SAQ#7

HOW DOES THE TEAM CARE FOR THE CLIENT FOLLOWING THE PROCEDURE? GREEN, HIGH
Summary of Related Standard(s) 9.1 One or more designated team members observe the client during the transfer from the operating room to the Post-Anesthesia Care Unit (PACU).9.2 the team continues to monitor and provide bedside care to clients as they recover from anaesthetic.9.3 the team applies standardized criteria when determining whether a client is fit for discharge

Process Currently in Place - Evidence of Current Status
• Anesthesiologist and OR nurse transfer patient from the OR to PACU and report is received from Anesthesiologist
• PACU staff have critical care training and in-depth orientation to the PACU patient
• A new handover tool provides a concise and comprehensive report about the client’s surgical journey. This includes PAC/SDS med-surg history, operation and highlights and a PACU report to phase 2 recovery areas
• Verbal report PRN
• Opthalmology patients return direct to SDS post-op, if there are concerns, report is given by Anesthesia Assistant or the OR nurse.
• Emergency and crash cart available
• PACU staffed 1:2 nurse: patient ration unless patient requirement dictates otherwise ie: critical care vented pt, isolated patient
• SDS staffed 1:3-5 nurse: patient ratio as per OPANA guidelines
• Aldrete scoring system is utilized and part of the PACU discharge policy
• PADDS scoring system is part of the SDS policy
• Pain number scoring system is used throughout PeriAnesthesia departments
• PONV reported in documentation and on Handover. Pain flow sheet has an algorithm in dealing with this issue for patients on PCA/Epidural infusions

Improvement Strategy / Action Plan
Nov 2009-June 2010
1. Ophthalmology task force
2. Develop care pathways for SDS and SSSU for newer procedures