Do WHO Checklist See Laryngeal Mask Airway and inserting other airways Phlebotomy Postoperative recovery – observe for 30 minutes Insert 2 small IV cannula: 22 or 20g Preoperative consultation/clinic Insert 2 large IV cannula: 18, 16 or 14g IVI fluid bag and drip set up Pain ward round Open & draw up drug from glass ampoule Cardiopulmonary Exercise Testing Guedel /Oro-­‐pharyngeal insertion Manual Ventilation with self-­‐inflating bag & mask Chin lift / neck tilt / jaw thrust Connecting up self inflating bag – connections Oxygen masks – types and options Drug chart: write up analgesia for major surgery Drug chart: write up antiemetics for major surgery Connect up/turn on Oxygen cylinder NG tube insertion Putting on preoperative monitoring in the Anaesthesia Room Urethral / Bladder Catheterisation Peripheral Nerve block, Spinal or Epidural Injecting a drug through a 3-­‐way tap Draw up antibiotics USS / or USS your own neck (vessels) Discuss ABG interpretation Perioperative Fluid therapy Treatment of perioperative hypotension Preassessment – shared decision making Transfusion – how to give safely Preoperative Investigations Basic ECG interpretation Jehovah’s Witness and blood Know Airway management in emergencies/trauma Perioperative pain management Preoperative fasting guidelines Cardiovascular drugs to stop / continue Anticoagulants to stop / continue Theatre Ventilator-­‐ a basic understanding How to use this procedure guide We’re trialling this ‘Perioperative Procedures’ guide to see if it helps your year 4 learning. You can practice many of these procedures initially in the clinical skills lab, then under direct supervision in patients. Other skills you may learn in your own study time then discuss with teachers. Many procedures are best seen or performed when you come to the operating theatre with the Anaesthetists in module B. Some of these procedures are also on your ‘Year 4 Record of Completed Procedures Card’: the ones on the left hanbd side. Don’t worry -­‐ if they’re signed off there you don’t have to do them again for this card, but of course the more you practice the better you’ll get! Year 4 Module B By the time you qualify you should have performed the procedures on the left hand side-­‐ these are core things in bold you may be tested on or use frequently in your clinical practice. Don’t worry if you can’t see all of the procedures on the right hand side, but some in bold are clearly needed for medical practice (eg ECG and Arterial Blood Gas Interpretation). Watching or performing other procedures helps you in your daily practice (eg explaining things to patients), will aid your learning and retention, or will help you become a more complete doctor (eg explaining surgery under Spinal anaesthesia). Your teaching booklet downloadable from the website In the Clinical Skills lab Our Youtube site: www.youtube.com/user/Centreforanaesthesia Discussion with Anaesthetists and Clinical Skills staff Other Contacts robcmstephens@googlemail.com deirdre.wallace@ucl.ac.uk Anaesthesia Where to find more information During your weekly Anaesthesia/Perioperative tutorials in Module B UCL Anaesthesia medical student site: www.ucl.ac.uk/anaesthesia/StudentsandTrainees/students Clinical Skills, Perioperative Medicine & Critical Care Procedures to do, see, discuss and know