COVID-19

Covid-19 and Rhinebeck Equine.

January 8, 2021

SOCIAL DISTANCING – We want to continue to use social distancing (i.e., keep 6-feet between people) when possible and limit the number of individuals in a room or space to fewer than 10 people. 

  • Let’s all hold each other accountable for this. Avoid gathering in the lounge and sharing food, meet outside or virtually whenever possible. 
  • Individual interns can round with techs rather than as a group and while keeping your distance.

 

SURGICAL MASKS – Out of an abundance of caution, when you are working closely with others on a case (i.e. cannot maintain social distancing), wear a mask. The intent is to limit respiratory droplet transmission from you to someone else. Please use a reusable mask if available. If a disposable mask is used, we ask that you keep this mask and reuse it until it is damaged or visibly dirty. 

 

REUSABLE GOWNS – Don’t forget that we have reusable gowns available, and would prefer those be used in lieu of disposable gowns. Please review the video on donning and doffing (https://in.vet.uga.edu/display/HOS/Bio-Security+Protocols?preview=/4554854/35717397/Reusable%20PPE%20gown.m4v).

 

LAB – All results will only be entered and delivered electronically; Jaime will no longer print results and deliver them to the hospital or doctors boxes. Please do not enter the lab unless necessary. 

 

COMMUNITY ACCOUNTABILITY – I want to encourage everyone to be risk-averse for each other – keep your distance from each other when you can, wash your hands often, and let your supervisor know if you are feeling unwell. Interact minimally and responsibly with the outside world. 

 

REMINDERS – 

1. The coronavirus is transmitted via droplets – to manage this risk we are practicing social distancing and wearing face masks when we must be within 6’ of each other.  

2. It can also be transmitted via contact – to manage this risk, we are regularly cleaning hand-contact surfaces (including your cell phones!)- this will be performed at the end of the shifts, 7am & 7pm 

3. Please reach out to us with your questions and concerns – we want to keep everyone safe while using evidence-based best practices.

4.  Absolutely no visitors are allowed into the clinic or the hospital!

 

 

 

Admitting and Discharging Patients:

 

1. Horses from a household that answers "NO" to the one screening question: Is there household illness (cough, fever, trouble breathing in the past 14 days)?:

  • Please have ONE individual collect the animal from the driveway if possible (safe). That person should keep a safe distance (6ft) as much as possible.
  • A hospital lead rope should be used and the individual's lead rope should be returned to the owner, do not take other belongings for the patient into the hospital. 

 

2. Horses from a household that answers "Yes" to the one screening question: Is there household illness (cough, fever, trouble breathing in the past 14 days)?: 

  • The client and household members should be actively discouraged from bringing the horse in and encouraged to send someone who can answer “No” to the screening question. If there is no one available and it is an emergency:
  • Please have ONE individual collect the animal from the driveway if possible (safely). That person should keep a safe distance (6ft) as much as possible AND wear full PPE (face mask, gown and gloves). The virus is transmitted by respiratory droplet - so the risk here is people sneezing, coughing or spittle-ing (when they talk) on to Y OU (particularly mucous membranes). 
  • A hospital lead rope and halter should be used and the individual's lead rope and halter should be returned to the owner, do not take other belongings for the patient into the hospital. The owner’s halter and lead should be removed in the stall and then returned to them while wearing PPE. The hospital halter and lead can then be placed. 

3. Discharging patients: 

  • Follow the above protocol in reverse
  • For mares & foals and patients that are likely to be hard to load, we will request that two people come to pick up. 
  • Discharges will be e-mailed if an email address is on file.  Clients will be told that the discharge will be emailed.

 

4. Euthanasia 

  • Client visitation will be allowed for euthanasia only 
  • If the client is coming into the clinic, they must wear a mask
  • After saying goodbye the client will be escorted to their vehicle. 

 

 

At the farm:

  • The vet and assistant will be the only ones handling the horse whenever possible. Please have your horse ready in their stall with a halter on, blankets off, and lead rope outside the stall.
  • For your safety and ours, we ask that all clients and/or customers of the facility not be present during the veteriniarian’s visit. 
    • If you or a member of your household have had or are having any respiratory symptoms, please let us know so we can reschedule your appointment. If you have an emergency while someone in your household is having symptoms of COVID-19, please let us know ahead of time. 
  • Arrangements must be made for electronic payment.
  • Please, no shaking hands!

 

PPE

Anyone required to work in close proximity should wear a reusable cloth mask. Cloth masks should be laundered after each day of use and be used by the same person. Your name in permanent pen on the mask will aid in this. 

Going forward, disposable face masks are in very limited supply in the hospital/nationwide and will only be used for sterile procedures in the OR and selected cases out of the surgery room (see below). Should anybody need a disposable mask please check with Kirsten. 

In the OR, the best effort should be made to limit the amount of staff actually scrubbed into surgery to conserve PPE. Masks will only be required for sterile surgical procedures. People opening sterile packs,  scrubbing and doing surgery are expected to have either reusable or disposable masks at the surgeon’s discretion. Anesthesia will be required to wear a reusable (cloth) mask. If everyone could try to make the most efficient use of PPE  it would be greatly appreciated  (eg. the same person scrubbing and opening the table). 

 

Other situations in which a disposable mask can be used are :

- Personnel spraying disinfectants with risk of getting your mask wet. 

- When admitting horses from or contact with a suspect/confirmed Covid 19 positive person. 

Single-use disposable surgical masks can be re-used if they are carefully removed to prevent creasing or tearing of straps and allowed to dry prior to reuse. For hygienic reasons, a mask should only be re-used by the person who used it initially. The number of times a mask can be reused is unclear therefore we will stay to a “one a day” policy. Presumably, masks can be re-used multiple times if handled appropriately. Washing, autoclaving, spraying with disinfectants or other decontamination methods are not recommended because of the potential for damage to mask integrity.

As with everything these days, this policy is subject to change at a moment's notice according to supply and duration of our limited access to restocking. Thank you all for your time and understanding. 

CDC Recommendations for Veterinary Practices

https://www.cdc.gov/coronavirus/2019-ncov/community/veterinarians.html

 

 

Phase 1 Reopening: 

As of Monday, 6/15/2020 

  • The reception team will return to the building, properly socially distanced from each other.
  • Plexiglass coverings have been placed in the front office area to ensure proper distancing when speaking to reception. 
  • The door from the clinic to the front office area will remain closed and we encourage limited gathering when talking to reception.  Please call or use Slack whenever possible.
  • Please do not gather in the front office, lab, or the break room to socialize.
    • Break room will continue to be a maximum of 3 people at a time in that space.
  • Try to eat outdoors when possible to avoid gathering in one place.  The picnic table has been set up with a tent over it in a shady area in the driveway.
  • Continued disinfecting daily of all surfaces and electronics.
  • Ambulatory doctors are able to return to their workspaces in the mornings before going out on the road.
  • The employee bathroom (with the shower) will be designated for ambulatory and hospital staff to use. 
  • The client bathroom will be designated for reception and office personnel use.
  • The cooler for lab samples will stay in the launch room for drop off throughout the day
  • Ambulatory doctors and assistants can work within the hospital for procedures when needed for patient care and for rounds (Monday, Wednesday, Friday).
  • Masks must be worn within the buildings if a proper social distance (6 feet) cannot be maintained.
  • Clients are not allowed in the buildings, but limited visitation from outside of the building will be permitted during normal business hours of 8:30 am - 4:30 pm
  • We will be allowing externs to do rotations at the clinic.  They will stay in the hospital only and adhere to all of the COVID policy guidelines in place and meet with the ambulatory associates at scheduled times.  Only one extern will be allowed to stay in the extern apartment at a time.  Alternative housing arrangements will be made if there are multiple externs in a rotation.

Please continue to be diligent in the safety of yourself and others, frequent hand washing, personal responsibility outside of the workplace and please notify management if you’re experiencing any symptoms of COVID or have had exposure to COVID.

 

 

Phase 2 Reopening 

As of Friday, 9/4/20

 

  • A maximum of 2 visitors will be allowed per patient to visit in the hospital via the exterior door to the stall and must wear masks at all times.  Visitors still will not be allowed in the “common areas” of the hospital or clinic.
  • A travel policy has been put in place for the practice.  Please find all of the information here:  RE Travel Policy

 

 

UPDATE - 1/4/2021

 

  • Visitation will no longer be allowed at the clinic due to the current COVID conditions as well as the weather. 
  • All clients, scheduled appointments or emergencies, will be asked COVID related questions and their answers will be documented and signed off on by whomever books the appointment.  Client COVID Question Form
    • The appointment in HVMS will reflect that the form has been completed and the form will be retained for reference if needed.

September 3, 2020

Clients and Visitors, a maximum of two at a time, can schedule a time to visit a patient in the hospital through the office in 30-minute increments during normal business hours (8 am-5 pm).  

Please visit from the exterior door only. 

Masks must be worn at all times.

April 30, 2020 UPDATE 

In these times of uncertainty, Rhinebeck Equine is committed to providing the best safety measures for our staff, clients, and community, while ensuring the best care for our patients. To this end, we are making some temporary modifications to our appointment structure.

As of Monday, 4/27/2020, In order to safely provide service, we ask that everyone follow the protocols and policies summarized below.

At the farm:

  • The vet and assistant will be the only ones handling the horse whenever possible. Please have your horse ready in their stall with a halter on, blankets off, and lead rope outside the stall.
  • For your safety and ours, we ask that all clients and/or customers of the facility not be present during the veterinarian's visit. 
    • If you or a member of your household have had or are having any respiratory symptoms, please let us know so we can reschedule your appointment. If you have an emergency while someone in your household is having symptoms of COVID-19, please let us know ahead of time. 
  • Arrangements must be made for electronic payment.
  • Please, no shaking hands!

At the clinic:

  • No clients or visitors are allowed in the hospital, with the exception of end-of-life decisions.
  • For your safety and ours, all clients and anyone at the clinic must keep 6’ apart from Rhinebeck Equine staff.
  • Rhinebeck Equine staff will meet you at the trailer. Please remove all blankets and wraps and take them home with you. We will place one of our lead ropes on your horse once unloaded from the trailer and will ask you to help with the trailer gate.
  • If you or a member of your household have had or are having any respiratory symptoms, please let us know ahead of time so that we can take additional precautions.
  • Arrangements must be made for electronic payment.
  • Please, no shaking hands!

Thank you for helping us all stay safe and healthy so that we may keep your horses healthy.

March 24, 2020 UPDATE 

In these times of uncertainty, Rhinebeck Equine is committed to providing the best measure of safety for our staff, clients, and community, while ensuring the best care for our patients. To this end, we are making some temporary modifications to our appointment structure.

As of Monday, 3/23/2020, we encourage rescheduling appointments that are not essential to the welfare of our patients to April. We will be focusing on emergent, urgent, life-preserving preventative health, and time-sensitive matters only.

In order to safely provide service, we ask that everyone continue to follow the protocols and policies summarized below.

At the farm:

  • The vet and assistant will be the only ones handling the horse whenever possible. Please have your horse ready in their stall with a halter on, blankets off and lead rope outside the stall.
  • For your safety and ours, all clients and anyone at the barn must keep 6’ apart from Rhinebeck Equine staff.
    • If you or a member of your household have had or are having any respiratory symptoms, please let us know so we can reschedule your appointment. If you have an emergency while someone in your household is having symptoms of COVID-19, please let us know ahead of time so that we can send an assistant with the veterinarian.
  • Arrangements must be made for electronic payment.
  • Please, no shaking hands!

At the clinic:

  • No clients or visitors are allowed in the hospital, with the exception of end-of-life decisions.
  • For your safety and ours, all clients and anyone at the barn must keep 6’ apart from Rhinebeck Equine staff.
  • Rhinebeck Equine staff will meet you at the trailer. Please remove all blankets and wraps and take them home with you. We will place one of our lead ropes on your horse in the trailer and will ask you to help with the trailer gate.
  • If you or a member of your household have had or are having any respiratory symptoms, please let us know ahead of time so that we can take additional precautions.
  • Arrangements must be made for electronic payment.
  • Please, no shaking hands!

Thank you for helping us all stay safe and healthy so that we may keep your horses healthy.


March 21, 2020 UPDATE 

Ambulatory Veterinary Work

  • The horse should be handled only by the assistant and vet if possible.
  • All clients and anyone at the barn must keep a 6’ distance from Rhinebeck Equine staff and it will be confirmed ahead of time by the following:
    • Text from doctor and/or message from reception to say:
      • “In order to do our part in social distancing, we’re asking all owners to please have their horse ready in their stall with a halter on, blankets off and lead rope outside the stall.  The vet and assistant will be the only ones handling the horse and please stay at least 6 feet away from the vet and assistant, to keep both yourselves and us safe. If you have had or are having any respiratory symptoms or have been in contact with anyone that has, please remain out of the barn while we are there.  Thank you for your cooperation, we want to maintain the level of care for your horse that we have always provided, while maintaining health and safety for both of us.”
  • We are working on making all paperwork electronic and will be signed ahead of time; if not possible, you can take the sheet and sign it and a photo can be taken of the front and back of the sheet.
    • Farm Calls: Horses should be left in their stall, halters on, leads outside the door so no further personnel is needed at routine visits.
    • No payment will be accepted at farms for routine calls, all appointments must be paid in advance with reception.
    • Please, no shaking hands!

March 20, 2020 STATUS:  We we open our regular hours and are offering all services with precautions.


March 16, 2020

As we continue to learn more about COVID-19 and its impacts, the health and wellbeing of our clients, staff, and the community is our utmost priority. We remain dedicated to providing the highest level of clinical service during this challenging and fluid time.

Out of an abundance of caution, we will be implementing temporary proactive practices to decrease external foot traffic in critical hospital areas. This includes new client visiting policies as well as updated admissions and reception practices.

Beginning on Monday, March 16, 2020, the following client changes will be in effect:

  • Clients should arrange to drop off their animal(s) and return home immediately. 
  • We are requesting that all clients load and unload their own horse and a staff member from Rhinebeck Equine will bring the horse into the hospital or out to their waiting trailer.
  • We are requesting that all clients remain at their vehicles and a Rhinebeck Equine staff member will bring any necessary paperwork to their vehicle for signatures or further information needed.  We will not be allowing anyone to wait in the clinic for outpatient procedures and if a client chooses to stay and wait, they can do so outside or in their vehicle and a clinician will update them there.
  • Animal registration will be confirmed over the phone and verified upon arrival. Please call Rhinebeck Equine, LLP at 845-876-7805 to schedule an appointment or alert us to an incoming emergency case.
  • Patient visitation will be limited to patients who are critically ill or require critical medical decisions.  Permission for visitation must be obtained by your clinician.

Please note that these policy updates do not impact our availability. Rhinebeck Equine remains fully operational and is actively providing care to our large animal patients.

We understand that circumstances may change as the COVID-19 situation continues to unfold. Please feel free to call us at 845-876-7805 if you have any questions.

For regular updates on Rhinebeck Equine's COVID-19 policies and operational status, please check back to this page.

Location

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Office Hours

Ambulatory and hospital emergency service is provided 24 hours a day.

Rhinebeck Equine

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Read What Our Clients Say

  • "Dr. Sotela is fantastic and has always been incredibly kind and patient with my mare, Mira. In May, Mira had to have surgery at the clinic for a soft tissue sequestrum. Dr Gus and the staff were wonderful to deal with."
    Danielle Meenan Heaney
  • "We love Rhinebeck Equine and their vets and staff. They've been our equine vets for about 30 years and we love working with them."
    Thorunn Kristjansdottir
  • "Amazing facility with awesome staff. My friend had a horse who needed surgery and they were awesome the entire time. We hung out in their waiting room. Staff was friendly and talkative, and let us play with their dog. Dr. Gus is a great surgeon!"
    Hanna Gavel