STAFF ANESTHESIOLOGIST
REQUIRED QUESTIONS
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Is safety the top priority in the anesthesia department?
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Is there in continuous use a device with an audible alarm capable of detecting disconnection of the breathing system whenever inhalation anesthesia with mechanical ventilation is administered?
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Is pulse oximetry used for all sedated or anesthetized patients, and are the variable pitch pulse tone and the low threshold alarms audible?
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Is an oxygen analyzer with a low oxygen concentration limit audible alarm in use at all times?
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Does every patient receiving anesthesia or sedation have the electrocardiogram continuously displayed from the beginning of anesthesia until preparing to leave the anesthetizing location?
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Does every patient receiving general anesthesia have, in addition to the above, circulatory function continually evaluated by at least one of the following: palpation of a pulse, auscultation of heart sounds, monitoring of a tracing of intra-arterial pressure, ultrasound peripheral pulse monitoring, or pulse oximetry?
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Is every patient re-evaluated immediately prior to induction of anesthesia, and is this documented on the anesthetic record?
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Is the APSF Checklist (anesthesia machine checklist) performed at the beginning of the day, and are critical elements repeated prior to each anesthetic? Is the checklist readily available on each machine?
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Are all drugs (except those to be given immediately) legibly labeled with at least minimum information including drug name and drug concentration (and the date if syringe/vial not to be disposed of after each case?) [or a method exists to determine syringe content, concentration, and expiration] Are all admixtures appropriately labeled?
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Are scheduled medications under the personal control of a department member at all times?
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Are patients properly and timely prepared preoperatively and are pertinent facts communicated to whomever will be caring for the patient in the OR in a reasonable and timely manner?
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Is there a culture of professionalism in the department?
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Are you Board certified or on track to become Board certified?
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Would you allow any member of this anesthesia department to anesthetize you or a family member?
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Are you ACLS and/or PALS certified (as applicable?)
OPTIONAL QUESTIONS
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Is there open and effective collegial communication between you, the Chairman, and other members of the anesthesia department?
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