Outpatient Technician Survey Outpatient Veterinary Technician Survey Congratulations! If you are receiving this form, we’ve reviewed your application materials and found you to be an qualified candidate for this position. Please take a few minutes to fill out the below questionnaire so that we can educate you about the job, get to know you better, and understand your talents and skills more fully Date Name First Last PhoneEmail How did you find out about the position? Facebook Twitter Halow Tassava Website Linkedin Indeed.com NAVTA VHMA Craigslist Other If you selected 'Other', please list the source here:This position requires the applicant to work as early as 7am and as late as 7pm on some days. You would also be required to work some Saturdays (currently our hours are 7am-12noon). Do you have any restrictions that would prevent you from working at these times? Please use the field below to list any restrictions that you have, but it is NOT necessary to tell us WHY you are restricted. Yes No Use this space to list any hours or days of the week that you cannot work.Do you have any vacations or time off requests planned? If so, what are they?We are a medical facility that treats both healthy and unhealthy animals. Please let us know that you are aware of the following aspects of the job by checking ALL the boxes in the next section. I am aware that in the course of my work I will have to: Educate clients about the value of the services and products we provide. Fully participate in making our clients feel welcome, appreciated and well-served. Stay late as the needs of the practice require. Be a steward of safety and well being for any patient in our practice. Assist doctors in exam rooms as needed. Participate in the humane euthanasia of animals. Restrain pets for radiographs and ultrasounds. Lift patients that sometimes weigh 40 pounds or more. Work in our laboratory handling and testing biological specimens including animal feces and urine (with the appropriate clothing and equipment) Admitting and discharging patients safely and according to our practice's protocols Handle animal blood samples (with the proper protective clothing and training) Assist with inventory management Assist with keeping the practice clean Potentially witness any animal abuse case that we are asked to treat Be exposed to unpleasant animal smells Be expected to crouch, stand, sit, bend, climb stairs, and work on your feet for long periods of time Please place a check next to any of the following that apply I understand and can use: Microsoft Word Microsoft Excel Facebook Google+ Twitter Pinterest Youtube Microsoft Outlook Please place a check next to all that apply I understand how to: Electronically scan and save documents Touch Type Handle Cash Balance cash drawers Manage phone systems with several lines Text Message Check and respond to emails Read veterinary medical terminology Manage medical files Manage administrative files Entering data into a point of sale software system Use an electronic appointment scheduler Safely approach and handle animals that do not know me Use Avimark Use Cornerstone Use DVMAX Use Infinity/Impromed Use Client Trax Use Intravet Even if you have already supplied us with a copy of references of three people for whom you’ve worked, please do so now here.FileFilePlease upload an additional copy of your resume and cover letter.FileI have solid experience with and can: Restrain animals Set up and read fecal floats Set up and read 4dx tests Set up and read Felv-Fiv tests Test the chemistry of a urine sample Microscopically view a urine sample for cells and/or uriliths Plate and read a fungal culture Prepare laboratory samples to go to the laboratory and fill out the required documentation Fill pharmacy scripts Collect blood samples from saphenous veins Collect blood samples from femoral veins Collect blood samples from jugular veins Collect urine by cystocentesis Place IV catheters Place jugular catheters Calculate drug dosages Calculate dilutions Administer medications IM Administer medications IV Administer medication orally Take a TPR Monitor a patient under anesthesia Assist competently in surgery Take a history in a room with a client Educate clients on the value of year-round flea and tick prevention Educate clients on the value of preventative-health services Enter invoice charges into the computer Review estimates with clients Properly record patient information in a medical file and medical software Restrain in radiology using ties and blocks Perform dental prophylaxis Monitor vital signs Handle new client inquiries Deal with frustrated clients Greet clients and welcoming them into a business May we contact your current employer about your performance? Yes No List the most recent veterinary medical education (past 2 years) that you have had:Do you one day hope to supervise a veterinary department or whole hospital team? Whether the answer is yes or no, please explain.What are the most valuable skill sets you’ll bring to the role of outpatient technician?Do you have experience working with unhappy clients? If so, how do you believe they are best handled?Have you ever been reviewed? If yes, list some of the positive things your employer cited about your performance. Tell us what they wanted you to improve upon.Have you had to educate clients about veterinary services in the past? Were you successful at marketing those services to clients? If so, explain why you believe you were successful.Do you have pets? If so, when were they last to the veterinarian?If you answered yes to the above question, what are the services that your pet received when it went to the veterinarian and why were they necessary?Have you ever worked in a very positive work environment? If so, how did you contribute to the work place’s positivism?As an outpatient technician, you'll work closely with our doctors. When we ask them about your performance in a month, what are the qualities in you that they will likely praise?