Anaesthetists Handbook - MEDICAL EDUCATION at University ...

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The Clinical Sciences LibraryThe Clinical Sciences LibraryThe library is on the first floor of the Clinical Sciences Building.The library maintains subscriptions to the following anaesthesiajournals:• Anesthesia and Analgesia• Anesthesiology• Anaesthesia & Intensive Care (also Rugby and online)• Anaesthesia (also online)• Anaesthesia & Intensive Care Medicine (only Rugby)• British Journal of Anaesthesia• Canadian Journal of Anesthesia (also online via Ebsco EJS)• Current Anaesthesia & Critical Care (only Rugby)• Journal of Cardiothoracic and Vascular Anesthesia (also online)You should obtain an ATHENS account access code from the library;this will allow online access to a variety of abstracting databases andthe National electronic Library for Health.The library’s intranet site contains much detail about access timesand catalogues – look under ‘Departments’. Access is available toOnline Journals, the Knowledge Skills Courses and Literature SearchRequest forms.http://intranet/library/The online public access catalogue is on the world wide web, whichenables staff to request books, photocopies, searches and so forth.http://www.uhcw.nhs.uk/clinical_sciences_library.htm90 Anaesthetists Handbook January 2010
Clinical adverse event reportingClinical adverse event reporting[Appraised by Dr Keith Clayton and Dr Edwin Borman, January 2010]A clinical adverse event is an untoward event that led to harm, or ifallowed to progress could have led to harm. Clinical adverse eventreporting is an essential element of clinical governance, helping toimprove the quality of clinical services, and UHCW has such asystem in operation.Forms to report these adverse events are located in each theatresuite, intensive care unit and delivery suite. Ask the sister in charge.All clinical adverse events should be reported on these forms. Whencompleted, place in the CAE box in the Anaesthesia Office(forms relating to maternity care should be submitted throughlabour ward).If appropriate, action will be taken to prevent these incidents fromhappening again. In the past, significant improvements in patientsafety have been implemented as a direct result of reported clinicaladverse events, so you are encouraged to report any such events.Clinical adverse events are discussed at the monthly audit meetingsfor educational and information purposes. The identity of theanaesthetist involved is not made public unless they choose toidentify themselves.Clinical adverse events are grouped into three broad categories.Examples of the sort of events that you should report are givenbelow. Please remember that these examples are not exhaustive andyou should report any incident that you feel falls within the basicdefinition above.Anything which has or, if uncorrected could, put at risk thesafety and well being of the patient.Human• Cardiopulmonary arrest.• Airway obstruction.Anaesthetists Handbook January 2010 91
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Department of AnaesthesiaAnaestheti
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Document control for approved clini
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ContentsTrauma list anaesthetist (t
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ContentsStudy leave 81Junior doctor
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ContentsIndications for investigati
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ContentsRenal patients - clinical g
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Introduction and scope of guideline
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Introduction and scope of guideline
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Airway assessmentManaging difficult
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Managing difficult airways• Flexi
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Managing difficult airways• Manuj
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Resuscitation - advanced life suppo
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Resuscitation - advanced life suppo
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Duties of the on call anaesthetists
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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
Page 81 and 82: Education and traininginformation c
Page 83 and 84: Education and trainingexamination i
Page 85 and 86: Education and trainingAll consultan
Page 87 and 88: Presenting at seminars• Bring har
Page 89: Presenting at seminarsDOI advise yo
Page 93 and 94: Clinical auditClinical audit[Apprai
Page 95 and 96: Clinical auditYour presentation sho
Page 97 and 98: Pain management and postoperative c
Page 121 and 122: Signs and symptomsAgitation, anxiet
Page 123 and 124: Epidural anaesthesia and analgesiaP
Page 125 and 126: Epidural anaesthesia and analgesiai
Page 127 and 128: Epidural anaesthesia and analgesiaS
Page 129 and 130: IndicationsEpidural anaesthesia and
Page 131 and 132: Epidural anaesthesia and analgesiaH
Page 133 and 134: Assessment and treatment optionsEpi
Page 135 and 136: Epidural anaesthesia and analgesia3
Page 137 and 138: Epidural anaesthesia and analgesia
Page 139 and 140: Epidural anaesthesia and analgesiaA
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Epidural anaesthesia and analgesiaG
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Allergies and adverse drug reaction
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Awareness during anaesthesiaPrevent
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Fractured neck of femur:management
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Fractured neck of femurGuidelines f
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Management of patients with diabete
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Patients who take insulinManagement
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Preoperative assessment and investi
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Indications for investigationsFull
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SevofluraneSevoflurane[Dr Mark Port
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Sevofluranemust be considered on it
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Gabapentin in acute painSide-effect
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Blood and blood productsBlood and b
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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
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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
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NotesAnaesthetists Handbook January
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