Anaesthetists Handbook - MEDICAL EDUCATION at University ...

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Duties of the on call anaesthetistsDuties of the on call anaesthetists[Appraised by Dr Robin Correa and Dr Edwin Borman, January 2010]Important noticeThe on call arrangements undergo continual examination to see ifthey are appropriate. At present there are proposals to change thearrangements for consultants on call.Three things will remain constant:1. The importance of checking with your consultant if you are notsure what you should be doing.2. The 2813 and 2814 bleeps will continue to be the means ofcontacting the on call team, whoever carries them.3. The duties of the labour ward resident on 2178 will not change.Be vigilant about these changes. In particular, check your rotacarefully. After distribution of the rota any necessary swaps are yourresponsibility and you must notify us properly of any swaps you havemade.IntroductionSee page 39 for information about consultants on call.• StR – specialty registrar.• SpR – specialist registrar, now a closed grade.• StR3 is equivalent to SpR1.The department now has a Working Time Regulations compliant rota– average working time will not exceed 48 hours per week.The on call residents are meant to function as a team rather than ahierarchy. Close coordination between members of the on call team26 Anaesthetists Handbook January 2010
Duties of the on call anaesthetists(including the general on call consultant) is needed at all times forefficient disposal of emergency cases.Shift timesThis does not include intensive care medicine shifts, which areadministered from the critical care unit.Shift times have 15-minute handover periods built in.Long dayNightResidentanaesthetistSenior residentanaesthetist08:00-20:00 19:45-08:15Labour wardanaesthetistTraumaanaesthetistCEPOD listanaesthetist13:00-21:00 Mon-Thu08:00-19:00 Fri13:00-21:00 Mon-Thu08:00-19:00 FriNoneNoneEach weekend rota will be covered by two residents. One residentwill work Friday, Saturday and Sunday long days, with the precedingThursday and the following Monday off duty. One resident will workthe corresponding nights, with the preceding Friday and the followingMonday and Tuesday off duty.The arrangements for Monday to Thursday are different; you willwork occasional days and nights.All resident on call rotas are prepared six months in advance and are‘rolling rotas’ (see page 66).Anaesthetists Handbook January 2010 27
Page 1 and 2: Department of AnaesthesiaAnaestheti
Page 3 and 4: Document control for approved clini
Page 5 and 6: ContentsTrauma list anaesthetist (t
Page 7 and 8: ContentsStudy leave 81Junior doctor
Page 9 and 10: ContentsIndications for investigati
Page 11 and 12: ContentsRenal patients - clinical g
Page 13 and 14: Introduction and scope of guideline
Page 15 and 16: Introduction and scope of guideline
Page 17 and 18: Airway assessmentManaging difficult
Page 19 and 20: Managing difficult airways• Flexi
Page 21 and 22: Managing difficult airways• Manuj
Page 23 and 24: Resuscitation - advanced life suppo
Page 25: Resuscitation - advanced life suppo
Page 29 and 30: Duties of the on call anaesthetists
Page 43 and 44: Getting senior helpGetting senior h
Page 45 and 46: On call casesGetting senior helpYou
Page 47 and 48: Supervision for sick patientsGettin
Page 49 and 50: Calling the senior resident anaesth
Page 51 and 52: Perianaesthesia Care Unit (PACU)PAC
Page 53 and 54: PACUThe surgical team responsible f
Page 55 and 56: PACU6. Oxygen and intravenous thera
Page 57 and 58: Integration with the critical care
Page 59 and 60: Inter-hospital transfersInter-hospi
Page 61 and 62: Inter-hospital transfersConsultant
Page 63 and 64: Signing onAdministrative issuesYour
Page 65 and 66: Administrative issuesMobile phones
Page 67 and 68: Administrative issuesobstetrics, we
Page 69 and 70: Administrative issuesMain theatre r
Page 71 and 72: CLWrota processes• To complete ca
Page 73 and 74: Security rules:• Do not put confi
Page 75 and 76: Education and trainingthe Royal Col
Page 77 and 78:
Education and trainingthe necessary
Page 79 and 80:
Education and trainingarrive in the
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Education and traininginformation c
Page 83 and 84:
Education and trainingexamination i
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Education and trainingAll consultan
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Presenting at seminars• Bring har
Page 89 and 90:
Presenting at seminarsDOI advise yo
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Clinical adverse event reportingCli
Page 93 and 94:
Clinical auditClinical audit[Apprai
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Clinical auditYour presentation sho
Page 97 and 98:
Pain management and postoperative c
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Page 105 and 106:
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Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
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Signs and symptomsAgitation, anxiet
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Epidural anaesthesia and analgesiaP
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Epidural anaesthesia and analgesiai
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Epidural anaesthesia and analgesiaS
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IndicationsEpidural anaesthesia and
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Epidural anaesthesia and analgesiaH
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Assessment and treatment optionsEpi
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Epidural anaesthesia and analgesia3
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Epidural anaesthesia and analgesia
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Epidural anaesthesia and analgesiaA
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Epidural anaesthesia and analgesiaG
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Allergies and adverse drug reaction
Page 145 and 146:
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Awareness during anaesthesiaPrevent
Page 151 and 152:
Fractured neck of femur:management
Page 153 and 154:
Fractured neck of femurGuidelines f
Page 155 and 156:
Management of patients with diabete
Page 157 and 158:
Patients who take insulinManagement
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Preoperative assessment and investi
Page 165 and 166:
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Indications for investigationsFull
Page 169 and 170:
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SevofluraneSevoflurane[Dr Mark Port
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Sevofluranemust be considered on it
Page 175 and 176:
Gabapentin in acute painSide-effect
Page 177 and 178:
Blood and blood productsBlood and b
Page 179 and 180:
Blood and blood productsWhen the un
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Blood and blood productsCross match
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Blood and blood productsBlood Cool
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Blood and blood productsHaematology
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Blood and blood products25322 so th
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Blood and blood productsfactors, ha
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Day case anaesthesia6. Social crite
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ENT anaesthesiaENT anaesthesia{Dr C
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ENT anaesthesiaIntraoperative• In
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Miscellaneous issuesMiscellaneous i
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Miscellaneous issuesideally be cont
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Miscellaneous issuesinstruction man
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Miscellaneous issuesRemifentanilRem
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Miscellaneous issuesCentral neuraxi
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Miscellaneous issuesAnalgesia Fenta
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Miscellaneous issues• Diclofenac
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Miscellaneous issues• Associated
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Miscellaneous issues• Everyone wi
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Miscellaneous issues• If fasting
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Miscellaneous issueslabour ward ana
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Miscellaneous issuesThere is no cli
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Patient monitoring in and out of th
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Miscellaneous issuessuch as Hartman
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Miscellaneous issues• Abdominal a
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Miscellaneous issuesPrevention of p
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Miscellaneous issuesDifferent clini
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Recovery and patient handoverMiscel
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For afternoon list (pm)Diabetic Pat
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Miscellaneous issuestake part in th
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Miscellaneous issuesSee page 37 for
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Waiting list initiatives[Appraised
Page 241 and 242:
Major Incident ProcedureStaff assem
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Major Incident Procedure• In coop
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Finding your way round theUniversit
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• Coffee room.• Quiet room (fiv
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Anaesthesia department lead clinici
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Trust organisational structureTrust
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Telephone numbersLabour ward……
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IndexIndexAabsence, 68adenotonsille
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Indexemergency department, 222emerg
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Indexmortality review, 93MRI scansa
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Indexstudy leave, 81applications, 6
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NotesAnaesthetists Handbook January
Page 265:
NotesAnaesthetists Handbook January
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