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Interventions that might be adopted by PACU staff include oxygenation, ventilation, circulation and temperature checks; in addition pulse oximetry might be used during the initial phases of recovery (Tilton, 2003). To further ensure client safety PACU staff will manage the patient's airway and provide oxygen, and record vital signs for communication of overall patient condition to the anesthesiologist (Tilton, 2003).
Other monitoring that might be conducted may include cardiac rhythms and blood pressure (Tilton, 2003). The utilization of such monitoring equipment and procedures will depend on the patient's health both pre and post operative, and the type of procedure the patient has undergone that facilitated use of anesthesia.
Procedures necessary to ensure asepsis include utilization of sterile equipment within the sterile field, which consists primarily of the patient and the surrounding table and equipment (Operating, n.d; Courtenay, 2000). In addition nurses are required to keep hands gloved and should be in a gown, which is only sterile from the level of the chest to the level of the patient (Operating, n.d.).
To maintain a sterile environment,...
At no time should PACU staff engage in any activity that would compromise the safety and sterility of the patient.
References
Courtenay, M. (2000). Advanced nursing skills: Principles and practice. London:
London Greenwich Medical Limited.
Evans, T. "Origin of the Word Anesthesia." Anesthesia Nursing and Medicine. December 17, 2001. Retrieved February 15, 2005:
http://www.anesthesia-nursing.com/anesth.html.
http://www.utmb.edu/surgery/clerks/ormanual.htm
http://www.nursingceu.com/NCEU/courses/pacc
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