ECT PACU to PACU in hospital

Register Today!
  1. This is a discussion on ECT PACU to PACU in hospital in PACU Nursing, part of Nursing Specialties ... Has anyone worked a PACU setting in ECT and then went to a medical hospital and done PACU nursing?...

    Has anyone worked a PACU setting in ECT and then went to a medical hospital and done PACU nursing? Do you think it's harder in a medical hospital versus PACU in an ECT clinic? Would I adjust well? Thanks for the input.
    Read Online


    Print and share with friends and family.
    Compliments of allnurses.com.
    http://allnurses.com/showthread.php?t=797629

  2. 5 Comments so far...

  3. Recovering ECT patients is going to be very different than working in a PACU in a hospital setting. Things you will see include: etts, nurse driven extubation, ventilators, a-lines, swan-ganz, periph nerve block catheters, continuous bladder irrigations, epidural and intrathecal medications.

    Typical drugs you'll see: Phenylephrine, dopamine, nitroglycerine, nipride, Albumin, Hespan, metoprolol, labetalol, hydralazine, morphine, fentanyl, demerol, dilaudid, lasix, albuterol, racemic epi, narcan, neostigmine, robinul, succinylcholine, rocuronium, propofol, remifentanyl, versed, etc.

    Inpatient pacu usually involves nurses extubating patients and pulling LMAs (depending on facility), ventilators, frequent hypotension and hypertension that require drips, transfusion of blood products, etc.

    Inpatient PACUs are often like short-stay ICUs!
  4. meandragonbrett's description of an acute care, major surgery, major trauma, hospital's PACU is very accurate.

    However I don't want the description to completely scare you or any other nurse away from PACU.

    There are intermediate level of care hospitals that don't schedule or do major surgeries. If these intermediate level hospitals have doctors on duty, emergency rooms, and OR staff, they may receive and stabilize critically ill patients. Then those patients would be transferred to a higher level of care facility.

    I don't know what type of care patients require s/p ECT, so I really can't answer your question. If you are thinking of applying just go for it. All they can do is say no thanks.
    Topaz7 likes this.
  5. Ok thank you both for responding, sorry it took me so long to reply! I was definitely intimidated with meanddragon's description lol. We typically use labetalol, esmalol, metoprolol, ativan, haldol, benadryl, hydralazine, succinylcholine, etomidate, brevitol, zyprexa, zofran, , emergency meds (atropine, lidocaine, sodium bicarb, and epinephrine) and toradol. As far as post ECT what we might see is LMA's, nasal/oral airways, a-fib or respiratory distress, frequent hypertension which we medicate usually with the labetalol. Medically we don't see a lot of what you described but we do frequently have agitated and combative patients post ECT which we have to medicate.
  6. Your PACU ECT recovery experience sounds more intense than my five years in an acute care (smaller) hospital PACU and my current ambulatory surgery PACU job.

    Did you apply? How did it go?
  7. Brown - I did not apply. I was curious how different it would be and if it would be difficult or something I might like to transition into once I get my ADN. Sounds less intimidating in a smaller hospital. Maybe that is something I'd be better at or who knows I might just do ok in a larger hospital as well. Guess time will tell

Online Readers: 1 (0 members & 1 guests)