clinical indicators - Australian and New Zealand College of ...

More documents

Recommendations

Info

Review PS4 (2006)AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTSABN 82 055 042 852RECOMMENDATIONS FORTHE POST-ANAESTHESIA RECOVERY ROOM1. INTRODUCTIONA well-planned, well-equipped, well-staffed and well-managed post-anaesthesiarecovery area is essential for the safe early management of patients who have recentlyundergone a surgical or other procedure, irrespective of the type of anaesthesia orsedation used.2. GENERAL PRINCIPLES2.1 Recovery from anaesthesia should take place under supervision in an areadesignated for the purpose.2.2 This area should be close to where the anaesthesia or sedation wasadministered.2.3 The staff working in this area must be trained for their role and able to contactsupervising medical staff promptly when the need arises.2.4 In some situations (for example, paediatric hospitals) minor variations in theserecommendations may be appropriate.3. DESIGN FEATURES FOR THE RECOVERY AREA3.1 The area should be part of the operating or procedural suite with easy accessfor management of emergencies by both theatre medical staff and staff in streetclothes from outside the theatre suite. Provision should be made for rapidevacuation of patients from the area in an emergency.3.2 Ventilation of the area should be of operating theatre standard.3.3 Space allocated per bed/trolley should be at least 9 square metres. There mustbe easy access to the patient’s head.3.4 The number of bed/trolley spaces must be sufficient for expected peak loadsand there should be at least 1.5 spaces available per operating room.3.5 The layout of bed spaces should allow staff to have an uninterrupted view ofseveral patients at once.1
3.6 Each bed space must be provided with:3.6.1 an oxygen outlet3.6.2 medical suction complying with relevant national standards3.6.3 two general power outlets3.6.4 appropriate lighting and wall colour to allow accurate assessment ofskin colour3.6.5 emergency lighting3.6.6 appropriate facilities for mounting and operating any necessaryequipment and for the patient’s chart3.7 Space must be provided for a nursing station, utility room and storage fordrugs, equipment and linen.3.8 There must be appropriate facilities for scrubbing up for procedures.3.9 There should be a wall clock with a sweep second hand or analogue displayclearly visible from each bed space.3.10 Communication facilities should include:3.10.1 an emergency call system to areas where specialist staff areavailable3.10.2 a telephone with access to the hospital paging system3.11 There must be access for portable X-Ray equipment. Appropriate poweroutlets and viewing box must be available.3.12 An emergency power supply must be available in the area.4. EQUIPMENT AND DRUGS4.1 Each bed space should be provided with:4.1.1 oxygen flowmeter and patient oxygen delivery systems4.1.2 suction equipment including a receiver, appropriate hand pieces anda range of suction catheters4.1.3 pulse oximeter4.1.4 facilities for blood pressure measurement including cuffs suitablefor all patients4.1.5 stethoscope4.1.6 means of measuring body temperature4.2 Within the recovery area there must be:2
Page 1:
Anaesthesia Clinical Indicator User
Page 9 and 10:
INDICATOR AREA 1: PRE-ANAESTHESIA P
Page 12 and 13:
INDICATOR AREA 1: PRE-ANAESTHESIA P
Page 14 and 15:
INDICATOR AREA 2: INTRA-OPERATIVE P
Page 16 and 17:
Anaesthesia Clinical Indicators Ver
Page 18 and 19:
INDICATOR AREA 4: POST-OPERATIVE PE
Page 20: Anaesthesia Clinical Indicators Ver
Page 23 and 24: Area: 1 Pre-anaesthesia PeriodAnaes
Page 25 and 26: Area: 1 Pre-anaesthesia PeriodAnaes
Page 27 and 28: Area: 2 Intra-operative PeriodAnaes
Page 29 and 30: Area: 3 Patient Recovery PeriodAnae
Page 31 and 32: Area: 4 Post-operative PeriodAnaest
Page 33 and 34: Area: 6 Obstetric Anaesthesia CareA
Page 35 and 36: Anaesthesia Clinical Indicators Ver
Page 37 and 38: Anaesthesia Clinical Indicators Ver
Page 39 and 40: CI 3.1CI 3.2CI 3.3CI 3.4CI 3.5requi
Page 41 and 42: CI 6.1CI 6.2CI 6.3Minimisation of p
Page 43 and 44: 2.1 The process involved in deliver
Page 45 and 46: REFERENCESSafety of Anaesthesia in
Page 52 and 53: Review PS8 (2008)AUSTRALIAN AND NEW
Page 54 and 55: 3.2.3 Supervised practical experien
Page 56 and 57: (d) Invasive Techniquesincluding in
Page 58 and 59: AUSTRALIAN AND NEW ZEALAND COLLEGE
Page 60 and 61: 2.8 Unexpected extreme sensitivity
Page 62 and 63: 5.7 If an appropriately trained med
Page 64 and 65: Intravenous anaesthetic agents such
Page 66 and 67: All College Professional Documents
Page 68 and 69: APPENDIX IIIPersonnel for Procedura
Page 76 and 77: 4.2.1 means for manual ventilation
Page 78 and 79: 6.7.3 specify the type of apparatus
show all

clinical indicators - Australian and New Zealand College of ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?