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This assessment should include the intraoperative history and post-operative instructions, circulatory volume status, respiratory status and cognitive state. Common causes of confusion in the postoperative period include infection, hypoxia, sedatives and other medications such as anticholinergics [22].
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 patient's room (see Table 1).
Discharge/Transfer Criteria from PACU Protective reflexes are intact; airway is patent; respiratory function and oxygen saturation are stable. 2. Vital signs are stable, including temperature.
After you have been discharged from Post-Anaesthesia Care Unit, you will be transferred to the Day Surgery Unit/Phase II Recovery. The goal of this unit is to provide patient comfort in terms of pain and nausea control.
Monitoring post-operative patients' levels of consciousness during recovery from anesthesia. Measuring and recording patients' vital signs. Closely observing patients for signs of side effects of anethesia medication. Treating pain, nausea, and other post-operative symptoms of anesthesia.

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Discharge/Transfer Criteria from PACU Protective reflexes are intact; airway is patent; respiratory function and oxygen saturation are stable. 2. Vital signs are stable, including temperature.
The PACU nurse performs an immediate assessment of the patient's airway, respiratory, and circulatory status, then focuses on a more thorough assessment.
The PACU nurse assesses the level of consciousness, breath sounds, respiratory effort, oxygen saturation, blood pressure, cardiac rhythm, and muscle strength. The patient is being prepared for transfer to phase 2, ICU, or an inpatient nursing unit.
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.
To PACU Assess air exchange status and note patient's skin color. Verify patient identity. The nurse must also know the type of operative procedure performed and the name of the surgeon responsible for the operation. Neurologic status assessment. ... Cardiovascular status assessment. ... Operative site examination.

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