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Practice Consideration
Documentation (Practice Consideration)
Last AANA revision: 2023
Our paraphrased summary. The text below is our own condensed phrasing for board review, derived from the AANA Practice Manual document of the same name. The AANA document is the authoritative source — read it on aana.com for legally-binding language.
The anesthesia record is a legal medical document. Required elements: pre-anesthesia, intraoperative, post-anesthesia phases. Drug doses, vital signs (every 5 min minimum), interventions, fluid totals, ASA score, airway, line placement, complications.
Key points
- 1.Vital signs documented at minimum every 5 minutes
- 2.Pre-induction equipment check signature
- 3.All medications: drug, dose, time, route, response
- 4.Adverse events documented with timeline + interventions
- 5.Handoff: patient, procedure, anesthetic, IVs, fluids in/out, complications, postop plan
This is an exam-prep summary, not a substitute for the full AANA document. Read the source at aana.com for authoritative wording. Education only.