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Department of Anesthesiology & Perioperative Medicine Policies & Procedures

Policies

Clinical Care

The clinical staff of the department will, at all times, provide care that meets or exceeds the standards set by all relevant professional organizations. They will exercise compassion and judgment in applying these standards to the care of individual patients and will endeavor, in every case, to act in the best interests of each patient as those interests have been expressed or implied.

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Education

The department will provide both didactic instruction and "hands-on" training to medical students, student nurse-anesthetists, residents, and other allied health professionals, in the assessment and care of patients in the perioperative period, in critical care settings, as well as those presenting for chronic pain management. Every effort will be made to meet each individual's training objectives within the constraints imposed by the clinical needs of our patients.

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Compliance

It is the intention of the department that all clinical and educational activities will be conducted in compliance with all applicable federal, state and local laws and regulations.

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Professional Staff

In order to achieve its clinical and educational goals, the department will recruit and retain individuals possessing the required clinical skills as well as personal and professional attributes. Given the evolving nature of medicine, these individuals will be required, with the department's support, to engage in a process of continuous self assessment, education, and practice improvement addressing all aspects of their professional performance.

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Administration

The department will be organized in a manner that ensures an appropriate assignment of resources to daily tasks, promotes equitable treatment of all members, and allows efficient communication and coordination with other individuals and departments within the hospital and College of Medicine. The department will actively engage with any planning or management process within the hospital environment that may influence those aspects of clinical care in which the department members hold expertise.

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Procedures

Clinical Care

  1. Basic monitoring standards
  2. Peri-operative transfusion of blood products
  3. Massive transfusion protocol
  4. Peripheral nerve blocks
  5. Use of invasive monitoring techniques
  6. Use of an anesthesia machine
  7. Preoperative fasting
  8. Perioperative management of diabetic patients
  9. Analgesia during labor and delivery
  10. Medication errors
  11. Unintended intraoperative awareness
  12. Infrequently used devices
  13. Anesthetic care in the MRI suite
  14. Anesthetic care during the use of ionizing radiation
  15. Anesthetic care during the use of lasers
  16. Pacemakers and implantable defibrillators
  17. Obstructive sleep apnea
  18. Neuraxial opiod administration
  19. Post-anesthesia monitoring / care
  20. Dental injury
  21. Code 99/trauma calls
  22. Fire safety/prevention
  23. Infection control
  24. Pre-procedure time-out
  25. Transfer of care
  26. Use of clinical pathways

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Education

  1. Residency program director
  2. Evaluation during residency
  3. Resident evaluation of program
  4. Supervision of clinical care by residents
  5. SRNAs
  6. Clinical care versus education
  7. Attendance at educational activities
  8. Participation in research activities

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Compliance

  1. Informed consent
  2. Preoperative assessment
  3. Anesthetic record
  4. Discharge from anesthetic care
  5. Documenting anesthesia times
  6. Medical direction of CRNAs
  7. Monitored anesthesia care
  8. Sedation/anesthesia while performing a procedure
  9. Controlled substances

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Professional Staff

  1. Departmental membership
  2. Initial credentialing and core privileges
  3. Re-credentialing
  4. Credentialing for pediatric anesthesia
  5. Credentialing for critical care
  6. Credentialing for chronic pain
  7. Credentialing for transesophageal echocardiography
  8. Ethical practice of medicine
  9. Fitness for duty
  10. Substance abuse
  11. Conscientious objection
  12. Peer review
  13. Performance improvement

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Administration

  1. Departmental organization
  2. Chairman
  3. Clinical service chief
  4. Directors
  5. Departmental committees
  6. Hospital committees
  7. Conflict resolution
  8. Disaster plan

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This clinical practice is independent of Drexel University.

An anesthesiologist working in an emergency room.