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Elective Surgery Programme Implementation Support Guide

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APPENDIX 6 - Sample Post Anaesthesia Discharge Scoring System<br />

Vital Signs:<br />

Must be stable and<br />

consistent with age<br />

and pre-operative<br />

baseline<br />

Activity:<br />

Must be able to<br />

ambulate at pre-op<br />

level<br />

Nausea &<br />

Vomiting<br />

Should have<br />

minimal nausea &<br />

vomiting<br />

Pain<br />

Minimal or no pain<br />

Surgical Bleeding<br />

Should be<br />

consistent with<br />

expected blood<br />

loss for the<br />

procedure<br />

2. B/P and pulse<br />

within 20% of<br />

pre-operative<br />

baseline<br />

2. Steady gait, no<br />

dizziness<br />

1. B/P and pulse<br />

within 20-40% of<br />

pre-operative<br />

baseline.<br />

1. Requires<br />

assistance<br />

0. B/P and pulse<br />

within >40% of<br />

pre-operative<br />

baseline<br />

0. Unable to<br />

ambulate<br />

2. Minimal 1. Moderate 0. Severe<br />

2. - Level of pain<br />

should be<br />

acceptable to<br />

patient<br />

-Controlled by<br />

oral meds<br />

-Consistent with<br />

anticipated post<br />

op comfort<br />

2. Minimal (does<br />

not require<br />

dressing change)<br />

1. Moderate<br />

(up to 2 dressing<br />

changes required)<br />

0.<br />

Level of pain not<br />

acceptable<br />

>3 on pain score<br />

scale<br />

0. Severe more<br />

than 3 dressings<br />

required<br />

Patients must score 9 or >9 to be fit for discharge. If

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