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

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.

2021 ◽  
Vol 13 (3) ◽  
pp. 184-190
Author(s):  
Sohaib Roomi ◽  
Syed Omar Shah ◽  
Waqas Ullah ◽  
Shan Ul Abedin ◽  
Karyn Butler ◽  
...  

2016 ◽  
Vol 50 (3) ◽  
pp. 399-404 ◽  
Author(s):  
Roseli Aparecida Matheus do Nascimento ◽  
Murillo Santucci Cesar Assunção ◽  
João Manoel Silva Junior ◽  
Cristina Prata Amendola ◽  
Taysa Martindo de Carvalho ◽  
...  

Abstract OBJECTIVE To evaluate the knowledgeof nurses on early identification of acute kidney injury (AKI) in intensive care, emergency and hospitalization units. METHOD A prospective multi-center study was conducted with 216 nurses, using a questionnaire with 10 questions related to AKI prevention, diagnosis, and treatment. RESULTS 57.2% of nurses were unable to identify AKI clinical manifestations, 54.6% did not have knowledge of AKI incidence in patients admitted to the ICU, 87.0% of the nurses did not know how to answer as regards the AKI mortality rate in patients admitted to the ICU, 67.1% answered incorrectly that slight increases in serum creatinine do not have an impact on mortality, 66.8% answered incorrectly to the question on AKI prevention measures, 60.4% answered correctly that loop diuretics for preventing AKI is not recommended, 77.6% answered correctly that AKI does not characterize the need for hemodialysis, and 92.5% said they had no knowledge of the Acute Kidney Injury Networkclassification. CONCLUSION Nurses do not have enough knowledge to identify early AKI, demonstrating the importance of qualification programs in this field of knowledge.


1993 ◽  
Vol 21 (6) ◽  
pp. 854-860 ◽  
Author(s):  
G. A. Harrison ◽  
G. M. Clarke

The structure of the Final Examination in Intensive Care for the award of Diploma of Fellow of the Australian and New Zealand College of Anaesthetists is based on a model explicated in the College's Objectives of Training in Intensive Care. There are five sections in the examination: short answer questions, essay questions, investigations, orals and a clinical. The first examination was held in October 1979. Up to and including the examination of October 1992, 94 of the 136 attempts by 107 candidates had been successful. Eighty-three per cent of the candidates passed at the first attempt. The failure rate has been highest in the clinical section. The examination is regarded as a hard examination but one which is helpful in training and subsequent practice.


1993 ◽  
Vol 21 (6) ◽  
pp. 848-853 ◽  
Author(s):  
G. M. Clarke ◽  
G. A. Harrison

Unlike training for programmes in other countries which have published details of training programmes for Intensive Care Medicine, the training programme of the Australian and New Zealand College of Anaesthetists does not require certification in a primary specialty, although it is possible to combine training in Intensive Care and Anaesthetics. The lynchpin of the programme is the requirement that training can be undertaken in recognised posts in intensive care units which are approved by the College. Approval of the Unit requires evidence of appropriate supervision and teaching of trainees, sufficient number of admissions with a casemix suitable for the trainees’ learning needs and an adequate level of staff and equipment. The Units are assessed by physical inspection by assessors appointed by the College. The programme includes a Final Examination in Intensive Care.


1992 ◽  
Vol 20 (4) ◽  
pp. 501-503 ◽  
Author(s):  
M. E. Lum ◽  
W. D. Ngan Kee ◽  
B. J. Robinson

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.


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