Post procedure vitals

[roseynurse345]

Hi everyone! I am helping to set up procedure and policy for my facility. I work at an outpatient MDs office that only does EGDs and Colonoscopies, this office is under the auspices of a major medical center. How long do you document vital signs post procedure, generally how long do you keep the patient? 99% patients are receiving Propofol.

Thanks!

[nurselana22]

I came to this site to ask the same thing??

Any response??

[endo2006]

In our endoscopy dept, we recover pts than have recieved propofol from anesthesiologists. Our policy: vitals every 5 minutes times 3. Then every 15minutes until discharge criteria is met. (same protocal after conscious sedation).

[amandaxyo, BSN, MSN, RN]

On 7/12/2020 at 12:34 PM, roseynurse345 said:

Hi everyone! I am helping to set up procedure and policy for my facility. I work at an outpatient MDs office that only does EGDs and Colonoscopies, this office is under the auspices of a major medical center. How long do you document vital signs post procedure, generally how long do you keep the patient? 99% patients are receiving Propofol.

Thanks!

I do outpatient GI (endos and colonoscopies) post-procedure in an office. We do VS every 5 mins for 4 times is the minimum. So a minimum of 20 mins after the procedure before they be discharged. By that 4th VS, pts are normally awake and we give them something to drink. However, its longer for a pt having a more difficult time waking up or things may change if there’s issues.

[chare]

For discharge to home:

1. Alert and oriented, or return to baseline mental status if not alert oriented pre-procedure.
2. Return to baseline SpO2 for 5 minutes off of oxygen, or at home oxygen settings.
3. Aldrete score => 8, or baseline of >8 pre-procedure.

[Chickenlady]

VS every 5 minutes (minimum of 15 minutes total) then as needed until they meet discharge criteria. Also use alderete score.

[mvnRN, BSN, RN]

For our outpatients receiving propofol they get one initial set of vitals and a second set in 15 minutes. If VSS they dc home. Most spend 20ish minutes in recovery. 

[roseynurse345]

Thank you everyone for responding to my post. This was very helpful.

[NickiLaughs, ADN, BSN, RN]

We use fentanyl/versed/Benadryl.  Our discharge time is 30 min from last dose and 15 min from scope out.  I do VS every 5 min during the procedure or when a med dose is given.  Then post procedure we do VS in scope out, 5 min after and then 10 min after that (discharge).