Standing Anesthesia Orders - PACU 2025

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Phase I emphasizes ensuring the patients full recovery from anesthesia and return of vital signs to near baseline. Phase II recovery focuses on preparing patients for hospital discharge, including education regarding the surgeons postoperative instructions and any prescribed discharge medications.
The PACU is a critical care unit where the patients vital signs are closely observed, pain management begins, and fluids are given. The nursing staff is skilled in recognizing and managing problems in patients after receiving anesthesia. The PACU is under the direction of the Department of Anesthesiology.
The recovery from major surgery can be divided into three phases: (1) an immediate, or post anesthetic, phase; (2) an intermediate phase, encompassing the hospitalization period; and (3) a convalescent phase.
PACU stands for Post Anesthesia Care Unit. It is the unit where patients are temporarily admitted after any surgical; procedures. Itis a vital part of hospitals and other medical facilities.
Phase 3: Ongoing observation (if necessary) after phase 1 and 2 until the patient is fully recovered. This may be performed in a 24-hour unit or a hospital inpatient unit, and lasts until the patient is capable of their baseline level of self-care.
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Post-anesthesia care involves three phases for care (phase I, phase II and extended observation) that progress from a high-level of care involving continuous monitoring to a less frequent level of monitoring.
Phases of Postanesthesia Care The postanesthesia period may be separated into three levels of care: Phase I, Phase II, and Extended Care. 5 Each phase of recovery may occur in one PACU or in multiple locations, which may include the patients room (see Table 1).

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