March 2014

a) Which human factors contribute to intravenous drug administration errors in theatre-based anaesthetic practice? (30%)

b) Outline the organisational strategies that might minimise intravenous drug administration errors. (70%)
Pass Rate 39.2%

Relatively few candidates had good insight into the factors associated with drug errors and were able to suggest strategies to reduce the incidence. The Safe Anaesthesia Liaison Group has generated a number of publications specifically aimed at this subject matter and strong candidates had taken advantage of these.
September 2012

a) List the implications for the patient of an inadvertent wrong-sided peripheral nerve block. (25%)

b) Summarise the recommendations of the “Stop Before You Block’’ campaign and list factors that
have been identified as contributing to the performance of a wrong-sided block. (45%)

c) Define the term “never event” as described by the National Patient Safety Agency and list three
never events of relevance to anaesthetic or intensive care practice. (30%)
Question 6: Wrong side block/”Never events”.

40.5% pass rate.

It is disappointing that many candidates displayed a relative unfamiliarity with the Stop Before you Block Campaign. This is an important national patient safety initiative that was introduced recently to reduce the incidence of inadvertent wrong-sided nerve blocks. Many examinees left some sections unanswered. Some candidates could not adequately define the term “never event” despite its topicality.
March 2011

a) Describe the three essential stages of the World Health Organisation (WHO) safety checklist and when should they occur in relation to each operative procedure? (15%)

b) What information needs to be exchanged between the anaesthetic, surgical and theatre teams as part of the checklist? (70%)

c) Which aspects of the checklist are designed to decrease surgical site infection? (15%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
April 2009

a) Describe in detail the procedures you should use to decontaminate your hands before beginning a shift on ITU? (50%)

b) What hand decontamination procedures can be used when moving between patients? (10%)

c) What additional hand decontamination procedures can be used when moving between patients if the previous patient has Clostridium difficile? What is the reason? (10%)

d) How can you reduce the irritant and drying effects of hand cleansing preparations? (20%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
October 2008

a) Who in a Trust are responsible for minimising the risk of transmission of infection between patients in the operating theatre? (15%)

b) What general practices may be employed in the operating theatre to minimise the risk of transmission of infection between patients? (30%)

c) What specific considerations determine choice of single use or reusable equipment in the context of airway equipment and anaesthetic breathing systems? (45%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
April 2008

While suturing a chest drain in a conscious adult patient in the Emergency Department you sustain a needlestick injury to your hand.

a) What immediate actions should be undertaken? (25%)

b) After the immediate management, what further steps should be undertaken? (40%)

c) What additional steps may be necessary if exposure to one of the blood borne viruses is suspected or confirmed? (25%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
October 2007

Surgery performed at an incorrect anatomical site is rare but devastating.

a) What organisational recommendations (15%), together with what individual steps (60%), could be taken
to reduce the possibility of surgery being performed at an incorrect anatomical site?

b) What are the responsibilities of the anaesthetist in these procedures? (15%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
October 2007

While suturing a chest drain in an adult conscious patient in the Emergency Department you sustain a needlestick injury to your hand.

a) What immediate actions should be undertaken? (25%)

b) After the immediate management, what further steps should be undertaken? (40%)

c) What additional steps may be necessary if exposure to one of the blood borne viruses is suspected or
confirmed? (25%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
October 2006

Surgery performed at an incorrect anatomical site is rare but devastating.
(a) What organisational recommendations (15%), together with what individual steps (60%), could be taken to
reduce the possibility of surgery being performed at an incorrect anatomical site?
(b) What are the responsibilities of the anaesthetist in these procedures? (15%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
October 2006

A patient has died unexpectedly during a routine anaesthetic for minor surgery.
(a) What immediate administrative actions should be considered following such an event? (65%)
(b) What steps should be taken to support all the people concerned? (25%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
October 2001

Formulate a guideline for the perioperative administration of blood explaining the reasons for your recommendations.
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
October 2001

What nationally based audits in the UK include an examination of anaesthetic practice? Outline the methodology and recommendations of two recent reports.
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question