ࡱ> e bjbj 2h]bh]bs& & 8>d12L&p'd'40000000$3H6R0(v&"&"((0r 1+++(80+(0++-!.`k6(-0101-,6`)6!.!.B6c.P((+(((((00+(((1((((6(((((((((& B h:  INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE (IACUC) Medical Self-Evaluation Form for Animal Facility Users (must be submitted prior to working with animals) This health screening information is important to protect the health and safety of individuals that come in frequent contact with animals during their employment or research. All information is strictly confidential. Name Last First Middle Initial Sex Age Date of Birth ( ) Home Address City State Zip Phone Department ID Number Position Campus address ( ) Person to contact in the event of emergency Relationship Phone Supervisor or Principal Investigator: ______________________________ Health History 1. Do you now have or have you ever had any of the following? Ailment YesNoAilmentYesNoDiabetesAllergies to animals, pollen, food, etc. Seizure disorderMuscle or bone problemsSkin rashesRepeated episodes of diarrheaImmune system suppressionProblems with visual acuity/hearing ability Diagnosis of latex allergyMeaslesHerniationsMeasles vaccineDrug or alcohol dependencyFamily history of hay fever, asthma, allergic skin problems or eczema 2. When was your last tetanus vaccination?  FORMTEXT       (year) 3.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Do you have any current health problems not listed above that may affect your work with animals? If yes, please explain.  FORMTEXT       4.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Do you have any disabilities (limitations) which would affect your ability to perform usual work duties (including bending, lifting, walking, reading, communicating)? If yes, please explain.  FORMTEXT       5.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Are you aware of the health risks associated with your job? 6.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Are you required to wear a respirator while working with lab animals? Animal Contact 1.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have you worked with animals used in research related projects in the past? If yes, state years and species.  FORMTEXT       2. How many hours were you in direct contact with the animals?  FORMCHECKBOX  8 hours per week or more  FORMCHECKBOX  Less than 8 hours per week  FORMCHECKBOX  No direct contact, occasional exposure 3.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have you ever been evaluated for animal-related health problems in the past? If yes, please list/explain:  FORMTEXT       Circle all of the following that cause your symptoms: Guinea pigs Rabbit Hamster Mouse Amphibians Rat Reptiles Dog Cat Birds Unsure Other:  FORMTEXT       4.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have you been vaccinated against rabies? (Recommended if working with animals in the field) Date:  FORMTEXT       If yes, when was your last titer check?  FORMTEXT       5  FORMCHECKBOX  Yes  FORMCHECKBOX  No Do you have sneezing spells, runny or stuffy nose, watery or itchy eyes, coughing, wheezing, or shortness of breath after working with laboratory animals or their cages? If yes, check all boxes that cause any of your symptoms.  FORMCHECKBOX  Mice  FORMCHECKBOX  Rats  FORMCHECKBOX  Reptiles  FORMCHECKBOX  Bedding  FORMCHECKBOX  Wild animals:  FORMTEXT        FORMCHECKBOX  Other:  FORMTEXT       6. In general, how frequently are you bothered by the following symptoms related to work with laboratory animals or their cages? SymptomNot TroubledOnce per MonthOnce per WeekAlmost DailySkin rash or hivesWatery, itchy eyesRunny or stuffy noseSneezing spellsFrequent coughWheezing in chestShortness of breath 7.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Do you have any house pets? If yes, what type of animals?  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Please note that you are responsible for ensuring that the following  Healthcare Provider Clearance Form is completed, signed by your healthcare provider, and uploaded to the CastleBranch website. CastleBranch will review and store the forms and notify the IACUC Chair when someone is cleared to work in the animal facility. You will not be cleared to work with live vertebrate animals until your clearance is on file. If you are on the Post campus and do not have access to a private healthcare provider, you can contact the  HYPERLINK "https://www.nyit.edu/medicine/riland_health_care_center" Riland Health Care Center at the New York Institute of Technology to make an appointment to see someone to complete the assessment below (516-686-1300). Note that you will be responsible for any costs and/or insurance co-pays associated with the visit. Riland accepts most insurance and has a sliding cost scale for those without insurance. International students should be aware that they may need to pay the initial cost for the visit and then submit their receipt for reimbursement to their insurance company. Contact Riland for more information. HEALTHCARE PROVIDER CLEARANCE FORM This Form to be Completed by Healthcare Provider I have reviewed ________________________________________________________ s MEDICAL SELF-EVALUATION FORM FOR ANIMAL FACILITY USERS, and have determined the following: & Individual is cleared for working with animals. & Individual requires airborne allergen mitigation (please circle: PPE, N95 mask/respirator). & Individual requires vaccinations (list): _________________________________________ & Individual requires tetanus booster on or before: __________________ & Individual requires an in-person visit for further assessment (list any assessment comments below). & Other (specify):  FORMTEXT       By signing below, I confirmed that I have reviewed this form and made recommendations. This does not constitute a legal attestation that the individual listed above is without risk of exposure to vertebrate animals. _______________________________________ ________________________ (Healthcare Provider signature and title) (date) Please complete this page and return the signed original to the CastleBranch website.      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