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Domain B: safety and quality Attribute 5: respond to risks to safety Standards ➣➣ An anaesthetist must report risks in the healthcare environment to their employing or contracting bodies. ❏❏ An anaesthetist should respond promptly to risks posed by patients. ❏❏ An anaesthetist must follow infection control procedures and regulations. ❏❏ An anaesthetist must safeguard and protect the health and well being of vulnerable people, including children and the elderly and those with learning disabilities. ➣➣ An anaesthetist must take action where there is evidence that a colleague’s conduct, performance or health may be putting patients at risk. ❏❏ An anaesthetist should be able to recognise when a colleague may be putting patients at risk because of poor performance, misconduct or health reasons. ❏❏ An anaesthetist should listen impartially to medical, nursing and other colleagues when they express concerns about a fellow anaesthetist, and discuss such concerns only in an appropriate forum. ❏❏ An anaesthetist must take action and inform the clinical director or other responsible person if necessary when a colleague may be putting patients at risk, and keep a written record of the action taken. Page 16 | The Good Anaesthetist | Standards of Practice for Career Grade Anaesthetists
Domain B: safety and quality Attribute 5: respond to risks to safety Explanatory notes Risks to patient safety can come from several, sometimes unexpected, sources. Responsibilities in regard to occupational health and safety laws apply to all employees in an organisation. However, there are some risks that only a doctor, with their expertise and experience, will be able to recognise. Risk to patient safety may stem from a poorly performing doctor in your team. If this risk could potentially or does already affect patient safety, depending on seriousness, appropriate action must be taken in line with local Trust and national procedures. The poorly performing doctor may be a close colleague or a senior member of the clinical team, but your overriding duty is to take appropriate steps if there is a risk to patient safety. Poor performance may be due to ill health; another reason to take appropriate action, in helping a fellow colleague. Related guidelines and sources of information The General Medical Council ›› 0–18 years: guidance for all doctors, 2007. ›› Raising concerns about patient safety, 2008. The Royal College of Anaesthetists ›› Child protection and the anaesthetist: safeguarding children in the operating theatre – intercollegiate document, 2007. The Association of Anaesthetists of Great Britain and Ireland ›› Anaesthesia and peri-operative care of the elderly, 2001. ›› Infection control in anaesthesia (2nd edition). AAGBI safety guideline, 2008. Prepared by the Joint Committee on Good Practice | Page 17
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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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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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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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