The RCoA logbook was designed for trainees, but consultants running their own audit need the same granularity — with none of the trainee-framed fields. This template strips the logbook down to its analytical core and rebuilds it for professional self-audit.
What the Fields Are Actually Measuring
Each case entry captures four independent dimensions: the anaesthetic applied, any regional or procedural adjuncts, the supervision context, and the patient's risk profile. These dimensions can be crossed in ways that reveal practice patterns invisible to single-variable review.
The Supervision field distinguishes not just who was present — Local, Distant, Consultant Solo — but whether the encounter was a teaching event and at what level: ST, Non-medical, Med Student, Novice. An audit that conflates "Consultant Solo" with "Teaching: Novice" misrepresents the caseload entirely.
ASA classification and Priority together define patient complexity. A routine ASA 1 elective case and an emergency ASA 4 are both single cases in a count, but they represent completely different clinical territory. The template keeps both dimensions visible.
Technique-Level Resolution
Most logbooks record the anaesthetic type. This one records the technique within the anaesthetic. Anaesthetic 2 goes beyond selecting a regional block — it captures whether the approach was anatomical, nerve-stimulator-guided, or ultrasound-guided, and whether the operator was observing, supervised, or working solo.
This matters for audit. Ultrasound-guided femoral nerve blocks and anatomical femoral nerve blocks carry different complication profiles and different learning curve implications. Aggregating them under "Femoral" obscures both.
The same three-field structure (type, operator status, technique) repeats for up to three procedures per case. A case involving arterial line insertion, RSI, and a thoracic epidural is fully documented without field compromise — each procedure retains its own operator status and technique classification independently.
Perioperative Safety Layer
Premedication and Pre-op Assessment are not administrative checkboxes here. Pre-op Assessment specifically distinguishes between not done, clinic visit, day-before, and same-day — a pattern with direct implications for informed consent quality and anaesthetic planning adequacy.
Incidents are classified by system: cardiovascular, drug-related, equipment, respiratory, neuro/muscular, process of care. The Incident Details field captures the specifics. A quarterly review of incident type distribution against speciality and supervision level is a genuine quality indicator, not a documentation exercise.
The Speciality field — covering twenty categories from General to Radiology — combined with Unit ID provides the granularity needed to compare workload distribution across teams and settings. Memento's aggregation and filtering allow these cross-tabulations without any external analysis tool.