Good hospital-pen management includes record keeping. For starters, track the number of days that a cow spends in the hospital pen. Most dairy-management software programs allow you to track when a cow moved into and out of the pen. With the help of your veterinarian, use the records to troubleshoot problems and make comparisons. Your veterinarian learned about hospital-pen design and management in the October and November issues of our sister publication, Bovine Veterinarian.