Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Preoperative assessment and investigations• Meet clinical governance requirements through reducingvariation in Pre Anaesthetic Assessment practice• Reduce hospital led cancellations through the effectivemanagement of identifying patients who are unfit for general orregional anaesthesia.• Identify preventable problems by providing a framework tomonitor the provision of services• Ensure all documentation is clear, accurate, up to date andavailable electronically on PAS and CRRS3. Further relevant mattersAvailable documentationThe Pre Anaesthetic Assessment Centre will not be able to offer a fullanaesthetic assessment in the absence of relevant medical notesand associated documentation available on the day of anaestheticassessment. The Pre Anaesthetic Assessment Centre and reviewswill be carried out and documented on the Patient AdministrationSystem (PAS) and on CRRS.DNA at Pre Anaesthetic Assessment CentreAll patients who DNA for pre anaesthetic assessment clinics will beoffered an alternative date for assessment. In the event of a secondDNA, the PAAC anaesthetist will be requested to advise on the futuremanagement of the patient involved, and the referring surgeonadvised accordingly.Medical AccountabilityAll pre anaesthetic assessments are conducted under the auspices ofthe anaesthetic department, and responsibility for decisions rests withthe consultant anaesthetic body and ultimately with the clinicaldirector for anaesthesia.166 Anaesthetists Handbook January 2010