Staffing

1
Staffing
2
Staffing
Delivery of Patient Centered Care Co-ordination
of Patient Flow Liaising with Staff
Surgeon Deciding what block is indicated Training
and Teaching
3
Staffing
Delivery of Patient Centered Care Coordination of
Patient Flow Preparation and Assisting with
procedures Patient Safety Quality Assurance
4
Staffing
Preparation and Assisting with procedures Patient
Safety Preparations of Local Anesthetics IV and
Resuscitation Skills
5
Staffing
Coordination of Patient Flow Cleaning and
Disinfecting Equipment Getting Cubicles Ready
6
Communication
7
Equipment
8
Equipment

• Resuscitation Equipment
• Emergency Drugs
• Local Anesthetics
• Stimulating Catheters
• Ultrasound Equipment
• Nerve Stimulators
• Intravenous and Sterile Supplies

9
Economics
10
Anesth Analg 200193 1181-4
11
(No Transcript)
12
Anesthesiology 2005 103 391-400
13
Time
14
Annals of Surgery Jan. 2006
15
Anesthesiology 2005 103 104-5
16
Training
17
(No Transcript)
18
Determinants Of Learning To Perform Spinal
Aneasthesia A Pilot StudyKulcsar Z, Aboulafia
A, Hall T, Shorten GD

• Study conducted over a 1 year period.
• Five factors were deemed necessary
• Formal Training Program.
• Time Constraints/OR efficiency.
• Trainer- Trainee Interaction.
• Patient Safety
• Visualization of Anatomy

19
Determinants Of Learning To Perform Spinal
Anaesthesia A Pilot StudyKulcsar Z, Aboulafia
A, Hall T, Shorten GD

• Study conducted over a 1 year period.
• Five factors were deemed necessary
• Formal Training Program.
• Time Constraints/OR efficiency.
• Trainer- Trainee Interaction.
• Patient Safety
• Visualization of Anatomy

20
BJA August 2008
21
Advantages
22
Advantages

• Provides a relaxed friendly environment for
  patients and trainees.
• Specializes regional anesthesia into one area.
• When well organized can reduce time-pressure.
• Improves relations with anesthesia and surgeons.
• Controlled environment and personnel to deal with
  any complication.

23
Disadvantages
24
Disadvantages

• Focuses Regional Anesthesia into a central point.
• Potential for deskilling staff not working in the
  block room.
• Dependence on the staff, difficult if change over
  occurs.
• Duplication of monitoring, documentation.
• Limited spaces.

25
Conclusion

• RA is both safe and effective.
• The block room provides an increase in OR
  surgical time.
• Provides an area where training can commence free
  of time-pressure.
• Staff outside the block room should perform
  regional anesthesia techniques to prevent loss of
  skills.

26
Acknowledgements

• Jacob Lai
• Vincent Chan
• Annette Gibbs
• Sandra Robinson