, SECTION ONE SECTION FIVE
Professional Competencies System Competencies
Evolution of Perianesthesia Care, 1
1 18 Respiratory, 333
Standards, Legal Issues, and Practice Settings, 10
2 19 Cardiovascular, 387
Safety, Quality Improvement, and Regulatory and
3 20 Neurological, 446
Accrediting Agencies, 26 21 Endocrine, 499
Research and Evidence-Based Practice, 40
4 22 Gastrointestinal, 517
23 General Surgery, 537
SECTION TWO
Preoperative Assessment Competencies 24 Hematology, 566
25 Renal/Genitourinary, 580
Preoperative Evaluation, 51
5
26 Obstetrics and Gynecology, 613
Preexisting Medical Conditions, 70
6
27 Ophthalmology, 660
Transcultural Nursing and Alternative Therapies, 88
7
28 Oral/Maxillofacial/Dental, 675
The Developmentally and Physically Challenged
8
29 Orthopedics and Podiatry, 686
Patient, 113
30 Otorhinolaryngology, 723
SECTION THREE 31 Peripheral Vascular Disease, 744
Life Span Competencies 32 Plastic and Reconstruction, 770
The Pediatric Patient, 138
9 33 Bariatrics, 795
10 The Adolescent Patient, 181 34 Trauma, 817
11 The Adult Patient, 194 35 Interventional Radiology and Special
Procedures, 833
12 The Geriatric Patient, 205
36 Perianesthesia Complications, 843
SECTION FOUR
Perianesthesia Competencies SECTION SIX
Education and Discharge Competencies
13 Fluid, Electrolyte, and Acid-Base Balance, 220
37 Postoperative/Postprocedure Assessment, 859
14 Anesthesia, Moderate Sedation/Analgesia, 238
38 Discharge Criteria, Education, and Postprocedure
15 Thermoregulation, 287
Care, 896
16 Postoperative/Postdischarge Nausea and
Appendix A: Certification of Perianesthesia Nurses:
Vomiting, 301
The CPAN and CAPA Certification Programs, 908
17 Pain and Comfort, 312
Appendix B: Testing Concepts and Strategies, 914
, Fourth Edition
PeriAnesthesia
Nursing
Core Curriculum
Preprocedure, Phase I and Phase II PACU Nursing
EDITORS
Lois Schick MN, MBA, RN, CPAN, CAPA, FASPAN
Perianesthesia Nurse Consultant
Per Diem Staff Nurse II, PACU
Lutheran Medical Center
Wheat Ridge, Colorado
Pamela E. Windle DNP, RN, NE-BC, CPAN, CAPA, FAAN, FASPAN
Perianesthesia Nurse Consultant
Nursing Program Manager
Harris Health System
Houston, Texas
, Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043
PERIANESTHESIA NURSING CORE CURRICULUM: PREPROCEDURE, ISBN: 978-0-323-60918-0
PHASE I AND PHASE II PACU NURSING, FOURTH EDITION
Copyright © 2021 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds or experiments described herein. Because of rapid advances
in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be
made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or con-
tributors for any injury and/or damage to persons or property as a matter of products liability, negligence
or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in
the material herein.
Previous editions copyrighted 2016, 2010, 2004.
Library of Congress Control Number: 2020931431
Senior Content Strategist: Sandra Clark
Senior Content Development Manager: Lisa Newton
Senior Content Development Specialist: Laura Selkirk
Publishing Services Manager: Catherine Jackson
Senior Project Manager: Doug Turner
Designer: Amy Buxton
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Professional Competencies System Competencies
Evolution of Perianesthesia Care, 1
1 18 Respiratory, 333
Standards, Legal Issues, and Practice Settings, 10
2 19 Cardiovascular, 387
Safety, Quality Improvement, and Regulatory and
3 20 Neurological, 446
Accrediting Agencies, 26 21 Endocrine, 499
Research and Evidence-Based Practice, 40
4 22 Gastrointestinal, 517
23 General Surgery, 537
SECTION TWO
Preoperative Assessment Competencies 24 Hematology, 566
25 Renal/Genitourinary, 580
Preoperative Evaluation, 51
5
26 Obstetrics and Gynecology, 613
Preexisting Medical Conditions, 70
6
27 Ophthalmology, 660
Transcultural Nursing and Alternative Therapies, 88
7
28 Oral/Maxillofacial/Dental, 675
The Developmentally and Physically Challenged
8
29 Orthopedics and Podiatry, 686
Patient, 113
30 Otorhinolaryngology, 723
SECTION THREE 31 Peripheral Vascular Disease, 744
Life Span Competencies 32 Plastic and Reconstruction, 770
The Pediatric Patient, 138
9 33 Bariatrics, 795
10 The Adolescent Patient, 181 34 Trauma, 817
11 The Adult Patient, 194 35 Interventional Radiology and Special
Procedures, 833
12 The Geriatric Patient, 205
36 Perianesthesia Complications, 843
SECTION FOUR
Perianesthesia Competencies SECTION SIX
Education and Discharge Competencies
13 Fluid, Electrolyte, and Acid-Base Balance, 220
37 Postoperative/Postprocedure Assessment, 859
14 Anesthesia, Moderate Sedation/Analgesia, 238
38 Discharge Criteria, Education, and Postprocedure
15 Thermoregulation, 287
Care, 896
16 Postoperative/Postdischarge Nausea and
Appendix A: Certification of Perianesthesia Nurses:
Vomiting, 301
The CPAN and CAPA Certification Programs, 908
17 Pain and Comfort, 312
Appendix B: Testing Concepts and Strategies, 914
, Fourth Edition
PeriAnesthesia
Nursing
Core Curriculum
Preprocedure, Phase I and Phase II PACU Nursing
EDITORS
Lois Schick MN, MBA, RN, CPAN, CAPA, FASPAN
Perianesthesia Nurse Consultant
Per Diem Staff Nurse II, PACU
Lutheran Medical Center
Wheat Ridge, Colorado
Pamela E. Windle DNP, RN, NE-BC, CPAN, CAPA, FAAN, FASPAN
Perianesthesia Nurse Consultant
Nursing Program Manager
Harris Health System
Houston, Texas
, Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043
PERIANESTHESIA NURSING CORE CURRICULUM: PREPROCEDURE, ISBN: 978-0-323-60918-0
PHASE I AND PHASE II PACU NURSING, FOURTH EDITION
Copyright © 2021 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds or experiments described herein. Because of rapid advances
in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be
made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or con-
tributors for any injury and/or damage to persons or property as a matter of products liability, negligence
or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in
the material herein.
Previous editions copyrighted 2016, 2010, 2004.
Library of Congress Control Number: 2020931431
Senior Content Strategist: Sandra Clark
Senior Content Development Manager: Lisa Newton
Senior Content Development Specialist: Laura Selkirk
Publishing Services Manager: Catherine Jackson
Senior Project Manager: Doug Turner
Designer: Amy Buxton
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
