2018 Bovine Surgery

Surgery or Procedure Report Form
Surgery or Procedure Report Form. FASXA Protocol 2407-42206A Todays date
MonthDayYear
Date
Animal tag number*
Group #*
Date of procedure
MonthDayYear
Date
Please list all drugs given (local block, antibiotics, sedatives, etc) unless on the anesthesia form
1. What procedure did you do? *
Procedure Details : Please include local block performed, response to local blocks and sedation if used, and any additional drugs administered as well as procedure details including suture material.*
Procedure 1 student surgeon*
2. What procedure did you do? *
Procedure Details: Please include local block performed, response to local blocks and sedation if used, and any additional drugs administered as well as procedure details including suture material.*
Procedure 2 student surgeon*
3 What procedure did you do?
Procedure 3 Please include local block performed, response to local blocks/sedation and any additional drugs administered as well as procedure details including suture material.
Procedure 3 student surgeon
4. What procedure did you do?
Procedure 4 Please include local block performed, response to local blocks/sedation and any additional drugs administered as well as procedure details including suture material.
Procedure 4 student surgeon
The animal is*
Alive and comfortableAlive, shows signs of pain and is getting flunixin meglumineEuthanized- death confirmed by heart ausculatationEuthanized -death confirmed by lack of corneal responseOther
E-mail
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