title: A guide to revising the postanesthesia care unit documentation record.
abstract: The environment of the PACU is changing rapidly, as are the standards, protocols, and requirements of documentation. Nursing care activities must be captured in a timely, accurate, and efficient manner that reflects the standards of care and quality practice, while reducing the amount of actual writing required. This article reviews the available literature and defines a process to guide one through the revision of a documentation record.
authors.affiliation: Ottawa Hospital, Post Anaesthesia Care Unit, Ontario, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Rybak
authors.forename: P
authors.initials: P
authors.lastname: Bush
mesh_terms: D004282:Documentation / Q000592:standards*; D005568:Forms and Records Control; D006801:Humans; D007587:Job Description; D009731:Nursing Audit / Q000379:methods*; D009737:Nursing Records / Q000592:standards*; D016528:Postanesthesia Nursing / Q000379:methods / Q000592:standards*; D017749:Total Quality Management / Q000458:organization & administration