Table 7 Compliance with ISSPA on conduct of anesthesia
Item | Standards | Compliance |
|---|---|---|
Personnel | One anesthesia provider should be dedicated to each patient and be present in the anesthetizing location throughout each anesthetic. | AM |
A trained assistant (operating room nurse or technician) should be available to assist the anesthesia provider | AM | |
The anesthesia provider is responsible for the transport of the patient to a suitable postanesthesia recovery area and the detailed transfer of care to an appropriately trained healthcare worker | PM | |
Preanesthetic Assessment and Consent | The patient must be assessed by the anesthesia provider prior to administration of anesthesia, preferably prior to entry into the operating room, and an appropriate anesthetic plan formulated and documented in the patient’s medical record | AM |
Consent consistent with hospital policy, preferably written, should be obtained | AM | |
Preanesthetic Checks | The anesthesia provider must ensure that the facilities and personnel are adequate for the delivery of safe anesthesia and all medications and equipment (including the anesthesia machine delivery system) have been checked prior to commencing the anesthetic | AM |
WHO Safe Surgery Checklist | The use of the checklist, appropriately modified for local conditions and priorities | NM |
Record Keeping | A record of the details of each anesthetic should be made and preserved with the patient’s medical record | AM |
Postanesthesia Care | All patients who have had an anesthetic (general anesthesia, moderate or deep sedation, regional anesthesia) should remain where anesthetized until recovered or be transported safely to a specifically designated recovery area for postanesthesia recovery | AM |
The postanesthesia recovery area must be adequately staffed by healthcare workers trained to manage patients recovering from anesthesia and surgery | AM | |
Oxygen, suction, a means of ventilation (eg, self-inflating bag-mask system), and emergency resuscitation medications must be immediately available | PM | |
Transfer of Care and Delegation of Care | When responsibility for care is transferred from one anesthesia provider to another, or to a nurse or other healthcare worker, all relevant information about the patient’s history, medical condition, anesthetic status, and plan should be communicated to that person | NM |
Pain Management | All patients are entitled to appropriate efforts to prevent and alleviate postoperative pain using appropriate medications and modalities | PM |