Module 10: Post-Operative Care 

🎯 Module Objectives 

1.  Describe what is involved in the debrief of the surgical safety checklist. 
2.  Explain what the perioperative nurses’ reports should include during the transfer of care to PACU (Post Anesthesia Care Unit). 
3. Describe the role of the perianesthesia RN. 
4.  Describe phase 1 PACU and phase 2 PACU. 
5. Describe which assessments are being done initially upon arrival and throughout the stay in PACU. 
6. Explain the complications that can occur in PACU. 
7. Explain the PACU discharge criteria. 

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📖 Required Readings 

ORNAC standards 2021
3.4 Pg 3-23 to 3-24

ORNAC Standards 2023
3.4 surgical safety checklist (3-11)
3.11 communication during care transition (3-75)

Alexander’s care of the patient in surgery
16th Ed. Ch 10 p. 261-286
17th Ed. Ch 10 p 256-283

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Introduction 

Post-operative care of a patient begins during the debriefing phase of the Surgical Safety Checklist (SSC) and is completed before the patient is transferred to PACU. Post-operatively, it is important for the perioperative nurse to be by the patient’s side to assist the anesthesia provider during the emergence of anesthesia and extubation. It is a critical time due to events that may occur after extubation that are considered medical emergencies. Upon admission to PACU, the PACU RN prioritizes the patient’s assessment of airway, breathing, and circulation.