PACU to Floor Transport

  1. 0
    What is your medical facilities policy in the following situation?

    1. Who transports Phase I PACU patients from PACU to Phase 2 recovery in areas such as OPS or the ER/Floor after hours? RNs only, Transports, CNAs?

    Thanks for your input in advance!

    Michele Vietz, RN
    Surgical Services Clinical Information Coordinator
    St. Alexius Medical Center
    701.530.5151
    mvietz@primecare.org

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  2. 7 Comments so far...

  3. 0
    Originally posted by Veetzy:
    What is your medical facilities policy in the following situation?

    1. Who transports Phase I PACU patients from PACU to Phase 2 recovery in areas such as OPS or the ER/Floor after hours? RNs only, Transports, CNAs?

    Thanks for your input in advance!

    Michele Vietz, RN
    Surgical Services Clinical Information Coordinator
    St. Alexius Medical Center
    701.530.5151
    mvietz@primecare.org

  4. 0
    Originally posted by Veetzy:
    What is your medical facilities policy in the following situation?

    1. Who transports Phase I PACU patients from PACU to Phase 2 recovery in areas such as OPS or the ER/Floor after hours? RNs only, Transports, CNAs?
    My PACU's policy is that the RN transports the patients to the floor with a PCA and the RN transports their patient to Phase 2. We are staffed 24 hours a day. We don't have PCA's that work the night shift and we use the OR PCA or the RN's transport themselves

    Thanks for your input in advance!

    Michele Vietz, RN
    Surgical Services Clinical Information Coordinator
    St. Alexius Medical Center
    701.530.5151
    mvietz@primecare.org

  5. 0
    Michelle: I work in a busy County facility with 12 OR's and 400 bed capacity. We average 25-40 cases per day and I utilize 6 RN's and a very busy unit secretary/transporter. In our facility, if the patient is an ICU patient or Step-Down ICU patient, they MUST go with a rgistered nurse. If the patient is on any drips or in a monitored bed, an RN must go. Now, if the patient is a floor patient, stable with baseline vitals signs then the transporter can take him alone to his floor. We do not have a Phase I to Phase II recovery system (due to our current staffing shortage). I hope this helps in your research!
  6. 0
    We transport with a member of anesthesia, if there is one around, and a RN
  7. 0
    We transport based on ASA Class. If the patient was ASA class 1 or 2, then a CNA can transport. ASA 3--RN discrection. ASA 4 --RN must go. But as you are asking about after hours...in our unit that means an RN and CNA. The CNA can do it herself, but it goes more quickly if two go. RN on weekends when CNA is off. We utilize hospital transport (escort) only as a last resort.

    C
  8. 0
    If the pt. had MAC or general, they are transported by an RN. If they were IV Conscious (our IVC don't come to phase I PACU) they are returned by a transport aide.
  9. 0
    At our facility, whoever can, does. We recently let our help go (budget cuts), so if we need help transporting a pt, we get our own help. Only if there is tele, or a cardiac drip do we require an RN.


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