PIVOT · TRIAGE™ Leadership
New Zealand
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.

◆ Externally validated leadership curriculum · 15 hours · vets & nurses
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 program

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

◆ Externally reviewed · 15 hrs · loggable as self-directed CPD (VCNZ)
  • ›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
  • ›Externally validated curriculumIndependently reviewed and RACE-approved in the US & Canada, a third-party quality mark, not just one clinician's opinion. Logs as self-directed CPD here.
  • ›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 groups and private-equity owners consolidate specialty and GP hospitals across NZ, the value sits in the teams. And 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 peopleOrg-owned seats you reassign 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 1Enrollment setupSeats assigned to your leaders, access delivered
  • Wk 2Leaders beginAsync lessons on each person's own schedule, around shifts
  • ~6 moFull cohort certifiedTRIAGE Leadership Certification earned
  • ›Org-held seats you controlReassign a departed leader's seat to their replacement, no repurchase
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 value
16+ seats
$1,000
per seat · NZD
Organization / multi-site

All tiers in NZD. Team payment terms available (e.g. quarterly over 12 months).

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)

"So much of my stress was coming from broken systems, not difficult people. Now my team knows what's expected, and I'm not carrying it all anymore."

Dr. David ToomeyMedical Director, VEG (US)

"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.

Let's pick up where we left off → info@pivotvet.com

See the programme → pivotvet.com/triage

◆ Externally validated · 15 hrs · vets & nurses · loggable CPD
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