This article was downloaded by: [University of Toronto Libraries] On: 03 October 2014, At: 03:19 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK
Hospital Topics Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/vhos20
Consultant's Corner John G. Steinle Published online: 13 Jul 2010.
To cite this article: John G. Steinle (1972) Consultant's Corner, Hospital Topics, 50:2, 36-36, DOI: 10.1080/00185868.1972.9947889 To link to this article: http://dx.doi.org/10.1080/00185868.1972.9947889
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions
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Q. Can you provide
a job description for an anesthesiologist?
A. The role and function of an anesthesiologist vary substantially by hospital. For example, in some hospitals the anesthesiologist is responsible for postsurgical recovery and even the cardiac-care unit. In others, he simply administers anesthesia. Following is a general description: General responsibilities: -Directs and supervises activities of the anesthesiology department, including postoperative recovery room and inhalation therapy, in accordance with accepted national standards and the policies of the hospital. This responsibility includes responsibility for all anesthetic agents given in the delivery room. -Establishes department procedures and methods of operation. -Assigns and supervises activities of all persons assigned to the area of his responsibility. Confers with members of the medical staff to determine methods of anesthesia and other professional practices. -Establishes standards of patient service and procedural manuals for each area of responsibility. -Assists the hospital administration in planning for the areas of his responsibility. Specific responsibilities: -Administers and supervises anes-
36
thesiology and inhalation-therapy program. A nesthesiology : -Examines patients to determine degree of risk, type of anesthesia to be administered and preanesthetic sedation. -Advises and consults with the patient’s physician about the patient’s condition and risk involved. -Assigns anesthesiology personnel to the case and supervises them. -Observes the patient throughout preanesthetic, anesthetic and postanesthetic periods; prepares to administer treatments to patients having complications. -Directs activities in the postsurgical recovery and obstetrical recovery rooms and all persons working within the recovery units. On the assumption that the postsurgical recovery unit and the intensive-care unit of the hospital are combined or are two components of a large unit, the anesthesiologist directs and supervises the intensive-care unit. Inhalation therapy: -Directs and supervises the inhalation-therapy activities of the hospital, including therapy for patients with cardiopulmonary disorders. -Assigns and supervises all inhalation therapists and other workers assigned to inhalation-therapy activities. --Consults with physicians about inhalation therapy. General: -Prepares budget estimates for personnel, supplies and equipment, and establishes standards to provide maximum services in accordance with available funds. -Requests supplies and equipment. -Supervises the maintenance of the required professional and departmental records. -Cooperates with personnel of other hospital departments for coordination of services. -Participates with other hospital directors and administrative personnel in planning joint administrative and technical programs, including new hospital construction-assuming responsibility for inhalation therapy, postsurgical recovery and intensive care. Usually, if there is no medical director, the anesthesiologist will report to the administrator. T h e following
wording should be incorporated in the description if the hospital has a medical director to whom the anesthesiologist reports : “He is responsible and reports directly to the medical director of the hospital. H e is responsible also for implementation of the recommendations relating to operating-room anesthesiology procedures as determined by the surgical and obstetrical committees. Similarly, he is responsible for the maintenance of general standards of sanitation under the requirements of these committees for the surgical and delivery suites.”
Length of patient stay reviewed by CPHA The Commission o n Professional and Hospital Activities has issued the fifth and sixth books in a series studying the length of time that patients stay in hospitals. The books give statistical tables for more than 6,000 classes of patients from the pooled data for more than 9,000,000 patients discharged in 1970 from the 1,100 short-term general hospitals in the United States that participated in the study. One book is available with data for the United States as a whole. The other displays the same data divided into the four census regions-East, South, Central and West. Two major divisions are included in each book. The first is composed of 217 diagnosis groups. the second. 193 operation groups. The tables identify those patient characteristics which influence length of stay, and, by stratifying the data, produce a reference source to aid medical staffs, administrators, and planners in defining extended-stay cases. They also serve to help implement and refine utilization review plans, and to provide benchmarks for selectively comparing a hospital’s own stay practice. C P H A is a nonprofit, nongovernmental medical research organization which presently has more than 1,550 hospitals participating in its studies. It is located at 1968 Green Road, Ann Arbor, Mich. 48105. Information on the new books may be obtained hy writing to C P H A at that address. HOSPITAL TOPICS
Hospital Topics Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/vhos20
Consultant's Corner John G. Steinle Published online: 13 Jul 2010.
To cite this article: John G. Steinle (1972) Consultant's Corner, Hospital Topics, 50:2, 36-36, DOI: 10.1080/00185868.1972.9947889 To link to this article: http://dx.doi.org/10.1080/00185868.1972.9947889
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions
Downloaded by [University of Toronto Libraries] at 03:19 03 October 2014
Q. Can you provide
a job description for an anesthesiologist?
A. The role and function of an anesthesiologist vary substantially by hospital. For example, in some hospitals the anesthesiologist is responsible for postsurgical recovery and even the cardiac-care unit. In others, he simply administers anesthesia. Following is a general description: General responsibilities: -Directs and supervises activities of the anesthesiology department, including postoperative recovery room and inhalation therapy, in accordance with accepted national standards and the policies of the hospital. This responsibility includes responsibility for all anesthetic agents given in the delivery room. -Establishes department procedures and methods of operation. -Assigns and supervises activities of all persons assigned to the area of his responsibility. Confers with members of the medical staff to determine methods of anesthesia and other professional practices. -Establishes standards of patient service and procedural manuals for each area of responsibility. -Assists the hospital administration in planning for the areas of his responsibility. Specific responsibilities: -Administers and supervises anes-
36
thesiology and inhalation-therapy program. A nesthesiology : -Examines patients to determine degree of risk, type of anesthesia to be administered and preanesthetic sedation. -Advises and consults with the patient’s physician about the patient’s condition and risk involved. -Assigns anesthesiology personnel to the case and supervises them. -Observes the patient throughout preanesthetic, anesthetic and postanesthetic periods; prepares to administer treatments to patients having complications. -Directs activities in the postsurgical recovery and obstetrical recovery rooms and all persons working within the recovery units. On the assumption that the postsurgical recovery unit and the intensive-care unit of the hospital are combined or are two components of a large unit, the anesthesiologist directs and supervises the intensive-care unit. Inhalation therapy: -Directs and supervises the inhalation-therapy activities of the hospital, including therapy for patients with cardiopulmonary disorders. -Assigns and supervises all inhalation therapists and other workers assigned to inhalation-therapy activities. --Consults with physicians about inhalation therapy. General: -Prepares budget estimates for personnel, supplies and equipment, and establishes standards to provide maximum services in accordance with available funds. -Requests supplies and equipment. -Supervises the maintenance of the required professional and departmental records. -Cooperates with personnel of other hospital departments for coordination of services. -Participates with other hospital directors and administrative personnel in planning joint administrative and technical programs, including new hospital construction-assuming responsibility for inhalation therapy, postsurgical recovery and intensive care. Usually, if there is no medical director, the anesthesiologist will report to the administrator. T h e following
wording should be incorporated in the description if the hospital has a medical director to whom the anesthesiologist reports : “He is responsible and reports directly to the medical director of the hospital. H e is responsible also for implementation of the recommendations relating to operating-room anesthesiology procedures as determined by the surgical and obstetrical committees. Similarly, he is responsible for the maintenance of general standards of sanitation under the requirements of these committees for the surgical and delivery suites.”
Length of patient stay reviewed by CPHA The Commission o n Professional and Hospital Activities has issued the fifth and sixth books in a series studying the length of time that patients stay in hospitals. The books give statistical tables for more than 6,000 classes of patients from the pooled data for more than 9,000,000 patients discharged in 1970 from the 1,100 short-term general hospitals in the United States that participated in the study. One book is available with data for the United States as a whole. The other displays the same data divided into the four census regions-East, South, Central and West. Two major divisions are included in each book. The first is composed of 217 diagnosis groups. the second. 193 operation groups. The tables identify those patient characteristics which influence length of stay, and, by stratifying the data, produce a reference source to aid medical staffs, administrators, and planners in defining extended-stay cases. They also serve to help implement and refine utilization review plans, and to provide benchmarks for selectively comparing a hospital’s own stay practice. C P H A is a nonprofit, nongovernmental medical research organization which presently has more than 1,550 hospitals participating in its studies. It is located at 1968 Green Road, Ann Arbor, Mich. 48105. Information on the new books may be obtained hy writing to C P H A at that address. HOSPITAL TOPICS
