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Anaesthesia 2012<br />

Hartle et al. | Checking anaesthetic equipment<br />

should also be kept with each anaesthetic machine to record the daily presession<br />

check and weekly check of the oxygen failure alarm. Modern<br />

anaesthesia workstations may record electronic self tests internally. Such<br />

records should be retained for an appropriate time. Documentation of the<br />

routine checking and regular servicing of anaesthetic machines and patient<br />

breathing systems should be sufficient to permit audit on a regular basis.<br />

Recovery<br />

There must be clear departmental procedures for the daily and other<br />

checks of equipment that is used in recovery. This may also include preuse<br />

checks of patient-controlled analgesia and epidural pumps, etc. [20].<br />

Disclaimer<br />

The AAGBI cannot be held responsible for failure of any anaesthetic<br />

equipment as a result of a defect not revealed by these procedures.<br />

References<br />

1. National Patient Safety Agency. WHO Surgical Safety Checklist NPSA ⁄ 2009 ⁄<br />

PSA002 ⁄ U1, January 2009, NPSA. http://www.nrls.npsa.nhs.uk/resources/<br />

?entryid45=59860 (accessed 09 ⁄ 04 ⁄ 12).<br />

2. Cassidy CJ, Smith A, Arnot-Smith J. Critical incident reports concerning anaesthetic<br />

equipment: analysis of the UK National Reporting and Learning System (NRLS) data<br />

from 2006–2008. Anaesthesia 2011; 66: 879–88.<br />

3. Royal College of Anaesthetists. CCT in Anaesthetics Annex B Basic Level Training<br />

Edition 2 Version 1.2, August 2010. http://www.rcoa.ac.uk/index.asp?PageID=1479<br />

(accessed 29 ⁄ 01 ⁄ 2012).<br />

4. Association of Anaesthetists of Great Britain & Ireland. Safe Management of<br />

Anaesthetic Related Equipment, 2009. http://www.aagbi.org/publications/guidelines/docs/safe_management_2009.pdf<br />

(accessed 29 ⁄ 01 ⁄ 2012).<br />

5. NHS Litigation Authority. NHSLA Risk Management Standards for Acute Trusts Primary<br />

Care Trusts and Independent Sector Providers of NHS Care, January 2010. London:<br />

NHSLA, 2010.<br />

6. NHS Quality Improvement Scotland. Clinical Standards for Anaesthesia July 2003.<br />

http://www.nhshealthquality.org/nhsqis/files/ANAES_STND_JUL03.pdf (accessed<br />

29 ⁄ 01 ⁄ 2012).<br />

7. Medicines and Healthcare products Regulatory Agency. MDA ⁄ 2005 ⁄ 062 07<br />

November 2004 http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/CON2022493<br />

(accessed 29 ⁄ 01 ⁄ 2012).<br />

8. Medicines and Healthcare products Regulatory Agency. MDA ⁄ 2010 ⁄ 036 06 May 2010<br />

http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/<br />

CON081785 (accessed 29 ⁄ 01 ⁄ 2012).<br />

9. Australian and New Zealand College of Anaesthetists. Recommendations on Checking<br />

Anaesthesia Delivery Systems, 4.2.3.4.2, 2003. http://www.anzca.edu.au/<br />

resources/professional-documents/ps31.html (accessed 29 ⁄ 01 ⁄ 2012).<br />

14 Anaesthesia ª 2012 The Association of Anaesthetists of Great Britain and Ireland

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