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ASPCA Animal Shelter Medical Intake Checksheet free printable template

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Initiate written and computer examination records 2. Take photo of animal for record 3. Document animal s signalment species sex breed identifying features 4. ANIMAL SHELTER MEDICAL INTAKE CHECKSHEET Animal identification Date Stray Owner Surrender Transfer Court Order Other Animal Name Time of intake Medical Records Your Name YES NO BRIEF INTAKE EXAMINATION Staff Initials 1. Check for identification Microchip scan Ear tip Tattoo check Collar Tag information 5. Write animal s shelter...identification number in permanent marker on paper collar and place on animal 6. Weigh animal and record weight 7. Take temperature pulse and respiration and record TPR 8. Perform a head to toe full body physical exam and record information EMERGENCY SIGNS If any box below has been checked staff member must directly notify the shelter veterinarian* Initial here and indicate the time at which veterinarian was contacted* Initials Time Check only if noted Temp 105F Temp 97F Seizures Labored...breathing Abnormal gum color Hit by car Bleeding or bruising Broken bone/lameness Female trouble delivering Altered consciousness Swollen abdomen Major wound Unable to urinate Severe emaciation Severe dehydration Possible abuse INFECTIOUS DISEASE SIGNS exam board. Record your initials and time that this has been done. Eye or nose discharge Cough or sneeze Conjunctivitis Ulcers in mouth/nose Enlarged lymph nodes Patchy or circular hair loss Vomiting Diarrhea PREVENTIVE CARE 1. Vaccines...administered per shelter vaccination protocol 2. Oral dewormer administered per shelter parasite protocol 3. Topspot flea and tick product applied per shelter parasite protocol HOUSING CHOICE Check where animal is housed Healthy hold Adoption Quarantine Isolation NOTES WASH HAND WITH SOAP AND WATER. Check for identification Microchip scan Ear tip Tattoo check Collar Tag information 5. Write animal s shelter identification number in permanent marker on paper collar and place on animal 6. Weigh...animal and record weight 7. Take temperature pulse and respiration and record TPR 8. Perform a head to toe full body physical exam and record information EMERGENCY SIGNS If any box below has been checked staff member must directly notify the shelter veterinarian* Initial here and indicate the time at which veterinarian was contacted* Initials Time Check only if noted Temp 105F Temp 97F Seizures Labored breathing Abnormal gum color Hit by car Bleeding or bruising Broken bone/lameness Female...trouble delivering Altered consciousness Swollen abdomen Major wound Unable to urinate Severe emaciation Severe dehydration Possible abuse INFECTIOUS DISEASE SIGNS exam board. Weigh animal and record weight 7. Take temperature pulse and respiration and record TPR 8. Perform a head to toe full body physical exam and record information EMERGENCY SIGNS If any box below has been checked staff member must directly notify the shelter veterinarian* Initial here and indicate the time at which...veterinarian was contacted* Initials Time Check only if noted Temp 105F Temp 97F Seizures Labored breathing Abnormal gum color Hit by car Bleeding or bruising Broken bone/lameness Female trouble delivering Altered consciousness Swollen abdomen Major wound Unable to urinate Severe emaciation Severe dehydration Possible abuse INFECTIOUS DISEASE SIGNS exam board. Record your initials and time that this has been done. Eye or nose discharge Cough or sneeze Conjunctivitis Ulcers in mouth/nose Enlarged...lymph nodes Patchy or circular hair loss Vomiting Diarrhea PREVENTIVE CARE 1.
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Comprehensive Guide to the ASPCA Animal Shelter Medical Form

How do you fill out the ASPCA animal shelter medical form?

Filling out the ASPCA animal shelter medical form involves providing crucial information about the animal being admitted to the shelter. This includes details like the animal's identification, medical history, and any specific needs or considerations. A well-filled form ensures accurate data that promotes animal welfare and legal compliance.

  1. Gather all necessary information about the animal, including identification and medical records.
  2. Ensure the owner’s information is accurate and complete.
  3. Conduct a thorough examination of the animal during intake.

Understanding the ASPCA animal shelter medical form

The ASPCA animal shelter medical form plays a vital role during animal intake at shelters. It is designed to collect essential medical and personal information that aids in the health assessment of the animal and ensures proper care. Accurate information is crucial not only for the animal’s welfare but also for the shelter's legal responsibilities.

  1. This section outlines the purpose of the medical form, highlighting its importance in the animal intake process.
  2. Accurate data helps improve animal outcomes and supports legal obligations, safeguarding both the shelter and its residents.
  3. Forms are commonly utilized for different intake situations, including strays, owner surrenders, transfers from other agencies, and court-ordered placements.

What essential fields belong on the intake form?

The intake form should include several essential fields to capture necessary information. Key fields allow for proper identification and enable staff to provide appropriate care immediately upon the animal's arrival.

  1. Information such as name, type, breed, age, and color helps uniquely identify the animal.
  2. Recording the exact time and date of intake is crucial for tracking and monitoring the animal's progress.
  3. This field ensures that any existing medical conditions are documented for further treatment.
  4. Details like owner’s name, address, and contact information foster easier communication.

How is a brief intake examination conducted?

Conducting a brief examination during intake is a critical step in ensuring the health and safety of incoming animals. This process involves systematic steps that can be performed using either written or computerized records.

  1. Whether through paper or software, accurate initial records are needed to build the animal’s health profile.
  2. Photos provide essential visual identification for records and help track the animal’s health condition visually.
  3. Key information includes signalment, identifying features, and any visible signs of distress or injury.
  4. Search for microchips, tattoos, ear tips, or collars, which are vital for reuniting lost pets with their owners.

What emergency signs should be monitored?

Recognizing emergency signs is crucial for animal welfare. Staff must be trained in identifying critical health indicators that can signify urgent medical needs.

  1. Monitor body temperature, seizures, and disorientation as potential emergency signs.
  2. Record observations meticulously and follow protocols to notify the shelter veterinarian immediately.
  3. Look for abnormal breathing, unusual behavior, and other concerning symptoms that require attention.

How to identify infectious disease symptoms?

Timely identification of infectious disease symptoms is essential for controlling outbreaks within shelters. Staff must be vigilant about observing key signs.

  1. Monitor for signs such as eye discharge, coughing, vomiting, and others that may indicate illness.
  2. Establish a clear procedure for documenting suspected cases, ensuring accurate records are maintained.
  3. Immediately inform the veterinary team to initiate timely intervention for the affected animal.

What preventive care and treatments are required?

Preventive care is essential for promoting long-term animal health. Proper documentation of vaccines and treatments can help establish a baseline for each animal.

  1. Record all administered vaccinations to prevent disease outbreaks within the shelter.
  2. Follow established vaccination and parasite treatment protocols to promote overall health and safety.
  3. Maintain logs of dewormers, flea, and tick treatments for existing and incoming animals.

How to select housing for animals?

Selecting appropriate housing options for animals is directly related to their individual needs and health assessments. The right environment can enhance recovery and comfort.

  1. Different settings include healthy hold areas, adoption spaces, quarantine zones, and isolation for sick animals.
  2. Base housing decisions on the intake assessment to ensure the best living conditions for each animal.
  3. Document any specific needs or conditions affecting the animal's housing situation.

Why is record-keeping crucial?

Comprehensive notes and records are invaluable in maintaining ongoing animal care. They contribute to continuity of care and facilitate clear communication among staff.

  1. Ensure that notes capture every detail about an animal's health and behaviors during their stay.
  2. Implement best practices for documentation, ensuring consistency and accuracy in record-keeping.
  3. Regularly update records for each animal to provide a timely history of care and treatment.

How does pdfFiller enhance form management?

pdfFiller provides innovative features that simplify the management of the ASPCA medical form. Users can easily fill out, edit, and manage forms from any location.

  1. Easily edit the ASPCA medical form to ensure all data is current and accurate.
  2. Allows teams to work together effectively, improving communication and data accuracy.
  3. Access, sign, and collaborate on documents effortlessly, promoting a more efficient workflow.

Frequently Asked Questions about animal given intake form

What is the purpose of the ASPCA animal shelter medical form?

The medical form serves to gather essential information about an animal's health and history. This data is critical for ensuring proper care and compliance with legal standards.

How can I fill out the ASPCA animal shelter medical form?

You can fill out the form by gathering necessary details such as identification, medical history, and owner information. Each section should be completed accurately to ensure seamless processing.

What should I look for during an intake examination?

During an intake examination, look for physical signs of distress, document identifying features, and check for any existing medical conditions. Accurate records are crucial for ongoing animal care.

What symptoms indicate an infectious disease in animals?

Symptoms such as eye discharge, coughing, and vomiting may indicate infectious diseases. Identifying these signs early can help control potential outbreaks within the shelter.

Why is record-keeping important in animal shelters?

Record-keeping is vital as it ensures continuity of care, provides a history of each animal's health, and facilitates communication among shelter staff.

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