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purchase these services. They must be available to all professionals who share responsibility for the safety of the patient. There are obvious advantages in having a common philosophy of care and standardised terminology, such as those provided by the Advanced Trauma Life Support (ATLS) system and the GCS. A modified GCS should be used for paediatric patients.[3] Good verbal and written communications are vital. This is especially so at the time of referral and when a patient is handed over at the end of the transfer. They will include precise details of where, within the neurosciences centre, the patient is to be taken. The ambulance service appreciate an early warning to facilitate their arrangements. 6
SECTION V - STAFFING REQUIREMENTS AND STANDARDS Expediency should not dictate the level of expertise available for the transfer of patients. Critically ill patients with acute brain injuries must be accompanied by a doctor with suitable training, skills, competencies and experience of brain injury transfer. It must be recognised that a trainee alone in an ambulance is working in an unsupervised capacity. Changes in working patterns may reduce the availability of trainees for transfers and consultant time for transfers must be built into manpower projections. Account should be taken of shift arrangements when deciding who should accompany the patient. A dedicated trained assistant must be provided for the escorting doctor. This might be an appropriately trained operating department practitioner, nurse or paramedic. Employers must ensure that there is appropriate medical indemnity i n s u rance for such transfers. In addition, the Association of Anaesthetists (AAGBI) recommends that doctors are members of medical defence organisations. Adequate death and personal injury insurance must also be provided for the members of the transfer team by the employer; existing employer insurance may be inadequate and local arrangements should be clarified. Details of appropriate insurance schemes are available from the AAGBI (www.aagbi.org) and such cover is a benefit of membership. 7
Page 1 and 2: Recommendations for the Safe Transf
Page 3 and 4: CONTENTS Section I Summary and Reco
Page 5 and 6: SECTION II - BACKGROUND In 1996 the
Page 7: SECTION IV - ORGANISATION AND COMMU
Page 11 and 12: A p p ropriate re s p i ra t o ry s
Page 13 and 14: SECTION VII - THE TRANSFER The tran
Page 15 and 16: SECTION VIII - EQUIPMENT AND DRUGS
Page 17 and 18: SECTION IX - EDUCATION AND TRAINING
Page 19 and 20: SECTION X - RESOURCE IMPLICATIONS F
Page 21 and 22: APPENDIX I INDICATIONS FOR INTUBATI
Page 23 and 24: APPENDIX III ADDITIONAL INFORMATION
Page 25 and 26: AAGBI SAFETY GUIDELINE Suspected An
Page 27 and 28: GUIDELINES Suspected Anaphylactic R
Page 29 and 30: Suspected anaphylactic reactions as
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This guideline was originally publi
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Anaesthesia 2015 Checketts et al. |
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Anaesthesia 2016, 71, 1503 Correcti
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Membership of the working party Dr
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1. Summary 1.1 Safety, quality and
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3. Responsibility of anaesthetists
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3.4 The Trust - Medical Devices Man
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4. Standards 4.1 Medical Devices Di
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5. Responsibility of manufacturers
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6. Choosing and trialling equipment
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equipment officer is encouraged to
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EU procurement thresholds Threshold
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When negotiating a purchasing agree
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9. Shared equipment Many types of e
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Third party servicing is another op
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11. Replacement 11.1 Planned equipm
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number of re-uses (e.g. re-usable L
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Where new equipment is purchased th
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14. Incident reporting and investig
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available from www.hse.gov.uk 14.4
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DB DoH EBME EC EU FRCA HN HSE IEC I
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8. OPSI. Statutory Instrument 2006
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Eire Tel: 00353 1 676 4971 Website:
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Peri-operative management of the ob
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Guidelines Peri-operative managemen
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Recommendations 1 Every hospital sh
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35 30 25 Prevalance (%) 20 15 10 5
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is an increased incidence of prolon
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Figure 2 Relationship between total
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techniques, and when used with neur
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Table 5 The STOP-BANG screening que
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Intra-operative care Preparation of
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Figure 3 Ramping position for obese
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eturn of airway reflexes with desfl
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Table 6 Dosing schedule for thrombo
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A review and meta-analysis by the S
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numbers of staff are needed to roll
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Table 7 Equipment for managing obes
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11. Schneider HJ, Glaesmer H, Klots
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44. Edholm D, Kullberg J, Haenni A,
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75. McKay RE, Malhotra A, Cakmakkay
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21 Portland Place, London, W1B 1PY
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Anaesthesia 2015 Barker et al. | Gu
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Out of Hours Activity (Anaesthesia)
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Considerations for anaesthetists Th
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OAA / AAGBI Guidelines for Obstetri
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Contents 1. Key recommendations 2 2
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2. Introduction This is the third v
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Recommendations Medical staff The t
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appointed directly from other count
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Peripartum care Pre-operative asses
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Intravenous patient-controlled opio
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depression. In the absence of contr
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of clinical deterioration, as recom
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5. Training and education Each obst
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• Skills and drills training: ana
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• The midwife caring for a woman
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7. Support services, equipment, fac
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Equipment for PCA must be available
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8. The future The delivery of healt
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The following national guidelines s
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19. Obstetric Anaesthetists’ Asso
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At the first meeting held on 9 th M
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Methods to estimate/establish publi
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Recommendations The WP recommends:
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Anaesthesia, 2007, 62, pages 1199-1
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Anaesthesia, 2007, 62, pages 1199-1
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OPTION 3 - PRESUMED CONSENT. ‘Pre
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Power of Attorney) while requiring
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Needle-stick injury and HIV testing
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egain capacity, and the absence of
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treatment if it was understood that
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Management of hypertension before e
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AAGBI Safety Guideline Management o
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Malignant Hyperthermia Crisis Task
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MEMBERSHIP OF THE WORKING PARTY Dr
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Section 1 Recommendations 1. Transf
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Section 3 Introduction In 1997 it w
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This process may require many telep
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Section 6 Accompanying the patient
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Section 7 Monitoring, drugs and equ
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heavily congested areas, but not al
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APPENDIX 1 Departure checklist Do a
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13. Bercault N, Wolf M, Runge I, Fl
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21 Portland Place, London W1B 1PY T
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Membership of the Working Party Dr
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Infection control in anaesthesia An
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AAGBI SAFETY GUIDELINE Immediate Po
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Guidelines Immediate post-anaesthes
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Whitaker et al. | Guidelines: Immed
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The Royal College of Anaesthetists
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Contents ❚ Foreword 4 Introductio
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Introduction ❚ The Good Anaesthet
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Related guidelines and sources of i
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Domain A: knowledge, skills and per
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Domain B: safety and quality Attrib
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Domain C: communication, partnershi
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Domain D: maintaining trust Attribu
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Day Case and Short Stay Surgery 2 P
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GUIDELINES Day case and short stay
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Guidelines: Day case and short stay
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The Association of Anaesthetists of
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