137 lines
2.7 KiB
Markdown
137 lines
2.7 KiB
Markdown
# Daily Animal Health Check
|
|
|
|
| Form ID | FRM-VET-001 | Revision | 1.0 |
|
|
|---------|-------------|----------|-----|
|
|
|
|
---
|
|
|
|
## Room/Area Information
|
|
|
|
| Field | Entry |
|
|
|-------|-------|
|
|
| Room Number | |
|
|
| Species | |
|
|
| Date | |
|
|
| Observer Name | |
|
|
| Observer Initials | |
|
|
|
|
## Health Observation Checklist
|
|
|
|
For each cage/pen, check off normal observations. Circle and note any abnormalities.
|
|
|
|
### General Colony Status
|
|
|
|
- [ ] All animals present and accounted for
|
|
- [ ] No mortalities observed
|
|
- [ ] HVAC functioning (temp/humidity in range)
|
|
- [ ] Lighting on appropriate cycle
|
|
- [ ] No unusual odors
|
|
|
|
### Individual Cage Assessment
|
|
|
|
| Cage # | Animals OK | Food OK | Water OK | Abnormalities Noted |
|
|
|--------|------------|---------|----------|---------------------|
|
|
| | ☐ | ☐ | ☐ | |
|
|
| | ☐ | ☐ | ☐ | |
|
|
| | ☐ | ☐ | ☐ | |
|
|
| | ☐ | ☐ | ☐ | |
|
|
| | ☐ | ☐ | ☐ | |
|
|
| | ☐ | ☐ | ☐ | |
|
|
| | ☐ | ☐ | ☐ | |
|
|
| | ☐ | ☐ | ☐ | |
|
|
|
|
## Abnormality Details
|
|
|
|
If any abnormalities noted above, provide details:
|
|
|
|
### Animal 1
|
|
| Field | Entry |
|
|
|-------|-------|
|
|
| Cage # | |
|
|
| Animal ID | |
|
|
| Protocol # | |
|
|
| PI Name | |
|
|
| Clinical Signs Observed | |
|
|
| Action Taken | |
|
|
| Vet Notified? | ☐ Yes ☐ No |
|
|
| Vet Name/Time | |
|
|
|
|
### Animal 2
|
|
| Field | Entry |
|
|
|-------|-------|
|
|
| Cage # | |
|
|
| Animal ID | |
|
|
| Protocol # | |
|
|
| PI Name | |
|
|
| Clinical Signs Observed | |
|
|
| Action Taken | |
|
|
| Vet Notified? | ☐ Yes ☐ No |
|
|
| Vet Name/Time | |
|
|
|
|
## Clinical Signs Reference
|
|
|
|
Check all that apply for abnormal animals:
|
|
|
|
**Appearance**
|
|
- [ ] Rough/unkempt coat
|
|
- [ ] Hunched posture
|
|
- [ ] Piloerection
|
|
- [ ] Lethargy
|
|
- [ ] Weight loss visible
|
|
|
|
**Respiratory**
|
|
- [ ] Labored breathing
|
|
- [ ] Nasal discharge
|
|
- [ ] Open-mouth breathing
|
|
|
|
**GI/Elimination**
|
|
- [ ] Diarrhea
|
|
- [ ] Blood in stool
|
|
- [ ] Bloated abdomen
|
|
|
|
**Neurological**
|
|
- [ ] Circling
|
|
- [ ] Head tilt
|
|
- [ ] Seizures
|
|
- [ ] Ataxia
|
|
|
|
**Other**
|
|
- [ ] Wounds/lesions
|
|
- [ ] Eye abnormalities
|
|
- [ ] Tumor growth
|
|
- [ ] Other: _______________
|
|
|
|
## Environmental Observations
|
|
|
|
| Parameter | Reading | Normal Range | OK? |
|
|
|-----------|---------|--------------|-----|
|
|
| Temperature | °F/°C | Species-specific | ☐ |
|
|
| Humidity | % | 30-70% | ☐ |
|
|
| Light Cycle | :00 - :00 | Per protocol | ☐ |
|
|
|
|
Environmental concerns noted:
|
|
|
|
_______________________________________________
|
|
|
|
## Completion Verification
|
|
|
|
| Field | Entry |
|
|
|-------|-------|
|
|
| All cages checked? | ☐ Yes |
|
|
| All abnormalities documented? | ☐ Yes ☐ N/A |
|
|
| Vet notified of concerns? | ☐ Yes ☐ N/A |
|
|
| Observer Signature | |
|
|
| Time Completed | |
|
|
|
|
## Supervisor Review (if abnormalities noted)
|
|
|
|
| Field | Entry |
|
|
|-------|-------|
|
|
| Reviewed By | |
|
|
| Date | |
|
|
| Comments | |
|
|
|
|
---
|
|
|
|
*Form FRM-VET-001 Rev 1.0 - Daily Animal Health Check*
|