All anaesthetists providing anaesthesia for trauma and orthopaedics should have appropriate knowledge, skills, attitudes and behaviour in accordance with the RCoA training standards.
Anaesthetists with responsibility for the intraoperative care of trauma patients should ensure that their skills and knowledge of current recommendations are up to date, particularly in the management of major haemorrhage.
A nurse-led sedation service should be supported by an appropriately trained and experienced anaesthetist at all times.52
A nurse-led sedation service should be supported by an appropriately trained and experienced anaesthetist at all times.53
The paediatric anaesthetist should consider the patient age, physical capacity, complexity of the procedure and the status of the surgical facility before administering anaesthesia.
Standards for monitoring and recovery are stipulated by the Association of Anaesthetists and should be adhered to for all ECT cases.10
Training should be provided as part of employment induction and repeated regularly thereafter for anaesthetists, ward staff, doctors in training and allied health professionals.
Multidisciplinary support for preoperative assessment staff from other physicians, medical specialists, anaesthetists, surgeons and pain management teams should be available.
Departments should consider having flexibility in the day-to-day rota so that there are more anaesthetists working in a clinical area, such as a theatre suite, than there are procedures being carried out to ensure that this cover is always immediately available. The size of the additional staffing resource is dependent on the number of anaesthetic procedures underway simultaneously and the...
