(must be Texas State Faculty member)

Name: First, M. I. Last

E-mail Address:

Your immediate supervisor's (Chair or other) e-mail address:

Telephone: Office Laboratory Emergency

University Department

Office Building Room Number

Requirements in this section (1) are self explanatory.

This application is for a   NEW approval, or RENEWAL of an old approval.

If this is a renewal, please enter the previous protocol code. -->

Self explanatory

Enter project title here.

If this is a grant-supported project, use the same title as the grant or the appropriate sub-section of the grant.

Investigation of fungal infections of turtle shells.

Only one project title is allowed per approval.

File separate forms for each project.

For example, if you are using animals in teaching and research, separate

approvals are required for each.

Prior to selecting the CATEGORY, go to the CATEGORY DESCRIPTIONS & EXAMPLES page and read the explanatory material. Use your "BACK" button to return to this page without losing the data you have already entered.

Check one only - the highest applicable.

Category 1

Category 2

Category 3

Category 4

Category 5

Please read the "Category Descriptions" carefully.

This information is particularly important in determining an approval.

Anticipated: Start Date (m/d/year) End Date (m/d/year)

Note: Your protocol approval will automatically expire after three years even if your end date is more than three years away. If your end date is more than three years away, you will have to reapply for approval.

List all animal species to be used in this project. For each, estimate the total number required and give the source from which the animals will be obtained.

21 turtles (genus, species) to be obtained from Carolina Biological Supply

Building or facility where animals will be housed:

Name Room Number

Outline the specific scientific goal(s) and significance of this project in language understandable to a lay-person.

Also include why it is necessary to use animals for this project; why you have chosen the species; and provide the basis for your estimate for the number of animals required.

The goal of this project is to produce xxx to yyy in order to identify zzz in test ABC. The ABC test is important to identify zzz in the study of natural phenomenon. We must use animals because the actual biological material is needed for the test, and computer modeling will not provide it. There are no in vitro methods to produce xxx available. We use species Q because standard procedures for producing xxx are well established, and smaller species will not provide us with sufficient biological material. We estimate we need one species Q for each of six yyy variations, plus an equal number of controls. Past experience leads us to expect 20% of species Q will not respond to the yyy variant, so we must allow for two extra species Q

List the sources of funding for this project. If applicable, include grant titles and identification numbers.

This study is supported by NSF grant # 12345678 entitled "the effects of fungal infections on turtle populations in San Marcos, Texas" or The Department of Biology supports this use of turtles as part of the undergraduate course Biology 4499, Turtletology

Person responsible for DAILY care of animals (enter even if the same as for PI):

Name: First, M. i. Last

E-mail address:

Telephone: Office Laboratory Emergency

List the names and status (faculty, student, etc.) of all persons working with the animals to be used in this project. For each, indicate their role in the project, previous experience with animals, and prior animal use training.

Each of these individuals, as well as the individual named above as primary care giver, may be required to complete the self-taught training program for animal use.

Jack Smith, 3 years experience, student, has completed the SWT-IACUC approved animal care course

These answers are required by federal law.

Please make sure you address each clause of each question.
The reasons you give for choosing the species should not include cost as a primary factor.
The number of animals estimated should be based on what is needed to meet the scientific or teaching objectives of the project, and not based on numbers of animals used per day/week/month.

Identify the account(s) name(s), manager(s) and number(s) paying for purchase and housing of the animals. If this account is a grant account, indicate the funding agency and their grant number

Self explanatory

Provide evidence that the personnel caring for and handling the animals are qualified. If such evidence is not provided, the personnel will be required to complete a self-taught course and exam. See Laboratory (PHS) and Agriculture (USDA) animal care as appropriate

Give a brief summary of the methods and sources you use to keep current with pertinent literature in your field in order to assure that alternatives to the use of animals have been considered.

I regularly consult (appropriate data base, eg. Current Contents) for pertinent literature related to this project. I have considered alternatives to this animal use, and non-animals methods do not exist/are not suitable/etc. or I have designed this protocol based on (specific literature citation) I have considered alternatives to this animal use, and non-animal methods do not exist.

You must address each of the following questions separately for each species.

Briefly describe any teaching or experimental protocols, outside of normal husbandry, to be performed on the animals (except description of surgery - see below).

For example: identify all drugs given, including dosage range, routes and frequency of administration; nutritional intervention; social or environmental manipulation; biological samples taken, unusual physical restraining; methods of antibody production; etc.

Specify the expected sequence, frequency and duration of these procedures.

Describe here how you will take care of the animals.

Do you anticipate the animals will experience more than momentary or slight pain or discomfort as a result of your procedures?
YES NO

If YES, describe what you will do to relieve this discomfort and assure that no animal experiences undue pain or distress during the course of your procedures.

Include drugs, dosages, nursing care, mechanical devices, humane euthanasia, etc.

Also describe how frequently and how you will monitor your animals to insure they are not experiencing pain or discomfort from your procedures or from unanticipated illness or injury.

No entry here unless YES is checked above. If yes, provide a complete but succinct response.

Use the appropriate sample phrase in the box or write your own.

This is a very important question.

Please be complete.

The IACUC is required by law to evaluate the benefits of the proposed project as well as the compliance with federal and Texas State policy.

Do not repeat information requested in questions in part 9, below.

Self explanatory

Describe the methods of euthanasia to be used.

Make sure the method given is on the approved list.

If experiments will induce chronic disease, tumors or radiation sickness, describe the criteria for termination of the affected animals.

If the animals are not euthanized at the end of the procedure/project, what will happen to them?

not applicable if animals are euthanized; If not euthanized, provide complete information.

Will any animal products be used for human consumption? YES    NO

If YES, list any drugs to be given to the animals, and their withdrawal times before consumption. If none, so state.

not applicable if "no" above

This part of the form is self-explanatory.

For items that are not applicable, so indicate by entering "NA" in the appropriate text boxes.

Click here for Approved Methods of Euthanasia.

Surgery is defined here as a major operative procedure that penetrates and exposes a body cavity or any procedure which produces permanent impairment of physical or physiological functions.

Will ANY surgery be performed on any of the animals? YES NO

If no, skip to #10 below. If yes, complete the following text boxes.

Enter the complete name of the person(s) listed above for question 6 that will be performing surgery.

For each, indicate the type and amount of previous surgical experience.

not applicable if "no" is selected above

Building or facility where surgery will be performed:

Name Room Number

How many animals listed in question 6 will undergo surgery?

Describe anesthetic method used, including all drugs, dosages, routes of administration and supplementation schedules.

not applicable if "no" is selected above

Describe the surgical procedure(s), including a narrative description(s) giving incision site(s), tissue isolation methods, etc. Also estimate the time required to complete the surgery.

Note: aseptic procedures must be used for all survival surgery.

not applicable if "no" is selected above

Will the animals be allowed to recover from surgery? YES NO

If YES, describe the post-surgical or post-anesthetic monitoring and care procedures, including all drugs and dosages. Describe measures designed to alleviate postoperative discomfort.

not applicable if "no" is selected above

Will any animal(s) be allowed to recover from more than one major operative procedure:

YES NO

If YES, provide scientific justification for performing these procedures and list the species and number of animals per year:

not applicable if "no" is selected above
 

NOTE - if no surgery is planned, this entire section should be skipped.

Clearly label separate procedures for each species.

Note that aseptic procedures mean that:

Survival surgery on non-rodents must be conducted only in facilities intended for that purpose, under aseptic conditions using aseptic techniques. These techniques include wearing of sterile surgical gloves, gowns, caps, and face masks; use of sterile instruments; and aseptic preparation of the surgical field.

Major operative procedure is defined as any surgical intervention that penetrates and exposes a body cavity or any procedure which produces permanent impairment of physical or physiological functions of an animal that is expected to recover.

Minor surgical procedures such as wound suturing and peripheral vessel cannulation can be performed under less stringent conditions if they are performed in accordance with standard veterinary practices.

Survival surgery on rodents does not require a special facility but should be performed using sterile instruments, gloves, and aseptic procedures.

Note: It is the responsibility of the Project Director to obtain all necessary state and federal permits for work with wild animals. However, possession of such permits does NOT give the Project Director license to use animals without approval of the IACUC. Please see UPPS 02.02.05.

Do you capture wild animals or do experimental manipulations (or procedures) on animals in the wild?
YES NO (observation only) .

If no, skip to # 11 below. If yes, complete the following text boxes.

If you capture wild animals, describe how they will be trapped, what types of traps will be used, and how often traps will be checked.

not applicable if "no" is selected above

Describe quarantine procedures and precautions to prevent exposure of humans and other animals to zoonotic diseases.

not applicable if "no" is selected above

If wild animals will be anesthetized and released to the wild, describe anesthetic doses and procedures for assuring that animals are sufficiently recovered from anesthetic to be released.

not applicable if "no" is selected above

This part of the form is self-explanatory.

For items that are not applicable, so indicate by entering "NA" in the appropriate text boxes.

Note - skip this section if "NO (observation only)" is checked.

Will you be working with non-human primates?
YES   NO .

If no, skip to the end of the form, below. If yes, complete the following text boxes.

If non-human primates used in you study must be housed individually due to the design of the study, please explain the reasons for that design. Provide enough information for the committee to reach an informed decision.

not applicable if "no" is selected above

If the design of the study requires continuous restraint for longer than 12 hours without the opportunity for exercise, please provide justification for that procedure and include the maximum time the animals will be restrained and the plan for providing unrestrained activity.

not applicable if "no" is selected above

This part of the form is self-explanatory.

For items that are not applicable, so indicate by entering "NA" in the appropriate text boxes.

Note - skip this section if  "NO "

is checked.

READ THE FOLLOWING BEFORE SUBMITTING THIS FORM.

By clicking on the "Submit Application" button below, I certify that:

• The information I have entered in this form is complete and accurate to the best of my knowledge;
• I plan to follow the provisions for the care, use, and treatment of animals found in the PHS "Guide for the Care and Use of Laboratory Animals", or the "Guide for the Care and Use of Agricultural Animals in Agricultural Research and Teaching;" and
• I assure that these procedures do not unnecessarily duplicate previous experiments.
• I agree to complete annual reporting requirements (USDA Survey), as well as, any additional requests for information about the protocol by the IACUC.
• I understand that failure to comply with the above certifications may result in suspension of existing protocol approvals, pending applications, and other restrictions on animal use and care.

 

Completed submissions will result in a confirmation email to the address you provided. If you do not receive a confirmation, please contact OSP at 245-2102.

 

Wait until the server acknowledges processing your form before leaving this page.

 

Thank you for your cooperation.