scholarly journals Fault in a Selectatec Manifold Resulting in Awareness

1992 ◽  
Vol 20 (4) ◽  
pp. 501-503 ◽  
Author(s):  
M. E. Lum ◽  
W. D. Ngan Kee ◽  
B. J. Robinson
Keyword(s):  
New Zealand ◽  
Anaesthetic Machine ◽  
Zealand College ◽  
Royal Australasian College ◽  
Change System

The Selectatec Vaporising System is a quick change system consisting of anaesthetic vaporisers of the Tec 3 and Tec 4 models and the compatibility manifold block on which these are seated on the anaesthetic machine backbar. There have been reports of difficulties with the seating and locking of the vaporisers which can cause a leak and failure of vapour delivery. The Faculty of Anaesthetists, Royal Australasian College of Surgeons (now Australian and New Zealand College of Anaesthetists) issued a hazard alert in March 1991 drawing attention to this potential fault.1 We present two cases of awareness associated with failure of internal seals within a Selectatec compatibility manifold block which did not have a detectable leak.

scholarly journals Evaluation of Safety Procedures in Anaesthesia and Intensive Care

1993 ◽  
Vol 21 (5) ◽  
pp. 670-672 ◽  
Author(s):  
D. G. Clayton ◽  
L. Barker ◽  
W. B. Runciman
Keyword(s):  
Intensive Care ◽  
New Zealand ◽  
Teaching Hospital ◽  
Anaesthetic Machine ◽  
Zealand College ◽  
Fire Drill ◽  
Multi Center Study ◽  
Safety Procedures ◽  
Center Study

A study was conducted to determine the ability of junior anaesthetists to check the anaesthetic machine, demonstrate a knowledge of a multifunction monitor and a defibrillator, and know the hospital fire drill. The subjects were 38 junior anaesthetists working in a large multi-disciplinary teaching hospital. 45% were able to check the anaesthetic machine according to the guidelines of the Australian and New Zealand College of Anaesthetists, and 16% had a complete working knowledge of the monitor. All subjects could use the defibrillator but only 24% could adequately solve the problem of malfunction. Only one subject had a working knowledge of the fire drill; excluding knowledge of the fire drill only 3 subjects (8%) satisfactorily completed all aspects of the assessment. As a result of this study structured checking routines are being introduced into anaesthetic teaching and practice and a similar multi-center study of specialist anaesthetists is being planned.

Zebras in the Forest: the experiences of Dual-Trained Child Psychiatrists and Paediatricians in Australia and New Zealand

2016 ◽  
Vol 24 (6) ◽  
pp. 578-582
Author(s):  
Hiran Thabrew
Keyword(s):  
New Zealand ◽  
Child Psychiatry ◽  
Significant Proportion ◽  
Training Programme ◽  
Fellowship Training ◽  
Adult Psychiatry ◽  
Zealand College ◽  
Royal Australasian College ◽  
Child Psychiatrists

Objectives: The objectives of this study were to examine the experiences of dual-trained child psychiatrists and paediatricians in Australia and New Zealand and inform the review of the Dual Fellowship Training Programme by the Royal Australian and New Zealand College of Psychiatrists and Royal Australasian College of Physicians. Methods: All dual-trained child psychiatrists and paediatricians and current trainees were electronically surveyed in 2015. Results: Seven out of eight specialists (88%) and four out of six trainees (67%) responded. Six (55%) completed or were undertaking training as part of the Dual Fellowship Training Programme. Most respondents entered dual training without difficulty, found the transition from paediatrics to adult psychiatry challenging, and were reassured by their decision to undertake dual training on reaching advanced training in child psychiatry. Benefits and downsides of dual training were noted during and following training. A significant proportion of specialists (55%) were working in hospital-based environments, especially consult liaison services, suggesting that they added long-term value to both the fields of child psychiatry and paediatrics. Conclusions: The Dual Fellowship Training Programme remains a valuable vehicle for gaining skills in paediatrics and child psychiatry. There is support for its continuation by previous and current participants.

scholarly journals Genesis of the College of Intensive Care Medicine of Australia and New Zealand

2018 ◽  
Vol 46 (1_suppl) ◽  
pp. 35-51
Author(s):  
A. B. Baker
Keyword(s):  
Intensive Care ◽  
New Zealand ◽  
Intensive Care Medicine ◽  
Intensive Care Units ◽  
Personnel Staffing ◽  
Zealand College ◽  
Education Training ◽  
College Now ◽  
Royal Australasian College

In 2009 the College of Intensive Care Medicine (CICM) of Australia and New Zealand was inaugurated in Melbourne, Australia. This College now regulates the education, training and accreditation for specialist intensivists for Australia and New Zealand. CICM origins started in 1975 with the formation of the Section of Intensive Care of the Faculty of Anaesthetists, Royal Australasian College of Surgeons (RACS), which moved through intermediary stages as the Faculty of Intensive Care, Australian and New Zealand College of Anaesthetists (ANZCA) when that College was formed from the former Faculty of Anaesthetists RACS, and then the Joint Faculty of Intensive Care Medicine (ANZCA and the Royal Australasian College of Physicians [RACP]), until becoming completely independent as CICM in 2010. There was a period of about 40–50 years evolution from the first formations of intensive care units in Australia and New Zealand, and discussions by the personnel staffing those units amongst themselves and with Members of the Board of the Faculty of Anaesthetists RACS, to the formation of the Section of Intensive Care, then through two intermediary Faculties of Intensive Care Medicine, to the final independent formation of the College of Intensive Care Medicine of Australia and New Zealand in 2010.

scholarly journals Problems with Ventilation: An Analysis of 2000 Incident Reports

1993 ◽  
Vol 21 (5) ◽  
pp. 617-620 ◽  
Author(s):  
W. J. Russell ◽  
R. K. Webb ◽  
J. H. Van Der Walt ◽  
W. B. Runciman
Keyword(s):  
New Zealand ◽  
Anaesthetic Machine ◽  
Third Party ◽  
Seal Failure ◽  
Monitoring Study ◽  
Anaesthetic Circuit ◽  
Complete Failure ◽  
Zealand College ◽  
Incident Reports ◽  
Incident Monitoring

A review of the first 2000 incidents reported to the Australian Incident Monitoring Study found 317 incidents which involved problems with ventilation. The major portion (47%) were disconnections; 61% of these were detected by a monitor. Monitor detection was by a low circuit pressure alarm in 37% but this alarm failed to warn of non-ventilation in 12 incidents (in 6 because it was not switched “on” and in 6 because of a failure to detect the disconnection). Failure of detection was usually with ventilator bellows descending in expiration. Complete failure to ventilate occurred in 143 incidents, most commonly because of a disconnection. Disconnection was associated, in one-third of the cases, with interference to the anaesthetic circuit by a third party and in nearly half with surgery on the head and neck. Leaks affected ventilation in 129 incidents, but in only 19 was ventilation totally lost; leaks associated with seal failure of the absorber were common. Misconnections occurred in 36 incidents, most commonly involving the scavenging system. The frequency of a complete failure to check an anaesthetic machine was greater when an induction room was involved than when only the operating theatre was the site of the incident. These incidents suggest that meticulous checking and monitoring for failure of ventilation, preferably using at least two separate, self-activating systems is highly desirable. The Australian and New Zealand College of Anaesthetists’ policy on low circuit pressure alarms, oximetry and capnography is vindicated by these reports.

Clinical Supervision: A Review of Underlying Concepts and Developments

2002 ◽  
Vol 36 (1) ◽  
pp. 92-98 ◽  
Author(s):  
Joanna Macdonald
Keyword(s):  
New Zealand ◽  
American Literature ◽  
Clinical Supervision ◽  
Developmental Process ◽  
Empirical Support ◽  
Personal Contact ◽  
Role Conflicts ◽  
Effective Feedback ◽  
Zealand College ◽  
The Relationship

Objective: This review examines how psychiatric clinical supervision is represented in the psychiatric literature and its relevance for Australasian psychiatry. Method: The literature was first identified then reviewed using Medline and Psychlit, manual searches of relevant journals and personal contact with some key workers in Australia and New Zealand. Results: The predominantly American literature written two to three decades ago reflected the conditions in which psychiatry was practised at that time, largely based in asylums or private offices and informed by the dominant psychoanalytic discourse of that era. These articles, frequently anecdotal and with little empirical support, conceptualized supervision as a developmental process, a syndrome, or a process of identification. They focused substantially on the nature of the relationship between the trainee and supervisor. More recent writers have included trainees’ perspectives. They have identified a number of problems with supervision, including role conflicts, uncertainty about boundaries, lack of supervisory training and lack of effective feedback, and have introduced the concepts of adult learning as highly relevant. These concerns, however, have led to little change to date. Conclusion: The implementation by the Royal Australian and New Zealand College of Psychiatrists (RANZCP) of new training by-laws provides an opportunity to define the meaning of supervision in the current clinical context, to undertake research to clarify the key elements in the process, and to evaluate different techniques of supervision.

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