Anesthesia

Monitoring 101 Training (Included in Bonus Offer)

This training from Midmark Animal Health will help participants become familiar with best practices for operating and maintaining their anesthetic and monitoring equipment.

Training topics include:

• Anesthesia machine theory of operation, function of components and flow of gases• Proper equipment maintenance for long-term performance and better patient outcomes• Overview of ACVAA anesthetic monitoring guidelines for small animals• Five parameter, hands-on monitoring including circulation, oxygenation and ventilation• How vital signs are measured and what the readings mean

Veterinarians and credentialed technicians who complete this session will earn 4 hours of CE credits* for Anesthesia Monitoring 101.

*This program was reviewed and approved by the AAVSB RACE program for 4 hours of continuing education in jurisdictions which recognize AAVSB RACE approval. Please contact the AAVSB RACE program if you have any comments/concerns regarding this program’s validity or relevancy to the veterinary profession. Provider #436.

MIDMARK ACADEMY

Questions?For product inquiries, please call the Midmark Animal Health Customer Experience Department at 1-800-MIDMARK or visit midmarkanimalhealth.com. If you have questions regarding the promotion, please call ext. 107575.

ultrasound, etc.

or …

> Add new clients, thanks

to construction visibility and

neighborhood drive-by curiosity.

So, how many new services and

new clients could you get? Let’s do

some math …

An average full-time practitioner sees

20 to 25 new clients per month and

maintains 1,200 to 1,400 active clients.

Of course, an increase in revenue

almost always increases your costs.

A full-time practitioner generates,

on average, between 5,000 to 5,500

invoices per year.

Want to generate more?

You’ll need to better leverage your

existing staff to assist the doctors, and

then most likely hire another doctor

and more support staff to meet the

higher workload.

(And don’t forget taxes, worker’s

compensation, insurance and other

benefi ts.)

Now let’s put it all together in the

following example (and do some

rounding, because who wants all those

cents in our calculations, right?)

Dr. Jen’s Average Animal Hospital

Average Animal Hospital has two

full-time doctors in a 2,500-square-

foot hospital. Th e new facility is 5,000

square feet. Th e project includes:

> $300,000 land purchase

> $200 cost/square foot

construction cost.

Th at’s $1.3 million.

Dr. Jen sells the current facility

for $450,000, pays off the existing

mortgage of $375,000, and reinvests

the remaining $75,000 in the new

building.

She adds $55,000 of her own

savings for a 10 percent down

payment: $130,000.

She borrows $1,170,000 to

complete the project at a 5.5 percent

interest rate over 20 years.

Th e monthly payment is $8,048,

with an additional $1,000 in

property taxes/month. Her total

yearly payment? $108,579. Th e

hospital’s current gross revenue is

$1,152,825 with 10,025 invoices a

year at an average invoice cost of

$115. Based on the …

> Required new mortgage payment

> Property taxes

> Occupancy costs.

Th e annual revenue needed to

fi nance the new project? $1,809,656.

If her average invoice stays $115, the

hospital needs 15,736 invoices per year,

or a growth of roughly 57 percent.

If her average invoice increases to

$122, the hospital needs just 14,833, or

an increase of roughly 48 percent.

If a full-time practitioner generates

5,000 invoices/year, the hospital

would need to add one more DVM to

generate that revenue.

. . Do the demographics!

A demographic study will tell you …> the saturation level of existing

practices> the number of local practicing

veterinarians> whether people are moving

into or out of your area> the number of households> the number of households with

pets.

Here’s how the math works:

8,000 dog-and-cat-owning households in an eight-mile radius around your new hospital

divided by …

(1,200 to 1,400) active clients (average full-time DVM client

base)

equals …

8,000/1,200 = 6.6 veterinarians

If you have 10 full-time practitioners in your area, you won’t grow. If you have four, there should be plenty of room for growth.

. . Can you price your

way out of this?

Skip getting new clients and offering new services—just raise your prices!

Don’t try this. That is all.

Run the numbers!

Gary Glassman, CPA, will be on hand for one-on-one consultations at the Veterinary Economics Hospital Design Conference this August, from the 23-25! Don’t miss the chance to talk fi nancing with him! Visit thecvc.com/hd to learn more.

Gary Glassman, CPA, is a partner at

Burzenski & Company in East Haven,

Connecticut and a Veterinary Economics

Hospital Design Conference educator.



To groom or not to groomAs clients use ancillary services more, these additions help your clinic shine. By Ashley Shoults, AIA

PHOTOS COURTESY OF PAUL POTERA;

STUART GOBEY, ISLAND STUDIO PHOTOGRAPHY

More and more practice owners

are including ancillary services in

their current hospital or as part

of the build-out of a new hospital.

Th is isn’t a new idea by any means, but it’s

coming up more often.

Many of our clients at our design fi rm believe

they’ve reached a plateau in terms of business

growth. Th ings grew substantially as we recovered

from the recession but have begun to level out.

Business is good but no longer growing at a rapid

pace. Perhaps veterinarians are looking for other

ways to generate more income and continue their

growth. Or maybe it has to do with all the baby

boomers on the verge of retirement. Perhaps want

to make their businesses more profi table and

more enticing to potential buyers as the last piece

of their exit strategy.

Regardless of the reasons to add any of these

services, it’s important to understand the pros and

cons beforehand. Here are some popular options.

BoardingOff ering boarding services can provide many

benefi ts for veterinary practices, including:

> An additional profi t center

> Income during times when veterinary service

revenues drop, such as during summer vacation

> Th e chance to off er medical or specialized care

to boarded pets, services that veterinary clients

need and value.

While all of this sounds promising, there’s a lot

that goes into making it a part of your practice. It

requires capital expenditure, expertise and likely

some additional staffi ng and extra marketing

eff orts to get the word out.

From an economic standpoint, it’s important to

have a good picture of investment versus return

before committing to boarding as part of your

business. For example, how many animals do

you want to board, or can you board and how

much will it cost? You also want to consider what

boarding options already exist in your community

and whether there is additional need.

Lastly, if you’re considering adding boarding,

realistically you need to go (kinda) big or

go home. Considering the amount of eff ort

and capital needed to add eight to 10 kennels

to your practice, this isn’t going to have a

big enough return on investment to make

it worthwhile for you. Boarding spaces are

not cheap to construct. A boarding area

requires a signifi cant fi nancial investment to

accommodate proper HVAC design, durable

materials and fi nishes, and the costs of caging,

runs and other associated equipment.

With this in mind, there are two important

questions to consider: Do you have the square

footage to spare or will you need to take space

>> Boarding can include some fun in the sun, like it does at Carolina Ranch Animal Hospital & Re-sort in Garner, North Carolina.


away from your primary veterinary services? And, do you

have adequate funding to build a boarding facility that

will be profi table on its own? If the answer to this second

question is no, the next question to ask yourself is: will the

boarding services bring other benefi ts to the practice, such

as client loyalty, growth in other services or an enhanced

community presence?

GroomingAnother area that could generate additional revenue is

grooming. Th ere are two main ways to add grooming to your

hospital;

> Hire a full-time, on-staff groomer.

> Provide the physical grooming space within your building

and then lease it out to an established groomer.

Th ere are pros and cons to either approach and a risk to

either approach as well. With an on-staff groomer, you can

control profi t margins more eff ectively as the service will be

an integral function of your hospital. But if the grooming

services fail to take off , you’re stuck paying a salary to a

groomer who’s not consistently busy. In contrast, with the

lease option, the groomers are responsible for their own fate,

based on the amount of work they bring in. However, you are

bound to a landlord-leasee relationship, which has its own

risks and potential shortcomings.

DIY bathing Th is is probably the least common of the ancillary services

that gets incorporated into a veterinary hospital. DIY

bathing doesn’t generate quite as much revenue as the

other services listed above, but it is generally the easiest to

maintain. Lots of bathing units essentially work like a do-it-

yourself car wash. On the plus side, it requires no staffi ng—

you just buy the unit, set it up, market the heck out of it

and, boom, you start generating revenue.

Again, you have to be keen to the needs and desires of

your community, and you will defi nitely need to market

this service. It might take some time to recoup your initial

investment since revenue comes in very small chunks with

each use. Once it’s paid off , though, everything thereafter is

almost pure profi t because there are few overhead costs to

maintain this service.

All in all, the addition of ancillary services to your hospital

is something worth consideration. What client wouldn’t

want the security of knowing their own veterinarian is on

site to help with the care of their pet while it’s being boarded

or groomed? But before you embark down that path, make

sure to do your due diligence and develop a business plan so

you have a clear picture of the need for these services, who

your clientele will be and whether the return on investment

is worth it for you.

>> The bathing space at McGregor Boulevard Veterinary Cinic in Fort Myers, Florida, is stylish and effi cient.

>> Adding color and lots of natural light to your boarding area can boost your appeal to clients and keep pets happy. There’s plenty of sunshine at Carolina Ranch Animal Hospital & Resort.

Ashley Shoults, AIA, is a partner at Animal Arts in Boulder, Colorado.

Show off your hospital!Enter your newly built, remodeled or converted hospital in the Veterinary Economics Hospital Design Competition for a chance to be crowned the Hospital of the Year, be featured on the cover of dvm360 and win a trip to the Veterinary Economics Hospital Design Conference! Visit dvm360.com/HDcompetition to learn more and to download an entry form.

T he laboratory is a relatively low-drama

space. Th ere aren’t animals traipsing

through it; there aren’t clients in eyesight

or earshot. It’s often the forgotten room in the

hospital. Labs tend to drop off practice owners’

radar when it comes to thinking critically about

the design of their facility.

And why should we think critically about

the lab’s design? For starters, there are highly

trained team members who spend a great deal

of time working hard in this space. Th ese key

staff members are integral to assisting the rest of

the clinical team in diagnosing a patient’s illness

and are thus keystone players in the success of

the practice. Creating an ergonomic space for

them—constructed with materials that will stand

the test of time—will not only help with staff

retention, it will foster better patient care too.

Labs are also an important profi t center for the

practice. Finding ways to create a well-designed,

effi cient space with adequate light will help

produce faster and more accurate test results.

Th is will in turn lead to the clinician’s ability to

diagnose and treat more quickly and eff ectively.

So where do we begin with the design of a

laboratory? First is the overall placement of

the space or room in the hospital. In smaller

practices, it’s usually more effi cient to place the

lab in the zone between the exam rooms and the

treatment area. Th e reason for this is threefold:

> In smaller facilities, the technicians and

nursing staff tend to multitask more between

these two spaces.

> Locating the laboratory in between the

exam rooms and treatment provides a sound

buff er between these areas. Treatment is usually

the loudest space in the hospital. Using the lab

(or the pharmacy) as a buff er helps cut down

on noise transfer. Th is plan also creates a visual

barrier between the client zone and the patient

zone. In smaller practices a widened hallway or

alcove behind the exam rooms can be ideal.

> Th e third reason, which we sometimes

lose sight of, is that the lab should be in close

proximity to where samples are being drawn.

As an estimation, 85 percent of samples are

coming from patients in the treatment (or ICU)

area. Another 15 percent are coming from a

client bringing the sample in, or the technician

drawing the sample in an exam room. For


This area is often a forgotten space in your hospital, but highly trained team members spend a lot of time working here. Putting thought into its design will foster better patient care and staff effi ciency.

How to teach a lab new tricks

By Vicki Pollard, CVT, AIA

PHOTO COURTESY OF TIM MURPHY, MURPHY FOTO IMAGERY

>> In the lab space at Woodhaven Veterinary Clinic in Edmonds, Washing-ton, the microscope is placed toward the outside of the space to keep it from being jostled by the other equipment.

effi cient sample handling it’s important to locate

the lab near these spaces.

In larger hospitals, typically specialty or

emergency-service-based, the lab tends to

grow in terms of the types and frequency of

the tests that are run. In turn, the quantity, size

and sometimes even quality of the equipment

grows. At this stage a dedicated room is typically

required for the lab. For some of the same

reasons as listed above for smaller facilities,

it’s important to also locate these enclosed lab

rooms near the treatment core and a reasonable

distance to the exam rooms.

Multistory hospitals, or hospitals with

delineated departments, may require secondary

or even tertiary lab spaces if a department or

fl oor has a high demand for running timely

diagnostics. Th ere is a wide range of lab-related

needs throughout any hospital.

One of the fi rst steps in laying out a proper

lab space is understanding how your unique

practice functions. One facility may require

three lab testing machines in a hallway space

while another larger emergency facility may have

an enclosed lab with many separate machines.

In addition, an ICU or CCU space may have

additional equipment that’s used for quick tests

that are run frequently in this type of setting.

Th e laboratory space also needs to be laid

out effi ciently. Th e easiest way to do this is to

gather an equipment list of the various required

machines and then lay them out by grouping

the most frequently used ones together. Careful

consideration should be given to the quantity

of team members needed to eff ectively run

this equipment as well as the placement of the

workstations for each of these people. Whenever

possible, it’s best to leave an additional 20

percent of counter space above what you believe

you will need when you fi rst move into the

hospital. Th is will allow for future growth and

upgrades in equipment.

Quick tip: When possible, locate the centrifuge

(which shakes a lot when in motion) separate

from your microscopic viewing station. Th is

is best done by allocating an island for it. If

you can’t fi t an island into your lab, a counter

mounted at a separate height to house your

dvm360.com / Supplement to dvm360 / June 2017 / 17PHOTO COURTESY OF TIM MURPHY, MURPHY FOTO IMAGERY

>> PetCare Veteri-nary Hospital in Santa Rosa, California, has open shelving and an island setup in their laboratory.

. . Equip your space

HERE’S A BREAKDOWN OF THE MOST

COMMON EQUIPMENT USED IN

LABORATORY SPACES

> Chemistry, hematology and urine analyzers> Centrifuge> Sink with drainboard for staining slides> Microscope> Refrigerator> Incubator

Administrative equipment needs:> Computers> Phone> Printers, which can be individually linked to each testing machine> Label printer

microscope will suffi ce.

Aside from suffi cient counter space, the next

most important component of a properly laid out

lab is storage. Base cabinets and upper cabinets

are the mainstay for testing materials, including

such things as ELISA point-of-care tests. Base

cabinets are good for proper storage of such

things as bottles of reagent used with larger

testing machines like hematology analyzers. A

variety of open upper cabinets are also handy for

storage of quick reference books typically used

around the microscope station. Open adjustable

shelves with power located at the back side

are handy for storage of handheld rapid blood

analyzers or other smaller pieces of equipment

that may not be as frequently utilized. Most

of the work in a lab space should be done at a

comfortable sitting height of 30 inches off the

fi nished fl oor. Where necessary, microscope

stations can be raised an additional six inches

but will then require an adjustable-height chair

to comfortably sit at the scope station.

Th e quality of the cabinetry is also important.

Minimally, where you have laminate cabinetry,

PVC edge banding should be provided at all

outside exposed edges of your cabinet boxes

as well as on the edges of your counters. If you

can aff ord to splurge, consider phenolic resin,

high-pressure plastic laminate, stainless steel or

solid-surface countertops. Remember that no

matter what you select for your counter surface

you should always shy away from lighter colors.

Th e darker the material in the lab, the more

likely it will hide any stains on the surface.

Suffi cient general lighting, preferably LED,

along with task lighting at the main counter work

areas is another attribute of a well-designed lab

space. Power and equipment go hand in hand.

Laboratory spaces are power intensive. Making

sure that your design team and contractor are

aware of the specifi cations (and power draw) from

each of the various pieces of equipment will help

ensure you have the proper quantity of circuits

available. One nice way of providing suffi cient

power is by running a continuous commercial-

grade plug mold, fl ush to the top of the backsplash

around the entire room.

If you remember to thoughtfully consider both

the location of your laboratory and the elements

that compose it, instead of being a forgotten room,

it can become the hidden gem of your hospital.

Don’t forget treatment!

The treatment area deserves some thought too. Check out Vicki Pollard’s tips for tricking out your treatment area at the Veterinary Economics Hospital Design Conference August 23-25! Visit thecvc.com/hd to learn more.


Vicki Pollard, CVT, AIA, is a partner at Animal Arts

in Boulder, Colorado, and a Veterinary Economics

Hospital Design Conference educator.

>> At Coral Springs Animal Hospital in Coral Springs, Florida, the lab is laid out in a U shape in its own alcove with a door.

>> VCA Hillsboro Animal Hospital in Co-conut Creek, Florida, utilizes a linear setup with plenty of upper and lower storage space, a sink and inlets for seating.

PHOTO COURTESY OF THOMAS WINTER PHOTOGRAPHY;

TIM MURPHY, MURPHY FOTO IMAGERY


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ILLUSTRATIONS BY ADRIENNE WAGNER dvm360.com / Supplement to dvm360 / June 2017 / 23

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