Get Anesthesia Record - Northwestern University - Research Northwestern

Completing the Anesthesia Record is an essential process for documenting anesthesia care in research settings. This guide provides you with clear and supportive instructions on filling out the form effectively, ensuring accurate reporting and compliance.

Follow the steps to fill out the form accurately

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the principal investigator's name (P.I.) in the designated field. This ensures accountability and proper identification of the study.
3. Fill in the date of the procedure. This is crucial for record keeping and allows for tracking of surgical data over time.
4. Input the case number, species, and ASP number. These identifiers help in cataloging the specific study and its relevant subjects.
5. Document the procedure details along with the names of the surgeon and the assistant. Accurate personnel documentation is essential for transparency.
6. Record the intubation time and the size of the endotracheal (ET) tube used. Ensure precise entries for effective anesthesia management.
7. Note the table time, surgery start, and surgery end times. This data assists in evaluating the overall timeline of the surgical procedure.
8. Enter the extubation time, IV location, IV catheter size, and type of fluid administered. Include total fluid volume infused for proper monitoring.
9. List the re-breathing bag size, as well as any pre-operative and intra-operative drugs administered. For each drug, document the agent, dosage, route of administration, and the exact timing of each dose.
10. Complete the constant rate infusion (CRI) section with the relevant agent and details.
11. For post-operative drugs, repeat the same process by documenting the agent, the dosage in mg and ml, and the route of administration.
12. Record the animal ID number, and keep an accurate timeline along with the routes for medications given during the procedure.
13. Fill in the anesthetist's name and the corresponding time, ensuring proper tracking of personnel involved in anesthesia management.
14. Document critical patient data such as temperature, oxygen levels, heart rate, respiratory rate, tidal volume, and blood pressure readings in the provided fields to monitor the anesthesia's effectiveness.
15. Make sure to include any additional comments that could be pertinent to the procedure or patient care.
16. Finally, review all entries for accuracy, then save your changes, download, print, or share the form as needed.

Complete your documentation by filling out the Anesthesia Record online today.