Pain Management
Most frequently used analgesic for inpatients used in PACU during phase I of care.
What is Fentanyl or Hydromorphone?
For day surgery patients, what is the acronym for PACU discharge criteria?
What is PADSS?
Patient ordered Tylenol and Celebrex pre-op, patient asks why she is being given medications before her surgery. What is your response?
-multi-modal approach to pain management
-peak within OR to support pain management
When did the PACU move to the 7th floor?
March 2021
This Anesthetist who was known for outside the box thinking recently retired.
Who is Dr. Fleming?
A Day Surgery patient has not received any analgesic (pre-op or post) at this time. Patient post-operatively rates pain 3/10 on VAS, patient has Tylenol ES, and Fentanyl IV ordered. Patient tolerating oral intake. What is the best first choice of analgesic?
What is Tylenol ES?
True or False: Voiding criteria is part of the Modified Aldrete Scoring Tool?
What is False?
Patients who are under 18, have a language barrier, mental health diagnosis or life altering diagnosis.
What are exclusion criteria for the current phase of visitor policy?
Name our registration staff.
Who are Patricia and Vivienne (and occasionally Jennifer)?
What is the name of Wendy's Dog?
Bubba
Bonus Question: What breed of dog is he?
A frequent adjuvant ordered by APS for orthopedic surgical patients.
What is Celebrex?
You find out that your day surgery patient has no accompaniment home post-operatively. What do you?
-Notify TL
-Consult Anesthesia
-Consult Surgical Team
Bonus Question: Why?
Patient is going home with a CPNB (Infuser Bottle). APS has already spoken with the patient, but the patient asks you "Can I shower with this?". What is your best response?
-if unsure confirm with APS
-inform patients to sponge bath while still infusing and avoid a direct stream of water on infuser bottle/dressing
-can resume showering/bathing as before once removed
The number of ADU's in the PACU.
What are 6?
Where do the most awesome/coolest nurses work?
What is the PACU!!!!!!!!
Patient has received a peripheral nerve block and the infuser bottle is connected. The patient starts to complain about tinnitus. What is this symptom of?
What is LAST?
Performed upon admission to PACU, change in status, and before discharge to inpatient unit.
What is the Modified Aldrete Score?
Patient who was discharge after a breast lumpectomy, calls the unit 4 hours later and states their surgical site is hard, painful and very bruised. It appears to be getting larger, what do you tell the patient?
-Direct patient to go to nearest emergency room and notify their surgeon
Special Needs Dentistry patients are optimized pre-operatively in this room.
What is room 412?
What is the Ascom number for the PACU Anesthetist?
What is 102882?
This partial opiod is used to treat opioid addiction and chronic pain.
Due to patients pre-existing conditions (i.e. on chronic oxygen therapy and partially paralyzed from the waist down), patients Modified Aldrete Score remains 7/10. How would you document patient meeting discharge criteria?
What is consult with anesthesia, review pre-op assessment of patient's baseline status, document Modified Aldrete and add comment/use Adhoc Powerform to indicate why patients score 7 and patient safe for transfer?
Day surgery patient has a remote history of substance misuse and is currently not requiring analgesic before surgery. While reviewing the prescription instructions with the patient, you notice the resident has prescribed 40 tabs of Hydromorphone 1mg PO for an EUA and Seton. It is 2000hr, what do you do?
-do not provide prescription to patient
-page on-call surgical service
-consult anesthesia coordinator for additional direction
The PACU currently has this many Clinical Externs and their names are.
What are 3 and Josephine, Feyi and Rebecca?
Think of a creative/funny slogan that represents a typical day in PACU.
You have 30 seconds GO!