Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Calling the senior resident anaesthetistThe surgical specialty registrar supervises the surgical SHO.The senior resident anaesthetist should not be contacted for transferswithin the Cardiothoracic Unit. The intensive care team should becontacted for transfers to CT scan.CT scanThe reception of patients into CT scan is the responsibility of theintensive care team and the senior resident anaesthetist should onlybe called if the patient is to be taken straight to the operating theatre.Internal transfers of patients to CT scan are the responsibility of theintensive care team, who will call the senior resident anaesthetist ifbusy.Intensive Care UnitThe senior resident anaesthetist is primarily an anaesthetist but maybe asked to assist with intensive care patients by the consultantintensivist.Transfers of ventilated patients to other hospitals are a collaborativeprocess between Intensive Care and Anaesthetics, and the seniorresident anaesthetist will be involved in mobilising appropriate stafffor this.All referrals for intensive care should be on a consultant-to-consultantbasis. Referral to an intensive care resident to assess a deterioratingpatient must come at least from a specialty registrar.The finding of intensive care beds and making all appropriatereferrals to the receiving hospital is the clear responsibility of themedical or surgical team caring for the patient. Contact details are atthe nursing station on the critical care unit.Should the intensive care resident be attending a cardiac arrest, thenext in line point of contact for cardiac arrest is the residentanaesthetist.Anaesthetists Handbook January 2010 49