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

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4.2.1 means for manual ventilation with oxygen in a ratio of one unit pertwo bed spaces, but with a minimum of two such devices4.2.2 equipment and drugs for airway management and endotrachealintubation4.2.3 emergency and other drugs4.2.4 a range of intravenous equipment and fluids and a means ofwarming those fluids4.2.5 drugs for acute pain management4.2.6 a range of syringes and needles4.2.7 patient warming devices4.2.8 devices for measuring expired carbon dioxide4.3 There should be easy access to:4.3.1 12 lead electrocardiograph4.3.2 defibrillator4.3.3 neuromuscular function monitor4.3.4 chest drains4.3.5 warming cupboard4.3.6 refrigerator for drugs and blood4.3.7 procedure light4.3.8 basic surgical tray4.3.9 blood gas and electrolyte measurement4.3.10 diagnostic imaging services4.3.11 apparatus for mechanical ventilation of the lungs4.3.12 monitors for direct arterial and venous pressure monitoring4.4 The recovery trolley/bed must:4.4.1 have a firm base and mattress4.4.2 tilt from one or both ends both head up and head down at least 15degrees4.4.3 be easy to manoeuvre4.4.4 have efficient and accessible brakes4.4.5 provide for sitting the patient up4.4.6 have secure side rails which must be able to be dropped below thebase or be easily removed4.4.7 have an I.V. pole3
4.4.8 have provision for mounting monitoring equipment, apparatus fordelivering oxygen, patient ventilation equipment, underwater sealdrains and suction apparatus during transport of patients5. STAFFING5.1 Staff trained in the care of patients recovering from anaesthesia must bepresent at all times.5.2 A registered nurse trained in recovery area care should be in charge.5.3 Trainee nurses and registered nurses who are not experienced in the care ofpatients recovering from anaesthesia must be supervised.5.4 The ratio of registered nurses to patients needs to be flexible so as to provideno less than one nurse to three patients, and one nurse to each patient who hasnot recovered protective reflexes or consciousness.6. MANAGEMENT AND SUPERVISION6.1 Written protocols for management should be established. The Director ofAnaesthesia should be responsible for the medical aspects of these policies.6.2 A written routine for checking the equipment and drugs must be established.6.3 When an anaesthetised patient is being transferred from one trolley/bed toanother, a minimum of three people must assist with lifting. An anaesthetistmust be present to have prime responsibility for the patient’s head, neck andairway.6.4 A designated anaesthetist should be contactable in the event that theresponsible anaesthetist is unavailable. In larger hospitals, recovery dutiesshould be the designated anaesthetist’s primary duty6.5 Observations should be recorded at appropriate intervals and should includestate of consciousness, oxygen saturation, respiratory rate, pulse rate, bloodpressure and temperature.6.6 All patients should remain until they are considered safe to be discharged fromthe recovery area according to established criteria.6.7 The anaesthetist responsible for the patient should:6.7.1 accompany the patient until transfer to recovery area staff iscompleted6.7.2 provide written and verbal instructions to the recovery area staff4
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Anaesthesia Clinical Indicator User
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INDICATOR AREA 1: PRE-ANAESTHESIA P
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INDICATOR AREA 1: PRE-ANAESTHESIA P
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INDICATOR AREA 2: INTRA-OPERATIVE P
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Anaesthesia Clinical Indicators Ver
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INDICATOR AREA 4: POST-OPERATIVE PE
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Anaesthesia Clinical Indicators Ver
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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
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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 74 and 75: Review PS4 (2006)AUSTRALIAN AND NEW
Page 78 and 79: 6.7.3 specify the type of apparatus
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