1. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■

2. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Introduction

3. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Introduction

4. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Objectives

5. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Objectives

6. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Methods

7. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Methods

8. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

9. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

10. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

11. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ A range of incidences….

12. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

13. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

14. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 pathway See more at http://www.nationalauditprojects.org.uk/NAP5-Anaesthetia-Awareness-Pathway

15. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 pathway

16. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

17. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

18. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

19. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Induction - ‘Mind the gap’ checklist

20. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

21. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

22. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

23. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

24. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

25. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■

26. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

27. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

28. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

29. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

30. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

31. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

32. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

33. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

34. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ What will this feel like? What will I remember? What’s the risk related to the sedation drugs? Not sedated: awake I am awake, possibly anxious. There may be mild discomfort (depending on what I am having done) EverythingNearly zero Minimal sedation I am awake and calm. There may be mild or brief discomfort. Probably everythingVery low Moderate sedation I am sleepy and calm but remain in control. I may feel mild discomfort. I might remember some things Low Deep sedation I am asleep, I will not be in control Probably very little Higher risk: My breathing may slow when I am asleep –and I may need help to breathe Anaesthesia I am deeply asleep and unable to respond. Very unlikely to remember anything Higher risk. My breathing may slow or stop and my BP and HR rate may fall. I will need a specialist doctor to look after me

35. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

36. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

37. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

38. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Findings

39. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Recommendations

40. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ National recommendations

41. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ National recommendations

42. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ National recommendations

43. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Institutional recommendations

44. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Institutional recommendations

45. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Institutional recommendations

46. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Institutional recommendations

47. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Institutional recommendations

48. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

49. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

50. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

51. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

52. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

53. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

54. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

55. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

56. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

57. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

58. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

59. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

60. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

61. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

62. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

63. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

64. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

65. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

66. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

67. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

68. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

69. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

70. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

71. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

72. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Individual practitioner recommendations

73. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ The END