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Section 1 Recommendations 1. Transfer can be safely accomplished even in extremely ill patients. Those involved in transfers have the responsibility for ensuring that everything necessary is done to achieve this. 2. The need for transfers between hospitals is likely to increase. Transfers for non-clinical reasons should only take place in exceptional circumstances and ideally only during daylight hours. 3. The decision to transfer must involve a senior and experienced clinician. 4. Hospitals should form transfer networks to coordinate and manage clinically indicated transfers. 5. Networks should take responsibility for ensuring that arrangements can be made for accepting transfers to an agreed protocol with minimal administrative delays. 6. Protocols, documentation and equipment for transfers should be standardised within networks. 7. All doctors and other personnel undertaking transfers should have the appropriate competencies, qualifications and experience. It is highly desirable that this should include attendance at a suitable transfer course. 8. A professional, dedicated transfer service has many advantages and is the preferred method of transferring suitable patients. 9. Hospitals must ensure that suitable transfer equipment is provided. 10. Hospitals must ensure that they have robust arrangements to ensure that sending personnel on a transfer does not jeopardise other work within the hospital. 11. Hospitals must ensure that employees sent on transfers have adequate insurance cover and are made aware of the terms and limitations of this cover. 12. Arrangements must be in place to ensure that personnel and equipment can safely and promptly return to base after the transfer. 13. Details of every transfer must be recorded and subject to regular audit and review. 2
Section 2 Background The AAGBI Council decided to commission a Working Party to produce guidelines in the usual format of the Association to provide instruction and help to those arranging transfers and those involved with the actual transfer of the patients between hospitals. A large number of interhospital transfers already take place and the number is likely to increase. Anaesthetists are commonly involved in transferring the sickest of these patients. This has the potential to affect an Anaesthetic Department’s budget and ability to maintain a service and on-call rotas. This document addresses transfers between hospitals, not within a hospital. However, the principles for the safe movement of patients are also applicable to transport within a hospital. 3
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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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11. Schneider HJ, Glaesmer H, Klots
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44. Edholm D, Kullberg J, Haenni A,
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75. McKay RE, Malhotra A, Cakmakkay
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21 Portland Place, London, W1B 1PY
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Anaesthesia 2015 Barker et al. | Gu
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Out of Hours Activity (Anaesthesia)
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Considerations for anaesthetists Th
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OAA / AAGBI Guidelines for Obstetri
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Contents 1. Key recommendations 2 2
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2. Introduction This is the third v
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Recommendations Medical staff The t
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appointed directly from other count
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Peripartum care Pre-operative asses
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Intravenous patient-controlled opio
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depression. In the absence of contr
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of clinical deterioration, as recom
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5. Training and education Each obst
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• Skills and drills training: ana
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• The midwife caring for a woman
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7. Support services, equipment, fac
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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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