Published Jun 2, 2014
Irishlassi
1 Post
Does anyone have a PACU flowsheet for a office-based surgery suite or any PACU flowsheet for that matter that they would be willing to share? It's a real pain in the but to build one from scratch.
Thanks,
T.
pacuskier
4 Posts
I'll keep trying to figure out how to attach.
Surgeon: OR Nurse: Anesthesiologist:
Procedure: Type: Spinal:
Pre-op vitals: Allergies: Reversals: Block:
[TABLE=width: 100%]
[TR]
[TD]Meds Given
Fentanyl Dilaudid Tylenol Toradol Prometh
[/TD]
[/TR]
[/TABLE]
History: ABX: EBL:
1st Temp Resp Rhythm Strip
1st Head to Toe and Focused Assessment
Patient on Board / Admit note / VS / Pains and Passes / I & O / SCIP / Care plan / Education / Belongings
[TD]IV sites Fluid In
Dressings Urine
Drains Spinal Level
Foley PCA/Epi/Q-ball
Floor RN: Room:
Last Temp
Handover note / Acuity / Transport / Verify
IN_______________ OUT_______________
Last Temp Floor RN: Room:
Fluid In: Urine out: Spinal Level:
Irishlassi,
This is close, it was rearranged but the basic information is there. In the heading I have the basic routine for all patients, releasing orders, ordering the bed, calling the floor, checking labs, allergies, hooking them up to the BDI etc. (assuming I have time!!) I made a box for the most commons meds I give. I find this is the information most floor nurses like to have. In my hospital the drugs anesthesiology administer do not show up on the MAR so I am careful to let the floor nurses know if IV Tylenol or tordol was given in surgery and at what time.
I hope you find this useful.