| CRITERIA |
SCORE |
|
|
| EXPERIENCE |
| Admission to PACU |
|
| Physical Assessment of Body Systems |
|
| Pulmonary/Abnormal Breathing |
|
| Perform Suctioning |
|
| O2 Administration |
|
| Care of patient with Chest Tube |
|
| Postoperative Patient Care |
|
| Care of Patient with Tubes/Drains |
|
| Cardiovascular |
|
| Operate & Monitor Unit Equipment |
|
| Anesthesia Equipment |
|
| CHARTING |
| Computer |
|
| DARE |
|
| APIE |
|
| SOAPIE |
|
| FOCUS |
|
| Discharge Planning |
|
| Utilization Review |
|
| Chart Review/Audit |
|
| ADMISSION TO PACU |
| Initial assessment |
|
| Airway management |
|
| Proper positioning |
|
| Vital signs |
|
| Skin color, temperature, turgor |
|
| Neurological status |
|
| PHYSICAL ASSESSMENT OF BODY SYSTEMS |
| Respiratory |
|
| Cardiovascular |
|
| Neurological |
|
| Gastrointestinal |
|
| Integumentary |
|
| MONITOR RECOVERY OF PATIENT FROM |
| General anesthesia |
|
| Regional anesthesia |
|
| Local anesthesia |
|
| PULMONARY |
| Auscultate breath sounds |
|
| Recognize abnormal breath sounds (eg.; Rates, rhonchi) |
|
| IMPLEMENT APPROPRIATE NURSING INTERVENTIONS FOR ABNORMAL BREATH SOUNDS |
| Reposition patient |
|
| Pulmonary toilet |
|
| Bronchodilators, diuretics |
|
| Suction, O2 |
|
| Airway insertion/management |
|
| RECOGNIZE ABNORMAL BREATHING |
| Assess respiratory rate, rhythm, depth, and symmetry |
|
| Labored, dyspneic |
|
| Obstructed |
|
| Laryngospasm |
|
| Insufficient reversal |
|
| PERFORM SUCTIONING |
| Oral |
|
| Nasal |
|
| Endotracheal |
|
| Tracheal |
|
| O2 AMINISTRATION |
| Face-trach mask |
|
| Nasal cannula |
|
| T-piece |
|
| ETT mechanical ventilator |
|
| CARE OF PATIENT WITH CHEST TUBE |
| Set up closed drainage system |
|
| Recognize air leak |
|
| Assess for subcutaneous emphysema | |
| Measure drainage |
|
| Troubleshoot problems |
|
| POST-OPERATIVE CARE FOR THE FOLLOWING |
| PATIENT POPULATIONS | |
| Thoracic surgery |
|
| Vascular surgery |
|
| Orthopedic surgery |
|
| Neurosurgery |
|
| Tonsillectomy/P.E. tubes |
|
| Major abdominal surgery |
|
| ENT surgery |
|
| Breast surgery |
|
| Genitourinary surgery | |
| Hypospadias |
|
| Circumcision |
|
| Gynecological surgery |
|
| Post-angiogram |
|
| Liver biopsy |
|
| Eye surgery |
|
| Cardiac surgery |
|
| CARE OF PATIENT WITH TUBES/DRAINS |
| Penrose drain | |
| Salem |
|
| Sump |
|
| Davol | |
| Colostomy |
|
| Jejunostomy |
|
| Ileoostomy | |
| Jackson Pratt |
|
| T-Tube |
|
| Foley Catheter | |
| Urethral |
|
| Suprapubic |
|
| Cystotomy |
|
| NG Tube |
|
| CARDIOVASCULAR |
| Placement and care of a patient on cardiac monitor |
|
| Arrhythmia analysis |
|
| Cardioversion and defibrillation |
|
| Assist with insertion of a temporary pacemaker |
|
| Care of patient with a permanent or temporary Pacemaker |
|
| Use of non-invasive temporary pacing equipment |
|
| Care of the patient with intravascular hemodynamic |
|
| Monitoring equipment | |
| Pulmonary artery catheters |
|
| Arterial catheters |
|
| Swan-Ganz catheters |
|
| Central venous catheters |
|
| Subclavian lines |
|
| Epidural catheters |
|
| Hemodynamic monitoring | |
| Equipment maintenance |
|
| Dressing changes |
|
| Prevention of complications |
|
| Leveling waveform analysis |
|
| Obtain and interpret | |
| Cardiac output |
|
| PA Pressure |
|
| PCWP |
|
| CVP |
|
| LAP |
|
| Identify usual dosage, actions and side effects for | |
| Antiarrhythmics |
|
| Ionotropes |
|
| Vasopressors |
|
| Vasodilators |
|
| Reversal Agents |
|
| Muscle relaxants |
|
| Beta-blocker |
|
| Calcium channel blockers |
|
| Inhalation agents |
|
| Calculate infusion rates in dosages ordered |
|
| Interpret blood lab values for | |
| Electrolyte inbalances/ABG's |
|
| OPERATE AND MONITOR UNIT EQUIPMENT |
| Portable suction machine |
|
| Transport monitor |
|
| Automatic BP monitor |
|
| Blanket warmer/Bair Hugger |
|
| Sequential compression device |
|
| Pulse oximeter |
|
| Pee Wee weighing scale |
|
| Hyper/hypothermia blanket |
|
| Blood warmer |
|
| PACU stretcher |
|
| IV pumps |
|
| Invasive pressure monitors |
|
| Implements physician orders |
|
| Collaborate with surgeon, anesthesiologist with regard to patient care |
|
| Utilizes appropriate infection control measures |
|
| Practice universal precautions |
|
| Document interventions, outcomes, lab studies |
|
| MD notifications and follow-up care |
|
| Perform a discharge physical assessment | |
| Level of consciousness |
|
| Pupillary reactions | |
| Motor and sensory function |
|
| Muscular strength (eg. Hand grasps, head lift) |
|
| ANESTHESIA EQUIPMENT |
| Blood Warmer |
|
| BP Monitor |
|
| Dinamap |
|
| Omeda |
|
| Defibrillator |
|
| EKG Monitor |
|
| SAO2 Monitor |
|
| Nitrogen Controls | |
| Tanks |
|
| Wall Units |
|
| Thermia blankets |
|