FELINE  URI  SCORING    

 

0:  no  nasal  d/c,  sneezing  or  oral  ulceration.    1:  serous  nasal  discharge  and/or  sneezing  and/or  mild  cough  and/or  serous  ocular  discharge  and/or  mild  conjunctivitis    2:  mucopurulent  nasal  d/c  and/or  sneezing  and/or  moderate  cough  and/or  mucoid  ocular  discharge  and/or  chemosis  and/or  oral  ulcers  but  appetite  good.      3:  systemic  disease  (fever,  anorexia,  marked  depression,  dehydration)  and/or  ocular  ulcers  and/or  descemetoceles    

 

 

CANINE  URI  SCORING    

 0  –  no  signs    

1  –  MILD  -­‐  coughing  or  sneezing  but  still  bright,  happy  and  eating  well,  serous  nasal  discharge  if  any  

2  –  MODERATE  _  mucopurulent  or  bloody  nasal  discharge,  QAR  +/-­‐appetite  decreased  +/-­‐  cough  interfering  with  rest  and  day  to  day  activities  

3  –  SEVERE  –systemic  disease,  anorexia,  pyrexia,  depressed  

Location Req. Initials

Gender

Y N M / F

Y / N Monitor Y / N Outcome Date FEL

Adopted Still Sick To Foster Euthanized Died

RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET

Location Req. Initials

Gender

Y N M / F

Y / N Monitor Y / N Outcome Date

FEL Adopted Still Sick To Foster Euthanized Died

RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET

Location Req. Initials

Gender

Y N M / F

Y / N Monitor Y / NOutcome Date

FEL Adopted Still Sick To Foster Euthanized Died

RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET

Booking num

ber

Date URI Reported Booking number Name Problem

Clinical Signs @ receiving Date Received AGE Received Status Spayed / Neutered

Treatment

Infectious Respiratory Disease Incident Tracking Sheet Feline

<5 MOS ADULT Rescue Trans. Shelter Trans. Other Y / N

0 1 2 3 Y / N Pos / Neg

Recovered

URI SCORE vaccinations current at intake FIV/Felv Status

Recovered

Treatment

Booking num

ber

Date URI Reported Booking number Name Problem

Clinical Signs @ receiving Date Received AGE Received Status Spayed / Neutered

<5 MOS ADULT Rescue Trans. Shelter Trans. Other Y / N

URI SCORE FIV/Felv Statusvaccinations current at intake

Booking num

ber

Date URI Reported Booking number Name Problem

Clinical Signs @ receiving Date Received AGE Received Status Spayed / Neutered

0 1 2 3 Y / N Pos / Neg

Y / N

0 1 2 3 Y / N Pos / Neg

Recovered

URI SCORE vaccinations current at intake FIV/Felv Status

Treatment

<5 MOS ADULT Rescue Trans. Shelter Trans. Other

Location Req. Initials

Gender

Y N M / F

Y / N Monitor Y / N Outcome Date

K9 Adopted Still Sick To Foster Euthanized Died

RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET

Location Req. Initials

Gender

Y N M / F

Y / N Monitor Y / N Outcome Date

K9 Adopted Still Sick To Foster Euthanized Died

RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET

Location Req. Initials

Gender

Y N M / F

Y / N Monitor Y / NOutcome Date K9

Adopted Still Sick To Foster Euthanized Died

RECORD SCORE AT OUTCOME -USE HIGHEST SCORE NOTED ON TX SHEET

<5 MOS ADULT Quinte Quebec Woodstock TAS Other

Y / N

Treatment

Infectious Respiratory Disease Incident Tracking Sheet CanineB

ooking number

Date URI Reported Booking number Name Problem

Clinical Signs @ receiving Date Received AGE Received Status Spayed / Neutered

OUTCOME:Recovered

0 1 2 3 Y / N

URI SCORE vaccinations current at intake

Booking num

ber

Date URI Reported Booking number Name Problem

Clinical Signs @ receiving Date Received AGE Received Status Spayed / Neutered

<5 MOS ADULT Quinte Quebec Woodstock TAS Other Y / N

Treatment

OUTCOME:Recovered

0 1 2 3 Y / N

URI SCORE vaccinations current at intake

Booking num

ber

Date URI Reported Booking number Name Problem

Clinical Signs @ receiving Date Received AGE Received Status Spayed / Neutered

<5 MOS ADULT Quinte Quebec Woodstock TAS Other Y / N

Treatment

OUTCOME:Recovered

0 1 2 3 Y / N

URI SCORE vaccinations current at intake

Date:

Room #  of  Non-­‐URI  Adults#  of  Non-­‐URI  Juveniles                                (<  5  MOS)

#  of  URI  ADULTS #  of  URI  JUVENILES

Initials  of  Recorder

Behaviour                    (  B  Hall  )

Rainbow  Room

Sara's  Office

Call  Centre

Kitty  Condo  1

Kitty  Condo  2

Kitten  adoption                          (  room  U  )

Kitty  City

Adoption  Office

Prep  Room

Room  S

Room  R

Room  Q

Room  P

Room  O

Room  N

Iso  1

Iso  2

Iso  3

Communal  Room

Intake

MC  Cat  Ward

RESPIRATORY  DISEASE  HAND  COUNT  (FELINE)

Date:

Room #  of  Non-­‐URI  Adults#  of  Non-­‐URI  Juveniles                                (<  5  MOS)

#  of  URI  ADULTS #  of  URI  JUVENILES

Initials  of  Recorder

A1

A2

B

C

D1

D2

F

South  Clinic

Back  Hall

Wildlife

MC  Dog  Ward

H

I

RESPIRATORY  DISEASE  HAND  COUNT  (CANINE)