The presence of learning disability practitioners in recovery when a patient with learning disability is being recovered should be considered.29
Burns anaesthetists should have access to and knowledge of nasendoscopy.
All staff working in paediatric recovery should be trained and competent in protocols, and familiar with the relevant procedures and personnel if there are safeguarding or child protection concerns that arise while the child is in theatre.30
There should be a minimum of one member of the recovery staff, or an anaesthetist, with advanced training in paediatric life support on duty and all members of recovery staff should have up-to-date paediatric competencies including resuscitation.10
Paediatric equipment to cover all ages should be available in recovery, including a full range of sizes of facemasks, breathing systems, airways, nasal prongs and tracheal tubes. Essential monitoring equipment includes a full range of paediatric non-invasive blood pressure cuffs and small pulse oximeter probes. Capnography should also be available.10
Parents and children should be appropriately educated and equipped with information to address common issues they may face postoperatively, in recovery and on discharge. This information should include leaflets for common procedures highlighting risks and these should be developed locally with support from area networks.31
An appropriately trained and experienced anaesthetist should be present for all neurosurgical operating lists and interventional neuroradiology sessions, with sufficient consultant-programmed activities to provide adequate supervision and support to trainee anaesthetists and SAS anaesthetists.
Guidelines and commonly used algorithms for paediatric emergencies should be readily available and regularly rehearsed.10
Burn surgery operating lists should be scheduled in working hours.62
Additional burn surgery operating lists may be planned at weekends and bank holidays to prevent unnecessary delays in treatment.62
