PS08 2016: Anaesthesia assistant

 

List:

·         Staffing

·         Course material

·         Core competencies

 

Staffing:

·         No assistant = no anaesthetic. Rostering should reflect this.

·         Many theatres = many assistants = need a supervisor

·         During induction and emergence: assistant must be right there

·         During maintenance: assistant must be immediately and exclusively available

·         Business hours: trainee assistants can be supervised ANZCA 1-3

·         After hours: trainee assistants must not be unsupervised

 

Course material (input from anaesthetists)

Hard knowledge

·      Physiology

·      Pharmacology

·      Anatomy

·      Monitoring

·      Microbiology

Soft knowledge

·      Communication

·      Teamwork

·      Situational awareness

Practical experience

·      12 months +

·      Documented in a logbook

Assessment

·      Exams

·      Assignments

·      Direct observation

 

Core competencies:

Equipment

·      Anaesthesia machine

·      Airways

·      Vascular access

·      Monitoring

·      Contamination

Safety

·      WHO Surgical Safety Checklist

·      Electricity

·      Radiation

·      Laser

·      Gases

·      Body fluids

·      Infection control

Anaesthetic techniques

·      General

·      Sedation

·      Neuraxial

·      Regional

Invasive procedures

·      Ultrasound

·      Vascular access

·      Fibreoptic bronchoscopy

Therapeutics

·      Drugs

·      Fluids

·      Blood

·      Storage

·      Handling of restricted drugs

Analgesia

·      Oral

·      PCA/infusion

·      Neuraxial/regional

Emergencies

·      CPR and defibrillation

·      Difficult airway and CICO

·      MTP

·      Anaphylaxis

·      MH

Specialised areas

·      Specialised competencies

·      Paediatrics

·      Obstetrics

·      Cardiac

·      Cell salvage

 

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