Pacu checklist 2025

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Airway management Maintaining a patent airway is a top priority in the PACU. Patients recovering from anesthesia may have compromised airway reflexes, increasing the risk of airway obstruction.
The clinical priorities in the PACU are to ensure patient safety, stabilize vital signs, manage pain, and treat any complications resulting from anesthesia or surgical procedures.
Yes, PACU is less stressful than ICU because the patients are less critical than those in ICU. PACU focuses on stabilizing the patient after anesthesia and managing their symptoms.
Postoperative care promotes the clients recovery after surgery by managing pain, supporting oxygenation and cardiovascular stability, maintaining fluid balance, providing wound care, monitoring function, assisting with mobility, and preventing complications.
Pain assessments in the post-anesthesia care unit (PACU) are crucial to recovery, the discharge process, patient outcomes, length of stay, and readmission rates. It is one of the main responsibilities of PACU nurses to adequately assess and treat pain when patients are in phase one and two of recovery after surgery.
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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).
Once care is accepted in the PACU the initial assessment should include: Physical Assessment. Airway, Breathing, Circulation Disability Assessment (RCH Nursing Guideline: Nursing Assessment) Baseline Observations including, RR, Respiratory effort, SpO2, HR, BP and Temperature.
The primary purpose of the PACU is to ensure a smooth transition from anesthesia-induced unconsciousness back to consciousness and to monitor the patients vital signs and overall well-being during the recovery period.

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