BLOOMINGTON INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE (BIACUC)
PAIN & DISTRESS RATING SCALE AND LONG-TERM POST SURGERY MONITORING
FOR NON-USDA REGULATED RODENT STUDY
Replace text in BLUE with descriptions and details appropriate for your study/species/procedures. More samples of pain
scales for a variety of species and procedures can be found at: http://research.iu.edu/rschcomp/BIACUC/Forms/forms.html
Animal is to be observed/evaluated at least every 24 hours for a period no less than 14 days post procedure
unless criteria in the rodent surgery policy are met.
 Scoring should be done just before next analgesic dose if possible.
 If total score is >3, or if you score a 2 or 3 in any category, see below for treatment plan.
 Your actions in response to high pain score must be documented in animal report.
Assessment Score =
-0-
-1-
-2-
-3-
Not alert and
hunched
Not responsive to
stimuli
Completely inactive
Lying on side
Attitude and Posture Alert and not hunched Not Alert or hunched
Gait and Movement
Surgical Site
Active
Somewhat inactive
Clean and not swollen Exudates or swelling Exudates and swelling
Wound rupture
Appetite
Eating and drinking
Reduced eating or
drinking
Not eating or drinking
Not eating or drinking
for >3 days
Elimination
Normal
Softer than normal
Diarrhea
Diarrhea > 3 days
___________
Treatment Plan (in consultation with Attending Veterinarian)
 Scores = 3 in any category: euthanize immediately
 Scores = 2 in any category: evaluate & consult with vet
 Total Score > 3: consult with vet
 Score > 1 in Appetite: Provide easy access to food & treats
Protocol #:
Animal ID:
TIME & DATE
POSTURE
e.g.
4/22/09 9AM
0
MOVEMENT
1
SURGICAL
APPETITE
SITE
0
2
ELIMI-
TOTAL
NATION
SCORE
1
4
INITIALS
ACTION
rs
Called vet; continue with food supplement and
treats
1.
2.
3.
4.
5.
6.
7.
8.
Date surgery site healed: Incision is closed, no redness associated with wound, and no scabbing
is present
Approved April 28, 2009
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BLOOMINGTON INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE (BIACUC)
Protocol #:
TIME & DATE
Animal ID:
POSTURE
MOVEMENT
SURGICAL
APPETITE
SITE
ELIMI-
TOTAL
NATION
SCORE
INITIALS
ACTION
9.
10.
11.
12.
13.
14.
BIACUC.protocol.2008.06
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