Postoperative Care

Postoperative Care

PACU Progression

  • Post-anesthesia phase I
    • Initial recovery period in PACU
    • Hand-off report
    • Nursing care focus
      • Immediate postoperative care
        • Constant vigilance is required
        • ECG and more intense monitoring required
    • Transitioning the patient to Phase II
    • Equipment required
      • Various types and sizes of artificial airways
      • Ventilator
      • Various means of oxygen delivery
      • Pulse oximeter
      • Suction equipment
      • Means to measure BP and vital signs
      • ECG monitor/defibrillator
      • Pulmonary artery catheters, arterial/central lines supplies
      • IV supplies
      • Stock medications
      • Means to address hypo- or hyperthermia
    • PACU Admission report
      • General information
        • Patient name
        • Age
        • Surgeon
        • Surgical procedure
      • Patient history
        • Indication for surgery
        • Medical history
        • Current medications
        • Allergies
      • Intraoperative management
        • Anesthetic medications used
        • Other medications received
        • Blood loss
        • Fluid replacement
        • Urine output
      • Intraoperative course
        • Unexpected anesthetic events or reactions
        • Unexpected surgical events
        • Vital signs and trends
        • Results of intraoperative laboratory tests