The operating manual for everything emergency medicine didn't train you for.
A Rounds Board, a double-sided Pocket Card, a three-piece Desk Set, and a short Field Guide — built for the operational and emotional load of an emergency shift.
Built by Dr. Kaelyn Petras — veterinary emergency medical director, level 1 trauma background, founder of a 24/7 ER/ICU.
It sits in the gap between knowing medicine and surviving the shift.
You were trained to stabilize a crashing patient. You were not trained for the seven interruptions while you do it, the owner you're dreading calling, or the handoff with ten moving parts at 2 a.m.
The gap is operational, not clinical. And it's the part of the shift that quietly breaks good clinicians.
This kit won't diagnose your patient. It will help you decide what needs you now, what can wait, what to hand off, and how to communicate when your brain is already full. Use the tools live, mid-shift, in the messy middle — not after, when it's too late to help.
You don't rise to the occasion on a bad shift. You fall to the level of what you've drilled.
This kit is built the way emergency medicine actually builds competence: rehearse the moves when it's quiet, carry the few that matter, and let the board hold what your head can't.
Four pieces. Each one earns its place on shift.
No bloat, no filler modules. Every tool exists because a clinician has asked for it, mid-shift, in the moment it would have made the difference.
The Rounds Board
The whole inpatient list, held on one page. Designed for rounds, handover, and the entire shift in between. The one tool I reach for every shift.
- Holds what your head can't at hour ten
- Designed for clipboard or screen — letter size, print-ready
- Free as a standalone — also included in the full kit
The Pocket Card
One double-sided card. Print, laminate, slide it into your coat. The card you wear into a groove until both sides fire on their own.
- A five-step in-head reset for when the shift starts to spiral
- Pre-loaded scripts for the conversations that go sideways under load
- Sized to live in your coat — not on a desk, not in a binder
The Desk Set
Three templates for the moments you're sitting down between fires. Structure for the work that goes wrong when you wing it.
- The Owner Update — a spine for the call you've been putting off
- The Safe Hand-Off — so nothing drops between shifts
- The End-of-Shift Offload — so the shift doesn't follow you home
The Field Guide
A short read you do once on a slow morning. Teaches you how to drill the kit so it runs when you can't think.
- The drill that installs the reset so it fires unprompted
- The one test that sorts NOW from not-NOW under load
- How to pre-load the scripts so they retrieve, not compose
Read it once when it's quiet. Drill the three moves. Then most shifts, you'll live on the Board and the Card — because the rest will already be in your head.
The live tools are deliberately few.
The live tools in this kit — what you actually touch mid-shift — are the Board and the Card. That's it. The Desk Set is for the moments you're sitting down: the call, the handoff, the wind-down. The Field Guide is the rehearsal you do once so the rest works under load.
You don't reach for a worksheet in the spiral. You run whatever you've already worn into a groove.
If you're holding the floor, this was built for you.
- ER vets and urgent care vets
- Relief vets working ER shifts
- Residents holding the overnight
- GP vets picking up emergency shifts
- Anyone covering ER without enough handover
- Anyone looking for a leadership program
- Anyone looking for a CE certificate
- Anyone looking for clinical decision support
This is operational, not clinical. It assumes you already know the medicine.
Buy it for yourself, or for your whole hospital.
All-digital, instant download. The Pocket Card prints double-sided at card size — laminate at the hospital or run it on cardstock if you don't have a laminator.
- The Pocket Card (Mid-Shift Reset + Words, Ready — double-sided)
- The Rounds Board (one-page printable)
- The Desk Set (Owner Update, Safe Hand-Off, End-of-Shift Offload)
- The Field Guide (short read · drill the kit to fluency)
- Lifetime updates as the kit evolves
- Everything in Solo, licensed for up to 10 vets
- One shared language across your ER team
- Single invoice — submit as hospital expense
- Lifetime updates for new hires as the kit evolves
- Bigger team? Email info@pivotvet.com
30-day refund. If the kit doesn't earn its keep on one shift, email info@pivotvet.com and we'll refund you. No form, no hassle.
If you're asking, you're in the right place.
Is the kit physical or digital?
All digital. Everything downloads instantly. The Pocket Card is one double-sided card designed to print, laminate, and slide into your coat. The Rounds Board and Desk Set print at your hospital or pull up on your phone.
Do I need a laminator?
Most hospitals already have one. If yours doesn't, cardstock works fine — and a basic laminator runs about $25 on Amazon if you want one at home.
Is the Rounds Board really free?
Yes. One-page printable PDF, yours to keep. No catch. Grab the free version here.
Is this CE?
No. This is operational, not accredited. If you want non-medical CE for leadership specifically, see TRIAGE — the leadership operating system PIVOT built for the role above the shift.
What's the refund policy?
If the kit doesn't earn its keep on one shift, email info@pivotvet.com within 30 days and we'll refund you. No form. No hassle.
Can I share it with my team?
The Solo license is for you. The Clinic Team license covers up to 10 vets in one hospital — buy it once, share it across the floor. Bigger team or multi-site? Email info@pivotvet.com.
Will there be more kits?
Yes. ER Reset is No. 01. Buying this puts you on the list for No. 02 first — and you'll see the next kit before it goes public.
Who built this and why should I trust it?
Built by Dr. Kaelyn Petras — veterinary emergency medical director, level 1 trauma background, founder of a 24/7 ER/ICU. The kit is the operating layer PIVOT teaches at the individual-clinician level. The leadership layer above it is TRIAGE.
This kit is for surviving your own shift. TRIAGE is for leading the room.
There's a different skill set for the moment you become the person everyone else looks to when the shift spirals. That's what PIVOT's TRIAGE Leadership program is for.
Not ready for the full kit? Start with the Rounds Board. Same tool I use every shift. Free.
Send Me the Free Board →