Search

A named anaesthetist with time assigned in their job plan should oversee the provision and management of anaesthetic equipment.¹⁴¹

All anaesthetists, AAs and anaesthetic assistants should receive systematic training in the use of new equipment. This should be clearly documented.¹⁴¹ Anaesthetists should not use equipment unless they have been trained to use it and are competent to do so. The NHS Clinical Negligence Scheme for trusts and Healthcare Improvement Scotland require that hospitals ensure all personnel are trained...

User manuals should be available as required for anaesthetic equipment.¹⁴¹

There should be a planned maintenance and replacement programme for all anaesthetic equipment.^141,142

As a minimum, services should be available for:

• blood transfusion
• radiological investigations
• haematology
• clinical pathology
• electrocardiography.

Near patient testing for blood sugar measurements should be readily available for theatres.

Near patient testing for haemoglobin, blood gases, lactate, ketones and coagulation measurements should be considered, particularly in areas where major blood loss is likely.¹⁴³ If near patient testing is not available, laboratory testing should be readily and promptly available.

Decision support systems for crisis scenarios should be available, for example the Association of Anaesthetists Quick Reference Handbook, advanced life support algorithm, difficult airway guidelines and major haemorrhage protocols.^144,145,146

Real time alerts and recommendations (e.g. patient allergy or drug interactions) could be made available using electronic information systems.¹⁴⁷

Policies and equipment must be in place to protect patients and staff from cross infection, including the safe disposal of sharps and healthcare waste.^148,149