Anesthesia and resuscitation doctors are responsible for a maximum of 02 operating tables at the same time in Vietnam

Anesthesia and resuscitation doctors are responsible for a maximum of 02 operating tables at the same time in Vietnam (Illustration)

According to Article 9 of Circular 13/2012/TT-BYT, the duties of an anesthesia and resuscitation doctors in the surgical area in Vietnam are as follows:

- Organize the implementation and take professional responsibility for anesthesia - resuscitation as assigned by the head of department;

- In case of exceeding professional capacity or complications occurring, promptly report to the head of department;

- Supervise, inspect, and remind doctors, nurses, medical staff, and other subjects (if permitted by the doctor in the surgical area) present in the operating room; ensure infection control in the operating room;

- Check the patient, anesthesia - resuscitation medical records before and after surgery; documents must be fully, accurately, and truthfully recorded;

- Always be present during anesthesia - resuscitation for the patient, except when replaced by another anesthesiologist - resuscitator after complete handover;

- Closely coordinate with departments and staff performing surgery or procedures to complete the work, implement the surgical plan, monitor and care for the patient before, during, and after surgery;

- Participate in surgical review, procedures, examine and prepare patients before anesthesia to evaluate, explain, possibly supplement tests or treatments, call for consultation if necessary, and plan anesthesia - resuscitation;

- Re-examine patients in the department from 01-07 days before the scheduled surgery or procedure. Conduct examinations before, during, or after emergency surgery depending on the urgency of the surgical intervention;

- Assign and supervise the professional activities of anesthesiology - resuscitation nurses;

- Recheck the anesthesia - resuscitation equipment and drugs prepared by the anesthesiology - resuscitation nurse. Self-check medical records for patient name, surgical site. Perform difficult techniques such as tracheostomy, pleural drainage, central venous catheterization, regional anesthesia, and intubation for difficult airway management;

- Check before blood transfusion and blood products according to the regulation in the Blood Transfusion Regulation issued with Decision No. 06/QD-BYT dated January 19, 2007 by the Minister of Health of Vietnam;

- One anesthesiologist - resuscitator is responsible for anesthesia - resuscitation for a maximum of 02 (two) adjacent operating tables at the same time, provided that they are ready to intervene when necessary and an anesthesiology - resuscitation nurse is always present to monitor the patient. Special cases requiring responsibility for more than 02 (two) operating tables at the same time must be agreed upon and be under the responsibility of the head of the anesthesiology - resuscitation department;- In case of severe complications, report to the Head of Department and concentrate on mutual support in terms of manpower, equipment, and drugs;

- In case emergency treatment is needed, the anesthesiologist may cooperate with the surgeon and the anesthesiology - resuscitation nurse to directly carry out orders in the operating room, then fully record them in the medical records as per regulations;

- Responsible for anesthesia - resuscitation until the patient is no longer affected by anesthesia and sedative, anesthetic, and analgesic drugs. Responsible for the orders to transfer the patient out of the operating room, from the recovery unit to the post-surgical resuscitation unit, another department, or discharge. When the patient is at high risk (unstable circulation, respiratory failure, receiving respiratory support via endotracheal tube or tracheostomy tube, on vasoactive drugs or other severe conditions), arrange personnel with adequate expertise to coordinate in transporting the patient for prompt handling.

More details can be found in  Circular 13/2012/TT-BYT, which comes into effect in Vietnam from October 10, 2012.

Le Vy

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