Author Question: The patient who had an emergency appendectomy is awake and stable; it is time for transfer to the ... (Read 14 times)

evelyn o bentley · **on:** Jul 8, 2018

The patient who had an emergency appendectomy is awake and stable; it is time for transfer to the inpatient surgical unit. What information will you need to report to the nurse who will be receiving the patient?

What will be an ideal response?

Question 2

Finally, you finish the shift in the postanesthesia care unit (PACU). In which order will you take these actions when caring for patients who have been transferred to the PACU from the operating room after receiving general anesthesia?

A. Obtain blood pressure and heart rate.
B. Monitor incisions for bleeding or swelling.
C. Check O2 saturation with a pulse oximeter.
D. Assess the level of consciousness.

guyanai · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Important Points: SBAR format --S: PACU nurse name and location, patient name, age; patient is stable and ready to transfer to the surgical unit after having an emergency appendectomy --B: Diagnosis of appendicitis with purulent drainage; type of anesthesia administered; preoperative vital signs and pertinent preoperative laboratory data (usually the hemoglobin and hematocrit, and any abnormal laboratory results, such as an elevated white blood cell count); any other medical history, including current medications --A: Current vital signs, oxygen saturation (and type of supplemental O2 being used), pain level (include most recent pain medications administered), level of alertness and orientation, wound appearance and drains, amount/appearance of any wound drainage, IV fluids with rate, perioperative I & O, presence of any tubes/lines (NG tubes, wound drains, peripheral or central IV lines, etc.), any laboratory results obtained in the intraoperative or immediate postoperative period --R: Recommendations based on the assessment data, such as reassessment for pain, placement in a room where patient can be more easily observed, surgical orders that need to be implemented as soon as possible after the transfer. Ask if the receiving nurse has any questions.

Answer to Question 2

C, A, B, D