Rawesome Vets · Internal Staff Protocol

Telephone Triage Protocol

Nursing Team
Reception Medicine

Version 1.0 · May 2026 · For internal staff use

This guide helps you decide urgency — it does not replace vet advice. If you are unsure, always ask the vet on duty. Never give clinical advice yourself; you are triaging to determine how quickly the animal needs to be seen.

How to Triage a Call

  1. Get the patient species, age, and name first
  2. Ask: "What's happening with [name] today?" — let them describe before you ask questions
  3. Ask: "When did this start?" and "Is it getting better or worse?"
  4. Use the tables below to match the situation to an urgency level
  5. If anything doesn't feel right — put the caller on hold and check with the vet before continuing

Urgency Levels

There are four levels. When in doubt, always triage to a higher urgency.

LevelActionWhat to say
Immediate Refer to emergency right now — or tell them to come straight in if we're open and the vet agrees "[Name] needs to be seen by an emergency vet right now. Please go straight to [SASH / ARH]."
Same day Book as the next available urgent slot today — check with vet on duty if no slot "We'd like to see [name] today. Let me check what we have available."
Routine Book next available appointment (within a few days to 1 week) "This sounds like something we should check out, but it's not urgent. Let me find you a time this week."
Home care Give appropriate home care advice and advise to call back if not improving "That sounds manageable at home for now. Here's what to do…" — then give the specific advice below.

Scenario Quick-Reference

Emergency / Immediate

ScenarioNotes
Not breathing / collapsed / unresponsiveGo to emergency immediately
Suspected snake bite — sudden weakness, wobbliness, drooping face, dilated pupils, bloody urineDo not wait — every minute matters. SASH or ARH
Tick paralysis — wobbly hindquarters, change in bark or meow, difficulty swallowing, gaggingEmergency immediately. Do not feed or give water
Difficulty breathing — open-mouth breathing in a cat, laboured breathing, blue/grey gums or tongueEmergency immediately
Suspected urinary blockage — male cat — straining to urinate, crying, nothing or drops coming out, hidingCan be fatal within hours. Emergency now
Active seizure lasting more than 3 minutes or multiple seizures in a short periodEmergency immediately
Suspected poisoning — ingested very recently (rat bait, chocolate, grapes, raisins, onion, xylitol, medications)Come in immediately or emergency. Time-critical for decontamination
Uncontrolled bleeding — wound that won't stop with pressureCome straight in or go to emergency
Eye injury — scratched or punctured eye, eye prolapse, sudden complete loss of visionSame-day at minimum — emergency if after hours
Trauma — hit by car, fall from height, significant impactCome in immediately even if animal appears okay

Same Day

ScenarioNotes
Vomiting more than 3 times in 12 hours OR vomiting bloodBook today. More urgent if puppy/kitten or elderly
Diarrhoea with bloodBook today — check hydration status, any other symptoms
Not eating — puppy or kitten under 12 weeksMore than 6–8 hours without food in young animals is urgent
Complete non-weight bearing lameness — won't put paw down at allBook today. Ask if there was trauma
Wound that may need suturing — gaping, deep, contaminatedBook today — don't leave a wound more than a few hours
Suspected foreign body ingestion — happened earlier, no symptoms yetSame day — vet may want to X-ray or induce vomiting
Urinary straining — female cat or dogLess immediately dangerous than male cat blockage, but still same-day
Post-operative concern — wound opening, not eating 24+ hours post-surgery, lethargySame day — vet needs to check
Significant swelling — face, throat area, limb rapidly swellingPotential allergic reaction — same day or immediate if worsening quickly
Not eating 24+ hours — adult dog or cat (previously healthy)Same day if no other symptoms. Immediate if lethargic, vomiting, or painful

Routine Appointment

ScenarioNotes
Mild limping — still weight bearing, no obvious pain at restWithin a few days to 1 week
Lump or bump noticed — not growing rapidly, not bleedingBook a consult within 1–2 weeks
Ear problems — head shaking, scratching ears, mild odourWithin a few days
Skin issues — itching, hot spot, hair loss, mild rash (not spreading rapidly)Book soon — within a week
Dental concerns — bad breath, reluctance to eat hard food, visible tartarRoutine appointment, no urgency
Weight loss or gain noticed over weeksRoutine appointment
General health check / vaccination dueBook at next convenient time
Mild diarrhoea — adult dog (no blood, drinking, alert)Manage at home first — if persists more than 2 days, book

Home Care With Advice

ScenarioAdvice to give
Mild cut or graze — has stopped bleedingClean with cooled boiled water or saline. Monitor for swelling, redness, or discharge. Call back if it looks infected or reopens.
Mild diarrhoea — 1–2 episodes, adult dog, otherwise wellFast for 12 hours then offer bland food (boiled chicken and rice or plain boiled meat). No kibble. Call back if persists more than 2 days or blood appears.
Mild post-vaccine tiredness / off food for 24 hoursThis is normal. Keep warm, offer water, light food. Call back if not improving after 24 hours or if swelling or vomiting develops.
Hairball concern — cat gagging occasionallyNormal if infrequent. Offer a small amount of butter or hairball paste. Call back if gagging becomes frequent or cat stops eating.
After-hours emergencies

If the client calls after hours with anything in the Immediate or Same Day category, direct them to:

  • SASH Blacktown — 02 9849 9000
  • ARH (Animal Referral Hospital) — 02 9889 1800

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