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When rooms are darkened, hindering direct observation of the patient, an alternative light source should be available to facilitate patient observation and documentation.²¹

Transfer of a patient from the procedure room to other areas within the institution should be possible to arrange if necessary.

A recovery area or equivalent should be available for each patient at the end of the procedure.¹⁹

A telephone and facilities to allow access to online information, such as electronic patient records, local guidelines and clinical decision aids, should be available.²¹

Patients should be appropriately monitored by trained staff during their recovery from anaesthesia or sedation.²⁴

The care of the patient should remain the responsibility of the anaesthetist up to discharge for ambulatory procedures or ward transfer for inpatient procedures.

A standardised list of anaesthesia medications should be available wherever anaesthesia or sedation is undertaken. A full range of emergency medications, including specific reversal agents such as naloxone, sugammadex and flumazenil, should be available.²⁸

In remote locations where anaesthesia is undertaken, medications to treat rare situations, such as dantrolene for malignant hyperthermia or intralipid for local anaesthetic toxicity, should be immediately (see Glossary) available and located in a designated area.²⁸

There must be a system for ordering, storage, recording and auditing of controlled drugs in all areas where they are used, in accordance with legislation.^{24,29,30,31,32}

Robust systems should be in place to ensure reliable medicines management, including storage facilities, stock review, supply, expiry checks and access to appropriately trained pharmacy staff to manage any drug shortages.^24,33