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Domain A: knowledge, skills and performance Attribute 3: keep clear, accurate and legible records Standards ➣➣ In providing care an anaesthetist must keep clear, accurate and legible records. ❏❏ An anaesthetist should enter their name and GMC number on the anaesthetic record sheet, in addition to the name of the patient and their details; non-consultants should record the name of their consultant supervisor. ❏❏ An anaesthetist should only use recognised abbreviations in keeping clear and legible records. ➣➣ In providing care an anaesthetist must make records at the same time as the events they are recording or as soon as possible afterwards. ❏❏ An anaesthetist should ensure that the anaesthetic record sheet or hospital notes are up to date as soon as practicable after the management of complications which have arisen unexpectedly. ❏❏ An anaesthetist should make an accurate, legible, contemporaneous record of the timing and doses of drugs and fluids administered such that a colleague could take over the administration of the anaesthetic if necessary. ❏❏ An anaesthetist should ensure that the results of physiological monitoring of the patient are recorded at appropriate intervals. ➣➣ An anaesthetist must record clinical findings, decisions, information given to patients, drugs prescribed and other information or treatment. ❏❏ An anaesthetist should make a written record of the pre-operative assessment and discussion, including any specific consent for regional anaesthesia or other procedures when necessary. ❏❏ An anaesthetist should complete an entry in the hospital incident reporting system following a critical incident. Page 12 | The Good Anaesthetist | Standards of Practice for Career Grade Anaesthetists
Domain A: knowledge, skills and performance Attribute 3: keep clear, accurate and legible records Explanatory notes The basic premise for keeping good quality medical records in anaesthesia, pain medicine and intensive care is to facilitate communication amongst colleagues, and ensure the effective and safe continuation of care of patients at different times and by different team members. It is therefore particularly important that critical incidents, complications and unexpected events are accurately documented. A secondary, but important, premise is that records (provided patients have been informed and they do not object) are an important resource when it comes to auditing areas of anaesthesia care and reviewing cases for educational purposes. Related guidelines and sources of information The Association of Anaesthetists of Great Britain and Ireland ›› Information management: guidance for anaesthetists, 2008. Prepared by the Joint Committee on Good Practice | Page 13
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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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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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Guidelines: Day case and short stay
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The Association of Anaesthetists of
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