2014 Jan-Feb WA Veterinarian Magazine by Washington State Veterinary Medical Association

Jan/Feb 2014 Volume 8 • Issue 1

Animal Welfare Organizations & Washington Veterinarians WILL VETS BE THE NEW ENFORCERS OF PET LICENSING? 20 NEW WA HAZARD COMMUNICATION RULES 12 Q&A: VETERINARY SPOTLIGHT 6 PUBLISHED BY WSVMA: BECAUSE BEING A VETERINARIAN IS MORE THAN JUST A PROFESSION. WSVMA.ORG

Who we are. We’re a community of Washington State veterinarians. We’re the ones who understand that being a veterinarian is more than just a career choice. It’s a deep sense of compassion for the health and healing of an animal. To us, it’s knowing that we’re doing our part to ensure our patients always have an ally. Because to us, our patients are not just pets, they’re valued members of the family. For this cause we have prepared ourselves with the latest advances in diagnosis and treatment. For this cause we are moved to do more. To us this is more than a profession, it’s who we are. Together, we are the Washington State Veterinary Medical Association. We believe more can be done. We believe more should be done. Ready to make a difference? Come join us.

Washington State Veterinary Medical Association 425.396.3191 info@wsvma.org wsvma.org

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ON POINT Are shelters to blame for a drop in revenue?

PRESIDENT’S MESSAGE A racoon, goose, and 3 legged tabby. Surgery stories.

VETERINARY SPOTLIGHT Practitioners’ perspectives on timely topics.

NEWSWIRE The latest veterinary news in Washington State.

A WORD FROM THE FEDERATION A letter from Denise McVicker.

NEW HAZARD COMMUNICATION RULES Do WISHA’s deadlines superseed OSHA’s?

Cover Story

SHELTERS & WA VETERINARIANS A look at our relationship with animal welfare organizations.

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MAKING WA VETS ENFORCERS? Encouraging pet licensure among clients.

RELIEF VETS In-state directory of available veterinarians.

CLASSIFIEDS Careers & practice listings.

On Point As a result of forming a workgroup comprised of Drs. Dave Gill and Sandy Willis, myself and two board members of the Washington Federation of Animal Care and Control Agencies, the Editorial and Publications Committee decided to devote this issue of WA Veterinarian to animal shelters and humane societies – what they do, how they work with veterinarians and how we might better work together. National veterinary news has recently highlighted non-profit shelters competing unfairly with veterinary small business and divisiveness has ensued. We’ve seen it here in our own backyard. The Revised Code of Washington (RCW 18.92.260) allows registered shelters and humane societies to provide sterilization, vaccinations and microchipping for qualified low-income pet owners. The law points to standard income levels used for other determinations within the state of Washington. This means that shelters cannot accept and treat as patients, animals from the general public. They cannot provide dentals or other services, nor can they provide sterilization for all pit bulls in the community as often promoted in Pit Bull (or fill in the breed here) Spay Days. They’re also not allowed to provide a service such as pet dentals in return for a donation to the shelter. There is an exemption, however, for municipalities who had voter-approved ordinances prior to when the legislation took effect in 2002. Seattle is one such municipality. The law does not mandate that shelters must verify income in what’s known as “meanstesting.” Many shelters, however, have pet owners sign an attestation as to their income level or provide some other proof of income. Generally speaking, the vast majority of shelters work to serve those in the community who have a difficult time paying for veterinary care and do not intend to steal business away from veterinarians. The truth is that Washington is a model state for the rest of the country in how the law is written and which services shelters and humane societies are allowed to provide. Washington is unique. The WSVMA was integral in the late 1990’s when the shelter community sought legislation that would allow shelters to operate full-service veterinary hospitals. The WSVMA quickly moved to amend the bill to direct shelters to only provide limited care. Most states have no such laws and non-profits are allowed to freely compete while enjoying tax benefits and large donations from the public to support the work that they do. I field calls regularly from veterinarians in other states who are interested in drafting legislation similar to what we currently have. I also commonly receive phone calls from members who wish to clarify what shelters can do and for whom, because they’re certain the law is being broken. Sometimes it is. One common theme I hear often from members is that they see pet owners in expensive cars

parked at humane societies. It’s common to assume expensive cars equal high-earning individuals. No one can say, however, that the pet owner driving that Beemer hasn’t been out of work for many months or if their spouse has endured $100,000 in medical treatment that has completely bankrupted the family. They may still drive the nicer car, but we don’t know the whole story. And yes, there will always be those that cheat the system. Members have complained that their well-off clients are unfairly accessing low-cost services for their pets. And shelters at times allow it to happen. But I don’t believe this is the norm. After several meetings with officials from the Washington Federation, it’s become clear that the vast majority of shelters are following the law and only providing the allowed services to qualified pet owners. I have found on occasion that an over-eager volunteer without supervision and who doesn’t understand the law gets them into trouble. A well-placed call or email usually clears this up, although repeated problems can be reported to the Veterinary Board of Governors.

January/February 2014 • Volume 8 • Issue 1 A Washington State Veterinary Medical Association Publication

Editorial & Publications Committee Dr. Richard DeBowes Dr. John Cannon Dr. Angela Lehman Dr. Jim McCutchan Dr. Donna Mensching Lexi Scott Dr. Debora Wallingford Dr. Saundra Willis

Editorial Comments & Contributions Please send all comments and/or contributions to:

Washington Veterinarian Magazine 8024 Bracken Place SE Snoqualmie, WA 98065 Tel (425) 396-3191 Toll Free (800) 399-7862 Fax (425) 396-3192 info@wsvma.org

I encourage you to pick up the phone and call the nearest shelter or group to introduce yourself. Becoming personally acquainted with them can provide an opportunity to know and understand each other and work mutually to benefit pets. Establishing a relationship can also help provide you a pipeline of new clients who have recently adopted a pet. Then, if you come across a situation where you suspect the shelter is overstepping, a conversation with your personal contact there can clear things up while maintaining open lines of communication and avoiding conflict.

Editorial comments and contributions must be received no later than the first day of the month prior to publication. Publication months are January, March, May, July, September, and November each year.

We’re all in this for the good of the animals and our community; we just have a different approach and mission. And luckily we have laws that protect our businesses as opposed to other states where shelters can deliver fullservice medicine.

WSVMA Executive Board

Veterinary practices suffered significantly in the Great Recession. And so when it comes to building our businesses back up and getting clients in the door, we want to make sure the competition comes from our colleagues, not the shelters. It means we also have to examine our business practices to ensure we’re taking all the necessary steps to attract new business and be more profitable. It’s often easier to place blame on exterior circumstances when carefully examining and updating your systems is in order.

Jocelyn Woodd, DVM

If we can change our perspective and choose to focus instead on the positive – that in concert with veterinarians, shelters provide assistance to animals and the community – we’re more likely to experience a cooperative spirit between both of our communities and improved services for animals – and improved businesses for us. Of course, there’s an occasional bad apple out there and they shouldn’t be ignored. But the majority of humane societies are doing good and we can partner with them to help each other and our patients.

Advertising

Please refer to the Classifieds Section for classified advertising details, rates, and deadlines. For commercial advertising rates and deadlines, please contact the WSVMA office at (425) 396-3191 or info@wsvma.org

Layout & Design Chris O’Toole chris@breightly.com breightly.com

Executive Vice President Candace Joy

Oﬃcers: President

President-Elect Erin Hicks, DVM

First Vice President Lisa Parshley, DVM

Past President

James McCutchan, DVM

Spokane

Lakewood Olympia Snohomish

Executive Board: Michael Anderson, DVM Paul DeMaris, DVM

Region I Region II

David Gill, DVM

Region III

Katherine Hickey, DVM

Region IV

Maurine Fritch, DVM

Region V

Stephen Ruark, DVM

RegionVI

Mark Shelton, DVM Michael Burdette, DVM

Region VII Region VIII

Diana Thomé, DVM

Region IX

Diane Pinkers, DVM

Companion Animal Practice

Chantal Rothschild, DVM Robert Holt, DVM

Equine Practice Production Animal Practice

Tamara Walker, DVM

Specialty Practice

William Dernell, DVM

College of Veterinary Medicine

Matt Sammons

Student Representative

AVMA

Candace Joy is the Executive Vice President of the Washington State Veterinary Medical Association. She can be reached at candacejoy@wsvma.org

Thomas Meyer, DVM Kim Nicholas, DVM Saundra Willis, DVM

Exec. Board, Dist. XI Rep. Delegate Alternate Delegate

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A racoon, a goose, and a 3 legged tabby. Surgery Stories.

President’s Message By Jocelyn Woodd, DVM, WSVMA President

By the time this has been read, Christmas will be over and done with. However, right now I am sitting by a cozy fire with snow falling outside and I am getting ready for a busy Christmas season. It’s a wonderful time to think about how thankful I am for my family, my staff and colleagues at work, and all of the board, committee members, and especially the staff at the WSVMA office that work so hard behind the scenes. Not a day goes by that they are not busy fielding questions from members of the public or veterinarians regarding many different issues. They are also busy organizing conferences, board meetings, dealing with insurance companies and legislators and the list goes on. There is Sherri Dean, who quietly handles all the day to day office activities with a smile on her face, and readily takes in a stray kitten that made its way in to the conference in Yakima. Christopher O’Toole, the newest employee, handles all the marketing strategies and technological aspects of the office. He is always willing to lend a helping hand. And, of course there is Candace Joy, who is the glue that holds this organization together. She is extremely knowledgeable when it comes to business management, and guides the rest of us on a day to day basis. We are very thankful to all of you at the office! One of the things the staff have been working on, along with Dr. Mike Mison, is the Surgery Specialists’ CE program scheduled on March 9, 2014 at Renton Technical College. This CE will cover different aspects of surgical care and will be taught by specialists from the Puget Sound area.

Surgery Stories We all have our preferences when it comes to veterinary medicine. Some of us really like the medicine and some of us thrive on surgery. I happen to love surgery. I enjoy everything from cystotomies, to removing undergarments from the intestines of dogs. The rock eating repeat offenders are especially fun! I also love the heat-ofthe-moment surgeries like a bleeding spleen, or big dog/small dog trauma to the chest or abdomen. Recently, I was presented with an adorable goose that had been

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attacked by a raccoon. There were multiple deep lacerations over the back and side of the abdomen that we repaired surgically. Later that day, the same client rushed back to the clinic with her tabby cat. Her neighbor, thinking he was shooting the raccoon that attacked the goose, accidentally shot her cat instead. The kitty needed an exploratory laparotomy as well as a hind limb amputation due to the bullet wounds. Fortunately, both patients did very well and it was a wonderful feeling to help these pets as well as their owner. The WSVMA consistently offers the best CE available both at our annual conference and these annual specialist days. Whether or not you thrive on surgery as I do, we hope to see you in March at WSVMA’s Veterinary Surgery Day.

9 UPCOMING CE SUNDAY, MARCH 9, 2014 SURGERY DAY *See insert for more details

Veterinary Spotlight

Practitionersâ&#x20AC;&#x2122; Perspectives on Timely Topics

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How do your practice and local shelter/rescue groups work together to achieve the shared goal of improving animal health?

Natalie Warren, DVM

Judy Hung, DVM

Brian Hunter, DVM

Metropolitan Veterinary Hospital Tacoma, WA

Eastside Veterinary Associates Kirkland, WA

Hunter Veterinary Clinic Spokane, WA

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“When I first opened my veterinary hospital in downtown Tacoma in 2006 we had several vacant feline boarding kennels. As a relief vet, I had spent quite a bit of time working in the veterinary department of The Humane Society for Tacoma and Pierce County, and I had an idea for continuing my relationship with them. Why not offer up our empty kennels to adoptable cats that might not otherwise fit in the overcrowded shelter? The Humane Society folks thought it was a great idea, so we started housing five to six adoptable cats at a time, and we are still at it nearly eight years later! All adoptions are processed through regular Humane Society (H.S) procedures and folks come back into our office with their completed adoption paperwork to take home to their new buddy. They usually send us the less adoptable cats. Kittens and young healthy adult cats generally have no problem finding a home at the H.S. However, some of the older cats and those with special needs or especially timid dispositions are easily overlooked at the bustling shelter. At Met Vet, they have all the time they need to settle in, get comfortable and eventually come out of their shells. While we usually find homes for our cats within a few weeks, there have been a few that stayed with us for several months or more before they found their perfect home. And, we have found a home for every single cat sent our way. Because we only house a few at a time, they get extra special time out of the cage during our slow times, and they get lots of attention from our clients during the busy times. Since we are a full-service veterinary hospital with top-notch pet owners as clients, our adoptable cats are often exposed to a certain number of people who might not have been thinking about heading to The Humane Society in search of a cat, but instead find a good match where they least expected it!”

⊲

What collaborations are not currently happening that would be mutually beneﬁcial for your practice and your local shelter/rescue groups?

“I would like to see more opportunity for medical and dental care for expensive but treatable medical problems our cats sometimes face. For example, advanced dental care, longlasting hyperthyroid treatment, and traumatic injury treatments. Our Humane Society has made great improvements in this area, but there is still a long way to go.”

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“MEOW Cat Rescue and our hospital have a mutual trust that serves as the foundation for our relationship. We are available for them whenever they need help with diagnostics or treatments for the shelter cats. They live true to their motto of “All Nine Lives are Precious” as they do not provide limits to what a patient needs. If it is feasible to try, we will oﬀer our best on behalf of these shelter cats. Together, we have countless stories of amazing recoveries from the worst conditions. There is no greater satisfaction as a veterinarian than to see a patient thrive after receiving the right medical care and tender loving care from the volunteers.”

⊲ “The collaboration we have with MEOW

beneﬁts both of us. They receive the medical care at a discounted rate from us and we get to keep our skills sharp with very interesting cases that are presented to us. Most recently, Dr. Robert Kramer of Veterinary Radiology, Dr. Deanna Androski (acting as Foster mom for MEOW), and Eastside Veterinary Associates diagnosed a kitten with feline Mucopolysaccharidosis. We have seen pectus excavatum, Ehlers–Danlos syndrome (a condition where their skin can just tear due to a connective tissue disorder), and countless cryptorchid male cats which makes our jobs exciting! You never know what you’ll see when a MEOW patient comes through the door in carriers lined by hand-made quilts made by volunteers.

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“In Spokane we have three principle shelters, SpokAnimal CARE, Spokane Humane Society and Spokane County Regional Animal Protection Society (SCRAPS). My practice has always offered free adoption exams to pets transitioning to a new family. Offering this service allows us to identify problems early, provide good client education regarding both medical and behavioral concerns for their new pet, and give the pet and the client that best first step in bonding. At this initial visit, among the topics we discuss are the requirements of licensing pets, microchipping for identification, and spaying/neutering, all of which are part of the mission of the shelters. In addition, the Inland Empire VMA has always allowed the shelters to have easy access to our monthly meetings to discuss any issue of mutual importance and share that information via our monthly newsletter.”

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“I recently discussed the need to help train area practitioners in assisting animal cruelty investigations to improve our skills in observation and reporting for potential legal action with SCRAPS. This would aid in presenting a more solid case should that become necessary. Currently SCRAPS plans to now oﬀer this training to vets as they train new oﬃcers within the next year.”

Annually, we support MEOW as a sponsor for their auction, and cat lovers from the region come together to raise money for the care of the animals. Our logos are imprinted on the swag bags, wine glasses, auction programs, etc. Together, we make an amazing team and raise a lot of money. I feel that it is an exemplary model for animal control agencies that have the same agenda of providing care to shelter animals, but are struggling with their budgets, to follow without having to resort to ﬁning pet owners and veterinary hospitals if ordinances like the Mandatory Rabies Reporting were to pass.”

january /february 2 0 14

candidate should submit to the WSVMA office a CV along with a one-page narrative outlining interest and experience by May 1, 2014. Nominations are sought from members who can bring strength, expertise and a capacity to contribute to the Board. Visit the WSVMA website at wsvma.org/ members/executive board & committees. Member login is required.

WSVMA awards nominations

Veterinary Newswire The Latest Veterinary News in Washington State

VCPR definition to be codified in WA

How Partners for Healthy Pets can help you see more clients

At the December 2, 2013 meeting of the Veterinary Board of Governors, the members voted to open a CR-101, which is a notification of intent to inform stakeholders that the Board will initiate rulemaking to consider defining the Veterinarian-ClientPatient Relationship (VCPR) in Washington Administrative Code. Washington is one of a handful of states where the VCPR has no legal definition. The Veterinary Board of Governors established an internal policy some years ago but it’s used only as a guideline when reviewing disciplinary cases. For more information on VCPR rulemaking and other activities by the Veterinary Board of Governors, sign up to receive emails at their Dept. of Health webpage.

Many of your “active” clients are, in fact, not active. Data from the practice management systems of over 5,000 companion animal practices revealed that over 50% of the pets considered “active” by the practices had not been in for a visit of any kind in over 18 months. It is these pet owners, who already have a relationship with you, that are the target of the Partners for Healthy Pets advertising campaign.

L&I rates set to rise in 2014 The WA Department of Labor & Industries announced that premiums for workers’ compensation will increase for the first time in three years. The average 2.7 percent rate increase for 2014 premiums is an increase of less than two cents per hour worked. The rate increase, which will bring in about $55 million in additional premiums next year, is an average for all Washington employers. Individual employers could see their rates go up or down, depending on their recent claims history and any changes in the frequency and cost of claims in their industry. For more information, visit the Dept. of Labor & Industries website.

The simple goal of the campaign is to get these pet owners to schedule an annual checkup. That’s why your use of the campaign materials available to you through free enrollment of your practice will help you see more clients! Sign up at partnersforhealthypets.org.

Call for Nominations for WSVMA 2013-14 Executive Board WSVMA is seeking nominations of qualified candidates to serve on the 2013-14 Executive Board in the following regions: Region 1 (Whatcom, Skagit, San Juan, Island) and Region 3 (King). Candidates for Production Animal Medicine are also needed to run. In each of the two regions as well as the practice type, the current representatives are eligible to run for a second term. Nomination of a candidate can be made by any member in good standing, by local associations, or by self-nomination. The

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At the WSVMA Annual Conference September 26-28, 2014 in Yakima, the WSVMA will present awards to those that have contributed significantly to the veterinary profession in Washington. The 2014 awards that will be presented include Veterinarian of the Year, Distinguished Achievement, WSU Faculty Member of the Year, Distinguished Veterinary Staff, Humane Animal Welfare, Student-Recent Grad and Allied Industry. Please submit nominations to the WSVMA office using the enclosed form no later than April 1, 2014.

Directory changes In the spring, the WSVMA will publish the 2014 Member Services Directory. In order to make sure your contact information is correct, please visit the WSVMA website and log in to review and update your information. Members can also contact the WSVMA office with any changes to your contact information so that your listing is included correctly. Call the WSVMA office or email info@wsvma.org with your new information no later than February 1. The 2013 Member Services Directory is still available for downloading from the WSVMA website.

Member News and Moves Dr. Richard DeBowes, WSU-CVM, made the Top 100 in the John C. Maxwell Leadership Awards, which recognize individuals across the globe for outstanding leadership and specific accomplishments that are truly extraordinary, widely recognized as such, and of a positive and lasting quality. Dr. DeBowes is the founder of the Veterinary Leadership Experience (VLE) and directs the professional life skill development program at WSU that teaches veterinary students about leadership and communication.

Nikki Nitz, CPA, CMA | Kelly Jackson | Simmons & Associates Northwest 208.664.3100 | simmonsinc.com | northwest@simmonsinc.com

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adoption packet that offers a free wellness examination to the adopter for their new pet. After the preliminary examination there is also a complimentary 14 day follow-up for treatment worth up to $500 in value for conditions that include upper respiratory infections, vomiting or diarrhea of infectious origin among others. The veterinarians at the corporate hospitals offer these services as part of an ongoing program in support of shelter adoptions and the veterinarians donate time to the program. The greatest benefit to the shelter or rescue agency is that the animal may receive treatment that prevents the animal from being returned to the shelter because of initial expense.

A Word from the Federation By Denise McVicker

Dr. Dave Gill, Dr. Sandy Willis and Candace Joy formed a workgroup in 2012 with two board members from the Washington Federation of Animal Care and Control Agencies, Denise McVicker and Kay Joubert. The purpose of the workgroup is to: •• explore how shelters and veterinarians can work together to improve the outcome for pets and reduce overpopulation •• discover and address issues that exist between shelters and veterinarians •• examine successful relationships already in place as examples for shelters/ veterinary practices •• encourage a lifelong relationship with a veterinarian from the date of adoption •• explore and promote our common goals

The Washington Federation of Animal Care and Control Agencies’ members consist of many types of animal care, animal control and rescue agencies as well as spay and neuter centers. The active Board of Directors is comprised of Executive Directors, Managers and Supervisors of humane societies, animal control agencies and other non-profit animal welfare agencies. Many, if not all, of the members utilize partnerships with veterinarians and veterinary clinics. Not all agencies have veterinary staff in their shelter so often outside veterinary clinics are relied upon. Many clinics also offer a reduction in treatment fees for animals that shelters and rescue agencies send to them for

care. By having these cooperative agreements the animals get needed treatment and it helps to foster a better understanding of the role that shelters and rescues play in the community. There is also the circular effect of shelters supporting veterinary practices. Another opportunity for cooperation exists with veterinary clinics who offer a very reasonable, standard rate to agencies for regular or routine treatments. An example of this might be an agreement to receive an injured animal and charge a standard rate for basic triage and stabilization and then overnight hospitalization. This relationship allows for immediate, professional care for an injured stray and assists the agency with controlling costs as well. This type of relationship and the generosity of veterinarians is very much appreciated by the agencies and has great value for pets in need of care. Many shelters utilize a program which allows adopters to take their newly adopted pet to a participating veterinarian for a wellness examination. The agencies normally establish an agreement with area veterinary clinics that allow newly adopted animals to come in for this first time examination at no cost. The new adopters are asked to establish a relationship for their pet at one of the veterinarians on the list if the adopter does not already have one. By having a cooperative relationship with the veterinarians in the shelter’s area, the pets have an opportunity to receive good care and there is also the opportunity for veterinarians to gain new clients. Some shelters utilize a cooperative program with a veterinary corporation. Those shelters that have an agreement with the corporate hospitals have a certificate included in the

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Many shelters offer veterinarians and veterinary technicians an opportunity for internship at their agency. This is a great opportunity for these folks to consider whether or not they might have an interest in shelter medicine. Shelter medicine is very different than veterinary clinic medicine, in that “herd health” is the primary focus rather than the health of individual animals. The veterinarians in shelter medicine also do not interact with the owner of each of the animals and frequently see many more animals in a single day than some private veterinarians might see in a week. Many of the agencies in Washington have great relationships with area veterinarians for events such as World Spay Day. For example, PAWS and The Humane Society for Tacoma and Pierce County and others have extensive lists of partnering veterinarians who work together on the last Tuesday in February to alter as many animals as possible in a single day. Some clinics offer a greatly reduced rate for that day’s surgeries and/or accept a voucher from their partner shelter which reduces the cost of the surgery for the pet owner. This is a great example of reciprocal relationships. A few other examples of relationships with the veterinary community are: •• Hiring relief veterinarians for fill-in •• Paying specialty veterinarians for radiology interpretation, advanced dental work, orthopedic surgeries and others •• Sending out diagnostic / laboratory work We enjoy working in a mutually cooperative way with the veterinary community and look forward to new opportunities and relationships. I know that there are times when veterinarians may have a concern about the treatment of animals in a certain shelter or rescue, or they may see some animals come to them in a questionable condition. I hope, through the effort of the dialogue between the Federation and the WSVMA that veterinarians will feel more empowered to either speak with someone at the agency in question or open a dialogue with Candace Joy or Dr. David Gill of the WSVMA.

— Denise McVicker is the president of the Washington Federation of Animal Care and Control Agencies and is the deputy director of the Humane Society for Tacoma and Pierce County. She can be reached at denisem@thehumanesociety.org.

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Making Sense of the New Hazard Communication Rules

he Occupational Safety and Health Administration (OSHA) recently revised the Hazard Communication Standard in order to improve comprehension of hazard information found on product labels. Safety Data Sheets (SDSs) will replace the current Material Safety Data Sheets (MSDSs), which will more effectively prevent injuries and make it safer for workers to do their jobs. The federal deadline for compliance to train employees was December 1, 2013. In Washington, however, the WA Industrial Safety and Health Act (WISHA) doesn’t require compliance to begin until June 1, 2014. WISHA supersedes OSHA for all but federal workers. But that doesn’t mean you should wait to prepare.

Major changes to the hazard communication standard include the following four areas: 1. Hazard Classification: For each chemical, the chemical manufacturer or importer must determine the hazard classes, and where appropriate, the category of each class that applies to the chemical being classified. Employers are not required to classify chemicals unless they choose not to rely on the manufacturer’s classification. 2. Labels: The information on labels will become more standardized to increase employee comprehension of the potential hazards and precautions. New labels will feature hazard pictograms, a signal word such as “danger,” hazard and precautionary statements and both a product and supplier identifier. 3. Safety Data Sheets: The new standard will have a specified 16-section format and replace what is currently known as a Material Safety Data Sheet (MSDS). 4. Information and training: Employers are required to train workers by June 1, 2014 on the new label elements and SDS format to facilitate recognition and understanding.

Written Hazard Communication Plan Employers must develop, implement, and maintain a written hazard communication program which describes how the criteria for labels and other forms of warning, safety data sheets, and employee information and training will be met, and which includes the following:

1. A list of the hazardous chemicals known to be present using a product identifier that is referenced on the appropriate safety data sheet (the list may be compiled for the workplace as a whole or for individual work areas); 2. The methods the employer will use to inform employees of the hazards of nonroutine tasks (for example, the cleaning of reactor vessels), and the hazards associated with chemicals contained in unlabeled pipes in their work areas; 3. The employer may rely on an existing hazard communication program to comply with these requirements, provided that it meets the criteria established in this section; and 4. The employer must make the written hazard communication program available, upon request, to employees.

Employee training Employers must include in their employee training the minimum following elements: 1. Methods and observations that may be used to detect the presence or release of a hazardous chemical in the work area (such as monitoring conducted by the employer, continuous monitoring devices, visual appearance or odor of hazardous chemicals when being released, etc.); 2. The physical, health, simple asphyxiation, combustible dust, and pyrophoric gas hazards, as well as hazards not otherwise classified, of the chemicals in the work area; 3. The measures employees can take to protect themselves from these hazards, including specific procedures the employer has implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures, and personal protective equipment to be used; 4. The details of the hazard communication program developed by the employer, including an explanation of the labels received on shipped containers and the workplace labeling system used by their employer; the safety data sheet, including the order of information and how employees can obtain and use the appropriate hazard information; and 5. Document when employee training is conducted and obtain signatures verifying comprehension of the updated information on labeling and hazard communication. Save the new SDSs that arrive with new procurement orders and replace MSDSs with the new SDSs for your recordkeeping. If you maintain a hardcopy notebook, discard the old labels and insert the new ones. If using an electronic database, delete the old and save the new labels. Finally, communicate with your suppliers and vendors that your practice expects the new SDSs with future orders.

Secondary labeling Employers are not required to label portable containers into which hazardous chemicals are transferred from labeled containers, and which are intended only for the immediate use of the employee who performs the transfer.

Exemptions The following are exempted from the new requirements: •• Hazardous waste that is regulated by the Environmental Protection Agency; •• Any food, food additive, color additive, drug, cosmetic, or medical or veterinary device or product or any such product that already has labeling requirements by the FDA or USDA; and •• Any drug when it is in solid, final form for direct administration to the patient (e.g. tablets or pills); this exemption does not apply if pills are used as an ingredient in making another product of formula, nor does it apply to capsules, liquids, gels or powders.

Important WISHA Dates June 1, 2014 Train employees on the safety data sheet (SDS) format and new label elements. June 1, 2015 Chemical manufacturers and importers are required to comply with new requirements. Dec. 1, 2015 Distributors must ship products with new labels. June 1, 2016 Employers must update labels on “workplace” containers and train employees on newly identified hazards. Update the Hazard Communication Program, as needed.

Important Links are posted on the WSVMA website under Government Affairs/Regulatory Activity. Information includes: •• Current hazard communication rules in Washington •• Hazard Communication and the Globally Harmonized System (GHS) •• FAQs about the Global Harmonization System •• Hazard Communication/GHS Rules Update e-Lesson •• SDS 101 – Reading and Using Safety Data Sheets •• Sample Written Hazard Communication Program

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Animal Welfare Organizations vs. & Washington State Veterinarians By David Gill, DVM & John Cannon, DVM

here are estimated to be over 400 Animal Welfare organizations of one-type or another in the State of Washington. These organizations run a gambit of the smallest one person backyard operations focusing on a single breed or species that works under the radar, to large urban shelters with scores of employees and volunteers and with multi-faceted operations. Some organizations contract with municipalities to operate animal control services, while others have strict missions around only spay and neutering animals, or only adoptions. In the last year alone, more than 20 groups are estimated to have started operation in the state. It is no wonder then that many veterinarians express ambivalence and even mistrust of the animal welfare community. With the diversity of organizations with which we veterinarians commonly come in contact with, it is hard to know which ones are providing a good service to the community, and which are simply wellintentioned but unskilled amateurs, or even worse, are simply animal hoarders. As veterinarians entrusted with the human and animal welfare of our communities, it is incumbent that we understand and work with these organizations at least at some level. At the very least we must acknowledge that a large percentage of our clients have adopted their pets from these groups. Many veterinarians work closely with these groups on issues of community vaccination promotion, animal overpopulation, and feral cat control. Many of our colleagues are directly employed by the larger of these organizations.

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Veterinarians may sometimes feel threatened by the operations of a few of these groups. They feel that these groups may be overstepping their legal boundaries in providing veterinary care to the public. Many of these organizations have expectations that veterinarians should provide discounts for many services. Sometimes a veterinarian will see a recently adopted pet with a serious infectious disease (as I did just this past week when a four month old puppy presented with parvovirus.) We then have to inform the client that their pet, which they adopted four days prior, has contracted a serious and expensive illness for which they are now responsible to treat. This highlights concerns about conditions in some shelters where disease and parasite control is imagined to be poor. It can make one wonder what sort of places these groups are running and are they really a benefit to our communities, our clients and our practices. Approximately one year ago, recognizing that there was a disconnect between the many veterinarians in the state and the state animal welfare community, the WSVMA Executive Vice-President Candace Joy, Alternate AVMA Delegate Sandy Willis and myself formed a small “task force” to have informal discussions with some members of the board of the Washington State Federation of Animal Care and Control Agencies. Since then we have had several fruitful discussions around common interests of the two communities. As a result of those meetings I decided that I should make a point of “investigating” some of the animal welfare organizations to see first hand how they run and to find out what their views of the veterinary community might be, and to let them tell me the other side of this veterinary/animal welfare organization relationship.

PAWS: Progressive Animal Welfare Society, Lynnwood, WA PAWS has been in existence since 1967, first started by people concerned with pet overpopulation. The organization originally raised money to pay for pet sterilization via a thrift store they operated in Lynnwood. The store became swamped with cats and dogs brought in by people who hoped PAWS would take care of them. Within two years, PAWS opened a companion animal shelter in what was then rural Lynnwood to house, care for and find homes for lost, abandoned, unwanted, homeless companion animals. PAWS also began receiving sick, injured and orphaned wild animals. In response to this need, PAWS began rehabilitating local wildlife in 1981. PAWS has grown through the years but has continued to focus on companion animal adoption and wildlife rehabilitation. They do provide low-cost spay and neutering to low-income qualified owners, as well as advocacy and education campaigns. In 2012 PAWS handled 3,968 companion animals and found homes for 3,267 cats and dogs and has an overall “save rate” above 94%. PAWS also rehabilitated and returned to the wild over 800 wild animals. PAWS had total expense of $3,399,307 and total revenues of $3,491,581. About 5% of the revenues were derived from municipal contracts to provide shelter services for several King and Snohomish County cities. I toured the facilities and spoke with Kay Joubert, Director of Companion Animal Services. Kay emphasized the PAWS commitment to working with local veterinarians as much as possible. She mentioned a very generous discount program VCA hospitals offered their adopters. She described the PAWS mission to educate people on how to be better animal guardians. Essential to this guardianship is a relationship with a veterinarian and PAWS sees fostering this relationship as integral to their mission. When asked about PAWS’ provision of veterinary services, she emphasized that the only services they provide are lowcost spays and neuters to low –income qualified individuals. Each applicant for a low cost spay/neuter is interviewed by a PAWS employee and asked for verification of their low income status. Vaccines and microchipping are also provided for a fee, all of which is allowed under Washington State rules. PAWS provides no other veterinary services to the public. Kay was quite firm in her position as she says there is no incentive for PAWS to do so; it is not their mission, they have limited resources, they want to work within the law and it is important to foster positive relationships between pet owners and their veterinarian. Kay spoke to me of a practice in the animal welfare community of which I was unfamiliar, that of transfers between

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organizations. PAWS works with several other organizations around the state to move adoptable animals, most often dogs, from places where the shelters are overflowing and animals are less likely to be adopted, to PAWS where their odds are much better. There are also “pockets” of breed types as well. A shelter in Eastern Washington may have too many Chihuahuas but few hunting dogs or other breeds. Moving Chihuahuas, say, from one locale where they are “overrepresented” to another locale where demand may be higher improves there likelihood of adoption. PAWS concentrates on transfers within the state whereas some other organizations will transfer from out of state more often. There are some risks in transfers and Hurricane Katrina taught them many lessons in that regard. The Animal Welfare Community here in Washington is much more careful than they may have been in the past. Protocols, record keeping and standards are much more in force than they were at that time. The facilities at PAWS were very clean and isolation protocols were clearly enforced. Many ill or at risk animals are fostered outside of the facility, which I found to be a practice in many other shelters that I visited.

Humane Society of Central Washington, Yakima, WA The Yakima Humane Society is in its 110th year. Its original mission was “To aid, succor, defend, protect, and otherwise befriend those persons and animals who need or will benefit by such aid, succor, defense, protection or befriending.” It is housed in a relatively small but new and well maintained facility, completed in early 2012. There are only three full-time staff members but an army of volunteers that do much of the work. This is true of many shelters but seems more so in Yakima where the annual budget is only about $1,000,000. The work done at this facility is all the more impressive when you consider they took in over 7,000 cats and dogs in 2012, compared to less than 3,000 in the City of Seattle shelter. Yakima Humane provides animal control services to several Yakima County cities as well as the Yakama Nation tribal areas, but not to the city of Yakima or the unincorporated parts of Yakima County. They do take in animals brought from those municipalities; this is a huge area of coverage for one small shelter. I spoke to Wendy St. George, Executive Director and Vaughn Merry, Director of Operations. When asked, they readily credited the many community volunteers for the relative success of the shelter. When I broached the subject of any misunderstandings or mistrust between the veterinary community in Yakima and the Humane Society they seemed incredulous. The relationship there seems to be quite healthy. The shelter does not have any

facilities for surgery or outpatient veterinary care. Shelter care is provided by outside veterinarians. Wendy was quite surprised at the suggestion they might provide outpatient veterinary care. Like PAWS, the Yakima Humane Society seems intent on following the law and they do not have the resources at any rate. The spay/neuter programs that Yakima Humane provides are financed by a local coalition including several welfare groups as well as the Yakama Nation. Vouchers are provided for low-income qualified applicants for a “co-pay” of $10-30 and surgeries are provided by local veterinarians for no additional charge. Wendy was quite proud to show me around the beautiful and well-maintained facility. She was also proud that Yakima Humane Society has been able to cut its euthanasia rate considerably in recent years. Their goal is to get up to a save rate of >90%. They are currently at 67%, up from 26% eight years earlier. A good portion of this improvement is due to transfer programs as discussed above. Yakima transferred over 1,500 animals to other shelters in 2012. Disease control is maintained by strict isolation of newly arrived animals and fostering of ill and high-risk animals to the many local volunteers.

The Humane Society for Tacoma and Pierce County The largest animal welfare organization in the state, The Humane Society for Tacoma and Pierce County, also appears to be the oldest, in operation for 125 years. The 1888 articles of incorporation list the purpose of the Tacoma Humane Society as “promoting humanity and kindness and preventing cruelty to both man and the lower animal.” Today, the mission remains much the same:

advancing the welfare of animals and promoting positive relationships between animals and people. The Society had operating expenses of approximately $3, 777,000 in 2012 (on revenues of $4, 692,000). About 21% of the revenue comes from animal sheltering contracts. It took in about 11,200 animals in 2012, adopted or returned to owners 8,057. In addition to animal sheltering and adoption services, the Humane Society has an Emergency Pet Food Bank for those in need, as well as grief counseling. Vouchers for low cost spay and neutering is available for low income owners. Funds for this program are all derived from donations. The Society reviews the applications, certifies the income status and issues a voucher which is accepted by many local veterinarians. Veterinarians are allowed to charge for extra services. Again, no outpatient veterinary service is provided for owned animals, but there is a full-time veterinarian and veterinary staff to take care of the shelter animals. I toured the facility with Denise McVicker, Deputy Director. The facility was quite busy for a midweek afternoon. There were dozens of prospective adopters touring the kennels, and the incredibly well-trained staff clearly had lessons in customer service. I met the shelter veterinarian, Dr. Kim Robbins. She described the procedures and care by which they try to safeguard the health of the shelter animals. Again, the ill and at-risk animals that can be fostered out are. Some animals by necessity must remain in the shelter but isolation wards and procedures are in place to minimize contamination. She allowed that they have, on occasion, had outbreaks, but they are few and far between.

“Yakima Humane Society has been able to cut its euthanasia rate considerably in recent years. Their goal is to get up to a save rate of >90%. They are currently at 67%, up from 26% eight years earlier.”

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The greater Spokane region has three animal shelters. The Spokane County Regional Animal Protection Service, SCRAPS, is a government agency. SpokAnimal and the Spokane Humane Society are privately owned non-profit organizations. All of these shelters have a good working relationship with the veterinarians who practice in the Spokane area. The directors of all three shelters attend one of the IEVMA monthly business meetings regularly to keep the local veterinarians updated on the services and programs they have to offer.

SCRAPS Until the end of 2013, SpokAnimal will be the animal control agency for within the Spokane city limits. On January 1, 2014 SCRAPS will take over the contract to provide animal control for the city of Spokane and they will retain their current role as the agency for unincorporated Spokane County and most of the smaller towns in the Spokane region.

past years they were contractually involved in animal control but their current role is to operate a companion animal adoption shelter which places 2,500 to 3,500 animals per year. Information provided by the Humane Society states that “by mandate from the Spokane Humane Society’s board of directors in January 2006, SHS stopped euthanizing animals due to lack of space. Limited resources and available kennels made it impossible to continue to accept unlimited animals and made it necessary to work with our community partners in animal control and breed specific rescue evolving to our current day ‘Reservation Required’ shelter.” Although this policy led to fewer animals being accepted into the shelter, it increased the placement rate from 52% up to 96%. The Humane Society receives adoptable

One of SCRAPS most successful programs is the Spay/Neuter Voucher program. A portion of each license fee is placed in a special fund. A voucher with a specified monetary value is given free of charge to any citizen when they buy their first license for an intact animal acquired from a pet shop or private party. The voucher is then presented as partial payment to any veterinary clinic performing the sterilization surgery and the voucher is then redeemed for cash from SCRAPS by the clinic.

Spokane Humane Society The Spokane Humane Society (SHS), established in 1897, is a 501c3 non-profit local public charity which operates the larger of the two remaining shelters. Their motto is “Adopted is our Favorite Breed.” In

SpokAnimal has several interesting programs. “Snip-Pit” is focused on sterilizing Pit Bulls and Pit crosses which makes up 31% of dogs entering SpokAnimal. The owners have a $25 co-pay. A foundation grant allows public outreach to provide spay and neuter services for animals belonging to people who require financial assistance. “Farm Livin is the Life for Me” provides spay, neuter and rabies vaccinations for at-risk cats, which are then placed in farm settings. This program has greatly reduced the euthanasia rate of feral cats. “Spay Yo Mama”

“Although this policy led

Because the present SCRAPS shelter is too small to house the Spokane County and Spokane City animals when they become a “regional animal control” agency, the government of Spokane County has purchased a much larger and more centrally located building which is being remodeled to meet the future needs. The money budgeted to SCRAPS by Spokane County only allows for modifying the building that houses stray and lost pets in order to provide pet owners with a single location to look for their lost animals, purchase an animal license, or find a new pet. SCRAPS, along with the other shelters, requires that all adopted animals must be spayed or castrated, vaccinated and microchipped before leaving the shelter for their new home. SCRAPS does not employ a shelter veterinarian. Medical and surgical services are provided by Spokane area veterinarians and evening and weekend emergency care is provided by the Pet Emergency Clinic, a corporate business whose shareholders are all Spokane area veterinarians.

funding and need to receive private contributions to maintain their programs. They have received some large grants which will allow them to continue their programs through 2014 but they’re apprehensive about the future. Fortunately, the directors of SpokAnimal and the Spokane Humane Society are good friends and share advice.

to fewer animals being accepted into the shelter, it increased the placement rate from 52% up to 96%.” animals from the public but also temporarily shelters stray animals from animal control agencies when their shelters are overcrowded and educates the public about humane issues and responsible pet care. Spokane Humane Society does operate a veterinary clinic. The clinic provides care for the shelter animals, spays and castrates all adopted animals before they leave the shelter for their new homes and provides low cost spays, neuters and vaccinations for the less affluent of the animal owning public. These clients are required to sign documents attesting that their income meets Washington State’s guidelines.

SpokAnimal SpokAnimal (originally named SpokAnimal CARE for “Companion Animal Relationship Enrichment”) is also a non-profit 501c3 shelter. Many years ago SpokAnimal took over the contract to provide animal control for the city of Spokane, which had previously been awarded to the Spokane Humane Society. At the end of 2013 that contract will expire and SCRAPS will handle Spokane’s animal control. SpokAnimal will be entering a new phase in which they will lose their government

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provides a free spay for bitches and queens who are brought in with their litters. The puppies and kittens are kept for adoption, the mother dog or cat is spayed and sent home but the owner must pay to have the animal licensed. SpokAnimal does operate a low-cost spay, neuter and vaccination clinic and clients are “means tested” by a process similar to that of the Spokane Humane Society. All three shelters adopt out animals from the shelters’ locations but also have made arrangements with local pet stores and rescue groups to exhibit adoptable animals at their locations. In addition to adopting out animals which they have received locally, they are involved with transfers of animals to and from shelters in other geographic areas that experience a need for or have a surplus of adoptable animals. Two of the Spokane area shelters also have programs which benefit the veterinary students at WSU. SpokAnimal partners with the College of Veterinary Medicine which transports shelter animals from Spokane to Pullman on Mondays and returns them on Fridays allowing the students to perform physical exams, vaccinations and sterilizations. The Humane Society provides mentoring for students who are interested in shelter medicine.

The students come to Spokane and work with the doctors in the shelterâ&#x20AC;&#x2122;s veterinary clinic Some time ago SCRAPS proposed to require all veterinary clinics in their region to provide the personal information of clients who had animals vaccinated for rabies. Veterinarians met with SCRAPS administrators and Spokane County officials and reached a compromise where the veterinary clinics would stress the importance of animal control and highly encourage their clients to license their animals. Veterinarians in the Spokane area have a good working relationship and are supportive of the work done by our three regional companion animal shelters. The shelters use the services of Spokane veterinarians and allow veterinarians to serve on their boards of directors. They look to us for advice when they experience problems and also meet with the IEVMA periodically to keep us informed about their programs. There may be animal welfare operations in Washington that do not follow procedures set out by law for veterinary practice or that may not practice good animal husbandry, but I found no evidence of this in my admittedly small sample. Quite the opposite was the case. I found executives and staff at all three facilities quite welcoming and very forthcoming about the issues they face and the procedures they practice. They all actively tried to include local veterinarians in their programs and all professed a willingness to do so in the future. I strongly urge any veterinarians who are facing difficulties with a local animal welfare organization to try to openly discuss your issues with that organization. If you feel you are not being heard or if you would like assistance, please get in touch with Candace Joy or me and we will gladly do what we can to investigate or mediate. In the mean time, Candace, Sandy and I believe there is much to be gained for our profession, as well as animal welfare in general, if we continue to positively engage with these groups. The three of us will continue working with the Federation to discuss mutual concerns and issues. The perceived problems that we veterinarians have with the humane organizations in our areas may be, to a large degree, misperceptions. I believe that engagement and understanding will be the key to a better relationship between the profession and the animal welfare community. WA

â&#x20AC;&#x201D; Dr. David Gill is a small animal practitioner at ACCES and serves on the WSVMA Executive Board. He can be reached at dgill@criticalcarevets.com. â&#x20AC;&#x201D; Dr. John Cannon is a retired small animal practitioner from Spokane and serves on the WSVMA Eds andPubs Committee. He can be reached at johne@ptera.net.

Making Washington Veterinarians Enforcers?

s you know, Regional Animal Services of King County (RASKC) reached out to the WSVMA indicating their need to increase the number of licensed pets in order to raise revenue to continue supporting their model of providing animal services to various jurisdictions within the County. Currently, less than 20% of cats and dogs in King County are licensed even though it’s required by law. King County needs veterinarians to assist with increasing pet licensure in order to help them sustain their model that is Regional Animal Services of King County (RASKC). Rather than County officials passing an ordinance that would require veterinarians to report private client information after rabies vaccinations, they agreed to allow veterinarians to voluntarily encourage pet licensure in the hopes that the number of licensed pets increases in a dramatic fashion. Veterinarians who practice in King County have until the end of March to demonstrate that they can encourage their clients to purchase a license. King County officials have set the bar at 10,000 new licenses by that time. Otherwise, it’s back to the Council attempting to pass an ordinance. When meeting with County officials, it became clear that their current model has some inherent problems that will make it difficult for us to be successful. •• Pet licenses are $30 in King County, one of the most expensive in the country. In a time when many can’t afford an office

visit to the veterinarian, $30 presents a barrier for many pet owners. There has been no effort by RASKC to determine what impact, if any, the high cost of licensing has had on RASKC’s low rate of licensing success. •• The low number of currently licensed pets in King County suggests that pet owners see little value or return on their investment when licensing their cat or dog. •• RASKC suffers from a poor public image and despite our best efforts to communicate how to improve that, we have not been listened to. •• Their outdated marketing materials must be greatly improved in order to communicate RASKC’s value, and to be effective in convincing pet owners to license their pets. Instead of promoting the positive aspects of RASKC (e.g. helping animals, and improving public health and safety), current materials carry a punitive message of “it’s the law.” King County changed them based on our advice but much more improvement is needed. •• The wrong group is being targeted for licensure. Pet owners who bring in their pet for routine veterinary care and vaccinations are responsible pet owners and likely already have their pets licensed. •• The WSVMA represents only half of the veterinarians who practice in King County, making it difficult to get cooperation and participation from enough veterinarians to reach their goals. In addition, this could have a major impact

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on our members who are located in the RASKC jurisdictions if pet owners hear about the possibility of a mandatory reporting system and choose to take their animals to veterinarians in the many King County jurisdictions not covered by RASKC. •• We were critical of what we saw as a lack of implementing other methods to increase licensure and relying too heavily on veterinarians. The County’s response was that they have a number of other ways of reaching out to the community. •• The opportunity to talk to pet owners about licensing their pet does not present itself at each and every veterinary visit. For example, a pet owner who brings in their sick animal should not have to endure a discussion about purchasing a license. •• Even if pet owners license their animal after a conversation with a veterinarian, it’s unclear if King County can attribute that licensing to the veterinary community’s efforts as the pet owners can license their pets through King County on their own. In order for this to remain a voluntary effort, the WSVMA is encouraging members in King County to take an active step to inform clients about the benefits of licensing their pet and the services the revenue provides for the community. By participating and talking to clients about pet licensure, perhaps we can lessen the chances of King County veterinarians being forced into releasing private client information. WA

Relief Bank

Do You Want to Be in the WSVMA Relief Bank? All you have to do is email or fax the WSVMA offices with your information. If you are a current WSVMA member, your ad is free! Contact classifieds@wsvma.org or fax to (425) 396-3192 to get your ad started!

Dr. Shelly Aber Auburn ‘99 SA Medicine, Surgery (425) 427-6715 (425) 445-9967 aberdvm@comcast.net

Dr. Patricia Dorsey IL ‘84 Cats and Dogs (253) 851-8234 (Gig Harbor) reliefvet@dorsey.cotse.net (preferred contact)

Dr. Brian Hur WSU ‘11 SA, Medicine/Surgery/Dentistry, ER/CC Greater Seattle Area (206) 856-0928 brian.hur@gmail.com

Dr. Sonia Amador Ross and Cornell ‘03 SA General Medicine and Surgery Greater Seattle area, 7 days (505) 423-0234 seamador@msn.com

Dr. Robyn Fry WSU ‘06 SA Medicine King & nearby Counties (425) 244-5776 robyndvm@gmail.com

Dr. Douglas Anderson WSU ‘94 (360) 249-3550 doug270@gmail.com

Dr. Tracy Fuelleman MIN ‘89 SA Medicine Greater Puget Sound area (206) 361-8009 tracydvm@hotmail.com

Dr. Julie Janiak Colorado State University ‘07 Small Animal Medicine, Surgery, Emergency and Acupuncture Internship trained Greater Spokane Area and nearby counties (970) 420-9556 jagej@hotmail.com

Dr. Veeda Angell WSU ‘04 SA/MA King, Snohomish, Pierce and Thurston Cos. (509) 432-3225 vangell_dvm@hotmail.com Dr. Janice Anthony WSU, ‘03 Small Animal Medicine King and neighboring counties Short notice OK jaadvm@cs.com Dr. Rebekah Beam MO ‘06 SA Medicine & Surgery, SA Emergency and General Practice Internship and Small Animal Surgery Residency Trained (314) 504-4142 rcbeam@yahoo.com Dr. Bela Belle Tufts ‘97 ER, SA Medicine/Surgery, PT (425) 770-3193 Dr. Evelyn Bittner MSU ’91 SA Medicine/Surgery Greater Seattle & Eastside area (206) 301-0580 evelynbittner@comcast.net Dr. Frank Bousaid TAMU ‘95 SA, Acupuncture/Chinese Herbal Therapy Eastern Washington including Wenatchee, Moses Lake, Spokane (206) 683-3770 snohobear@gmail.com Dr. Kimber C. Brawley KSU ‘89 SA & Exotics, Medicine/Surgery, some Orthopedics King & Snohomish (425) 367-1288 docb333@aol.com Dr. Stacy Chartrand WCVM ‘01 Small Animal Medicine, Surgery and Emergency and Critical Care Greater Seattle and Eastside (206) 445-9994 stacychartrand@gmail.com Dr. Leah Cloud WSU ‘05 SA Medicine King County (425)223-7618 leahclouddvm@gmail.com Dr. Betsy DiPasquale WSU ‘95 SA Medicine, Surgery, Dentistry Greater Seattle Area/Eastside (206) 909-0144 bdipasquale1@gmail.com

Dr. Catherine Gamber Texas A&M 2011 Small Animal Medicine and Surgery, ER, Exotics Greater Seattle Area (281) 352-3987 catherine.gamber@gmail.com Dr. Michelle Gengler ISU, ‘05 Small Animal North King and Snohomish County Short notice OK (206) 920-0219 genglerdvm@gmail.com Dr. Sarah Gimmestad WSU ‘05 SA medicine and ER/CC Kitsap Peninsula, Olympic Peninsula, Some Pierce County (360) 692-1400 srgdvm@gmail.com Dr. Christina Gray WSU 2004 SA medicine and surgery South King, Pierce, and Kitsap counties (253) 226-8952 tmg117@Yahoo.com Dr. Jessica Haggar Ross ‘05 Small Animal Western Washington (206) 817-2251 jessicahaggar@gmail.com Dr. Emma Harvey Edinburgh, Scotland ‘12 SA medicine & surgery, Food animal, equine, exotics Anywhere in WA, Short Notice OK (206) 601-0620 emmarosefiala@gmail.com Dr. Lee Harris WSU, 1974 Pierce, Snohomish and King Counties Small Animal Medicine with Surgery (253) 569-5360 dr.harris@pacificcrestvet.com Dr. David Hildreth MO ‘70 Small Animal (360) 914-1234 dhildr9770@aol.com Dr. William D. Hougham UCD ‘75 SA Surgery and Medicine South King County and Pierce County (360) 825-1981 drbilldvm@gmail.com Dr. Elizabeth Hughs STG ‘09 SA (206) 992-1730 elizabeth.hughs@gmail.com

Dr. Emily Jewell Liverpool ‘98 SA General Medicine & Surgery Seattle and surrounding, Walla Walla and surrounding (206) 579 – 1012 eajewell@hotmail.com Dr. Kathy Johnson Ohio State `83 SA Snohomish & South Skagit (360) 659-7252 katherine@earthlink.net Dr. Rebecca Johnson OSU / WSU ‘94 SA Medicine Greater Puget Sound area (206) 230-8002 reliefdoc@comcast.net Dr. Darlene King WSU ‘98 Snohomish and King County area (425) 344-7996 dnmking@yahoo.com Dr. Cynthia Knapp Ohio State ‘98 SA North King and South Snohomish Counties cyn.knapp@comcast.net Dr. Kathleen Koppa WSU ‘07 SA Medicine and Surgery King and Snohomish Counties (425) 495-2626 kkoppa@yahoo.com Dr. Conrad Kornmann WSU ‘03 SA Medicine and Surgery, ER Greater Seattle area ckornmann@msn.com (206) 251-5052 Dr. Carrie La Jeunesse UCD ‘83, WSU ‘84 SA, ER, Medicine and Surgery (360) 731-0493 carrielaj43@yahoo.com Dr. Lori Maness Tufts, ‘92 Whatcom, Skagit and Snohomish Counties (307) 277-8819 Maness.lori@gmail.com Dr. Regina Mansfield WSU ‘85 SA Medicine SE King/ NE Pierce (360) 825-6753 regina.scott.m@gmail.com Dr. Alina McClain Ross ‘06 SA, Ultrasound, Soft Tissue Surgery Northern Western Washington to Seattle Tuesday, Wednesday, Friday and some Sat/Sun (360) 682-6216, (614) 563-9914 ndcrud42@yahoo.com

Dr. Cheryl Meyers MSU ‘96 Small Animal Medicine, Surgery & Dentistry Greater Puget Sound area (206) 683-0685 cherylmeyers101@gmail.com Dr. Gary Miller WSU ’84 SA & MA WA, OR, Northern ID, Western MT (509) 248-7398 millerg@bossig.com Dr. Sue Moriyasu WSU ‘02 SA, high volume spay/neuter King & nearby counties (425) 830-2784 sue.moriyasu@gmail.com Dr. Debra Nicholson Oklahoma, ‘00 SA, Exotics, Medical and Surgical 60 miles radius of Seattle (206) 972-4816 farkle316@gmail.com Dr. Kathryn Okawa WSU ‘81 SA, Small mammals (425) 870-7088 okawak@aol.com Dr. Sarah Jane Owens Tufts ‘02 Small Animal, Equine, and Exotics Within 2.5 hours of greater Seattle (206) 661-6005 sarahowens@hotmail.com Dr. Pamela Powell WSU ‘82 SA, ER, HQHV spay-neuter WA, ID, OR. Short notice OK. (253) 229-7816 pamvetdr@aol.com Dr. Leslie Pritchard WSU ‘80 N. Snohomish, Whatcom, Skagit, Island Cos. (360) 631-5885 Dr. Nancy Robinson WSU ‘07 Small animal medicine, surgery, ER/CC South Puget Sound Area, 7 days (360) 580-0609 nkrbnsn@gmail.com Dr. L. Louise Rutter Cambridge, England ‘95 SA Medicine and Surgery relief work King County, Lake Washington area (425) 999 6765 louiserutter1000@gmail.com Dr. Michael Ryan WSU ‘84 SA Medicine and Surgery Kitsap and West Sound region (360)830-4911 ryanserv@msn.com Dr. Timarie Simmons OK State ‘98 Small Animal Medicine/Surgery and Some Exotics Greater Seattle and Statewide Options (703) 606-3300 timariedvm@yahoo.com Dr. Heather Smith WSU ‘03 SA Medicine/Surgery, Exotics (small mammals) North King/South Snohomish counties (425) 501-8008 heatherlosmith@yahoo.com

Dr. Hank Snelgrove, CVA UCD ‘81 Integrative Small Animal Practice: medicine, dentistry, surgery, acupuncture, and TCVM herbal therapy Olympic and Kitsap Peninsulas and Central and Western Washington (360) 301-0096 tsetsibus@olympus.net Dr. Mary Sprague WSU ‘89 SA Medicine King, S. Snohomish Counties (425) 880-4073 dr.sprague@cablespeed.com Dr. Priscilla Stockner Min ’70 Clallam, Jefferson and Kitsap Counties (360) 683-4230 priscillastockner@mac.com Dr. Michael Stone OSU ‘99 SA,ER, Medicine/Surgery (253) 988-1200 nwdvmrelief@gmail.com Dr. Shane Turner CSU ‘04 SA Medicine/Surgery, ER/CC, Exotics King/Snohomish Counties (425) 205-0447 s.turner1@hotmail.com Dr. Dorothy Villareal Texas A&M ‘85 SA Medicine and Surgery Kitsap, Clallam, Jefferson and Mason counties (360) 479-9053 docvillareal@live.com Dr. Melissa Walker Cornell ‘04 SA Medicine and Surgery, Integrative Medicine Greater Seattle Area (206) 595-2382 mwalkerdvm@gmail.com Dr. Shelby Watson MN ‘02 Kitsap Peninsula (360) 473-6260 swatson@wavecable.com Dr. Lisa Weiser Wisconsin ‘03, Internship trained SA Medicine/Surgery and ER/CC Seattle and surrounding area (262) 325-1356 lmsumins@yahoo.com Dr. Karen Wichert WSU ‘89 SA Medicine and Surgery Snohomish, King Counties (425) 312-3376 karen.wichert.dvm@gmail.com Dr. Katie Yackley WSU ‘01 Mixed Animal SW WA and NW OR preferred, will travel to other parts of either state (503) 812-7957 wsu.dvm.01@gmail.com Dr. Michelle Zachry Purdue ‘02 SA, Medicine/Surgery/Dentistry, ER/ CC, Public Health/Food, Shelter King County and surrounding areas (425) 654-3521 reliablevetrelief@gmail.com Dr. Sharon Zito UC Davis, 1984 SA Medicine Seattle/King County Area 3 or more days in a row (619) 733 6875 s.zito@yahoo.com

Classifieds WSVMA 2014 Classified Advertising Rates WSVMA Members

First 30 words Each additional word WSVMA Blind Box (one-time fee) Include ad in next print issue

$65.00 $1.00 $5.00 $10.00

DVM Wanted, Western Washington

DVM Wanted, Eastern Washington

North Cascade Veterinary Hospital in SedroWoolley, is searching for a full-time veterinarian. We have a beautiful, well-equipped hospital, awesome staff who love working together and have been awarded numerous times as the best vet in Skagit County. We offer percentage-based pay, CE, IRA and other benefits. We are looking for candidates with a strong interest in exotics, naturopathic medicine and acupuncture. Visit us at www.northcascadevet.com. Please send CV/resume to ncascadevethospital@gmail.com or call Andy Porter at (360) 856-1809 for more information.

Small animal or Mixed animal associate wanted for a busy mixed animal practice in Central Washington. Great opportunity to develop or expand in any area you desire. Contact: Ahtanum Veterinary Clinic, 1008 W. Ahtanum Rd., #6, Union Gap, WA 98933; harrahvet@aol. com.

No charge for contact information. Rates are for two months on the website. Ad will be included in the next available print issue for an additional $10.00.

PT SA experienced DVM wanted for high quality 1 doctor practice in SW Washington. 1-2 days per week and additional relief for vacation. No weekend or ER. Contact tammywhite33@gmail.com.

Non-Members

Feline-only practice: FT/PT DVM. Busy, wellestablished clinic looking for a cat person with strong communication skills, a sense of humor, and the ability to work well under pressure. Leave the barking, drooling, and wrestling behind. p.gawley@comcast.net.

First 30 words Each additional word WSVMA Blind Box (one-time fee) Include ad in next print issue

$115.00 $ 1.50 $ 5.00 $20.00

No charge for contact information. Rates are for two months on the website. Ad will be included in the next available print issue for an additional $20.00. Classified ad forms are available upon request. Call (800) 399-7862 or (425) 396-3191 or email classifieds@wsvma.org.

Deadlines for Classifieds

Ads for the Mar/Apr 2014 issue of the WSVMA Classifieds will be accepted until February 14, 2014. No refunds or changes will be allowed after the deadline has passed. The WSVMA Insight Magazine and WSVMA Classifieds are mailed to all WSVMA members.

Flyers

Flyers are accepted to advertise continuing education events only. These are included on a fee for service basis. Please contact the WSVMA office for additional information regarding rates and schedules. For further information on classified advertising, please contact: WSVMA Office (800) 399-7862 or (425) 396-3191 classifieds@wsvma.org

Ad Categories

DVM Wanted DVM Available Practice For Sale/Lease Miscellaneous

Technician Wanted Relief Technician Available Hospital Staff Wanted

Tacoma hospital looking for a FT Small Animal veterinarian. Congenial, well-regarded practice. Excellent clientele and staff. Modern, well-equipped facility. AAHA accredited, ABVP Diplomate owner. Seeking positive, progressive person with strong people skills to join our team. Must be OK with Saturday hours. Columbia Veterinary Hospital, 5916 Sixth Ave., Tacoma, WA 98406. (253) 564-7927 or columbiavet@nventure. com. Veterinarian needed for multi-doctor, small animal practice. AAHA accredited hospital with a large, teamfocused, and professional support staff. Excellent clientele allows the practice of progressive medicine. No emergency or on-call. We offer a flexible work schedule to allow a balance of work and fun, a competitive salary with production bonuses, and a generous benefit package. Contact Dr. Susan Shirley, Firgrove Veterinary Hospital, Puyallup, WA. Phone and fax (253) 848-1563; email dvm@firgrovevet.com. Clinic tour at www.firgrovevets. vetsuite.com.

DVM Wanted, Out of State Associate veterinarian wanted for busy 6-vet hospital in beautiful Southeast Alaska. Experience preferred but not required. Competitive salary/benefits. For more information visit us at www.seavets.com or phone Tracye at (907) 789-7551.

Practice for Sale or Lease Want to buy an established practice for FREE? Ideal opportunity for start-up. Take over 20-year practice for lease payment only. Excellent north Seattle location. Great freeway access. (206) 999-2909 or ahealingvet@ comcast.net OR EQ Surgical Specialty facility. Many equine hospitalization stalls, large double surgery 21,000 SF and 15 acres. Contact Karl Salzsieder (360) 636-1228 or Karl@ TPSGsales.com Near Portland, OR - High net, SA high tech 1 vet $500,000 gross rev. yr. Contact Karl Salzsieder (360) 6361228 or Karl@TPSGsales.com North ID - SA, young practice & RE 3200 sq ft. 20% growth per year. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com

SA DVM 2-3 Days/week for busy clinic in Aberdeen WA. Experience Required Many options and possibilities, let’s talk. John Stevenson,DVM Clinic (360) 533-0422, Home Office (360)-249-3755 or jjohn099@centurytel.net.

Northwest WA Peninsula - Fast-growing 1 doctor SA grossing nearly $700,000 in 2012. Building lease, with possible option to purchase. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com

Busy multi-doctor animal hospital south of Seattle and north of Olympia seeking a small animal DVM with experience or strong interest in avian & exotics. This is a flexible position and could be either part or fulltime. Compensation & benefits commensurate with experience. Please email resume to info@wsvma.org, subject line Box 504.

NW WA – NEW LISTING - SA 1 DVM start up in Strip Mall. 1,350 SF, 2 exam rooms. Rev. $150,000 yr. Price $60K. Contact Karl Salzsieder (360) 636-1228 or Karl@ TPSGsales.com

Seattle! Well established 1 + doctor Practice, 2000 square feet, grossing million dollars. Real Estate available for lease with option to purchase. Financing is available. For additional information contact Linda Elledge at (206) 399-5677 / info@elledgevps.com.

New Ad Deadlines

Mar/Apr 2014 • February 14, 2013

Wanted full time DVM for busy, non-corporate 4 doctor AAHA companion animal practice located in the Tri Cities. Quality care and client service a priority, special interests encouraged. Great staff and clients. No on call. Please contact us at tricitiesvet@gmail.com.

w a s h i ngton ve te ri nari an

N. of Seattle, WA– NEW LISTING Awesome 3,581 SF building, 1 DVM Practice w/ great potential to grow. Contact Karl Salzsieder (360) 636-1228 or Karl@ TPSGsales.com.

Technician Wanted Companion Pet Clinic of Seattle is hiring a fulltime CVT/LVT with a few year’s experience in a clinic setting. We are located just blocks from the University of Washington. We are a busy walk-in clinic with a lot of client interaction. If interested, please contact Greg McWilliams, MS, MBA, DVM at irwellst@yahoo.com.

Find More Classified Ads Online at wsvma.org Miscellaneous Practice Sales Brokerage or Practice Buyer Representation. Increase profitability and Practice Sales price with Management Consulting. Practice Valuation and Employment contracts, buy-sells, startups, litigation support, representation before license board. Contact Karl Salzsieder, DVM, JD, AVA, (360) 5778115 or karl@salzsiederlaw.com.

Relief Technician Available Vet Tech Services – Let our experienced LVT’s keep your hospital running at full capacity. Please call Virginia Jones, LVT at (425) 330-5234

Technician Job Hotline (253) 838-4473 or dradford@wsavt.info

Display Ad Index Architectural Werks, Inc................................................ 23 CareCap............................................................................... 11 Fortune Bank........................................................................3 Simmons & Associates Northwest...............................9 Summit Veterinary Referral.............................................9 Seattle Veterinary Specialists.........................................5 Total Practice Solutions Group................................... 23 Veterinary Group Purchasing Organization.......... 11 WSU..........................................................................................5

Total Practice Solutions Group Veterinary Practice Sales & Appraisals

Our Pacific Region Includes 8 states to help our colleagues NOW IS THE PERFECT TIME TO BUY OR SELL A VETERINARY PRACTICE! Demand is high, and low cost financing is available. TPSG brokers have the training, knowledge, experience, and professional support for a successful practice sale, or buyer representation,

CALL OUR HAPPY CLIENTS! More available upon request. Dr. Stephanie Wallendorff Rock Springs, WY (307) 362-3184  Buyer  Management Consulting Dr. Richard Steel Tillamook, OR (503) 842-9348  Seller  Employment Contract  Lease Agreement

WE SPECIALIZE EXCLUSIVELY IN THE VETERINARY BROKERAGE BUSINESS:          

Practice sales Practice appraisals Contract negotiations Associate buy ins & entrance Exit strategies Buyer representation Financial assistance to buyers Seller representation Business consultation Legal representation

Karl Salzsieder DVM, JD, AVA

Salzsieder & Associates TPSG LLC

360.636.1228 Karl@tpsgsales.com

Total Practice Solutions Group TPSGSALES.COM

Veterinary Architects & Planners “Working with veterinarians to create facilities of distinction since 1969”

425.823.2244 / www.awerks.com january /february 2 0 14

Your Practice Deserves a Second Opinion.

Performance Analytics

Three essential tools based on over twenty years of research: Personalized Fee Guide, Practice Diagnostic Report, Client Satisfaction Survey and Report. Visit wsvma.org for more information.