When you reach the PACU, you
should communicate with
the nurse the information that he or she needs
to continue to care for the patient. So, patient's
identity, surgical procedure, other medical problems
the patient may have, any anesthetic concerns,
any allergies the patient has. And really,
what you expect to be the recovery
phase for this patient. You provide orders for pain management
and management of nausea and vomiting,
and provide orders for control of comorbidity.
So, you may say the patient's blood pressure
is allowed to rise to such and such, but beyond that
call me or give the following drug. Same
with the heart rates. And you don't want to leave
the patient without the nurse having information
that will allow proper care for the patient.
If your communication is clear,
the nurse should be able to anticipate potential problems
and notify you if any occur. Recovery room nurses
are extremely skilled and they rarely need
to call the anesthesiologist. If they do,
pay attention! Because if they're having trouble, you need
to go and see the patient and deal with them. So,
in summary, in this lecture we've discussed
the preoperative evaluation of a patient, management
of general anesthesia from induction,
airway management, maintenance, to recovery.
We've talked about the transfer of the patient
into the recovery room and the support that you
are required to give to the recovery room nurse,
to allow for proper care of the patient.