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Three principle methods of achieving a change in the law were identified: 1. A change in the law (Statutory Instrument, amendment, primary legislation) 2. An elaboration of existing law 3. A test case In order to establish public support, which will be vital for any change, the following themes were explored: • Exploring broader benefits and harms to - o Individual patients o Individual healthcare staff o Employers o Society • The virtuous/responsible patient • Comparisons with zero tolerance to violence • Reciprocity Other stakeholders included: • British Association of Operating Department Practitioners • Unison • Unite • Chartered Society of Physiotherapists • Association of Occupational Health • NHSE (including medical Directors) • Patients Association • Terrence Higgins Trust • GMC • NHSLA • MPS/MDU/MDDUS • BMA • Court of Protection • Office of Official Solicitor • Health and Safety Executive • Department of Health • Human Tissue Authority
Methods to estimate/establish public support included: • Properly conducted patient/lay person research • Public opinion poll • Letters/editorial in other journals • Parliamentary spokesmen (especially for Trade Unions) • BBC Online Poll • Online Downing Street petition • The general and medical press The Working Party met again in June 2008, when initial drafts of the analyses were considered. At a subsequent meeting in February 2009, the WP was joined by Veronica English of the BMA Ethics Department. The RCN was represented on that occasion by Janice Gabriel, and David Whitaker (Immediate Past President, AAGBI) was also present. VE explained that the BMA had met with Lord Warner at the Department of Health. Amendment(s) of the Human Tissue Act would probably not help clarify the current legal limbo, as serum (ie not containing cells) was stored and tested for blood borne viruses (BBV), so the HTA was not engaged. The BMA would prefer not to stretch a best interests argument, although this might be possible by changes to the Mental Capacity Act’s code of conduct. After much discussion the WP narrowed its recommended options to Council as being: 1. All patients who were the source of an occupational injury should be tested for BBV. This would be the greatest infringement of Human Rights and would need primary legislation, but would be fair as all patients would be treated the same. An analogy might be drawn with compulsory testing for alcohol and drugs following a Road Traffic Accident. There was an impression that this was what lay people thought happened anyway. 2. The restoration of the previous position whereby the merits of a particular case were assessed and the decision to test or not could then be justified. This was the BMA’s preferred option. Trusts could produce policies to ensure fairness, transparency and accountability.
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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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is an increased incidence of prolon
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Figure 2 Relationship between total
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techniques, and when used with neur
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Table 5 The STOP-BANG screening que
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Intra-operative care Preparation of
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Figure 3 Ramping position for obese
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eturn of airway reflexes with desfl
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Table 6 Dosing schedule for thrombo
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A review and meta-analysis by the S
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numbers of staff are needed to roll
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Table 7 Equipment for managing obes
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Anaesthesia 2015 Barker et al. | Gu
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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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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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