Patient care after discharge from the ambulatory surgical center.
An important and often forgotten aspect of postoperative care occurs after the patient is discharged from the ambulatory surgical center. With more than 60% of all surgeries and procedures occurring on an ambulatory basis, what happens after the patient is no longer in continuous professional care is of concern to the ambulatory nurse. Numerous physical postoperative complaints are common and expected sequelae of anesthesia and surgery in the ambulatory patient. In this article, important postdischarge complications are reviewed and contemporary management options discussed. The information contained in this review article is valuable to the provider in educating patients regarding their anticipated course of postoperative recovery.


OBJECTIVE
-Based on the content of this article, the reader should be able to (1) identify important postdischarge complications to provide patients with comprehensive discharge instructions regarding their continued recovery at home; (2) discuss contemporary management options available to treat postdischarge complications; (3) realize the incidence of specific postdischarge complications and how that relates to patient satisfaction with the surgical experience; (4) recognize signs and symptoms of postdischarge complications; and (5) identify risk factors of patients for developing specific complications in the postoperative phase.
Marley
R A
RA
Chief Nurse Anesthetist for Northern Colorado Anesthesia Professional Consultants, and Jan Swanson, Poudre Valley Hospital, Fort Collins, CO 80524, USA.
Swanson
J
J
D000359:Aftercare / Q000592:standards*; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects*; D000762:Anesthesia Recovery Period; D006801:Humans; D010351:Patient Discharge / Q000592:standards*; D010353:Patient Education as Topic; D013527:Perioperative Nursing / Q000592:standards; D011182:Postoperative Care; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D013531:Surgicenters / Q000592:standards*