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Can anyone tell me if there are places where a tranport team transports pediatric patients post op without an RN? I am talking floor level of care or same day surgery patients from PACU to their respective areas for further care or discharge. Do you have an age cut off? For example.. an RN goes if they are younger than 5 or something?

I believe ASPAN standards have changed and there is to be 2 RN's in PACU. WE had had to change our staffing model over the past year because WE always had one RN also!

Dermatones. T4 nipples, T10 belly button. GUESTIMATE in between those..

We never use these. I didn't even know they still made them! We use the green foam swabs and dip them in H2O. If they are awake enough we use ice chips.

You will feel a bit out of it because the skills are different in some ways. Believe me, a few months from now you will wonder why you worked ICU as long as you did. Give it time, you will fit in.

Sleep with the rest, wake up with the best! yes. we used this.

This happens where I work too. We have BOARDERS several days a week. and they are expanding to give us more capacity. Including a section of "swing beds" to be used for 23 hour stays!! We are open 24-7 and have hired weekend staff. I love it when I hear patients say that the surgeon told them this RARELY happens or the surgeon "promised" to reserve them a bed. Our biggest problem is surgeons are not held accountable for DISCHARGING by a certain time of day. Discharges sit in house waiting to be discharged, until their surgeon is finished in the OR or between cases. Then you get a VIP amazing how fast we can find THEM a room!

Our PACU is adults, peds, NICU, SICU, out patient , transplants etc. Sure many are stable but people crash too. The constant change is great. No one wakes up the same way. You never know what you will roll through that door. You have to know something about every thing. Plus CALL on a weekend beats working EVERY OTHER weekend or every THIRD weekend. We only take 2 holiday calls a year too. I worked the floor for years and went to IMC and ICU prior to PACU. love the change every day. You don't have the same patient with the same issues EVERY SINGLE DAY for the entire time they are in the hospital. You don't go to work dreading that you will get MR. So & So that was screaming at you the day before. Some of us like I job where you anticipate what is happening and AVOID the crashes! Nursing isn't about a crisis everyday. Hats off to your PACU if you never see anything happen.

I think over the years, at least as I see it, PACu has become a "catch all". We discharge to home on any given day and especially on weekends. Why would discharging to home be any different then another department doing it? You keep them until they meet your discharge criteria for PACU II and send them on their way. This is not any different then another unit doing it, use that criteria. As you get more comfortable it ends up saving time not to mention space. It can be a pain, anything new is, but this is going on everywhere!

i would like to know if there are hospitals that RN's do not transport. PEds patients.

Our PACU has patients over night. Every night. Anywhere from 2 to 8! We wish we had a BOARDER unit! It is impossible to provide for the needs of these parked patients in addition to immediate post ops. I would like to know how you handle ratios in these cases? We have both adults and peds and any level of care! ICU to floor. We staff nights and weekends.

It is Called PATIENT CONTROLLED for a reason. No NO ONE should ever press that button!

we always start them in PACU too. I have an issue with RN's always having to transport these patients. If they are double checked before they leave PACU. don't see the sense in it.

Does an RN ALWAYS have to transport a patient receiving a cont. epidural, PCA, or regional block