<<However, if my understanding of clinical governance is correct
(is anyones?) it may be possible for them to do this if RSI is
considered an anaesthetic task rather than an emergency one.>>
My understanding ( not necessarily correct) is that if a person is
performing a procedure they need to be able to demonstrate
competence - this would be in the form of training, audit and
continuing education.
BUT as the Trust is taking liability they could create a policy
stating RSI will only be performed by an anaesthetist but then the
burden is on them to prove that any disaster were not caused by
delay of anaesthetist arriving.
The problem is : this is about who takes the blame not necessarily
about what is best for the patient.
Fortunately our anaesthetists are encouraging us to undertake RSI.
Matthew
Senior Lecturer in Emergency Care
University of Warwick, the newest Medical School.
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