Assess Dermatomes, Vital Signs, Head to Toe Assessment, Nausea/vomiting, manage lines/drains, PCA, diet, SCDs, Teach incentive spirometer
3 Phases of Recovery
- PACU
- To the Floor
- Convalescence to discharge
Aldrete Score
| Activity Unable to move Moves 2 extremities Moves all 4 Extremities |
| Respiration Apnea Dyspnea Cough and Deep breath |
| Circulation BP +50mmHg BP +20-50mmHg BP+20mmHg pre sedation |
| Conciseness Not Responsive Arousable on calling Fully awake |
| Skin Color Cyanosis Pale Normal |
Mnemonic
Prevent Complications
Orient Patient
Support Emotional Status
Tissue Perfusion
Output & Intake
Pain control
Adequate temperature
Respiratory Function
Encourage coughing and deep breathing
Through head to toe
Infection control
Vital Signs
Elimination education