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All units should have facilities, equipment and appropriately trained staff to provide care for acutely ill obstetric patients. If this is unavailable, women should be transferred to the general critical care area in the same hospital with staff trained to provide care to obstetric patients.16
All patients should be able to access level 3 critical care if required; units without such provision on site should have an arrangement with a nominated level 3 critical care unit and an agreed policy for the stabilisation and safe transfer of patients to this unit when required.16,55 Portable monitoring with the facility for invasive monitoring should...
An anaesthetic office, within five minutes from the delivery suite, should be available to the duty anaesthetic team. The room should have a computer with intra/internet access for access to specialist reference material and local multidisciplinary evidence based guidelines and policies. The office space, facilities and furniture should comply with the standards recommended by the Association of Anaesthetists guidelines.67...
A communal rest room in the delivery suite should be provided to enable staff of all specialties to meet.
A seminar room should be accessible for training, teaching and multidisciplinary meetings.
All hospitals should ensure the availability of areas that allow those doctors working night shifts to take rest breaks essential for the reduction of fatigue and improve safety.26 These areas should not be used by more than one person at a time and allow the doctor to fully recline.
The output from consultations with patients at increased risk of mortality or morbidity should be documented in the patient’s medical notes. In addition, mechanisms for clear communication of these consultations to patients, anaesthetists, surgeons, general practitioners and other healthcare workers should be in place.27
Standards of accommodation for doctors in training should be adhered to.25 Where a consultant is required to be resident, on-call accommodation should be provided.
Hotel services should provide suitable on-call facilities, including housekeeping services for resident and non-resident anaesthetic staff. Refreshments should be available 24/7.
There should be policies defining how women are referred to and access specialist or tertiary services (e.g. neurosurgery, acute stroke services).4