NAHMS 180 VMO Biologic Testing Form - Blood

Animal and Plant
Health Inspection
Service
Veterinary Services

NAHMS
Swine 2006
Blood Collection Record

National Animal Health
Monitoring System
2150 Centre Dr #B
Fort Collins, CO 80526
Form Approved
O.M. B. Number 0579Approval expires: 8/31/09

Sample 35 LATE finisher pigs (20 weeks and older) collecting from a variety of pens
containing the age-appropriate pigs.
----- Please do not collect samples from any other swine such as sows, boars or piglets -----Samples can be taken from all participating sites. Results from PRRS and Swine Influenza will be
returned to the Producer.
Record site information, kit number, date, etc. on the following Blood Collection Record.

For each animal, collect a FULL tube of blood in the 12.5 ml Corvac serum separator tube provided.

Gently invert the tube 5 times to mix in the clot activator before allowing the blood to sit vertically
at 68-75o F to clot for a minimum of 30 minutes.
If possible, centrifuge after clotting.

Record facility, pen, animal, and vaccination information on the appropriate line for each sample.

Cool samples ASAP after clotting.

Ship to NVSL on ice along with the copy of this form within 24 hours of collection.

Send white copy to your Coordinator within 3 business days.

Additional information regarding blood collection is described in the Field Handbook.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this information collection is 0579-. The time required
to complete this information collection is estimated to average 2 hours per response, including the time to review instructions,
search existing data resources, gather the data needed, and complete and review the information collection.

NAHMS-180
AUG 2006
7/26/06

NAHMS Swine 2006 – Blood Collection Record
Farm ID

# of People Involved

8-digits: ST, Op, Site

_____ Fed VMO _____ Fed AHT
_____ State VMO _____ St AHT
_____ Producer _____ Priv Vet
_____ Others-specify:
Enter number for each category

Tube
#
1

Facility /
Bldg ID

Pen ID

Key Collector
Initials

Collection
Date

Hours to take &
prep samples

Kit Number

In quarter hours

Must match labels

MM/DD/YY

# of
# of pigs
pigs in share air Pig age
Pig
pen
space in weeks gender
M F

2

M

F

3

M

F

4

M

F

5

M

F

6

M

F

7

M

F

8

M

F

9

M

F

10

M

F

11

M

F

12

M

F

13

M

F

14

M

F

15

M

F

16

M

F

17

M

F

18

M

F

19

M

F

20

M

F

21

M

F

22

M

F

23

M

F

24

M

F

25

M

F

26

M

F

27

M

F

28

M

F

29

M

F

30

M

F

31

M

F

32

M

F

33

M

F

34

M

F

35

M

F

Vaccinated for:
New Flu
Trad Flu Mycoplasma

PRRS
Y

D/K

N

Y

D/K

N

Y

D/K

N

Lab Submission #

Y

D/K

N