Vietnam: The external departments are responsible for coordinating with the Anesthesia and Intensive Care department

The external departments are responsible for coordinating with the Anesthesia and Intensive Care department (Illustration)

According to Article 15 of Circular 13/2012/TT-BYT, regulations on the cooperation between the surgical departments and the anesthesia – resuscitation department are specified as follows:

Firstly, surgical departments are responsible for:

• Creating medical records, examining, and conducting necessary tests or procedures for diagnosis and surgical method indication.
• Organizing the transfer of patients scheduled for surgery according to the plan to the anesthesia – resuscitation department for preoperative examination. In cases of critically ill patients or emergency situations, the anesthesia – resuscitation department should be notified to send a doctor for examination.
• Planning the surgery and informing the anesthesia – resuscitation department with full information: patient's name, age, gender, room number, diagnosis, anticipated method and time of surgery, names of the surgeons, and tracking file number (if managed by a computer system).
• The operating surgeon is responsible for monitoring, examining, and coordinating in implementing treatment protocols and managing any abnormalities related to the surgery performed on the patient.

Secondly, the anesthesia – resuscitation departments are responsible for:

• Preoperatively examining the patient, issuing additional treatment orders before surgery (if needed).
• Deciding on the appropriate anesthesia method for each patient.
• Scheduling surgeries based on priority and the patient's condition.
• Coordinating with relevant departments to arrange appropriate anesthesia and surgical teams.
• The anesthesiologist in charge has the right to refuse anesthesia if these principles are not followed or if there is a threat to safety during anesthesia, and they must take responsibility for their decision.

Note: In the absence of agreement between the surgeon and the anesthesiologist before and during surgery, a consultation should be organized according to regulations. In urgent emergency cases, decisions and orders can be communicated directly and completed in writing after the patient's resuscitation. Significant decisions should have a third-party witness to ensure objectivity.

For detailed content, refer to Circular 13/2012/TT-BYT, effective from October 10, 2012.

Le Vy

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