Records and information taken by licensed wildlife rehabilitators should include which of the following?

• A. Admittance data
• B. Admittance data and background information on the animal, physical exam information, treatments and daily observations
• C. Physical exam information
• D. Daily progress notes

Answer: (B)

Comprehensive record-keeping in wildlife rehabilitation involves documenting intake details and ongoing status so care is informed, consistent, and accountable. Records should include admittance data—time, date, species, age, sex, weight, source, reason for admission—and any known injuries or illnesses. They also need background information on the animal, such as its history, habitat, prior medical issues, and exposure risks, to help interpret findings and plan treatment. Physical exam information is essential, capturing baseline findings like vital signs, body condition, wounds, and neurological status. Detailed records of treatments and medications—what was given, dosages, routes, times, and observed responses—are crucial for tracking progress and avoiding errors. Daily observations documenting changes in weight, appetite, activity, behavior, wound healing, and overall condition ensure ongoing assessment and inform discharge or release decisions. This level of documentation supports sound clinical decisions, continuity of care, and legal and regulatory accountability. Relying on only admittance data, only a partial set of exam notes, or only daily notes would miss important baseline, treatment, or progress information necessary for proper care.