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Anaesthetists Handbook - MEDICAL EDUCATION at University ...

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Miscellaneous issuesnot to receive a first dose of post exposure antiviral prophylaxis andthen the rest of the policy will be activ<strong>at</strong>ed. A consultant genitourinaryphysician or microbiologist is always on call to discuss occup<strong>at</strong>ionalexposure. Referral to the Occup<strong>at</strong>ional Health department should bemade the next day.The<strong>at</strong>re wear[Appraised by Dr Edwin Borman, January 2010]The The<strong>at</strong>re Management Board has issued a policy on the<strong>at</strong>re wear,prohibiting its use outside the<strong>at</strong>re except in cases of clinicalemergency or in the course of one’s clinical duties. Pragm<strong>at</strong>ically,you should make sure th<strong>at</strong> if there is any visible soiling on yourthe<strong>at</strong>re scrubs, you change them immedi<strong>at</strong>ely. While wearing scrubs,you may not be served in canteens.Trauma lists[Appraised by Dr Anne Scase and Dr M<strong>at</strong>thew Wyse, January 2010]This guideline outlines the organis<strong>at</strong>ional arrangements for traumaanaesthesia <strong>at</strong> the <strong>University</strong> Hospital. It has been devised inconsult<strong>at</strong>ion with the Department of Orthopaedic Surgery.The consultant anaesthetist alloc<strong>at</strong>ed to the trauma list, or thegeneral consultant anaesthetist on call, has responsibility forsupervising trauma anaesthesia.The trauma anaesthetist alloc<strong>at</strong>ed to the morning session should<strong>at</strong>tend a meeting in the seminar room on ward 53 <strong>at</strong> 08:00 each day,to finalise arrangements for starting the list.There have been problems with the l<strong>at</strong>e start of trauma lists duringweekdays. The first p<strong>at</strong>ient on the list will be sent for <strong>at</strong> 07:45 andreviewed in holding bay or the anaesthetic room. You should ensureth<strong>at</strong> oper<strong>at</strong>ive surgery commences <strong>at</strong> 08:30 unless there is a majorproblem for which you need to seek senior help.236 <strong>Anaesthetists</strong> <strong>Handbook</strong> January 2010

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