OPERATION CATNIP: Idealism in Action

Anesthesia

Staffing:	1	Anesthetist
	1	Record keeper
	2 – 3	Transporters

ALL STAFF MUST CHECK IN AT THE VOLUNTEER TABLE.

GLOVES MUST BE WORN AT ALL TIMES.

ANYONE WITHOUT A CURRENT RABIES VACCINATION MUST ADVISE

THE CLINIC VOLUNTEER COORDINATOR.

The Anesthesia Station determines when the clinic begins. This station must set up immediately so cats can be anesthetized by the designated starting time. Begin according to the Clinic Supervisor, but no later than 8:45 am.

Anesthetist Instructions

The Anesthetist assesses the health of each cat and anesthetizes cats.

1) CLINIC SUPERVISOR or a designated representative prepares the anesthesia mixture by adding 1.25 ml Xylazine (100 mg/ml) and 5 ml Ketamine (100 mg/ml) to one bottle of dry Telazol.

2) DOSAGE is 0.25 ml per average adult cat. Prepare multiple doses in advance by leaving a needle in the Telazol bottle and using 1 ml syringes to draw up 0.25 ml. Adjust the dose up or down for larger or smaller animals. Minimum dose is 0.125 ml, maximum dose is 0.3 ml. For any other doses, consult the Clinic Supervisor.

3) LABEL the mixed vial as “TKX” and date it. Contact the Supply Coordinator for additional drugs.

4) ASSESS the cat before anesthetizing for the following:

Ø Tipped left ear or ear tag, indicating the cat has already been sterilized. Notify the Clinic Supervisor. If found after cat is anesthetized, the cat should be moved to the Neuter Station for booster vaccines. If noted before anesthetized, Clinic Supervisor may choose to vaccinate without anesthesia. Then the cat can go directly to Recovery Station.

Ø Special instructions on trap.

Ø General health and appearance. Contact the Clinic Supervisor with any concerns. Do not anesthetize extremely debilitated cats or kittens younger than 3 months without first contacting the Clinic Supervisor.

5) INJECT the cat intramuscularly through the holes of the cage as soon as the Transporter confines the cat with the divider. Advise the Anesthesia record keeper of the cage number, dose, and injection time.

6) DISPOSE of used syringe and needle in sharps container. Do not cap or reuse.

7) IF NEEDLE comes off syringe, and stays in cat, use the hemostat to retrieve needle. Do not reach into trap while cat is awake.

Anesthesia

Anesthetist Instructions (continued)

8) MONITOR the cat for complications. If after 15 minutes the cat is not anesthetized, contact the Clinic Supervisor. An additional 0.125 ml may be given with Supervisor approval.

Record Keeper Instructions

The Anesthesia Station Recorder logs injection times and amounts; maintains the Anesthesia Log; repacks and returns the station supply kit.

1) RECORD the time of each injection on the Anesthesia Log.

2) RECORD all drug use and waste on the Anesthesia Log. Telazol and Ketamine are DEA controlled drugs and by law must be tracked from receiving to disposal. All drug usage must be logged, dated and initialed by authorized staff. The DEA may inspect these records at anytime, and the University IACUC (Institutional Animal Care and Use Committee) inspects these records at least twice a year. Each entry on the Anesthesia Log must be initialed by the Anesthesia Record Keeper, and the completed forms signed by Dr Levy or the Clinic Supervisor.

3) NOTE if a cat vomits or has any other reaction to anesthesia.

4) NON BREATHING cats – IMMEDIATELY take cat to Dr Levy or Clinic Supervisor or other available vet.

5) SUBMIT the completed and signed Anesthesia Log to the Supply Coordinator at the conclusion of the clinic. The Supervisor will review it for compliance.

6) REPACK the supply kit, verifying the items on the Anesthesia Supply List are included.

7) RETURN the supply kit, including all the station instructions and any empty bottles, to the supply room at the conclusion of the clinic.

8) CLEAN-UP sweep/vacuum your area; wash tables; bag all trash and take to the dumpster; mop the area until no cat odor remains.

Anesthesia

Transporter Instructions

Anesthesia Station Transporters bring cats from the waiting area to the Anesthesia Station; restrain cats for injection; remove and label anesthetized cats; transport anesthetized cats to the next station.

1) TRANSPORT the first arrivals (GREEN label) first, so they can be discharged first. Transport kittens next, so they can be observed closer and reversed sooner. After the kittens, transport 2 females per spay vet. Then deliver cats as they come or as directed by the Clinic Supervisor. Volunteers’ cats come after public cats. Ill cats come last.

2) RESTRAIN the cat with a divider inserted through the trap. With the trap positioned vertically on the table, slide the tongs of the divider through the mesh of the trap, angling the tongs to corner the cat as closely as possible for the Anesthetist to access a suitable injection site.

3) REMOVE the trap to the induction area for observation.

4) MONITOR the cat for complications such as irregular breathing, no breathing or vomiting. If after 10-15 minutes the cat is still conscious, advise the Anesthetist.

5) COMPLICATIONS include vomiting, irregular breathing, and not breathing. If a semi-conscious cat is vomiting, tip the trap so the head of the cat is lowered. If the cat is anesthetized, hold the cat head down, and clear the mouth. With any breathing problems, immediately notify the clinic supervisor, Dr Levy, or another available vet.

6) REMOVE only fully anesthetized cats from the traps. NEVER OPEN A CAGE CONTAINING AN ALERT OR SEMI-CONSCIOUS CAT.

7) ATTACH the F# label around the left front paw. Staple the ends of the label together.

8) REMOVE any collars, flea collars or other items on the cats.

9) CHECK respiration and transport the cat to the next station. If the cat has been marked as “URI” (Upper Respiratory Infection), advise the next station that the cat is infectious and change your gloves before handling any healthy cats.

10) TRANSPORT the empty trap to Recovery for cleaning.

9) CLEAN-UP sweep/vacuum your area; wash tables; bag all trash and take to the dumpster; mop the area until no cat odor remains.

Operation Catnip Anesthesia Log Clinic Date: _________________

CAT #	DOSE #1	BOTTLE #	GIVEN BY	TIME	DOSE #2	BOTTLE #	GIVEN BY	TIME
F6-0001
F6-0002
F6-0003
F6-0004
F6-0005
F6-0006
F6-0007
F6-0008
F6-0009
F6-0010
F6-0011
F6-0012
F6-0013
F6-0014
F6-0015
F6-0016
F6-0017
F6-0018
F6-0019
F6-0020
F6-0021
F6-0022
F6-0023
F6-0024
F6-0025

Ordered by: Dr. __________________________ ______________________________ Date: _____________

(Print) (sign)

OPERATION CATNIP: Idealism in Action

Anesthesia Supply List

When anesthesia is concluded, please:

Ø Indicate the date and the amount of each item remaining in the station kit.

Ø Note any items not on the list that may be helpful to have in the kit.

Ø Return the kit, associated supplies and this Supply List to the Supply Coordinator.

KIT ITEMS:

Amount Given	Item	Returned / /	Returned / /	Returned / /	Returned / /	Returned / /	Returned / /
1 set	Drug Use forms, numbered
2	Trap divider combs
200	1 cc syringes w/ 22 g x ¾” needles
1	Hemostat, small
2	Staplers
1	Box of staples
2	Clipboards
3	Pens

Please return (but do not pack in the kit):

Ø Sharps container

Ø Nets (2)