Well this is a new concept for me, this PACU RNs holding and pre-anesthesia assessment. On off hours the hospital I used to work in had the OR RN call for patient when Anesthesia got there, the OR RN does not read monitors or start IV and does not give meds, other then handing them to Anesthesia. He/She however does the appropriate Nursing assessment
and check list and get report from floor RN. PACU is called in one hour before case ends for recovery. Now, where I work holding RNs are part of PACU, but do not work weekends or off hours. We have PACU phase I staff on Saturday day shift, so they pre-op. On off hours my Nurse manager does not want PACU to be called in to pre-op, sit around for case to end and then recover. Too much call pay to lay out, so on off hours, OR has the pre -op responsiblity, but Anesthesia is there to do IV, pre-med, and monitor. I don't think OR RNs need to have the IV skills, or monitor skills. I certainly can not do their job with out years of training, they are a different specialty. But pre-op Nursing paper work is responsiblity of all RNs, and getting a comprehensive report from unit is also an RN responsiblity, we as PACU get the patient next and who knows if that floor nurse has gone home, so I need an accurate, pertinent report , that is where OR RNs need tobe compentant on, in addition to their OR skills.