Preoperative
How soon should Urine/Blood HCG and/or Type & Screen be completed prior to surgery?
72 Hours
SOP #10
What is the admission criteria for the Ambulatory Procedure Unit?
All patients must have orders, surgical/anesthesia consents, a current History and Physical (H&P) less than 30 days old, escort, and if inpatient must be assigned to a bed.
SOP#2
You need _ code sheets for patients who weigh less than ____ pounds.
2 code sheets from Lexicomp
Less than 100 pounds
SOP #13
What is the nurse to patient ratio in Same Day Surgery?
Who is responsible for placing preoperative diagnostic study orders?
It is the responsibility of the patient's physician to order preoperative diagnostic studies and to review the results prior to day of surgery.
SOP#10
Discharge Home Criteria
Adequate respiratory function, hemodynamically stable,
SOP#3
All children over _ years old will have a blood pressure and pulse ox reading documented unless authorized be anesthesia on call.
2 years old
SOP #13
True or False? All lunch break times are patient/staffing ratio permitting.
True. Sometimes lunch times will shift due to the high flow of patients.
In the absence of orders, what preoperative diagnostic study order may be placed, and who may initiate?
In the absence of orders, nursing may initiate only the UHCG for qualifying patients to then be later ordered and signed by physician.
SOP#10
After a patient receives spinal anesthesia, they must be able to do what 2 things in order to meet discharge criteria to go home?
Void and ambulate
True or False? Parents are encouraged to remain with their children at all times.
TRUE
SOP#13
Who is responsible for interpreting lab results?
It is not the responsibility of the RN to interpret test results. Per the Department of Pathology guidelines, the lab is responsible for notifying the physician of any critical lab values.
The APU RN is responsible only for notification to the surgeon. Any further consultation required should be arranged by the surgeon. If a repeat test is ordered, the APU staff will coordinate the test.
SOP #10
PACU Discharge criteria includes a Post Anesthesia Recovery Score (PAR) score of _ or greater.
8
Who determines if the pediatric patient requires IV insertion?
Anesthesia Provider
SOP#13
What form is utilized to inventory and document patient's valuables?
DA FORM 3696
After subarachnoid or epidural block, the patient must must have which 2 criteria in order to be discharged from PACU?
The patient must have sensation to sharp pain at T-10 dermatome level or below and have controlled movement of lower extremities.
Children under _ years old should be placed in a crib.
2 years old
SOP #13
What are the five rights of medications administration?
Right patient, medications, route, dose, and time.