Transport to PACU

Specialties PACU

Published

  • by elcue
    Specializes in OR, transplants,GYN oncology.

You are reading page 2 of Transport to PACU

RNOTODAY, BSN, RN

1,116 Posts

Specializes in NICU, ER, OR.
Whoever's in the room does the turnovers.

Meaning, the circulator and the scrub nurse????:uhoh21:

elcue

164 Posts

Specializes in OR, transplants,GYN oncology.

Thankyou all for your input. Keep 'em coming! I intend to present all of this, pro and con, to our nursing clinical director. Linda

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
Meaning, the circulator and the scrub nurse????:uhoh21:

Circulator, scrub nurses, transporters, housekeepers, whoever is in the room. It's a team effort.

RNOTODAY, BSN, RN

1,116 Posts

Specializes in NICU, ER, OR.
Circulator, scrub nurses, transporters, housekeepers, whoever is in the room. It's a team effort.

oh, ok marie, I thought you were saying you had NO housekeeping or other ancillary help, etc, that it was just the surgical team in the room that did turnovers!!!! (minus surgeons of course):rolleyes:

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
oh, ok marie, I thought you were saying you had NO housekeeping or other ancillary help, etc, that it was just the surgical team in the room that did turnovers!!!! (minus surgeons of course):rolleyes:

We have two surgeons that will pitch in and mop the floor before they go dictate. They are also two of the most respected docs we have, since they pitch in whenever they can.

heartICU

462 Posts

So what does the nurse-to-nurse report include? Just curious. We (meaning anesthesia) take the patient to PACU - the OR nurse doesn't go. They are usually finishing with the instruments, etc.

CuttingEdgeRN

164 Posts

Specializes in ICU, Surgery.
So what does the nurse-to-nurse report include? Just curious. We (meaning anesthesia) take the patient to PACU - the OR nurse doesn't go. They are usually finishing with the instruments, etc.

Depends on who your anesthesia provider was! CRNAs usually give an awesome report. Ologists mostly just silently wait on vital signs. My report is more a "nursing" inspired report while anesthesias report is "medical". They tell medications and fluid amt given, what BP and SAT parameters ran..... We (RN's) tell procedure, allergys, relevent medical Hx, urine output, drains, what family is available, any unusual pre-op situations (bruises, loose teeth, rashes...)

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

Our ologists give a very good report, that pretty much mirrors the circulator's.

heartICU

462 Posts

I am sure I will probably get flamed for this, but I don't see why reason why the anesthesia provider can't give the complete report. I am sure it would work either way, but to give two reports seems like a duplication of effort.

As long as you have one person able to resuscitate the patient (and by resuscitate, I mean manage an airway, as that is usually what immediate postop arrests are from) then I don't see an issue with using anesthesia plus a transporter to take the patient to PACU. Plus, if the RN stays in the room, and works to turn it over, they can also open the next patient's sterile packs, etc.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
I am sure I will probably get flamed for this, but I don't see why reason why the anesthesia provider can't give the complete report. I am sure it would work either way, but to give two reports seems like a duplication of effort.

That's actually the reason we do it that way, to avoid 'missing' something.

CuttingEdgeRN

164 Posts

Specializes in ICU, Surgery.

I suppose it would work either way. Guess it doesn't take an RN to steer the stretcher. Seems most anesthesia providers never pay attention to where or even if a drain is placed and usually has to copy the procedure and post op diagnosis from the circulators record . I guess the PACU nurse could also read it from there. They also have no idea where or even if the family is available. We do have PCT's that can open the sterile packs and basics. Makes you wonder why there is even an RN in the OR at all doesn't it? ;)

elcue

164 Posts

Specializes in OR, transplants,GYN oncology.

My argument is always that No, it doesn't take an RN to open sterile packs or steer the stretcher. And those are not the reasons we have RNs in the OR.

But it does take an RN to assess the patient - and family - preoperatively, and the patient in an ongoing manner. And it takes an RN to commmunicate this assessment to the RN in the PACU. There are things about the procedure, such as drains and local; things about the patient, such as preexisting discomforts or concerns; things about the family, especially their expectations and location that are not always passed on by the anesthesiologist, but that most nurses will make a point to communicate.

I appreciate the feedback you have all provided and will continue to collect your comments.

Thanks

Linda

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