Post Operative Nursing

Question 1

Transfer to PACU

Answer 1

• When moving from the OR table rapid movements are avoided
• Side rails are up and warm blankets are placed
• Patients airway is ensured
• Immediate notification of family
• Patient placed in lateral/Sims position to prevent aspiration with tongue
• Code cart within reach

Question 2

Post operative period

Answer 2

• Initial: the initial phase of recovery in PACU, from OR to PACU
• POD1 also known as PACU first day post op: time of discharge from PACU to first day after surgery
• Post operative phase: terminal from time of discharge to healing

Question 3

PACU Assessment

Answer 3

ABC’s

A- Airway
B- Breathing
C- Circulation

Other assessments include:
Loss of consciousness, muscle strength, following commands, IV infusions, drains and tubes, dressings (skin color/temperature/bruising/redness)

Question 4

Discharge criteria from PACU

Answer 4

Patient has to meet an acceptable discharge score from the Aldrete discharge scoring criteria

• this includes activity,respiration,circulation, consciousness, skin color
• O2 sat above 92
• 20 +/— in preop BP
• Minimal temperature of 96.8°F

Question 5

Incisional assessment

Answer 5

• Do not change the first stressing
• To assess drainage Mark with a circle and include the date, time and discharge noted
• Document discharge as scant, moderate or large

Question 6

Post-Op pain management

Answer 6

Assess for pain every 4 to 8 hours