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Infection control in anaesthesia Anaesthesia, 2008, 63, pages 1027–1036 ..................................................................................................................................................................................................................... 28 Phillips RA, Monaghan WP. Incidence of visible and occult blood on laryngoscope blades and handles. Journal of American Association of Nurse Anesthetists 1997; 65: 241–6. 29 Bucx MJ, Veldman DJ, Beenhakker MM, Koster R. The effect of steam sterilisation at 134°C on light intensity provided by fibrelight Macintosh laryngoscopes. Anaesthesia 1999; 54: 875–8. 30 Device Bulletin DB2002 (05) Decontamination of Endoscopes. London: MDA, 2002. 31 Transmissible spongiform encephalopathy agents: safe working and the prevention of infection, annex F (Decontamination of endoscopes, amended 2005). Advisory Committee of Dangerous Pathogens and Spongiform Encephalopathy Advisory Committee. http://www. advisorybodies.doh.gov.uk/acdp/tseguidance/index.htm (accessed 15 July 2008). 32 HTM 2030, Washer Disinfectors. London: NHS Estates, 1997. The Stationary Office. 33 Jerwood DC, Mortiboy D. Disinfection of gum elastic bougies. Anaesthesia 1995; 50: 376. 34 Transmissible spongiform encephalopathy agents. safe working and the prevention of infection. Guidance from the (updated website): http://www.advisorybodies.doh.gov.uk/ acdp/tseguidance/index.htm (accessed 15 July 2008). 35 Patient safety and the reduction of risk of transmission of Creutzfeldt-Jakob disease (CJD) via interventional procedures. National Institute for Health and Clinical Excellence interventional procedure guidance 196, available via the NICE website: http://www.nice.org.uk (accessed 15 July 2008). 36 Health Protection Agency CJD Panel: information and advice. http://www.hpa.org.uk/infections/topics_az/cjd/ incidents_panel.htm (accessed 15 July 2008). 37 CJD Incidents Panel Fifth Annual Report to the Advisory Committee on Dangerous Pathogens on Transmissible Spongiform Encephalopathies (2006): website as above. 38 Re-introduction of Re-usable instruments for tonsil surgery. Press release from the UK Department of Health, 14 December 2001. 39 Richards E, Brimacombe J, Laupau W, Keller C. Protein cross-contamination during batch cleaning and autoclaving of the ProSeal TM laryngeal mask airway. Anaesthesia 2006; 61: 431–3. 40 Current information from the UK and Scottish blood transfusion services. http://www.blood.co.uk/hospitals/ library and http://www.scotblood.co.uk (accessed 15 July 2008). 41 Pearson ML Hospital Infection Control Practices Advisory Committee. Guidelines for prevention of intravascular device related infections. Infection Control and Hospital Epidemiology 1994; 15, 227–30. 42 Fletcher SJ, Bodenham AR. Catheter-related sepsis: an overview. British Journal of Intensive Care 1999; 9: 74–80. 43 Maki DG, Ringer M, Alvacado CJ. Prospective randomised trial of providone-iodine, alcohol, and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet 1991; 338: 339–43. 44 Pratt RJ, Pellowe C, Loveday HP, et al. The Epic Project – Guidelines for preventing infections associated with the insertion and maintenance of central venous catheters. Journal of Hospital Infection 2001; 47: (Suppl) S47–67. 45 Implement the central line bundle. http://www.ihi.org/ IHI/Topics/CriticalCare/IntensiveCare/Changes/ ImplementtheCentralLineBundle (accessed 15 July 2008). Ó 2008 The Authors 1036 Journal compilation Ó 2008 The Association of Anaesthetists of Great Britain and Ireland
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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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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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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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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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Methods to estimate/establish publi
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Recommendations The WP recommends:
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Anaesthesia, 2007, 62, pages 1199-1
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Anaesthesia, 2007, 62, pages 1199-1
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OPTION 3 - PRESUMED CONSENT. ‘Pre
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Power of Attorney) while requiring
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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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Management of hypertension before e
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Management of hypertension before e
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Management of hypertension before e
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Management of hypertension before e
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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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Infection control in anaesthesia An
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Infection control in anaesthesia An
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Infection control in anaesthesia An
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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 A: knowledge, skills and per
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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 C: communication, partnershi
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Domain D: maintaining trust Attribu
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Domain D: maintaining trust Attribu
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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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The Association of Anaesthetists of
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21 Portland Place, London, W1B 1PY