discharge criteria from phase 1 pacu with spinal anesthesia


I am looking for information from various sources on what you use for your discharge criteria from phase 1 of pacu for patients that have received spinal anesthesia in joint replacement surgery. Do you only need regression of spinal or do you require movement as well....and if so, to what degree?

The PACU where I used to work (left a year ago) said that they had to be down to a T10 for sharp tactile sensation as the only hard stop to move out of Phase 1; most people could at least wiggle toes from there. The exception was if they also got a local block that would further impede movement of that limb. Ergo, T10 was the requirement, where as toe movement was just a preference. Hope that helps.