Final list of recommendations
| Patient information | Level of agreement |
| Patient name | Strong |
| Patient date of birth | Strong |
| Patient gender | Strong |
| Patient medical record number/hospital number | Strong |
| Patient weight | Strong |
| Patient height | Strong |
| Patient American Society of Anesthesiologists (ASA) physical status classification | Strong |
| Patient allergies | Strong |
| Procedure preparation | |
| Block performed by _________ (name) | Strong |
| Grade of block performer (e.g. consultant, fellow, resident, registrar) | Weak |
| Name of supervisor (if applicable) | Strong |
| Documentation of patient consent gained (as per local standards e.g. written, verbal) | Strong |
| Documentation of individual risks of procedure discussed (as per local standards) | Strong |
| Pre-anesthetic / block evaluation | Strong |
| Coagulation considered | Weak |
| Pre-procedure diagnosis (post-operative pain management / surgical diagnosis) | Strong |
| Timeout / World Health Organisation (WHO) checklist | Weak |
| Stop moment performed | Strong |
| Intravenous access | Strong |
| Regional anesthesia procedure name | Strong |
| Patient position during regional anesthesia procedure | Strong |
| Monitors applied | Strong |
| Baseline vital signs | Strong |
| Pre-medication (type and quantity of sedation) | Strong |
| Level of sedation (no sedation / light sedation / deep sedation / general anesthesia) | Strong |
| Procedure performance | |
| Time and date of regional anesthesia procedure | Strong |
| Aseptic agent used | Strong |
| Aseptic technique used as per local policy | Strong |
| Skin infiltration with local anesthetic | Strong |
| Needle design: tip, manufacturer, length, gauge | Strong |
| Local anesthetic used for regional anesthesia technique (concentration and volume) | Strong |
| Epinephrine dose if used (concentration) | Strong |
| Adjunct used (e.g. bicarbonate, clonidine etc.) | Strong |
| Specific for peripheral nerve block performance | |
| Side of block | Strong |
| Technique of needle localization (ultrasound / nerve stimulator / landmark) | Strong |
| No Evoked Motor Response (EMR) <_____mA (when applicable i.e. when nerve stimulator used) | Strong |
| Minimum current and current duration (if nerve stimulator used) | Strong |
| Absence of blood on aspiration | Strong |
| Catheter depth at the skin | Strong |
| Absence of pain / paresthesia during injection | Strong |
| Complications | Strong |
| Specific for neuraxial procedure performance | |
| Technique (approach used eg, median/paramedian) | Strong |
| Vertebral level of needle insertion | Strong |
| Technique used: loss of resistance to saline/air for epidural insertion | Strong |
| No of attempts | Strong |
| Epidural needle depth at loss of resistance | Strong |
| Catheter depth at the skin | Strong |
| Note on aspiration and action taken | Strong |
| Epidural test dose (if applicable) | Strong |
| Absence of pain/paresthesia during injection | Strong |
| Dermatomal level of spinal of epidural block achieved (if assessed) | Strong |
| Complications | Strong |
| Postprocedure | |
| Patient vital signs after the procedure | Strong |
| Postprocedure instructions (as per local standards) | Strong |