The Audit Committee Wants a Procedure Log, Not a Vague Recollection of the Year
"I think I did about fifty spinals last year," is the sentence that ends a residency or a specialist accreditation. In the high-stakes world of anaesthesia, your skill isn't measured by your confidence; it’s measured by your audited volume. The ANZCA (Australian and New Zealand College of Anaesthetists) standards aren't just a suggestion—they are the legal and professional baseline for clinical practice. But the hospital EMR is a mess of fragmented data, and the paper logbook is a relic that doesn't survive a coffee spill.
This template is a professional-grade clinical audit tool designed for the anaesthetist who needs to defend their technique with data.
ASA Status and Patient Complexity
The "ASA" (American Society of Anesthesiologists) field is the primary indicator of risk. Tracking whether a patient is a "Class I: Normal healthy patient" or a "Class IV: Life-threatening disease" determines the entire anaesthetic plan. But the real clinical value is in cross-referencing ASA status with the "Primary Anaesthetic" type.
If your logbook shows you’re performing "GA ETT IPPV" (General Anaesthesia with Endotracheal Tube) on ASA IV patients in "Emergency" priority, you’re documenting a high-risk practice profile. This data is critical for "Supervision" audits—proving that when you were under "Indirect local" supervision, you were managing the most complex cases in the "Hospital location" list.
Airway Management and Technique Precision
The "Airway" and "Technique" fields are exceptionally granular. "Ett 6.0" through "Ett 8.5", "LMA classic", "IGEL", and "Supreme" are all tracked. This isn't just for counting; it’s for analyzing your "Grade 1" through "Grade 4" views. If you’re consistently hitting a Grade 3 view during "Trauma" cases, but your "Technique" field shows you used a "McGrath video scope" or a "Bougie" to secure the airway, you’re documenting successful difficult airway management.
The "Technique" multichoice field captures the pharmacological reality of the case: "Propofol", "Sevoflurane", "Remifentanil", "Rocuronium", and "Sugammadex". When a patient has an "Adverse event" like "Anaphylaxis" or "Awareness", these fields provide the exact timeline of what was administered. You don't have to guess if the "Suxamethonium apnoea" was related to the "Classical RSI" (Rapid Sequence Induction)—the data is locked to the "Start Time" and "End Time" of the encounter.
Regional Anaesthesia and Adverse Event Auditing
"Spinal", "Epidural", "Brachial Plexus", "Sciatic"—the "Regional Anaesthetic" field tracks the technical diversity of your practice. For a registrar, proving competency in a "TAP block" or an "Interscalene" block requires a logged volume that shows both success and the management of "Failed regional" events.
The "Adverse events" field is the most critical for professional development. From "Aspiration" to "Malignant hyperthermia", these aren't just checkboxes; they are the "Teaching" moments that define a specialist. By logging these alongside the "Supervisor" name and the "Notes" on the "Operation", you move from performing procedures to auditing outcomes. You’re building a personal clinical archive that proves you didn't just survive the year—you mastered the specialty.