aec monitoring sheet templates

advertisement
AEC MONITORING SHEET TEMPLATES
Instructions


All sections in blue must be completed prior to submission of a new project
application to the AEC.
Monitoring frequency must be no less than twice per week.
Monitoring sheet: general
 This sheet is for use during periods when the wellbeing of the animals is not
likely to be diminished e.g. during the acclimatisation period, or after an animal
has recovered from a particular procedure.
 This sheet must be used in ALL projects.
 Monitoring groups
o “stock” can be selected to monitor multiple cages on a single sheet. This
can only be used for stock animals i.e. only for animals that are not
under experiment.
o “cage” should be selected when you are monitoring 1 cage of animals on
a single sheet.
o “individual” should be selected when you are monitoring 1 animal on a
single sheet.
 The monitoring criteria listed in ‘Physical exam’ are mandatory for ALL projects.
 You should select the applicable monitoring criteria listed in ‘Other monitoring
criteria’.
Monitoring sheet: acute experiment/anaesthesia
 This sheet is for use during periods when the wellbeing of an animal may
potentially be diminished e.g. diabetic animals, administration of drugs or other
treatments, post-surgery.
 Monitoring groups
o “cage” should be selected when you are monitoring 1 cage of animals on
a single sheet.
o “individual” should be selected when you are monitoring 1 animal on a
single sheet.
 Monitoring criteria examples
o General: Activity level, body condition, coat/skin quality, eyes and nose,
gait, hydration, posture, social behaviour.
o Specific: Blood glucose, blood pressure, tumour size, surgical wound,
injection site, temperature, weight, respiratory rate, heart rate,
withdrawal reflex.
Monitoring sheet: incident record
 This sheet is for use when an abnormality is found with an animal. Notes on
observations, progress of animal’s condition, treatments given and plan must
be kept on this sheet.
Monitoring sheet: anaesthetic/surgical
 This sheet is for use during anaesthesia +/- surgery.
 Each sheet may only be used to monitor the anaesthetic for an individual
animal.
Monitoring Sheet: General
CI name: ENTER CHIEF
INVESTIGATOR’S NAME HERE
Project #:
Room #:
Strain:
Emergency contact #s: ENTER EMERGENCY CONTACT DETAILS
FOR INVESTIGATORS ON PROJECT HERE
Cage #s:
Animal ID #s:
 Stock
 Cage
 Individual
 Other (specify)
Frequency of monitoring:
 Daily
 3 x weekly
 2 x weekly
 Other (specify)
Monitoring group :
Physical exam:
Other monitoring criteria:
Activity level
Hydration
Blood glucose ☐
Surgical wound ☐
Body condition
Posture
Weight ☐
Injection site ☐
Coat/skin quality
Respiration
Other (specify) ☐
Tumour size ☐
Eyes and nose
Social behaviour
Gait
Specific euthanasia criteria (humane endpoints): ENTER HUMANE ENDPOINTS HERE E.G. WEIGHT LOSS >
X%, ULCERATION OF SKIN, HUNCHED POSTURE, DEHYDRATION.
Description of current project/procedure:
Date
Initials
Physical
exam
Other
monitoring
criteria
Notes
(include details on any experimental procedures performed, diseased/sick
animals, singly-housed animals, treatments administered, culled animals)
Page ___________
Monitoring Sheet: Acute Experiment
CI name: ENTER CHIEF
INVESTIGATOR’S NAME HERE
Project #:
Room #:
Strain:
Emergency contact #s: ENTER EMERGENCY CONTACT DETAILS
FOR INVESTIGATORS ON PROJECT HERE
Cage #:
Animal ID #s:
 Cage
 Individual
 Other (specify)
Frequency of monitoring:
 Twice daily
 Daily
 3 x weekly
Monitoring group:
 Other (specify)
Specific euthanasia criteria (humane endpoints): ENTER HUMANE ENDPOINTS HERE E.G. WEIGHT LOSS >
X%, ULCERATION OF SKIN, HUNCHED POSTURE, DEHYDRATION.
NOTE: SPECIFIC DETAILS OF ANY ABNORMAL FINDINGS MUST BE RECORDED ON THE INCIDENT RECORD.
Date or time
Monitoring
criteria
ENTER
MONITORING
CRITERIA HERE
ENTER
MONITORING
CRITERIA HERE
ENTER
MONITORING
CRITERIA HERE
ENTER
MONITORING
CRITERIA HERE
ENTER
MONITORING
CRITERIA HERE
ENTER
MONITORING
CRITERIA HERE
ENTER
MONITORING
CRITERIA HERE
ENTER
MONITORING
CRITERIA HERE
ENTER
MONITORING
CRITERIA HERE
Investigator’s
name
Comments/notes
Page ___________
Monitoring Sheet: Incident Record
Animal ID #:
Date
___________________________
Details of abnormal finding and action taken
Page ___________
Investigator’s name
Monitoring Sheet: Anaesthetic/Surgical
Date: _________________
Anaesthetist/Surgeon:_________________________
CI name: ENTER CHIEF INVESTIGATOR’S NAME HERE
Project #:
Animal ID #:
Strain:
Pre-anaesthetic exam
Weight:
g
Resting respiratory rate:
Coat condition:
Hydration status:
Behaviour/mentation:
Capillary refill time:
Other comments:
Anaesthetic
Start time:
Mins
End time:
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
Time
Iso %
Oxygen L/min
Withdrawal
reflex
Resp rate
(breaths/min)
Skin colour
Capillary refill
time (sec)
Temp (°C)
Medications
Key events
ENTER OTHER
MONITORING
CRITERIA HERE
Normative data:
Rats: resp rate 85 breaths/min , CRT<1 sec, temp 37.5°C, heart rate 300-500 beats/min, systolic blood pressure 166 mm Hg.
Mice: resp rate 163 breaths/min, CRT<1sec, temp 37-37.2°C, heart rate 310-840 beats/min, systolic blood pressure 133- 160 mm Hg.
Surgery notes:
Medications
Key
(a)
Drug
Dose (mg and ml)
Route
(b)
(c)
(d)
(e)
(f)
Page ___________
Comments
95 100 105
Download