http://www.opana.org com_fireboard en-us Wed, 08 Sep 2010 23:50:17 +0000 http://www.opana.org/components/com_fireboard/template/default/images/english/emoticons/fb_rsspower.gif http://www.opana.org 88 http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=217&catid=5 The 2009 OPANA standards is most up to date. I have seen both 92% and 94% minimum 02 sats at various facilities. It is up to the facility to outline which parameter is followed, in consideration to the pt population served, age, and other risk factors.... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=216&catid=5 Just a question about the modified Aldrete scoring system for discharge from phase I ... in the 2009 OPANA standards under Sp02 it states an O2 saturation of greater than 94% and on the OPANA website under the Clinical Practices it states O2 saturation of greater than 92%. Just wondering which one was correct or most current? Thanks!... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=215&catid=5 Yes, the pt could be suitable for home discharge after a minimum of 1 hour with stable vital signs (including Vital signs obtained during phase I recovery). This is often the case where local anesthesia was employed. Regarding the difference between NAPAN and OPANA standards; it would be up to the facility to choose what is most appropriate to adopt as their policy; in consideration of the pt population served, complexity of surgery, proximity to home and medical support, etc. You are correct in that the... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=214&catid=5 Looking for clarity about the length of time pts stay in phase 2.Our OPANA standards state vital signs are stable for a minimum of one hour (I assume that includes time in phase 1) while the NAPAN standards state vitals stable for a minimum of 30 minutes. My confusion is that i was under the impression that the PADSS score was based on pt condition at the time of assessment and if they came back and scored 9/10 or higher then the d/c process starts and they could be discharged after a second set of vitals,... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=213&catid=27 Our volunteers play a huge role in the day surgery area. They guide pts and visitors on arrival to go to the appropriate area for locking valuables, changing into pt gown, & connect pt with their nurse for the day, etc. After surgery the volunteers assist in return of valuables, and communication to nursing that the pt's ride home has arrived (is waiting in the car at the discharge doo. There are volunteers at many of the entrances, guiding pts/visitors re. directions. They also help the return of wheel... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=212&catid=27 Hi everyone...hope you are enjoying the summer so far. We are moving into our new hospital in January and are looking at implementing a volunteer role in phase 1 and 2 specific to communicating with the families about the pts progress/status in OR/PACU. I am looking for success stories/volunteer job description specific to this, any info greatly appreciated. Thanks! Stay cool!... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=211&catid=27 As the direction regarding preop meds is dependent on numerous factors (medical Hx and risk factors, invasiveness of surgery, plan for neuraxial anesthesia, anticpated ambulatory status postop, time of scheduled surgery, etc), we do not have a medical directive. The pts are seen in the preop clinic, meds are reviewed by a pharmacist; and medication reconcillation is completed. Generally though, pts are told to hold all a.m. meds (except cardiac meds) the a.m. of surgery. However if the surgery is schedule... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=210&catid=27 Wondering if anyone is using guidelines/medical directives that they would share about what home meds pts are to take preop on day of surgery, thanks so much!... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=209&catid=21 We are using computerized charting within the OR's, but other than that all remains hand written. Heather Trillium Health Centre Mississauga, ON... http://www.opana.org/index.php?option=com_fireboard&Itemid=208&func=view&id=208&catid=21 Is there anyone out there that is using electronic documentatin throughout the perioperative period, i.e. pre-admit, day surgery, intra-op then post-op If you can reply with size of unit as well, I would appreciate it. Deborah Bottrell Grand River Hospital Kitchener-Waterloo...