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What should a nurse assess before transferring a patient from PACU?

Patient's stability, pain management effectiveness, and completion of discharge criteria

Assessing a patient's stability, pain management effectiveness, and completion of discharge criteria is crucial before transferring a patient from the Post Anesthesia Care Unit (PACU).

When a patient is in PACU, the primary focus is on ensuring their physiological stability after anesthesia. This includes monitoring vital signs such as heart rate, blood pressure, and respiratory function to confirm they are within acceptable ranges.

Evaluating pain management effectiveness is equally important to ensure that the patient is comfortable before leaving the monitored environment of the PACU. A patient who is still experiencing significant pain may need further interventions or adjustments to their pain management plan.

Finally, the completion of discharge criteria is a critical aspect of ensuring that the patient is ready for transfer. This encompasses a series of guidelines set forth by the facility, which may include verifying that the patient can breathe independently, has stable vital signs, and is alert enough to follow commands. Only when these criteria are satisfactorily met should the patient be transferred to a less intensive care environment, ensuring their safety and health are prioritized throughout the process.

In contrast, while assessing the level of sedation and vital signs is important, it does not provide a complete picture required for transfer. Monitoring fluid intake can be a useful data point in certain circumstances

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The level of sedation and vital signs only

The amount of fluid intake during the PACU stay

Patient's next of kin availability

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