We're trying to improve our flow of patients through PACU -apparently the average case is in and out of PACU in one hour -don't quite know how they compute this,keeping in mind the mixture of everything between sedation + nerve block outpatients to general anesthetic spine,etc cases. In any case,I hear that we are keeping pts longer and need to tighten things up.
One question we have is whether your PACU holds on to ready-for-discharge cases who are ready for discharge between 18:30 and 19:30 while the oncoming floor nurses get their report,like my unit does. They started this as a courtesy,now it is expected by the floors. We'd like to know how your unit deals with discharges this time of the evening.
While patient safety is paramount,we are told to keep in mind that PACU is like "fast food service and not fine dining" - which makes perfect sense to me.
What steps has your PACU put in place to improve the flow through the unit? Could you please indicate the size of your hospital and whether it is a Trauma 1 centre. Thanks!