To do pre-anaesthesia checkup – PAC and immediate anaesthesia checkup prior surgery.
The pre-anaesthesia assessment results in formulation of an anaesthesia plan which is documented. The plan should mention the pre-medications, type of anaesthesia, the drug(s) to be used for induction and the drug to be used for maintenance. It should also mention about other concomitant medications and IV fluids, special monitoring requirements where appropriate and anticipated post- anaesthesia care.
An immediate pre-operative re-evaluation is to be performed and documented. This is essentially a pre-induction assessment and shall be done by anaesthesiologists just before the patient is wheeled into the respective OT. Any planned changes to the anaesthesia plan shall be documented.
To provide medical care and all the possible pain relief and comfort to patients before, during, and after surgical procedures
To ensure the delivery of anesthesia safely to patients
This includes preoperative evaluation, consultation with the surgical team, creating a plan for the anesthesia tailored to each individual patient, airway management, intraoperative life support and provision of pain control, intraoperative diagnostic stabilization, and proper post-operative management of patients.
To take Patient informed consent from the patient or patient’s relative after discussing the anesthetic plan, as well as alternatives, risks, and benefits of the chosen anesthetic techniques prior to surgery. In unconscious patients, confused patients to obtain consent from a patient’s relative.
To obtain Informed consent for administration of moderate sedation
Pre-procedure assessment, monitoring during and after moderate sedation and adherence to the discharge/transfer out criteria
When anaesthesia must be provided on an urgent basis, the pre-anaesthesia assessment and pre-induction assessment may be performed immediately following one another, or simultaneously, but should be documented separately.
Monitoring and document regular recording of temperature, heart rate, cardiac rhythm, respiratory rate, blood pressure, oxygen saturation and end-tidal carbon dioxide during anaesthesia In case of regional anaesthesia instead of end-tidal carbon dioxide the adequacy of ventilation shall be evaluated by continual observation of qualitative clinical signs.
Monitoring and recording / documenting all parameters, changes during moderate sedation. Intra-procedure monitoring includes heart rate, cardiac rhythm, respiratory rate, blood pressure, oxygen saturation, and level of sedation.
The level of sedation to be monitored by using a checklist which incorporates the various components of levels of sedation (minimal, moderate and deep).
Preparation of patients for emergency surgery
To utilize their extensive knowledge of human physiology and diseases to guide their decision making
The anesthetist providing anesthesia for a patient shall be present throughout the surgical procedure and shift the patient to the post-recovery area or operative ward or Intensive care as necessary and be available till his condition is stable.
The anesthetist should maintain and record the monitored data in the anesthetic record system accurately and frequently.
During anesthesia, all patients to be monitored for Oxygenation, Ventilation, and Circulation both clinically and with appropriate monitors.
The anesthesiologist should check all the anesthetic equipments and monitors are working properly and to inform management in case of nonfunctioning or non-conformance
The anesthesiologist must maintain a proper anesthetic record of drugs and dosages, along with monitors used for recording vital signs.
All patients who have received anaesthesia shall be monitored continuously till he recovers from anesthesia and all reflexes are active.
To conduct time out procedure and record it on Surgical Safety Checklist
Patients, while shifting out of OT shall be accompanied by the Anesthesiologists or his assistance, till the patient is handed over to a responsible and a brief summary of case and proper instructions is explained to the person in charge.
The patient should be shifted only when his hemodynamic status is stable.
To document the type of anaesthesia and anaesthetic medications used are documented in the patient record with name with their designation and also who helped in the procedure. The documentation must have name, date, time and signature.
To ensure that patient is continued to be monitored with ECG, Pulse Oximeter and NIBP or invasive arterial monitoring as needed.
To perform procedures in such manner which shall comply with infection control guidelines to prevent cross-infection between patients. e.g. Management of circuits, infection control measures during administration etc.
Adverse anaesthesia events are recorded and monitored. All such events are documented and monitored for the purpose of taking corrective and preventive action.
To manage, assure and provide pain relief to Cancer Patient.
Is one of a committee member or chairperson or member secretory of Code Blue Committee
To comply with all jobs and responsibilities of Code Blue committee.
To review all Code Blue and document
CPR Management
Emergency cardioversion defibrillation
Training all staff for ICU management, maintain infection control, Airway management etc.
