The Procedure 1 Description field is a multichoice attached to a procedure choice — meaning this template separates what procedure was performed from how it was performed. That design decision is the one that makes this logbook more useful as a competency evidence base than a simple procedure count.
Two Fields Where Most Logbooks Use One
Standard anaesthetic procedure logging captures the procedure type: arterial line, central venous catheter, spinal, epidural, fibreoptic intubation. A simple count tells you how many spinals you've performed. It does not tell you whether those spinals were single-shot for elective lower limb orthopaedics or combined spinal-epidurals for labour analgesia or spinals with intrathecal opioid for day-case urological surgery — three radically different clinical contexts with different needle selection, patient positioning, dose calculation, and complication profiles.
The paired Procedure 1 choice and Procedure 1 Description multichoice captures both dimensions. The procedure type is the category; the description specifies the technique variant. Three procedure slots with this paired structure means a single complex case — a high-risk obstetric patient requiring combined spinal-epidural for a planned caesarean with an arterial line and a post-operative epidural infusion — generates a record that documents all three procedural competencies with their technique details in a single entry.
The ASA Rating Field
ASA here is implemented as a rating field — a one-to-five star scale that maps to ASA I through V physical status classification. A star rating widget is faster to enter in the post-case logging window than a dropdown, and the range is correct: ASA VI (brain-dead organ donor) is rare enough in a standard anaesthetic logbook to handle as a notes entry rather than a dedicated field option.
The distribution of ASA ratings across your logged cases is one of the most informative analytics available from a training logbook. An ST trainee twelve months into their programme with ninety percent of cases logged as ASA I or II is a trainee who needs exposure to higher-complexity patients. Thirty percent ASA III or higher cases across a year suggests a programme with genuine acute surgical exposure. Your training programme director can see this in the database in under a minute; reconstructing it from a paper logbook takes considerably longer.
Supervision and Its Absence
Supervision is the field that determines whether a case counts as independent practice in the competency framework. Direct supervision — the consultant at the head of the bed for the entire case — produces a different competency evidence profile than indirect local supervision, where the consultant is in the theatre suite but not scrubbed. Indirect distant means you ran the case, the consultant was in the hospital but not on the floor.
By twelve months, the RCoA curriculum expects trainees to be managing straightforward elective cases under indirect local and distant supervision. A logbook showing exclusively direct supervision at that stage raises questions about progression that the ARCP panel will want answered. A logbook showing an appropriate progression from direct to indirect supervision across case complexity demonstrates exactly the trajectory the programme is designed to produce.
Trainee ID is the field that makes this database functional in a shared deployment. A single institution where multiple trainees use the same Memento template instance — supervisor-administered — can filter by trainee ID to pull individual logbook views for ARCP preparation without requiring each trainee to maintain a completely separate database.
Anaesthetic 1 and Anaesthetic 2 together cover the primary and supplemental anaesthetic technique for each case. Anaesthetic 2 Description adds technique detail for the secondary approach — a combined technique case with GA plus regional block needs both recorded with sufficient specificity to support the competency sign-off that requires documented independent performance.
Start and Finish times give duration. Duration correlated with ASA and supervision level tells you whether you're spending appropriate time on complex cases — or whether a forty-five minute case for an ASA IV patient is a sign that things went unusually well, or unusually quickly, in a way that warrants a notes entry.