PI: Surgeon: Date of Surgery: Contact Phone #: Contact Email: Cage Card/Animal ID: ACC Protocol #: Surgical Procedure: Surgical Classification: Post-Operative Monitoring Form Post-operative monitoring must be in accordance with approved protocol and surgical classification requirements (see table below) Analgesic Administration (One Column May Be Used For All Animals) Date Time Initials Animal Monitoring (One Line May Be Used For All Animals) Date Time Animal Surgical Site OK? Observations/Comments Initials Note animal ID when referring to – Score* (check one box) specific animals **If complications arise, please contact veterinary staff*** Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No *Animal Score: 1 = Active 2 = Inactive 3 = Moribund 4 = Found Dead DATE RELEASED FROM POST-OP MONITORING (sutures/clips removed, surgical site healed, and animals appear healthy or euthanized) After release from monitoring, take this form to your lab for future review during facility inspections Surgical Classification and Recommendations Class 1 Class 2 Class 3 Class 4 Surgical Classification Mild Pain Moderate Pain Moderate/Severe Pain Severe Pain Procedures Craniotomy with implant Embryo transfer Laparotomy with major organ Hindlimb ischemia Simple laparotomy manipulation/removal Organ Thoracotomy Dental extractions Ocular procedures transplant Orthopedics Subcutaneous implant Skin biopsy/wound Tracheal injections Vessel cut down/cannulation Minimum First 2 consecutive days after First 2 consecutive First 3 consecutive days after First 3 consecutive Week 1 Post- surgery days after surgery surgery days after surgery Operative Week 2 2 additional days of monitoring separated by 3-4 days Monitoring Minimum Post- 12 hours 36 hours 60 hours 60 hours Operative Analgesia
PI: Surgeon: Date of Surgery: Contact Phone #: Contact Email: Cage Card/Animal ID: ACC Protocol #: Surgical Procedure: Surgical Classification: Post-Operative Monitoring Form Post-operative monitoring must be in accordance with approved protocol and surgical classification requirements (see table below) Analgesic Administration (One Column May Be Used For All Animals) Date Time Initials Animal Monitoring (One Line May Be Used For All Animals) Date Time Animal Score* Surgical Site OK? (check one box) Observations/Comments – Note animal ID when referring to specific animals **If complications arise, please contact veterinary staff*** Initials Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No *Animal Score: 1 = Active 2 = Inactive 3 = Moribund 4 = Found Dead DATE RELEASED FROM POST-OP MONITORING (sutures/clips removed, surgical site healed, and animals appear healthy or euthanized) After release from monitoring, take this form to your lab for future review during facility inspections Surgical Classification and Recommendations Surgical Classification Class 1 Mild Pain Class 2 Moderate Pain Class 3 Moderate/Severe Pain Class 4 Severe Pain Procedures Craniotomy with implant Dental extractions Ocular procedures Subcutaneous implant Skin biopsy/wound Tracheal injections Vessel cut down/cannulation Embryo transfer Simple laparotomy Laparotomy with major organ manipulation/removal Organ transplant Orthopedics Hindlimb ischemia Thoracotomy Minimum Post- Operative Monitoring Week 1 First 2 consecutive days after surgery First 2 consecutive days after surgery First 3 consecutive days after surgery First 3 consecutive days after surgery Week 2 2 additional days of monitoring separated by 3-4 days Minimum Post- Operative Analgesia 12 hours 36 hours 60 hours 60 hours