Post anesthesia care Flashcards
What are ERAS (enhanced recovery after surgery) protocols?
a prescribed program that patients are to follow after participating in education that is specific to the surgery.
Why are ERAS used?
These protocols have been shown to be beneficial to the patient, improve surgical outcomes, and decrease costs.
When do patients and their providers follow the ERAS protocols?
- prior to surgery
- The day of surgery
- during surgery
- after surgery
What are example of ERAS protocols?
- strengthening exercises
- improving nutritional status
- additional prep education
- smoking cessation
What is ASA 1 for physical status?
a normal healthy patient
What is ASA 2 for physical status?
a patient with mild systemic disease
What is ASA 3 for physical status?
a patient with severe systemic disease
What is ASA 4 for physical status?
a patient with severe systemic disease that is a constant threat to life
What is ASA 5 for physical status?
a moribund patient who is not expected to survive without the operation
What is ASA 6 for physical status?
a declared brain-dead patient whose organs are being removed for donor purposes
What is the ASA used for?
to determine perioperative risk. NOT to determine what anesthesia to use
What are the 3 phases of PACU care?
- Phase 1
- Phase 2
- Phase 3
What are the phases of PACU care used to describe? not describe?
are levels of care, not physical location.
What are factors that determine the level of patient care in the PACU?
- type of surgery
- length of surgery
- type of anesthesia
- comorbid conditions
- anticipated post-anesthesia requirements
What is post anesthesia phase 1?
the post anesthesia phase 1 requires constant vigilance and life-sustaining care
What is post anesthesia phase 2?
a period of care that focuses on in-home care
What is post anesthesia extended care?
care for the patient requiring continued observation or intervention.
What is the nurses role PACU phase 1?
- patient assessment and care implementation int he immediate post anesthesia period
- preparations for the patient’s transition to the phase II care, the ICU, an inpatient setting, or extended care
What kind of experience does a PACU nurse typically have?
critical care experience or ED experience
What kind of certifications does a PACU nurse typically have?
ACLS and PALS
What must the PACU nurse have knowledge of?
will have knowledge of the care necessary for the patient who has received general, regional, and/or local anesthesia
What two other pieces of knowledge is required for the PACU RN?
- age-specific care knowledge
2. how to care for a patient requiring cardiac and respiratory support
What is constantly required by the PACU RN?
constant assessment of the post patient is required to ascertain changes in the patient’s condition and respond appropriately to those changes
What is a key component of the handover report?
completing urgent tasks before doing handoff