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Notes on terminology ❚ The standards listed in The Good Anaesthetist are derived from Good Medical Practice (2006) and from the work carried out by the JCGP. In Good Medical Practice the terms ‘you must’ and ‘you should’ are used and the same convention is applied throughout The Good Anaesthetist. ■ ■ ■ ■ ■ ■ ‘An anaesthetist must’ – is used for an overriding duty or principle. ‘An anaesthetist should’ – is used when providing an explanation of how that overriding duty is to be met. ‘An anaesthetist should’ – is also used where a duty or principle will not apply in all situations or circumstances, or where there are factors outside your control that affect whether you can comply with the guidance. ‘Ensure’ is used where anaesthetists must do all that is within their control to make sure that the event takes place. Page 6 | The Good Anaesthetist | Standards of Practice for Career Grade Anaesthetists
Related guidelines and sources of information ❚ We have provided references to other guidance to illustrate how the standards in The Good Anaesthetist can be interpreted and applied in practice. References are placed within the appropriate attribute, although many of the guidelines cited cover a number of issues and are applicable to several attributes. For the sake of brevity we have not cited the following high level good practice guidelines because they are applicable to all 12 attributes. It is therefore worth referring to the following: The General Medical Council ›› Good medical practice, 2006. The Royal College of Anaesthetists and The Association of Anaesthetists of Great Britain and Ireland ›› Good practice: a guide for departments of anaesthesia, critical care and pain management (3rd edition), 2006. The Royal College of Anaesthetists ›› Guidelines for the provision of anaesthetic services (3rd edition), 2009. The Royal College of Anaesthetists and The Pain Society ›› Pain management services: good practice, 2003. The guidelines referenced in The Good Anaesthetist have been developed by the GMC, RCoA or AAGBI. We have only listed those which are currently active. There are a number of other guidance documents produced by professional bodies including the specialist societies, which may be relevant to your job plan and professional practice. These guidelines should be referred to as they may also illustrate how the standards in The Good Anaesthetist can be applied. The Good Anaesthetist will be made available online as a web based resource. As we develop this area of work we will include links to the full text of all relevant guidance documents as they are published. Prepared by the Joint Committee on Good Practice | Page 7
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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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Methods to estimate/establish publi
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Recommendations The WP recommends:
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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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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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Guidelines: Day case and short stay
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The Association of Anaesthetists of
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