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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > January, 2007 Vol. VIII, No. 1

9 PACU Pick-me-ups

How to get your patients on their feet and on their way home sooner.

Elizabeth Edel, RN, MN, CNOR, CNS, and John Frenzel, MD, MS

Your post-anesthesia care unit - the last link in the patient care chain - can quite literally represent the bottom line in the surgical process as well as your schedule and budget. At our six-OR, multispecialty ambulatory surgical center, we've found that even seemingly small improvements can make a big difference in getting patients comfortable, on their feet and on their way home sooner. In this article, we've compiled some of the steps we've incorporated into this routine. Each step is common sense advice, of course, but taken together they boost PACU results, prevent bottlenecks from forming in your ORs and keep patients satisfied.

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Categories: Anesthesia, Peak Efficiency, Patient Management
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1 Infuse your staff with a sense of ownership; 2 Appoint a PACU medical director; 3 Use short-acting anesthetics; 4 Decrease nauseated patients; 5 Maximize your space efficiencies; 6 Invite relatives to bedside; 7 Keep nurses at bedside; 8 Free up PACU beds by jockeying patients; 9 Ask your staff how to do it better; Until our better is best; Achieving; Afterward; Anesthesia; Appoint; Based; Center; Decrease; Excellence. Achieving; Free; Infuse; Invite; Involving; Maximize; ORs; Observing; PACU; PACU QI; PACU's; PONV; Providers; QA; QI; Working; acts; addition; address; adequately; administeri... show all keywords
1 Infuse your staff with a sense of ownership; 2 Appoint a PACU medical director; 3 Use short-acting anesthetics; 4 Decrease nauseated patients; 5 Maximize your space efficiencies; 6 Invite relatives to bedside; 7 Keep nurses at bedside; 8 Free up PACU beds by jockeying patients; 9 Ask your staff how to do it better; Until our better is best; Achieving; Afterward; Anesthesia; Appoint; Based; Center; Decrease; Excellence. Achieving; Free; Infuse; Invite; Involving; Maximize; ORs; Observing; PACU; PACU QI; PACU's; PONV; Providers; QA; QI; Working; acts; addition; address; adequately; administering; advantage; affix; ambulatory; analysis; anesthesia; anesthesiologist; anesthesiologists; anesthetic; arrival; arrive; asked; aspect; assigned; assignment; assigns; averaged; axillary; basis; bed; big; billed; block; blood; board; boost; booting; bottlenecks; bottom; breast; busiest; busy; call; capacity; card; care; center; chain; chair; changed; checks; choice; choose; collaborated; collaborative; common; compiled; comprehensive; concerned; consistent; contact; conversing; create; creating; cross-training; daily; data; days; decisions; decreased; delays; delivered; demonstrates; department; depend; details; develop; dialogue; dictate; difference; director; discharge; dissection; drugs; effective; efficiency; electronic; embrace; emergence; employees; empower; encourage; end; enthusiastic; entire; environment; equipment; escort; event; eventual; expedite; expenses; facility; factors; falls; family; feet; felt; fill; flexibility; floor; focus; follow-up; form; forming; fostered; found; free; front; general; give; goal; hand; handoff; hold; home; hours; ideas; identified; immense; impacts; important; improved; improvement; improvements; improving; incidence; include; incorporated; index; individuals; information; integral; intense; invite; issues; items; jockeying; key; label; lacking; lead; leader; leadership; leave; level; leverage; line; link; literally; longer; lymph; made; make; mastectomy; maximize; means; measured; medical; medication; member; minimize; morning; motivates; move; multispecialty; nausea; nauseated; necessities; needed; node; number; nurse; nursing; nutrition; observation; occupancy; occur; offers; ongoing; opened; openly; opportunity; option; order; other's; outcomes; outpatient; overnight; overseeing; overwhelmingly; ownership; pain; pain-free; paravertebral; part; participation; patient; patients; percent; performed; person; personnel; phase-two; phone; physician; planned; planning; position; positive; post-anesthesia; post-op; potential; practice; pre-emptive; pre-op; precise; pressure; prevent; prevention; prevents; problem; process; processes; provide; providers; pushing; quality; quickly; rate; reason; recalling; recognized; reconstruction; recovery; reduce; regional; regretted; relationship; relatives; relief; remain; represent; require; resource; responds; response; responsible; resulting; results; risk; rotating; routine; satisfaction; schedule; scheduled; scores; seamless; seemingly; sense; serve; serving; set; share; short; short-acting; significantly; situations; slightly; small; sooner; sounding; space; speak; specialized; spend; stabilized; staff; staffed; staffing; standard; standardization; standardized; stay; step; studied; success; successful; suggest; support; surgeon's; surgery; surgical; talk; task; teaching; team; three-by-five-inch; time; times; transport; transportation; treatment; turn; type; uncover; undergo; undergoing; understand; understanding; unexpected; unit; vacancy; valuable; variability; verbal; wait; waiting; wake; walking; wasted; ways; wheelchair; work; workflow; working; write

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