A new approach to postanesthesia care unit documentation.
Documentation demonstrates that nursing standards of care have been met. To be an effective tool, a record must be complete and concise. A request to develop PACU care plans became the impetus to revise the PACU record. Perioperative information and physical assessments are data required to formulate individualized plans. Development and implementation of a comprehensive record was a positive outcome of a lengthy but interesting and worthwhile project.
McArdle
E J
EJ
Allain
L A
LA
D006787:Hospitals, Veterans; D006801:Humans; D009730:Nursing Assessment; D009733:Nursing Diagnosis; D009737:Nursing Records / Q000592:standards*; D010347:Patient Care Planning / Q000592:standards; D011997:Recovery Room