Anaesthetists Handbook - MEDICAL EDUCATION at University ...

PACUsuitable alternative accommodation for the patient on transfer fromthe unit.Inadequate ward staffing is not an indication for continued stay inPACU or stay in extended recovery beyond 24 hours, but whereappropriate a planned time for discharge will be accommodated. Thistime should be recorded at the time of booking.The nursing documentation will be completed by the PACU teamprior to transfer and will accompany the patient to the ward.The PACU practitioner will ensure that the patient and audit data isentered on the relevant database prior to transfer.Discharge from immediate postanaesthesia recovery to a wardDischarge criteria are:1. The patient is fully conscious without excessive stimulation, ableto maintain a clear airway and exhibits protective airwayreflexes.2. Respiration and oxygenation are satisfactory. Inspired oxygen isno more than 40% and S pO 2 > 95%.3. Cardiovascular support is no longer required. Thecardiovascular system is stable with no unexplained cardiacirregularity or persistent bleeding. The specific values of pulseand blood pressure should approximate to normal preoperativevalues or be at an acceptable level commensurate with theplanned postoperative care. Peripheral perfusion should beadequate.4. Pain and emesis should be controlled, and suitable analgesicand antiemetic regimens prescribed. The pain score should be 1or less.5. Temperature should be within acceptable limits. Patients shouldnot be returned to the ward if significant hypothermia is present(core temperature less than 35.5°C).54 Anaesthetists Handbook January 2010