An anaesthetist’s performance could be considered questionable and unsatisfactory in the areas of:
Interviewing where:
- minimal medical history is taken
- procedures and risks are not adequately explained
- questions about co-morbidities are not asked or discussed
- the patient is not given an opportunity to ask questions.
Physical examination
For example, when listening to the posterior chest for breath sounds, the anaesthetist does not:
- listen long enough, in a systematic way or at conventional areas to hear heart sounds
- assess the airway
Clinical judgement
Where the anaesthetist does not:
- prepare equipment for potential loss of airway control
- wear gloves or wash hands between patients
- label syringes
Organisation and efficiency
Where the anaesthetist fails to:
- consistently record readings for BP measurements and pulse oximeter
- utilise assistance from available staff
Key learnings
- Understand your obligations regarding informed consent and risk disclosure.
- Keep accurate anaesthetic records.
- Always label drug syringes.
- Be acutely aware of hygiene and infection control.
- Maintain and enhance your professional knowledge and skills.