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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 patient turnover is also fast, with me caring for up to 6-8 patients in an 8-hour shift. Despite this, I consider PACU nursing a soft nursing job, as it is less physically and emotionally demanding than other nursing specialties. It allows me the time to provide high-quality care to each patient.
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.
The infrastructure of the PACU is fundamentally different than that of an ICU. ICUs may have space, beds, seating, and amenities for patients families, while PACUs typically do not have these resources. PACUs have the potential to expose ambulatory patients to the sickest ICU patients.
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.
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Overall, the average PACU nurse salary is about equal to that of other similar nursing specialties. For example, PACU nurses and ICU nurses make nearly the same salary, with ICU nurses edging in at an average of $95,000.
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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