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Clinical practice guidelines


Guidelines for Anaesthesia Care:
The same quality of anaesthetic care should be available for all patients:


  • 24 hour a day, seven days a week.
  • Emergency as well as elective patients.
  • Medical and surgical patients.

Pre-Anaesthetic Evaluation and Preparation:

  • Review the chart
  • Interview the patient to:
  • Discuss medical history, including anaesthetic experience and drug therapy.
  • Perform examinations that would provide information that might assist in decisions regarding risk and management.
  • Discuss and explain the best plan of anaesthesia suitable for the patient.
  • Order necessary tests and medications essential to the conduct of anaesthesia.
  • Obtain consultations as necessary.
  • Record impressions on the patient's chart.

Peri-anaesthetic care:

  • Re-evaluation of patient immediately prior to induction.
  • Preparation and check of equipment, drugs, fluids and gas supplies.
  • Appropriate monitoring of the patient.
  • Selection and administration of anaesthetic agents to render the patient insensible to pain during the procedure.
  • Support of life functions under the stress of anaesthetic and surgical manipulations.
  • Recording the events of the procedure.

Post-anaesthetic care:

  • A member of the anaesthesia care team remains with the patient as long as necessary.
  • Availability of adequate nursing personnel and equipment necessary for safe post-anaesthetic care.
  • Informing personnel caring for patients in the immediate post-anaesthetic period of any specific problems presented by each patient.
  • Assurance that the patient is discharged in accordance with policies established by the department of anaesthesia.
  • The period of post-anaesthetic surveillance is determined by the status of the patient and the judgment of the anaesthetist.

Responsibility of chief of the anaesthesia department:

  • Recommending clinical privileges for all individuals with primary anaesthesia responsibilities.
  • Monitoring the quality of anaesthesia care rendered throughout the hospital, including surgical, emergency, outpatient, and special procedure areas.
  • Recommending to the hospital administration and medical staff the type and amount of equipment and supplies necessary for administering anaesthesia, pain management, and for resuscitation.
  • Developing regulations concerning anaesthetic safety.
  • Ensuring evaluation of the quality of anaesthesia care throughout the hospital.
  • Establishing a program of continuing education for all personnel having anaesthesia privilege.
  • Participating in the development of and enforcing policies and procedures relating to the functioning of anaesthesia personnel and the administration of anaesthesia throughout the hospital.
  • Ensuring that qualified anaesthesia personnel are available for the daily surgical schedule and providing a schedule for 24-hour, 7-day-a-week availability of anaesthesia care.
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