COMMENTS

ACTIONS TO BE TAKEN

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2

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4

5

6

2.1

2.2

5.1

Call to order

The meeting was called to order by Dr Ali Azman Minhaj at 6:00 p.m.

The feasibility of a standy anaesthetist

The chairman of the meeting introduced the agenda for the meeting and stated that following the previous Quarterly Medical Staff Meeting dated 21 November 2002, there has been a request for specialist anaesthetic cover during office hours for non-code blue (i.e. non-emergency) incidents.

In the discussion, the definition of “non-code blue” incidents or events was unclear and could not be established.

Established and existing anaesthetic services provided, other than in the operating theatre, already include the following:

Ÿ         Epidural analgesia for labour;

Ÿ         Acute pain services for non-operative conditions;

Ÿ         Anaesthesia in remote location (e.g. VIR room, Cancer Centre);

Ÿ         Critical Care Services (ICU, CCU, HDU); and

Ÿ         Resuscitation (e.g. code blue).

Should there be a need to contact an anaesthetist urgently within and outside office hours, the hospital protocol has been to contact the coordinator of the North Tower Operating Theatre during office hours, and the Deputy Nursing Administrator for O.R. outside office hours. Dr Jacob Thomas noted that this was clearly stated in the Subang Jaya Medical Centre Anaesthetic Roster, and that he will highlight this to all doctors.

Code blue services

It was added that SJMC already possessed working models of emergency services e.g. code blue. These systems have been proven to work efficiently when utilised correctly. Problems that arose were caused by abuse and misuse of these systems.

Should specific assistance be required, direct communication between relevant clinicians is encouraged.

It was concluded that specialist anaesthetic cover for non-code blue incidents and events is not required.

Code blue or emergency services must be utilised properly.

Adjournment

There being no further discussion the meeting was adjourned at 7.15 p.m.

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Dr Jacob Thomas

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