# Anesthesia Wellness Committee — Monthly Meeting Agenda

**Department:** [Department Name]
**Meeting date:** __________
**Time:** __________ (60 minutes)
**Location / video:** __________
**Facilitator:** __________
**Scribe:** __________
**Quorum status:** ___ of ___ voting members present

---

## 1. Check-in and confidentiality reminder (5 min)

Facilitator leads a brief one-sentence round. No problem-solving during check-in; it exists to set tone and confirm presence.

Facilitator restates: *"Committee discussions of individual cases are peer-review privileged. No identifying information leaves this room. If you have a concern about a specific individual that requires institutional action, route it to [Chair / department chief / EAP] after this meeting."*

## 2. Approval of prior minutes (5 min)

- [ ] Minutes from [date] reviewed
- [ ] Amendments noted (if any)
- [ ] Approved by voice vote / consensus

## 3. Standing reports (20 min)

### 3.1 Peer responder team (5 min)
- Events responded to since last meeting (aggregated, non-identifying)
- Response times against 24-hour target
- Responder wellbeing check — responders are a high-risk population themselves

### 3.2 Schedule and fatigue metrics (5 min)
- Call density audit — flagged outliers (count only, non-identifying)
- Consecutive-hour exposure events
- Trend vs. prior month and year-over-year

### 3.3 Intake channel (5 min)
- Aggregate concern categories received
- Referral dispositions (EAP, peer assistance, internal resource, no action requested)
- Communication gaps observed (i.e., resources people didn't know existed)

### 3.4 Budget (5 min)
- Year-to-date spend against annual budget
- Upcoming commitments
- Variance requiring reallocation

## 4. Programming updates (15 min)

For each active initiative:

| Initiative | Status | Owner | Blockers | Next milestone |
|------------|--------|-------|----------|----------------|
|            |        |       |          |                |

Decision points for this meeting:

- Initiatives to continue: __________
- Initiatives to sunset: __________
- New initiatives proposed: __________

## 5. Data review (10 min)

*Include when applicable — typically quarterly or when a measurement cycle closes.*

- [ ] Pulse survey results (quarterly)
- [ ] Annual validated instrument (Mini-Z 2.0 or Stanford PFI)
- [ ] Voluntary turnover trend (HR-sourced)
- [ ] Peer-support utilization rate
- [ ] Schedule compliance audit

Document discussion, not conclusions, in minutes.

## 6. New business (3 min)

Items raised under new business are logged for review. Substantive decisions are deferred to the next meeting unless they meet the urgent-decision criteria below.

**Urgent decisions** (require same-meeting action): imminent patient safety concern, time-sensitive institutional request, crisis response for a member in distress.

## 7. Action items (2 min)

Restate each action item before close.

| # | Action | Owner | Due |
|---|--------|-------|-----|
|   |        |       |     |

## 8. Decision log

Record substantive decisions for institutional memory. Decisions are peer-review privileged where they concern individual cases.

| # | Decision | Vote count (if taken) | Date |
|---|----------|------------------------|------|
|   |          |                        |      |

## 9. Next meeting and close

- Next meeting: __________
- Standing agenda items verified
- Minutes to be distributed by: __________ (within 5 business days)

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## Parking lot

Items deferred from this meeting to a future agenda:

- 
- 

## Attendance

| Member | Role | Present | Absent excused | Absent unexcused |
|--------|------|---------|----------------|-------------------|
|        |      |         |                |                   |