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Membership of the working party Dr Felicity Plaat Dr David Bogod Dr Valerie Bythell Dr Mary Mushambi Dr Paul Clyburn Dr Nuala Lucas Dr Ian Johnston Dr Sarah Gibb Dr Iftikhar Parvez Dr Anne Thornberry AAGBI, Chair of working party OAA, President AAGBI OAA AAGBI OAA AAGBI AAGBI, GAT representative AAGBI, SAS representative RCoA representative Association of Anaesthetists of Great Britain & Ireland 21 Portland Place, London, W1B 1PY Tel: 020 7631 1650 Fax: 020 7631 4352 Email: info@aagbi.org Website: www.aagbi.org Obstetric Anaesthetists’ Association 21 Portland Place, London, W1B 1PY Tel: 020 7631 8883 Fax: 020 7631 4352 Email: secretariat@oaa-anaes.ac.uk Website: www.oaa-anaes.ac.uk © The Association of Anaesthetists of Great Britain & Ireland and the Obstetric Anaesthetists’ Association 2013.
Contents 1. Key recommendations 2 2. Introduction 3 3. Staffing 4 4. Services and standards 8 5. Training and education 17 6. The labour ward team 20 7. Support services, equipment, facilities and accommodation 23 8. The future 27 9. List of recommended guidelines 28 10. References 30 This is a consensus document produced by expert members of a Working Party established by the Association of Anaesthetists of Great Britain and Ireland (AAGBI) and the Obstetric Anaesthetists’ Association (OAA). It updates and replaces previous guidance published in May 2005. It has been seen and approved by the AAGBI Council and the OAA Committee. • What other guideline statements are available on this topic? The Royal College of Obstetricians & Gynaecologists have produced guidelines on the provision of maternity services: 1. High quality women’s health care: A proposal for change. RCOG press, London, 2011. 2. Safer childbirth: Minimum standards for the organization and delivery of care in labour. RCOG press, London, 2007. • Why was this guideline developed? The original guideline published in 1998 was developed to ensure that obstetric patients received the same standards of anaesthetic care as those recommended for the general surgical population. • How and why does this statement differ from existing guidelines? This guideline concentrates on the roles and activities of the obstetric anaesthetist within the multidisciplinary team required to deliver safe maternity care. The major changes compared with the 2005 version include a section on maternity critical care and the recommendation for increased dedicated consultant anaesthetic sessions. The need to define anaesthetic services in maternity in 2013 reflect the expanding role of the anaesthetist as peri-partum physician in caring for an increasingly challenging patient population in a rapidly changing health service. Date of review: 2018 1
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Recommendations for the Safe Transf
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CONTENTS Section I Summary and Reco
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SECTION II - BACKGROUND In 1996 the
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SECTION IV - ORGANISATION AND COMMU
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SECTION V - STAFFING REQUIREMENTS A
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A p p ropriate re s p i ra t o ry s
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SECTION VII - THE TRANSFER The tran
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SECTION VIII - EQUIPMENT AND DRUGS
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SECTION IX - EDUCATION AND TRAINING
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SECTION X - RESOURCE IMPLICATIONS F
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APPENDIX I INDICATIONS FOR INTUBATI
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APPENDIX III ADDITIONAL INFORMATION
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AAGBI SAFETY GUIDELINE Suspected An
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GUIDELINES Suspected Anaphylactic R
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Suspected anaphylactic reactions as
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Storage of Drugs in Anaesthetic Roo
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Storage of Drugs in Anaesthetic Roo
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This guideline was originally publi
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Anaesthesia 2015 Checketts et al. |
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Anaesthesia 2016, 71, 1503 Correcti
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Membership of the working party Dr
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1. Summary 1.1 Safety, quality and
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3. Responsibility of anaesthetists
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3.4 The Trust - Medical Devices Man
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4. Standards 4.1 Medical Devices Di
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5. Responsibility of manufacturers
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6. Choosing and trialling equipment
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equipment officer is encouraged to
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EU procurement thresholds Threshold
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When negotiating a purchasing agree
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9. Shared equipment Many types of e
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Third party servicing is another op
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11. Replacement 11.1 Planned equipm
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number of re-uses (e.g. re-usable L
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Where new equipment is purchased th
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14. Incident reporting and investig
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available from www.hse.gov.uk 14.4
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DB DoH EBME EC EU FRCA HN HSE IEC I
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8. OPSI. Statutory Instrument 2006
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Eire Tel: 00353 1 676 4971 Website:
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Peri-operative management of the ob
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Guidelines Peri-operative managemen
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Recommendations 1 Every hospital sh
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35 30 25 Prevalance (%) 20 15 10 5
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Needle-stick injury and HIV testing
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egain capacity, and the absence of
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treatment if it was understood that
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Management of hypertension before e
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AAGBI Safety Guideline Management o
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Malignant Hyperthermia Crisis Task
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MEMBERSHIP OF THE WORKING PARTY Dr
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Section 1 Recommendations 1. Transf
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Section 3 Introduction In 1997 it w
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This process may require many telep
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Section 6 Accompanying the patient
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Section 7 Monitoring, drugs and equ
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heavily congested areas, but not al
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APPENDIX 1 Departure checklist Do a
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13. Bercault N, Wolf M, Runge I, Fl
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21 Portland Place, London W1B 1PY T
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Membership of the Working Party Dr
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Infection control in anaesthesia An
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AAGBI SAFETY GUIDELINE Immediate Po
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Guidelines Immediate post-anaesthes
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The Royal College of Anaesthetists
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Contents ❚ Foreword 4 Introductio
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Introduction ❚ The Good Anaesthet
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Related guidelines and sources of i
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Domain A: knowledge, skills and per
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Domain B: safety and quality Attrib
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Domain C: communication, partnershi
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Domain D: maintaining trust Attribu
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Day Case and Short Stay Surgery 2 P
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GUIDELINES Day case and short stay
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Guidelines: Day case and short stay
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21 Portland Place, London, W1B 1PY
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