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INDICATOR AREA 1: PRE-ANAESTHESIA PERIODAnaesthesia Clinical Indicators Version 5.1Indicator TopicProphylactic anti-emetic treatment in patients with a documented history of post-operativenausea and vomiting (PONV).RationalePONV is a frequent and distressing consequence of many surgical procedures. There is awealth of literature highlighting known risk factors, and international consensus guidelines forprophylaxis.Type of IndicatorThis is a comparative rate based indicator addressing the process of patient care.Desired Rate1.3 – HighSuggested Data Collection Period4–8 weeks (depending on throughput).INDICATORCI 1.3NumeratorDenominatorTotal number of patients with a history of PONV to whom aprophylactic anti-emetic has been administered, during the timeperiod under studyTotal number of patients receiving anaesthesia care who have ahistory of PONV, during the time period under studyThis indicator can be used to support the following EQuIP5 criteria:1.1.2 Care Planning and Delivery1.1.4 Evaluation of Care1.3.1 Appropriateness of Care1.4.1 Effectiveness of CareACHS Clinical Indicator User Manual 2011 11
INDICATOR AREA 2: INTRA-OPERATIVE PERIODIndicator TopicPresence of a trained assistant.Anaesthesia Clinical Indicators Version 5RationaleThe presence of a trained assistant for the anaesthetist during the conduct of anaesthesia isa major contributory factor to safe patient management.Type of IndicatorThis is a comparative rate based indicator addressing structure.Desired Rate2.1– HighDefinitions of TermsFor the purpose of Indicator 2.1Trained assistant must have undertaken appropriate training in order to provide effectivesupport to the anaesthetist. Please refer to Recommendations on the Assistant for theAnaesthetist Review PS8 (2008) (Appendix 7).Suggested Data Collection PeriodContinuous collectionNote: Diagnostic and therapeutic procedures such as E.R.C.P, radiological interventions,cardioversion, and gastroenterology endoscopy patients should be INCLUDED. Please refer to Guidelines on Sedation and/or Analgesia for Diagnostic and InterventionalMedical or Surgical Procedures Review PS9 (2008) (Appendix 8).INDICATORPresence of a trained assistantCI 2.1NumeratorDenominatorTotal number of patients who undergo a procedure with ananaesthetist in attendance, where there is a trained assistant tothe anaesthetist, during the time period under studyTotal number of patients who undergo a procedure with ananaesthetist in attendance during the time period under studyThis indicator can be used to support the following EQuIP5 criteria:1.1.2 Care Planning and Delivery1.1.4 Evaluation of Care1.3.1 Appropriateness of Care1.4.1 Effectiveness of CareACHS Clinical Indicator User Manual 2011 12
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Page 45 and 46: REFERENCESSafety of Anaesthesia in
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5.7 If an appropriately trained med
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Intravenous anaesthetic agents such
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All College Professional Documents
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APPENDIX IIIPersonnel for Procedura
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Review PS4 (2006)AUSTRALIAN AND NEW
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4.2.1 means for manual ventilation
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6.7.3 specify the type of apparatus
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