Chapter 14 Post Anesthesia Recovery Study Test.

Chapter 14 Post Anesthesia Recovery Study Test. 1. Introduction Patients are transported to the postanesthesia care unit (PACU) following surgical procedures PACU statt are critical care nurses PACU is close to the operating rooms PACU may function as an ambulatory patient recovery area 2. PACU Facility The PACU is typically one large room with patient beds positioned in individual patient care areas. Layout allows for more eflcient patient care. The PACU is equipped with patient care supplies. An isolation area is also located in the PACU for select patients, such as those with an active infection. 3. Handover Hand-ott... once all monitoring devices are in place and the patient is stable, the circulating nurse preforms a handover. also called hand ott) to the PACU nurse. 4. PACU Procedures Admission - immediately after surgery Handover includes: - Handott to pacu nurse Brief patient history Exact surgery and site Total length of time, amount, and route of anesthesia- Estimated blood loss Condition of the wound, drains, and other devices ASA score - American Society of Anesthesiologists, Each patient is assigned a score according to system establish by ASA. This score reflects the patients overall health status. Any complications Information about family members present Statt can attend patients quickly and eflciently. Circulating nurse provides a handover (or hand-ott) to the PACU nurse, commu- nicating all information on the patient's physiological status before and during 5. Patient Assess- ment 6. Patient Assess- ment (Cont.) surgery. The anesthesia care provider communicates specific orders for continuation of care and a smooth recovery. Describe the rationale for the verbal and written information provided in the han- dover. (The PACU statt maintains contact with the family during the postoperative period to update them on the patient's progress, condition, and discharge plans.) Respiratory system Circulation Core temperature Abdomen Fluid and electrolyte balance Circulator or ACP After receiving the handover, the PACU nurse performs a patient assessment. Describe the ditterences between a focused patient assessment and a head-to-toe patient assessment. (A focused patient assessment is focused on specific cri- teria such as respiration, circulation, pain, and level of consciousness, while a head-to-toe assessment covers all or most body areas.) Why is the abdomen part of the patient assessment? (The abdomen is part of the assessment because it could be distended, indicating the presence of fluid, blood, or air.) Pain