MDAS MOBILE ANAESTHESIA PROVIDES HOSPITAL STANDARD GENERAL ANAESTHESIA AND SEDATION SERVICES IN THE CONVENIENCE OF YOUR OFFICE
On the day of procedure
We aim to put patients at ease prior to arriving. All concerns and questions would have been addressed during our pre-operative assessment interview prior to the day of procedure.
They will be escorted into the surgery room where we will quickly site an IV catheter and begin the anaesthetic.
We use modern anaesthetics with very fast onset and offset. Patients will be ready to begin in minutes.
Once patient is asleep, you can place all your local anaesthetic blocks just as you would on an awake patient but with our involvement you will not have to wait for the block to fully take effect. You can get right to work on the procedure.
The patient will be safely monitored and kept comfortable throughout the procedure.
At the end of the procedure the patient can be recovered quickly and safely. They will be ready to go home with their prearranged adult carer with full instructions and contact details should there be any issues.
How we can help build your practice in the convenience of your practice
Information for dentists and interventional radiologists using a mobile anaesthesia or sedation service
Many dental practices offer anaesthesia or sedation, often called sleep dentistry, at their practice to help patients cope with the procedures or to provide suitable pain relief.
The Victorian Government has amended the Health Services (Health Service Establishment) Regulations 2013 (the Regulations). The Regulations require all anaesthesia and intravenous sedation to be provided in premises registered with the Department of Health and Human Services (the department) or be provided by mobile anaesthesia or sedation services registered with department.
These changes will impact some unregistered dental and interventional radiology premises. The Regulations require the registered mobile anaesthetist/IV-sedationist to make sure that a range of patient safety criteria are met prior to entering a contract with an unregistered premises to ensure that the anaesthetic or sedation services can be provided safely at that premises.
As part of their registration with the department, mobile anaesthetists and IV-sedationists must complete a an “Agreement between a mobile service and non-registered premises” for each unregistered premises where they provide services. This form was designed to facilitate collaboration on, and agreement about how to provide safe care at the premises. It covers the questions listed below.
The following information provides advice on what to expect if you engage the services of a mobile anaesthetic or sedation service.
What might you be asked?
When engaging a mobile anaesthesia or sedation service you may be asked the following questions:
- Where can an ambulance park if they are required to attend the practice?
- Is it possible for an ambulance crew to easily extricate a patient from the dental practice?
- Does the procedure room have sufficient space for the proceduralist, the anaesthetist, a nurse, ambulance crew (if required), all anaesthetic or sedation equipment, resuscitation equipment, and a crash cart?
- Where can a patient recover after the procedure?
- Is there an additional staff member available to call 000 if required?
- Is the dirty linen and used equipment stored separately to clean linen and equipment?
- In the event of patient deterioration who will take the lead and who will be allocated what roles, such as airway management?
- Does the practice have an evacuation procedure?
Mobile anaesthetic and IV-sedation services are provided with guidelines designed to support best practice care by mobile anaesthetists and IV-sedationists.
The “Information for registered mobile anaesthesia and IV-sedation services in office settings” document was developed in consultation with the Australian Dental Association (Victorian Branch), the Australian and New Zealand College of Anaesthetists, educators from the Westmead Centre for Oral Health and the University of Sydney, as well as practising anaesthetists and IV-seditionists that provide registered mobile services, and dentists.
To assist mobile services comply with the Regulations, the “Information for registered mobile anaesthesia and IVsedation services in office settings” contains advice on how to address:
- pre-procedural care
- perioperative care
- postoperative care
- emergency management
- how to appropriately record anaesthetic care
- what information to provide the patient
- the physical requirement of office settings where services will be provided
- the requirement of obtaining data
- the governance of mobile anaesthetist or IV-sedationist services — including credentialing and defining the scope of practice of medical practitioners, policies and procedures, and review of patient safety The objective of providing this information is to ensure patient safety.