Reply to WaynesvilleRN, We begin our discharge on admit, the patients are given their discharge criteria during the assessment and pre-op, that save valuable time, we also repeat verbally with family prior to d/c. The same 2 RNs work assessment, pre-op, recovery, and discharge. We have 2 procedure rooms. On admit, it takes 20 minutes to assess a patient, get a line, and apply the monitor. Discharge documentation begins in recovery, we now use fentanyl along with versed for sedation, and have found recovery times shorten, the patients leave the procedure rooms awake,alert, and comfortable. We are required to recover our patients back to VS baseline, the patient must be awake and alert, and able to assist with ADLs, and Aldrete score of 8 or above. Most of our patients are at this level when they leave the procedure rooms, so, our recovery and discharge is usually less than 30 minutes.