Aseptic Rodent Surgery Aseptic Rodent SurgeryLocation* Date* MM slash DD slash YYYY Observers* Copies Sent to* (List the Facility Manager, Department Chair or other responsible personnel)General Considerations Location/procedure timing minimizes traffic/contamination (Guide, p 144) functional components (surgical support, animal preparation area, sink, operating area, postoperative recovery area) are available. Operating area is separated (physically or otherwise) (Guide, p 144) appropriate drug storage, labeling, control, expiration date monitoring & DEA/WA licensing, non-pharmaceutical drug use approved (Guide, pp 115, 122) safe sharps disposal system (Guide, p 74) adequate records of anesthesia and perioperative care (Guide, p 122) aseptic procedures in use for all survival surgery at all surgical sites (Guide, pp 118-119) Score - General Considerations*Please SelectAcceptableMinor DeficiencySignificant DeficiencyChange in ProgramNot ApplicableSuggestion for ImprovementNotes - General Considerations*Operating Area operating area is uncluttered & work surfaces sanitized (Guide, p 144) lighting safe and adequate (Guide, p 145) anesthetic gas vaporizers are serviced by qualified personnel yearly (WSU IACUC policy #31) scavenging of anesthetic gases is implemented. Active charcoal canisters are weighed regularly. Exhaust systems are certified as required. (Guide, p 145, WSU IACUC policy #31) Score - Operating Area*Please SelectAcceptableMinor DeficiencySignificant DeficiencyChange in ProgramNot ApplicableSuggestion for ImprovementNotes - Operating Area*Surgical Support facility for washing, sterilizing, storing instruments and supplies (Guide, p 145) autoclave monitoring procedures are implemented (Guide, pp 119, 145). What autoclaves are used to sterilize instruments and how is autoclave efficacy monitored? Are biological indicators used? storage of autoclaved materials maintains sterility (Guide, p 145). Autoclaved materials are covered and marked with date of autoclaving if multiple surgeries are done with the same set of instruments, instruments are re-sterilized between animals cold sterilization procedures are appropriate (Guide, p 119) Score - Surgical Support*Please SelectAcceptableMinor DeficiencySignificant DeficiencyChange in ProgramNot ApplicableSuggestion for ImprovementNotes - Surgical Support*Animal Preparation the operative area is physically or procedurally protected from hair clipping & initial scrubbing procedures animal is adequately anesthetized according to the relevant ASAF hair removal and scrub is conducted at ALL SURGICAL SITES Surgeon Scrub surgeon wears a clean lab coat or surgical gown & a face mask sterile surgical gloves are used for all surgeries and at all surgical sites. If contaminated, surgical gloves are changed (Guide, p 145) Postoperative Recovery adequate observation is conducted as described in the ASAF post-operative analgesia described in the ASAF is provided and documentedA Records Surgeon training is adequate and documented Appropriate records of the surgical procedure, anesthesia and pre- and post-operative care are maintained Score - Animal Preparation*Please SelectAcceptableMinor DeficiencySignificant DeficiencyChange in ProgramNot ApplicableSuggestion for ImprovementNotes - Animal Preparation*Additional Notes Δ