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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 | | | |
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