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    PACU Discharge Criteria

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    Tarquin Tomada
    This document outlines criteria for discharging patients from the post-anesthesia care unit (PACU). It lists criteria such as being observed for at least 20-30 minutes after the last narcotic dose, being fully oriented, having stable vital signs for 15-30 minutes, and having no obvious surgical complications. It also describes the Aldrete scoring system used to evaluate patients' color, respiration, circulation, consciousness, and activity levels before discharge. Finally, it notes the main goals in PACU are controlling pain, nausea, and maintaining normothermia, and that most patients can meet discharge criteria within 60 minutes, though some outpatients may be fast-tracked or inpatients sent directly to wards if criteria are

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    PACU Discharge Criteria

    Uploaded by

    Tarquin Tomada
    647 views1 page
    This document outlines criteria for discharging patients from the post-anesthesia care unit (PACU). It lists criteria such as being observed for at least 20-30 minutes after the last narcotic dose, being fully oriented, having stable vital signs for 15-30 minutes, and having no obvious surgical complications. It also describes the Aldrete scoring system used to evaluate patients' color, respiration, circulation, consciousness, and activity levels before discharge. Finally, it notes the main goals in PACU are controlling pain, nausea, and maintaining normothermia, and that most patients can meet discharge criteria within 60 minutes, though some outpatients may be fast-tracked or inpatients sent directly to wards if criteria are

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    PACU Discharge Criteria

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    This document outlines criteria for discharging patients from the post-anesthesia care unit (PACU). It lists criteria such as being observed for at least 20-30 minutes after the last narcotic dose, being fully oriented, having stable vital signs for 15-30 minutes, and having no obvious surgical complications. It also describes the Aldrete scoring system used to evaluate patients' color, respiration, circulation, consciousness, and activity levels before discharge. Finally, it notes the main goals in PACU are controlling pain, nausea, and maintaining normothermia, and that most patients can meet discharge criteria within 60 minutes, though some outpatients may be fast-tracked or inpatients sent directly to wards if criteria are

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    647 views1 page

    PACU Discharge Criteria

    Uploaded by

    Tarquin Tomada
    This document outlines criteria for discharging patients from the post-anesthesia care unit (PACU). It lists criteria such as being observed for at least 20-30 minutes after the last narcotic dose, being fully oriented, having stable vital signs for 15-30 minutes, and having no obvious surgical complications. It also describes the Aldrete scoring system used to evaluate patients' color, respiration, circulation, consciousness, and activity levels before discharge. Finally, it notes the main goals in PACU are controlling pain, nausea, and maintaining normothermia, and that most patients can meet discharge criteria within 60 minutes, though some outpatients may be fast-tracked or inpatients sent directly to wards if criteria are

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    Week 1: PACU Discharge Criteria Before Discharging

    Observed for respiratory depression for at least 20-30 minutes after last dose of parenteral narcotic Easy arousability Full orientation (person, place, time) Ability to maintain and protect airway Stable vital signs for at least 15-30 minutes Ability to call for help if necessary On obvious surgical complication s (i.e. active bleeding)

    Post-Anesthetic Aldrete recovery score


    Original Criteria
    Color Pink Pale or dusky Cyanotic Respiration Can breathe deeply and cough Shallow but adequate exchange Apnea or obstruction

    Modified Criteria
    Oxygenation SpO2 > 92% on room air SpO2 > 90% on oxygen SpO2 < 90% on oxygen Breathes deeply and coughs freely Dyspneic, shallow or limited breathing Apnea BP +/- 20% of normal BP +/- 20-50% of normal BP > 50% of normal Fully awake Arousable on calling Not responsive

    Points
    2 1 0 2 1 0

    Circulation BP +/- 20% of normal BP +/- 20-50% of normal BP > 50% of normal Consciousness Awake, alert and oriented Arousable but readily drifts back to sleep No response Activity Moves all extremities Moves two extremities No movement

    2 1 0 2 1 0

    Moves all extremities Moves two extremities No movement

    2 1 0

    Main goals are controlling postoperative pain, controlling nausea and vomiting, and reestablishing normothermia prior to discharge Majority of patients can meet discharge criteria within 60 minutes in the PACU, no demonstrable benefit from a mandatory minimum duration of PACU care Outpatients who meet the above discharge criteria may be fast-tracked to phase 2 recovery, similarly inpatients who meet the same criteria may be transferred directly from the OR to their ward

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