Training Records Form
Name: ________________________________________
Topic / Technique
Handling
Restraint
Animal Identification Methods
Dosing (circle acceptable route[s])
IV, IM, SC, IP, PO, FP, IC, other: ________________________
Dosing (circle acceptable route[s])
IV, IM, SC, IP, PO, FP, IC, other: ________________________
Dosing (circle acceptable route[s])
IV, IM, SC, IP, PO, FP, IC, other: ________________________
Blood Collection (circle acceptable route[s])
IV, Lateral Saphenous, Retro-orbital, Tail Nick, Cardic
Puncture under anesthesia, other: _______________________
Blood Collection (circle acceptable route[s])
IV, Lateral Saphenous, Retro-orbital, Tail Nick, Cardic
Puncture under anesthesia, other: _______________________
Blood Collection (circle acceptable route[s])
IV, Lateral Saphenous, Retro-orbital, Tail Nick, Cardic
Puncture under anesthesia, other: _______________________
Anesthesia (injectable)
Anesthesia (inhalation): jar
CONFIDENTIAL
Version 4/15/06
Date
Initiated
Department: ________________________________________
Date
Completed
Species
Trainer
Comments
Training Records Form
Topic / Technique
Anesthesia (inhalation): machine
Euthanasia (circle acceptable method[s])
CO2, Cervical Dislocation Under Anesthesia, Decapitation,
Injectable Agents, other: ________________________________
Euthanasia (circle acceptable method[s])
CO2, Cervical Dislocation Under Anesthesia, Decapitation,
Injectable Agents, other: ________________________________
Biohood Use
Aseptic Surgery Technique
Surgical Procedure (list procedure)
Surgical Procedure (list procedure)
Surgical Procedure (list procedure)
Other:
Other:
Other:
Other:
CONFIDENTIAL
Version 4/15/06
Date
Initiated
Date
Completed
Species
Trainer
Comments
Training Records Form
CONFIDENTIAL
Version 4/15/06