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michael7481
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Wed May 11, 2022 11:05 am
Question to Theatre Anaesthetic RNs.
Scenario: official OT close time is 21:00hrs. Hospital has emergency call backs in place ceasars and alike.
I have been an Anaesthetic RN for 10years, everynight in closing theatre down. Emergency OT has always been set up ready for the 0400hr call back, this includes leaving anaesthic machine on and functioning it was how i was trained way back and since becoming a senior its how how teach new OT nurses.
Issue: For reasons unbeknown to me recently less experienced RNs are determining that "its what we do", we fully shut off the anaesthetic machine in the Emergency OT for the night.
I am drawing a blank searching for Anzca standard / OT protocol to show that said shutting down of theatre in an emergency at 0400hrs is putting patients at risk.
Can anyone assist me in finding safe protocol for emergency OT setup? ( this is my opinion - machine should be left on ready to go for the Cat 1 ceasar which you dont actually have time to even get to the hospital for)
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nancypeter
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Apr 27, 2023, 12:22 pm
It is important to note that different hospitals and healthcare facilities may have different policies and protocols in place when it comes to emergency OT setup and birth coaching services gilbert. Therefore, it may be worth consulting with your hospital's policy and procedure manual, or speaking with your supervisor or a senior member of staff to clarify what the specific protocol is at your hospital.
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david14363
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Nov 08, 2023, 12:05 am
In many healthcare settings, it is common to have protocols and guidelines for setting up and maintaining emergency operating rooms for after-hours use. These protocols are usually in place to ensure that the surgical team can respond promptly to life-threatening emergencies, such as Category 1 cesarean sections. Highlands West drywall installation aldo's drywall contracting
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joedavidson
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Apr 02, 2026, 12:30 pm
This practice raises concerns in Baltimore because it deviates from what I was trained in and what I believe is necessary to maintain readiness.
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nancypeter
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Jul 11, 2026, 01:47 am
I value round-the-clock readiness, a level of detail I always bring to our stamped concrete Adelaide projects.
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joedavidson
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Aug 14, 2026, 11:43 am
The machine should be left ready to go for the Cat 1 Caesar drywall builder, which you don't actually have time to even get to the hospital for.
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JamesDued
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Oct 23, 2026, 01:38 am
The overnight risk is the first breath, not the power switch by itself. A category 1 caesarean does not leave time for a full machine check after you walk in. What has to already be true at close is a leak-tested circuit, suction assembled, the oxygen cylinder present and confirmed to have gas, and a self-inflating bag sitting where you can reach it without looking. If the pipeline or the ventilator will not give you a breath, that bag is how you ventilate while someone else finishes the abbreviated check. Powering the machine down is reasonable only when those four things stay set. Powering it down and also stripping the circuit, the suction, or the bag is what turns a 0400 callback into a delay.
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RickyHeatery
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Oct 23, 2026, 01:57 am
I come at this from the birth side, not from the machine. On a category 1 caesarean the midwife is already with a woman who has gone from the room to theatre in minutes, and the baby is why the call went out. I cannot tell you whether the anaesthetic machine should stay powered on overnight. What I can say is the delay I have actually seen is the minute people spend looking for the first thing they need. For me that is a cot that is ready, and a second pair of hands if the baby comes out flat.
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