Ok.... So nearly ALL our patients scheduled today came out in a three hour time span, like stacks of three at a time, killing us. At one point we are out of PACU bays, putting people on the edges with transport monitors. THEN we send total joints over to inhouse holding. THEN three more come out with an ICU at the end, all angry we have no where to put them and crazy impatient as we scramble to put them places.
One of our nurses is a long time PACU nurse with experience in other hospitals and said several places she worked the OR had to call and see if they could come out, and had to actually HOLD patients in the OR until their bay was available. Our OR chugs along completely unconscious of our capacity or resources, and we are all getting a bit worried about missing something, or not giving people enough attention.
Whats up in your PACUs?
Our OR's are required to call prior to coming to PACU. Plus we follow ASPAN standards. If there is not a bay available we will call them back as soon as one becomes clear. If there is not an RN available the CRNA can bring the pt out, but she remains the primary caregiver, monitoriing,medicating, and documenting care until someone is free, however long that may be. This has become more prominent with the rush to for the OR to reach turn over times to save money, while for our unit we are down 4 RN's.
Last edit by pacu72 on Apr 30, '11
: Reason: misspelling