IACUC Semi-annual Surgical Site Inspections

• IACUC Semi-annual Surgical Site Inspections

• Building / Room:

• IACUC Designated Inspector:

• Conducted on

  Date

• Is surgical site accessible for inspection?

  Yes

  No

• Contact Gwen Waddingham (384-4773) or Mary Thomson (353-5881) to have them contact the PI to get access.

IACUC Surgical Site Inspection

Surgical/Procedure Area:

• Is the procedure area for survival surgery, non-survival surgery, or both?

  Survival

  Non-survival

  Both

• Is the surgical space dedicated for animal procedures?

  Yes

  No

• Is the space used only for surgery when animals are undergoing procedures?

  Yes

  No

  Not Apllicable

• Is the site free from drafts, windows, and laboratory traffic?

  Yes

  No

  Not Apllicable

• Is the site free of bedding, animal waste, garbage, clutter, and animal hair?

  Yes

  No

  Not Apllicable

• Have dirty cages been removed?

  Yes

  No

  Not Apllicable

• Are all surfaces non-porous and washable?

  Yes

  No

  Not Apllicable

• Is the storage of food and water for animals, supplies, animal carcasses, and haz mats appropriate?

  Yes

  No

  Not Apllicable

• Is there a sharps container present?

  Yes

  No

  Not Apllicable

• Is there a biohazard waste container (with and autoclavable liner) present?

  Yes

  No

  Not Apllicable

• Are all work surfaces clean, and can they be disinfected?

  Yes

  No

  Not Apllicable

• Are disinfectants appropriate and within their expiration dates?

  Yes

  No

  Not Apllicable

• Are computers and other equipment covered when not in use?

  Yes

  No

  Not Apllicable

• Is there evidence that aseptic technique is used?

  Yes

  No

  Not Apllicable

• Do supplies and equipment appear to be clean?

  Yes

  No

  Not Apllicable

• Are volatile anesthetics used?

  Yes

  No

• What is the method of administration of volatile anesthetics?

  Drop Jar

  Vaporizer

• Is the drop jar used for surgeries?

  Yes

  No

  Not Apllicable

• The drop jar method of Isoflurane administration is not allowed for surgical procedures.

• Has/have the vaporizer(s) been checked/calibrated within the last year?

  Yes

  No

  Not Apllicable

• Are anesthetic gases scavenged?

  Yes

  No

  Not Apllicable

• How are anesthetic gases scavenged?

  Fume Hood

  Dedicated Exhaust System

  Scavenging Canisters

  Other

• Are scavenging canisters labeled with initial date of use and weight?

  Yes

  No

  Not Apllicable

• Is scavenging canister use recorded by logging the date used and the weight?

  Yes

  No

  Not Apllicable

• List the number of vaporizers that are present:

Instrument/Equipment Sterilization:

• Are instruments and equipment cleaned prior to sterilization?

  Yes

  No

  Not Apllicable

• How are instruments, equipment, and supplies sterilized?

  Steam

  EtO

  Chemical

• Was the appropriate procedure followed for duration of exposure and removal sterilizing chemical?

  Yes

  No

  Not Apllicable

• Are instruments/tools double wrapped?

  Yes

  No

  Not Apllicable

• Are internal integrator strips used?

  Yes

  No

  Not Apllicable

• Do instruments and tools have the sterilization date on the packs?

  Yes

  No

  Not Apllicable

• Are sterilized instruments and tools stored to prevent exposure to moisture and dust?

  Yes

  No

  Not Apllicable

• If multiple animals undergo surgery in one day, how are instruments re-sterilized between animals?

  Dry Bead Sterilizer

  Re-autoclave

  Separate Sets of Tools

Drugs/Sutures/Reagents:

• Are all anesthetics, analgesics, antibiotics, and other drugs and reagents within their expiration dates?

  Yes

  No

  Not Apllicable

• Are all sutures within their expiration date?

  Yes

  No

  Not Apllicable

• Are other supplies within their expiration date?

  Yes

  No

  Not Apllicable

• Are all controlled substances stored appropriately?

  Yes

  No

  Not Apllicable

• Is controlled substance use being recorded/logged appropriately?

  Yes

  No

  Not Apllicable

• Are all anesthetics, analgesics, antibiotics, other drugs and reagents pharmaceutical grade?

  Yes

  No

  Not Apllicable

• Surgical site inspection is complete.