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Assisting with induction of general anesthesia
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Assisting with Induction of General Anesthesia

Report to OR prior to patient arriving in OR

Make sure anesthesia work area is prepared

Once patient has transferred to OR table, place arms on arm boards with padding

Feel free to introduce yourself

Attach monitors and activate NIBP

Ask and proceed by turning on O2 to > 6 l/min, gently placing mask on patient’s face

After the patient is induced (asleep), hand the laryngoscope to the anesthesiologist

Hand the ETT to anesthesiologist> Keep ETT clean (do not place down on blankets etc.

Stand at the right side of patient’s head, retracting the right corner of patient’s mouth slightly outward to facilitate laryngeal viewing

If asked you may have to do one of the following:

        Cricoid pressure

        Laryngeal manipulation

        Lifting patient’s head to achieve exaggerated “sniffing” position

Once intubated, take laryngoscope blade for cleaning later on

Ask if you can apply wrist restraints

Ask if you can apply Bair Hugger and at which temperature setting

Briefly check machine and cart for any restocking to be done

Move IV poles and chair in place

Ask to be excused

On your way out, make sure the stretcher has an O2 cylinder that is at least half full

Make sure that there is a secure IV pole on the stretcher. If not, please report to Lead Anesthesia Technician / nurse manager immediately, and replace stretcher if another is available.

Check back periodically in all long cases. Make sure trash can is emptied, especially if major transfusions occurred, central line packaging were placed in trash etc.