7 && $cc<>13 && $cc<>20 && $cc<>21) // 7,13,20,21 are optional questions { if ($cc == 8) { $validation8="8nogood"; if (0<$answer[8] && $answer[8]<61) $validation8="8good"; if ($validation8=="8nogood") { $realQuestionNum = 8; $tempStr = $tempStr."".$realQuestionNum." "; $validation ="nogood"; } } else if ($cc == 9) { $validation9="9nogood"; if (10<$answer[9] && $answer[9]<130) $validation9="9good"; if ($validation9=="9nogood") { $realQuestionNum = 9; $tempStr = $tempStr."".$realQuestionNum." "; $validation ="nogood"; } } // years of experience question - zero value regarded as not null else if ($cc == 11) { if ($answer[$cc] == "0") { ; // good } else if (empty($answer[$cc])) { $realQuestionNum = 11; $tempStr = $tempStr."".$realQuestionNum." "; $validation ="nogood"; } else { $validation11="11nogood"; if (0<=$answer[11] && $answer[11]<61) $validation11="11good"; if ($validation11=="11nogood") { $realQuestionNum = 11; $tempStr = $tempStr."".$realQuestionNum." "; $validation ="nogood"; } } } else if ($cc == 12) { if ($answer[12] <> "radio5" && ($validation12 == "12nogood" || empty($answer[13]))) { // when subclass of question 12 is empty // when selected "vetenary student" no subclass checked needed $realQuestionNum = 12; $tempStr = $tempStr."".$realQuestionNum." "; $validation = "nogood"; } } // When mendatory questions else if (empty($answer[$cc])) { // When one or more questions are not answered. // Concatenate it(question number) to tempStr. // If question number is after 12, it needs to be decreased by one // for synchroninzing question numbers in the survey.php with ones on screen. if ($cc > 12) $realQuestionNum = $cc-1; else $realQuestionNum = $cc; $tempStr = $tempStr."".$realQuestionNum." "; $validation = "nogood"; } } } /********************************************* Process for validity of answers *********************************************/ if ($validation == "nogood") { // Show error message when one or more questions are not answered. echo ""; mysql_close($connection); } else { $result = @mysql_query("SELECT * FROM survey WHERE surveyID='$surveyID'",$connection); $row = mysql_fetch_row($result); $precheckCount = $row[1]; $precheckCount ++; // count increased since the user answered for new survey. // Store increase count number to database. mysql_query("UPDATE survey SET numOfAnswers='$precheckCount' WHERE surveyID='$surveyID'"); // Set as the user has done pre-user survey. mysql_query("INSERT INTO surveyChecked (surveyID,username,checked) VALUES('$surveyID','surveybypassman','yes')",$connection); /************************************* Insert answers to database. *************************************/ for($aa = 1; $aa < 22; $aa++) { if ($aa == 4) { // When check box $temp =""; for ($bb=0; $bb<30; $bb++) { if ($answer[$aa][$bb] <> "") $temp = $temp.$answer[$aa][$bb]." "; } if ($comment[$aa] <> "") { // When comments included. mysql_query("INSERT INTO `surveyAnswer` (`surveyID`,`answerID`,`questionID`,`answer`,comment,timeStamp) VALUES('$surveyID','$precheckCount','$aa','$temp','$comment[$aa]',now())",$connection); } else { // When comments not included. mysql_query("INSERT INTO surveyAnswer (surveyID,answerID,questionID,answer,timeStamp) VALUES('$surveyID','$precheckCount','$aa','$temp',now())",$connection); } } else { // When not check box if ($comment[$aa] <> "") { // When comments included. mysql_query("INSERT INTO `surveyAnswer` (`surveyID`,`answerID`,`questionID`,`answer`,comment,timeStamp) VALUES('$surveyID','$precheckCount','$aa','$answer[$aa]','$comment[$aa]',now())",$connection); } else { // When no comments mysql_query("INSERT INTO `surveyAnswer` (`surveyID`,`answerID`,`questionID`,`answer`,timeStamp) VALUES('$surveyID','$precheckCount','$aa','$answer[$aa]',now())",$connection); } } } mysql_query("UPDATE surveyChecked SET coupon='1' WHERE username='$username'"); mysql_close($connection); header("Location: practiceintro.html"); exit; } } ?> VAM - The Virtual Anesthesia Machine
Home / Members / Pre-Use Check
Last Updated 8/2/06
Survey on the Anesthesia Machine Pre-Use Check

Thank you for taking the time to respond to this survey. To encourage candid answers that increase the value of this survey and its potential impact on patient safety, we have set up this web survey so that your identity remains anonymous. Personal identifiers or your IP address will NOT be stored as part of the survey data to protect your identity. Only generic demographic data will be collected and reported as aggregate data. If you have questions, comments or concerns regarding this survey, please email Sem Lampotang. Thank you.





2. What are your objectives in using the 1993 FDA pre-use check simulation?






(less frequently than every year)


checked="yes" > Someone else does it for me

Comments: 

 

4. What are the reasons when you do not perform a pre-use check (full or abbreviated) before each case as recommended by FDA? Click on all that apply.

checked="checked" > Takes too long to perform 
checked="checked" > Hard to understand instructions
checked="checked" > I do not know how to perform a proper pre-use check
checked="checked" > I do not understand what I am doing during the pre-use check
checked="checked" > Was never taught during residency/nurse anesthesia training
checked="checked" > Hard to perform
checked="checked" > Do not have personal knowledge to adapt 1993 FDA pre-use check to local conditions
checked="checked" > Do not have local expertise to adapt 1993 FDA pre-use check to local conditions
checked="checked" > Anesthesia techs/biomedical engineers used to do it and stopped
checked="checked" > Faults are so rare that I think I am wasting my time and stopped doing it
checked="checked" > Unlike a pilot, my own safety is not affected by failure to check 
checked="checked" > There is no one at my current institution who teaches how to perform the pre-use check
checked="checked" > Production pressure from administration
checked="checked" > Production pressure from surgeon
checked="checked" > My anesthesia machine has an automated pre-use check and does it for me
checked="checked" > The unmodified 1993 FDA guidelines are obsolete and do not apply to my local environment
checked="checked" > Insufficient time
checked="checked" > Emergencies
checked="checked" > Not applicable - I ALWAYS check before every case

Other:

 

5. What specific steps (use the step numbers in the 1993 FDA pre-use check such as 5e) do you find most useful/rational in the 1993 FDA pre-use check recommendations? Please elaborate.

 

6. What specific steps (use the step numbers in the 1993 FDA pre-use check such as 5e) do you consider useless/irrational/a waste of your time in the 1993 FDA pre-use check recommendations? Please elaborate.

 

7. Please describe any instance you personally know of where (a) failure to perform an anesthesia machine pre-use check led to patient injury or death or (b) a pre-use check prevented a critical incident.

 

8. I would pre-use check the anesthesia machine before EVERY case if it took at most minutes to perform

 

DEMOGRAPHICS

9. Age 10. Gender

11. Years of experience providing anesthesia

12. Background:
( checked="yes" > Intern checked="yes" > CA-1 checked="yes" > CA-2 checked="yes" > CA-3 )
( checked="yes" > Academic checked="yes" > Private practice checked="yes" > Office-based practice )
( checked="yes" > Academic checked="yes" > Private practice checked="yes" > Office-based practice )
( checked="yes" > Academic checked="yes" > Private practice checked="yes" > Office-based practice )
checked="yes" > Veterinary student
( checked="yes" > Academic checked="yes" > Private practice ) 
checked="yes" > Not an Anesthesia Provider ( checked="yes" > Anesthesia Tech checked="yes" > Biomedical Engineer checked="yes" > Other )

 

WORK ENVIRONMENT

13. Are there anesthesia techs or biomedical engineers at your institution?

14. Do anesthesia techs or biomedical engineers perform the pre-use check at your institution?

15. If you practice in an office-based setting, is there a central oxygen supply?


16. If you practice in an office-based setting, are there in-house resuscitation capabilities?


18. If you practice in the United States, please specify region:





19. If you practice outside the United States, please specify which organization's pre-use check recommendation you follow.

20. Anything else you wish to add?