PIVOT Vet Strategies
You already triage
patients.
Now triage your people.
TRIAGE™ Leadership: the leadership operating system for veterinary teams. Because leadership isn't instinct. It's structure.
◆ NZVA Accredited CPD 2026 · 15 hours · vets, nurses & allied professionals
The real problem
It's not a people problem.
It's a system problem.
Clinicians get promoted into leadership because they're excellent at medicine, then handed responsibility with no leadership training. That gap is what quietly drives good people out the door.
"A bad system will beat a good person every time."
TRIAGE · Module 5
Why it matters
The cost of leaving it to instinct
<25%
of veterinary staff say their hospital has a positive working culture
~30%
of veterinary professionals plan to leave their current job this year
9 in 10
who leave practice entirely never come back
40%
of NZ vets expect to stay in the profession until retirement (6 in 10 don't)
First three: US data, AU/NZ trends consistent. NZ figure: Taking Animal Health Forward (NZVA / NZVNA, 2024).
The cost of the status quo
You're already paying for turnover.
Just not on a line called turnover.
Run the math on your own hospital. Without a system that changes it, the number repeats every year.
30 FTE clinical teambaseline
× 30% annual turnover~9 people
× replacement cost0.5 to 2× pay
A six-figure line, every year.
Replacing one vet runs roughly half to twice their salary once recruiting, vacancy and lost production are counted. At NZ senior-vet pay, that is a six-figure hit per departure, and TRIAGE is the lever that moves the rate.
Who built this
Built by someone who ran the floor, not a consultant
Kaelyn Petras, DVM, is a current Emergency Medical Director whose work centers on patient and psychological safety, the systems that hold a team together when the floor is at its worst. Built inside real high-stakes clinical environments in the US, her approach now runs in NZ clinical settings too. TRIAGE is those systems, codified.
One vet who once cried in her car now calls after every solo surgery she's proud of.
The difference wasn't talent. It was a leader with a system.
The systems work
Real numbers. Real teams. One system.
92%
employee NPS under Kaelyn's leadership
75%
reduction in service pauses from a system she designed
0
staff attrition for 2+ years, after she solved an ER staffing crisis in three months
Kaelyn's US operating track record, proof the systems TRIAGE teaches work in a real hospital. A NZ result is in progress with the current cohort.
The programme
The name is the syllabus
TTackling Toxicity stabilize culture at the control points
RRole Clarity & Responsibility if everyone owns it, no one owns it
IIntentional Leadership influence built before it's needed
AAccountability Without Burnout clarity is kind, not cruel
GGrowth Through Systems frameworks, not heroics
EEmotional Intelligence & Execution regulate first, execute second
6 modules · 35 lessons · built from real clinical environments, not adapted from generic business training.
What each seat includes
Async, self-paced,
built for the floor
◆ NZVA Accredited CPD 2026 · 15 hrs
- ›Video lessons and simulation labsBranching scenarios you work through, not just watch
- ›Four-page field guidesDo and don't lists, micro-scripts, escalation paths, a Day-One action
- ›Module exams and certificationEarn full TRIAGE Leadership Certification
- ›NZVA Accredited CPDAssessed by the NZVA against VCNZ standards and listed on the NZVA CPD calendar, and RACE-approved in the US & Canada. A third-party quality mark, not one clinician's opinion.
- ›The TRIAGE community forum, for lifeYour leaders keep access after certification, so the cohort does not end when the modules do
- ›Open to vets, nurses, practice managers, and future leadersOne programme for everyone who leads a team, or is about to
If you run multiple sites
Clinical culture is the acquisition risk no one is managing
As corporate groups and private-equity owners consolidate hospitals across NZ, the value sits in the teams. And whatever standard you set, culture lives or dies by whoever's in charge that shift.
- ›The problem you knowInconsistent leadership site to site, no shared language, every location led by someone promoted without training
- ›One operating system, every siteThe same frameworks and standards, so quality doesn't reset with each new lead or each acquisition
- ›The standard travels, not just the peopleFrom 16 seats up, seats are org-owned: reassign them as leaders move or get promoted
- ›Protects what you boughtThe retention lever you control when you can't simply raise pay
How rollout works
From purchase to certified,
without disrupting the floor
Async by design, so no one leaves the schedule to attend a course. You set the pace.
- Wk 1Enrolment setupSeats assigned to your leaders, access delivered
- Wk 2Leaders beginAsync lessons on each person's own schedule, around shifts
- ~Wk 9Full cohort certifiedOne module a week; TRIAGE Leadership Certification earned
- ›Org-held seats from 16 upAt 16 seats and above the licences are the hospital's: reassign a departed leader's seat to their replacement, no repurchase
Full rollout playbook, week by week →
How you'll know it worked
Most leadership training can't tell you
whether anything changed
The hospital
Stability Audit25 questions, before you start
→
TRIAGE cohortyour leaders go through it
→
Stability Auditsame instrument, re-run after
Each leader
Leadership Auditscored on the six TRIAGE domains
→
Targeted modulesweakest two domains map to the modules that fix them
→
Leadership Auditsame six domains, scored again
Both audits are free and built into the rollout. The same instrument runs at both ends, so what you get back is a delta, not a sentiment survey.
Seats & pricing · NZD
One rate card. The more you train, the less per seat.
1 seat
$1,900
per seat · NZD
Individual leader
3 to 5 seats
$1,450
per seat · NZD
Small leadership group
6 to 15 seats
$1,200
per seat · NZD
Whole-team rollout
Best value16+ seats
$1,000
per seat · NZD
Organisation / multi-site
All tiers in NZD, no GST. Team payment terms available (e.g. quarterly over 12 months). Seats added later are priced on your cumulative total, so crossing a tier reprices the account and credits what you have paid.
Rolling out across multiple clinics? Read the playbook →
What leaders say
Built for vet med, because it's from vet med
"The toxicity module was highly relatable and has given me more confidence in addressing difficult team dynamics. I especially appreciate the field guides, with clear steps and practical phrases I can use."
Gracyn LibbyER Nurse Lead, ARC Vets (NZ)
"Each module flows from one to the next and is all so valuable. I have absolutely learnt a lot about myself as a team leader and a human being."
Layla ClementsLead Surgery Nurse, ARC Vets (NZ)
"I'm making all of our leadership do it. It's phenomenal."
Dr. Meghan SmallcombEmergency Veterinarian, VEG (US)
Next step
Design the system.
Protect the people.
Let the medicine follow.
See the programme → pivotvet.com/triage
Enrolling a team? Let's talk seats and terms → info@pivotvet.com
◆ NZVA Accredited CPD 2026 · 15 hrs · vets, nurses & allied professionals