the perianesthesia care pathway - opana
Post on 16-Oct-2021
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The PeriAnesthesia Care Pathway
Post Anesthesia Monitoring &
Nursing Documentation:
A Comprehensive Transfer Of Accountability
Special Thanks:
We would like to acknowledge the many hours of collaboration put forth by: Sirkka Roman-Fanon, RN, Margaret D’Addamio, RN, Deborah Mulgrave,
RN
Panel: Carol Deriet, Lynn Haslam, Ramona Hackett
Background
• Secondary to a number of post operative adverse events and near misses Sunnybrook nursing representatives formed a Post Operative Monitoring Committee.
• It was recognized that previous nursing documents required improvement.
• The committee reviewed post operative monitoring guidelines by conducting a literature search, and examining current nursing documentation and communication processes.
• The committee‘s goal was to ensure that the most recent guidelines and validated assessment tools were being utilized.
Also incorporated into the PACU Phase 1 documentation: Intake & Output Medication Record Transfer of Accountability sign off Shared space for narrative notes
Post operative Monitoring
If, after troubleshooting the patient still has respiratory issues, escalate care to appropriate person
Remember, high risk patients have probable sleep apnea! Even when VS are q4h, it is important to continue monitoring their respiratory pattern and quality at more regular intervals. These patients have had anesthesia and analgesia!
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