Ether - Resources for Anesthesia Research and Education ...



Self Assessment form for the PACU Rotation

Dates of rotation:____________________

Resident: __________________________

This is a checklist of items to guide your self-directed learning. Please check items as you complete study on them.

|Checkmark |Topic |

| |Criteria for PACU admission and discharge (including concepts of “fast-tracking” and “home readiness”) |

| |Differential diagnosis and treatment for hypertension and hypotension |

| |Differential diagnosis and treatment for dysrhythmias |

| |Diagnosis and treatment of myocardial ischemia and infarction |

| |Differential diagnosis and treatment for hypoxemia and hypoventilation |

| |Differential diagnosis and management of airway obstruction |

| |Differential diagnosis and management of anuria, oliguria, and polyuria |

| |Differential diagnosis and management of electrolyte abnormalities (hyperkalemia, hypokalemia, hyponatremia, hypernatremia, hypocalcemia) |

| |Differential diagnosis and treatment of delayed awakening and emergence delirium |

| |Acute pain management in the PACU (consider pros and cons of patient controlled IV opiate infusions, epidural analgesia, and peripheral nerve |

| |blocks) |

| |Management of postoperative nausea and vomiting |

| |Differential diagnosis and management of metabolic derangement (acidosis, hypoglycemia, hyperglycemia, hypothermia, hyperthermia) |

| |Differential diagnosis and treatment of the bleeding patient and coagulopathy |

| |Indications, rationale, and methods of prophylactic perioperative beta blocker therapy |

| |Understand how to decide when to consult with other medical specialties for PACU patients |

| |Complete 6 Teaching Modules and their Answer keys |

Please check off as you complete the following:

|Checkmark |Action |

| |Explain to 5 patients what they can expect in the days to weeks following surgery or PACU admission and discharge |

| |Assess 3 patients for meeting PACU discharge criteria to go home |

| |Assess 3 patients for meeting PACU discharge to inpatient |

| |Complete postoperative/medical notes in EPIC on 3 patients requiring active PACU management. |

| |Successfully troubleshoot epidurals that are perceived “not to be working” |

| |Understand the call back tree algorithm when urgent help needed in PACU |

| |Consider three aspects of providing PACU anesthesia care that you can improve upon now that you have completed the PACU rotation. |

| |Consider some of the ethical dilemmas that arise in PACU |

| |Consider three aspects of the overall system of care at the hospital that can be improved upon with emphasis for example on PACU to phase 2 |

| |flow, ICU overflow, efficient flow during high volume |

| |Understand three common reasons for unexpected hospitalization of ambulatory surgical patients. |

Provide a list of PACU related journal articles that were read (min 1 paper/day)

| |Title |Author |

|1 | | |

|2 | | |

|3 | | |

|4 | | |

|5 | | |

|6 | | |

|7 | | |

|8 | | |

|9 | | |

|10 | | |

Maintain a log of procedures or problems dealt with during the PACU rotation and enter the problem, treatment and result (minimum of 10 entries).

| |Procedure/Problem |Treatment |Result |

|1 | | | |

|2 | | | |

|3 | | | |

|4 | | | |

|5 | | | |

|6 | | | |

|7 | | | |

|8 | | | |

|9 | | | |

|10 | | | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download