Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Duties of the on call anaesthetists• The consultant may perform the transfer while you continue withthe theatre list.• The consultant may cover the hospital from a distance whilebeing able to attend any call within 30 minutes.Inform the hospital switchboard if you leave the hospital.Non-intubated patients requiring transfer are the responsibility of theappropriate surgeon and usually do not have an accompanyinganaesthetist. If in doubt about a particular case, contact the generalconsultant on call.See page 59 for further advice on transfers.Senior resident anaesthetistThe on call room is in the anaesthesia department. The bleep (2813)is handed from the outgoing to the incoming SRA, usually at the maintheatre reception desk, at 08:00 and 19:45 hours. As the seniorresident anaesthetist, you are the key to successful delivery ofanaesthesia services, especially out of hours.You have three main roles: supervising other anaesthetists,practising specialised skills and organising anaesthesia services inclose co- ordination with the general on call consultant. You are alsoon the paediatric cardiac arrest group call and the extended traumateam (after the ICU specialty registrar), and you are responsible foracute pain management (epidural services on ward 21) and care ofsome patients in PACU.There is a specialty registrar working in critical care. If there is aventilated patient in theatre recovery, the critical care consultant willdetermine whether your help is needed to care for the patient;sometimes patients ventilated postoperatively may be looked after bythe critical care team. Liaise closely with them on this.Supervising other anaesthetistsThe emergency theatres will be in the first floor theatres at all times.You are the co-ordinator for all urgent and emergency anaesthesiaAnaesthetists Handbook January 2010 31