Anesthesia Assistants: Patient Management During General Anesthesia and Procedural Sedation/Analgesia

Medical Directive ID: 
ANE-2019-002
Lead Contact Person: 
Belinda Gougoulias
Physician/Nurse Lead: 
Dr. Mohamed Ahmad
Program: 
Anesthesia & Perioperative Medicine
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, October 13, 2010
Revised Date: 
Friday, July 12, 2019
To Be Reviewed Date: 
Tuesday, July 12, 2022
This Medical Directive Applies to the following sites: 
LHSC-UH
LHSC-VH
This Medical Directive Applies to the following patient population: 
In-Patients
Out-Patients
Adults
Order: 

As per this medical directive; the AA will independently perform IV initiation, administer arterial line initiation, order laboratory investigations, maintain inhalational anesthesia, administer medications for NMB reversal, bradycardia, hypotension, hypertension and hypoxemia for no more than 30 minutes.

The specific patient interventions and orders are described fully in Appendix A and Appendix B, attached.

References:

Appendix A – Intervention Tree for the Management of Bradycardia, Hypotension and Hypoxemia

Appendix B – Intervention / Diagnostic Test / Drug Table

Appendix C – American Society of Anesthesiologists (ASA) Definitions

Appendix D – Medication Review 

Click the link to view the entire medical directive in detail: 

Signatures

SurnameKnown ByDate Signed
AhmadMohamadAug 6 2019 08:33:09:167AM
Al-AreibiArifJul 18 2019 06:40:48:777AM
AlfaroHildaAug 20 2019 10:12:37:223AM
AntoniouAndreasAug 6 2019 07:57:37:640PM
ArangoMiguelAug 13 2019 10:42:27:653AM
ArmstrongPaidrigJul 18 2019 07:05:51:393AM
ArmstrongKevinAug 13 2019 12:43:20:543PM
BainbridgeDanielJul 30 2019 09:16:03:090AM
BanikSujoyJul 29 2020 07:25:19:460PM
BanikSujoyJul 27 2020 10:40:37:697AM
BatohiPravinAug 2 2019 10:53:10:177AM
BellinghamGeoffHave Not Signed
BiswasAbhijitJul 29 2019 05:48:37:847PM
BlockGaryMar 17 2020 04:25:38:910PM
BorgerJonathanSep 5 2019 02:27:33:920PM
BrookesJonathanAug 7 2019 04:04:37:043PM
BruniIdaJul 30 2019 08:07:00:883AM
ButlerRonJul 31 2019 02:40:16:607PM
Casas LopezCatalinaJul 30 2019 06:50:25:150AM
CaveAnitaSep 10 2019 09:57:20:800AM
ChampionLoisJul 30 2019 12:38:12:203PM
ChengDavyJul 19 2019 12:56:23:110PM
CherryRichardAug 9 2019 09:39:02:803AM
ChinMelissaJul 18 2019 12:07:40:493AM
ChuiJasonJul 18 2019 09:02:43:203AM
ChurchBrianHave Not Signed
ClarkeCollinAug 6 2019 10:24:12:123AM
CraenRosemaryJul 18 2019 06:13:01:460PM
DhirAchalJul 18 2019 05:07:35:263AM
DhirShaliniJul 30 2019 05:58:11:513AM
Espinosa TadeoAldoJul 31 2019 08:59:18:817AM
FantilloVanessaAug 20 2019 10:07:09:383AM
FayadAshrafHave Not Signed
FlierSuzanneJul 30 2019 10:06:14:600AM
FujiiSatoruOct 15 2019 11:28:41:207AM
Giraldo ArismendyJavierJul 30 2019 07:39:17:170AM
Gonzalez ValenciaNelsonAug 6 2019 11:35:47:790AM
GordonNeilSep 1 2019 12:47:36:983PM
GrantonJeffreyJul 18 2019 11:16:31:557AM
GrosMichelleJul 22 2019 10:26:09:747AM
GrosMichelleJul 22 2019 10:26:09:747AM
HarleChristopherJul 16 2020 10:33:10:017AM
HarleChristopherJul 16 2020 10:33:10:017AM
HegazyAhmedAug 21 2019 01:54:31:130AM
HerrickIanJul 23 2019 03:13:25:317PM
HoogstraJasonAug 7 2019 12:01:45:717AM
IglesiasIvanJul 22 2019 11:40:27:080AM
JonesPhilipJul 18 2019 09:57:57:593AM
KatsirisSandraJul 18 2019 10:15:43:860AM
KhalafRoyAug 20 2019 04:33:15:313PM
KumarKamalJul 21 2019 10:44:02:270PM
LaviRonitHave Not Signed
LinChengJul 30 2019 05:30:00:413AM
LudwigNathanAug 6 2019 11:39:54:567AM
MackPeterJul 18 2019 08:46:41:180AM
MarmaiKristineAug 20 2019 10:53:26:460PM
McCabeGregoryAug 19 2019 09:05:11:970AM
McNamaraJeffreyAug 1 2019 09:10:24:050AM
MorrisonStephenJul 30 2019 08:02:31:893PM
MurkinJohnJul 30 2019 07:42:30:470AM
NagappaMaheshJul 24 2019 04:39:24:960PM
NewtonPeterJul 30 2019 08:14:38:003AM
NicolaouGeorgeJul 22 2019 10:44:41:123PM
NoppensRuedigerAug 13 2019 08:26:18:787AM
OwerKateJul 18 2019 12:52:47:480PM
PayneSonjaJul 23 2019 07:54:41:153AM
PoolacherlaYuvaRajuJul 18 2019 12:39:52:823AM
Puentes BeltranWilfredoJul 19 2019 08:54:04:267AM
RachinskyMaximHave Not Signed
RailtonCraigJul 30 2019 06:44:24:070AM
RajarathinamManikandanAug 6 2019 04:46:35:050PM
RiceAmyJul 18 2019 10:14:32:017AM
SadkhanHussein HamdanJul 30 2019 09:27:03:190AM
SandhuTakpalJul 18 2019 10:28:57:350AM
SebbagIlanaJul 30 2019 08:22:05:247AM
SehmbiHermanAug 6 2019 09:03:26:627AM
ShahUshmaJul 18 2019 08:57:43:933AM
SimonGaryJul 30 2019 12:41:58:713PM
SinghInduAug 27 2019 05:53:26:590PM
SischekWilliamJul 18 2019 02:56:56:140PM
SmithDavidAug 28 2019 05:54:25:523PM
SommerfreundDavidJul 23 2019 10:22:36:960AM
St-AmandMarcJul 19 2019 07:25:34:130AM
TanejaRaviAug 21 2020 02:07:48:263PM
TawficQutaibaAug 6 2019 12:43:04:417AM
TurkstraTimothyJul 30 2019 09:46:15:810AM
VannelliAntonioHave Not Signed
Vergel de DiosJenniferAug 1 2019 11:08:43:913AM
WatsonJamesJul 19 2019 08:55:28:330AM
YangHomerFeb 12 2020 05:32:13:737PM
YoussefHeshamAug 15 2019 09:29:06:340AM
YuJulieSep 16 2020 09:43:53:803AM