Correct Answers Updated To Pass
1. Preanesthesia phase - Focused on preparation for surgery
-Assessment of pts physical, mental, and spiritual
needs to completed to identify issues needing to
be addressed
-May also include education on what to expect in the
fol- lowing phases of care and possibly discharge
teaching
-Staflng depends on pt acuity, age of pts and if
needed, sedation for preoperative nerve blocks
2. Postanesthesia Phase 1 - Immediate post-operative area
-Pt may need assistance with breathing or
other life saving measures
-Requires constant attention
-New admissions should be closely monitored until
crit- ical needs are met, such as airway and VS
are stable, the initial assessment is completed, and
the pt is calm without competitiveness or
agitation
-VS every 15min
3. Postanesthesia Phase 1 staffing - Staflng should be 1:1 or 2:1
-There should be at least 2 nurses in the unit, 1 wh
is carding for the pt and one is immediately
available to provide assistance as needed
-1 nurse in the unit must be competent in phase 1
-The nurse may have 2 pts if both are
hemodynamically stable, conscious, over age 8, or
under 8 with family/care- giver at bedside
-The nurse may have 1 pt if under 8 years
old and unconscious
-The nurse may have 1 pt who is not conscious
but hemodynamically stable, with a stable airway
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over the age of 8 and 1 pt who is conscious and
stable
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-Occasionally 1 pt who is critical and unstable may
re- quire 2 nurses
4. Postanesthesia phase 2 - The pts in this area are preparing to go home
-Here pt receives discharge instructions
-Still requires monitoring for complications related
to surgery or medications
-VS every 30-60min (at arrival and discharge)
5. Postanesthesia phase 2 staffing - 1:3 if over the age of 8 or under 8 with family
present
-if the pt is under 8 w/out family, ration should be 1
-2 statt members are required to be in the unit at all
times (1 RN competent in phase 2)
-Staflng will be 1 nurse to 1 pt if pt becomes
unstable and requires transfer to higher level of
care
6. Extended care - Area where pts require extended observation after
dis- charge from phase 2
-Staflng should be 1:3-5
-These pts are typically waiting for transport
home/inpt bed
-2 statt members should be in the unit at all times (1
RN who is competent in caring for pt population)
7. Blended care - Care of pts who belong in multiple phases of care
-Clinical judgement is required to determine
safe staflng
-Pts in ditterent levels may share same physical spa
-An ettort must be made to ensure privacy and
confiden- tiality
8. Recommendations to combat alarm fatigue
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-Identify important alarms
-Develop policies that identify when alarms
can be dis-