Emergency Information Files In RHSC anaesthetic rooms John Glen ST3

Introduction Emergency Information –Flipboards –Wallcharts Feeling that current system could be improved Casual inspection confirms this

How to audit? Lack of explicit criteria RCOA –List of essential files –Essential files in place –No ‘extra’ files –Means of identifying/rectifying deficiency –Mechanism for updating

Initial Audit Sweep March areas Heterogeneity: –27 document types –Range of 4 to 15 documents per location –Median 11

Initial audit sweep Problems: –Out of date files –Missing files –Inappropriate files

Results

Red = Outdated

Red = Inappropriate

‘Inappropriate’ Newton Valve cleaning Theatre Booking ADE valve MRSA circular Controlled drug circular

X = Missing xxx x xx xxx x x xx

‘Essential’ Files Advanced Life Support algorithm Anaphylaxis Local Anaesthetic Toxicity Child Protection Malignant Hyperthermia

Improvement Phase Generate List Put files in place Mechanism for maintenance

List of essential files By ‘consensus’ List too large Flowcharts in suspension files Booklets etc. in folder

‘Folder Items’ Trainee Handbook Guidelines for: –Pain, blood, asthma, endocarditis, latex, hickman line access Full child protection booklet

Improvement Phase Files now in place Identical layout in all anaesthetic rooms Master file kept separately Consultant will be ongoing ‘lead’ Plan for regular review

Future Project Roll out scheme to other areas –Cardiology, CT, recovery –?A&E, ?ITU Decide what should be on wall

Worthwhile? Access to emergency info crucial –Anaesthesia –Paediatrics Rotating trainees –Unfamiliar with paediatrics –Unfamiliar with hospital Useful resource

Discussion Are you surprised at the initial results? Are these files a good idea? What should be in them?