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Domain D: maintaining trust Attribute 11: treat patients and colleagues fairly and without discrimination Standards ➣➣ An anaesthetist must be honest and objective when appraising or assessing colleagues and when writing references. ❏❏ An anaesthetist must not exaggerate competence or fail to mention significant weaknesses in a reference. ❏❏ An anaesthetist should be honest and open in relations with colleagues. ❏❏ An anaesthetist should provide references, reports or signed documents within a reasonable time. ❏❏ An anaesthetist should ensure that an applicant is aware that a reservation would be expressed when writing a reference for him or her. ➣➣ An anaesthetist must respond promptly and fully to complaints. ❏❏ An anaesthetist should, if appropriate, give an apology to the patient and their relatives and explain in understandable terms what occurred when an untoward incident took place. ❏❏ An anaesthetist should respond constructively to any complaints received and cooperate with any relevant complaints procedures or formal inquiry into the treatment of a patient. ➣➣ An anaesthetist must provide care on the basis of the patient’s needs and the likely effect of treatment. ❏❏ An anaesthetist must act in the patient’s interest at all times. ❏❏ An anaesthetist must not allow their personal prejudice to affect the treatment or management of a patient under their care. ❏❏ An anaesthetist should consider the clinical needs of the patient and the professional needs of colleagues when planning a clinical session. Page 28 | The Good Anaesthetist | Standards of Practice for Career Grade Anaesthetists
Domain D: maintaining trust Attribute 11: treat patients and colleagues fairly and without discrimination Explanatory notes Engaging with your colleagues fairly and without discrimination, irrespective of their gender, age, race, sexuality, economic status, lifestyle, culture and religious or political belief, is essential when working as part of a team. The reverse of this is your right to work without being subject to discrimination. Consideration of a colleague’s competence and performance must be based on honest and objective decisions and judgements. Honesty and objectivity must also be applied in your professional relationships with patients. Best practice involves the recognition and acknowledgement of different needs in helping patients access medical care on an equal basis. Complaints must also be managed fairly and without discrimination. Not all complaints by patients are a result of a mistake; but complaints have risen in recent years due in part to general expectations increasing and tolerances decreasing. If justified, an anaesthetist should respond promptly and appropriately to any complaint. Related guidelines and sources of information The General Medical Council ›› Personal beliefs and medical practice: supplementary guidance, 2008. ›› Withholding and withdrawing life-prolonging treatments: good practice in decision making, 2006. ›› Writing references: supplementary guidance, 2007. The Association of Anaesthetists of Great Britain and Ireland ›› Consultant trainee relationships – a guide for consultants, 2001. ›› Management of anaesthesia for Jehovah’s Witnesses (2nd edition), 2005. Prepared by the Joint Committee on Good Practice | Page 29
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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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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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APPENDIX 1 Departure checklist Do a
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13. Bercault N, Wolf M, Runge I, Fl
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21 Portland Place, London W1B 1PY T
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Membership of the Working Party Dr
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Infection control in anaesthesia An
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