Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
PACU Nursing /

Spinal level for discharge to the floor?



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,787 members! Join today to network with other nurses, laugh, share, and much more.

Apr 16, 2009 11:12 AM

Spinal level for discharge to the floor?


What is the discharge criteria in your PACU for discharge to the floor (not home)?

Currently,our policy is muddied to say the least,with every anesthetist having a different opinion:

-some say spinal has to be completely gone,evidenced by pt's ability to flex knee and lift hips off bed.

-others say as long as there is evidence that spinal is moving down,as evidenced by changing dermatomes,and vital signs are stable,the pt may be discharged.

The problem is that we do see hypotensive events even after the first 30 minutes,(and even after spinal is L4 or 5). We're concerned about this happening on the ward,where busy nurses, with several pts, may not pick up on it for awhile.

What are your thoughts?
Thanks!


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
2 Comments
No. 1
from nickola
Old Apr 27, 2009, 04:18 PM

Default Re: Spinal level for discharge to the floor?
most of our MDAs are fine w/evidence of spinal moving down & our med-surg floor is used to receiving spinals & closely monitor their VS until spinal is worn off.
Top
 
No. 2
Old May 03, 2009, 10:35 AM

Default Re: Spinal level for discharge to the floor?
Two dermatone levels from initial assessment. They are all ready in a bed and are transferred to the floor. If they are SDS they must be able to stand to get into a wheelchair. They must void in SDS. I hope this helps
Top
 
Reply




Thread Tools


Who's Online
208 members
1,793 guests
2,001

0

James Woods, Actor Sues Hospital, Warwick, RI

0

16 fired for HIPAA Violations

6

Four Lehigh Valley Health Network nurses accused of...

48

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

7

The hard to reach on-call doctor, and its effects on...

12

Woman charged with passing off prescription drug as...

27

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

14

Possible breakthrough regarding MS






Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: