I go to a large vet practice with currently 9 vets on staff. It does not have 24 hour emergency care for the general public, but does have 24 hour emergency care for clients............ which is why I pass two other vet clinics to go there
They do have a vet tech stay overnight to care for/monitor overnight patients - and there is often a vet in attendance as well due to incoming emergencies - there is always a vet on call 24 hours a day.
They don't normally allow people in the back, but have gotten to know me over the 10+ year period that I have been going there and do allow me back. I even put on a lead apron in order to hold Louise when she had her x-ray the week before her due date. I have no medical training but have acted as the vet tech in an emergency situation after hours.
I know I get privlages that the average owner does not - but I have earned it over the years.
I went to the new vaccine protocal well before my vet office did and had to argue for it - they have now come around for the most part.
I love my vet's office - but I make it work for me.