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APPENDIX 1 Departure checklist Do attendants have adequate competencies, experience, knowledge of case, clothing, insurance? Appropriate equipment and drugs? Batteries checked? Sufficient oxygen? Trolley available? Ambulance service aware or ready? Bed confirmed? Exact location? Case notes, X ray films, results, blood collected? Transfer chart prepared? Portable phone charged? Contact numbers known? Money or cards for emergencies? Estimated time of arrival notified? Return arrangements checked? Relatives informed? Patient stable, fully investigated? Monitoring attached and working? Drugs, pumps, lines rationalised and secured? Adequate sedation? Still stable after transfer to mobile equipment? Anything missed? 14
References 1. Mackenzie PA, Smith EA, Wallace PG. Transfer of adults between intensive care units in the United Kingdom: postal survey. British Medical Journal 1997; 314: 1455-6. 2. Department of Health. Comprehensive Critical Care. a review of adult critical care services. 2000. London, Department of Health. 3. Gray A, Gill S, Airey M, Williams R. Descriptive epidemiology of adult critical care transfers from the emergency department. Emergency Medicine Journal 2003; 20: 242-6. 4. Jameson PP, Lawler PG. Transfer of critically ill patients in the Northern region. Anaesthesia 2000; 55: 489. 5. Spencer C, Watkinson P, McCluskey A. Training and assessment of competency of trainees in the transfer of critically ill patients. Anaesthesia 2004; 59: 1248-9. 6. Guidelines for the transport of the critically ill adult. 2002. London, The Intensive Care Society. 7. Duke GJ, Green JV. Outcome of critically ill patients undergoing interhospital transfer. The Medical Journal of Australia 2001; 174: 122- 5. 8. Vos GD, Nissen AC, Nieman FH et al. Comparison of interhospital pediatric intensive care transport accompanied by a referring specialist or a specialist retrieval team. Intensive Care Medicine 2004; 30: 302-8. 9. Bellingan G, Olivier T, Batson S, Webb A. Comparison of a specialist retrieval team with current United Kingdom practice for the transport of critically ill patients. Intensive Care Medicine 2000; 26: 740-4. 10. Belway D, Henderson W, Keenan SP, Levy AR, Dodek PM. Do specialist transport personnel improve hospital outcome in critically ill patients transferred to higher centers? A systematic review. Journal of Critical Care 2006; 21: 8-17. 11. Diaz MA, Hendey GW, Bivins HG. When is the helicopter faster? A comparison of helicopter and ground ambulance transport times. The Journal of Trauma 2005; 58: 148-53. 12. Dewhurst AT, Farrar D, Walker C, Mason P, Beven P, Goldstone JC. Medical repatriation via fixed-wing air ambulance: a review of patient characteristics and adverse events. Anaesthesia 2001; 56: 882-7. 15
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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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Equipment for PCA must be available
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8. The future The delivery of healt
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The following national guidelines s
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19. Obstetric Anaesthetists’ Asso
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At the first meeting held on 9 th M
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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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