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Implementation of Physiological Scoring to Determine Discharge Readiness for Patients Undergoing Otolaryngology Head and Neck Procedures.

Publication ,  Journal Article
Revell, CC; Rice, AN; Gupta, DK; Muckler, VC
Published in: J Perianesth Nurs
June 2019

PURPOSE: This quality improvement project examined whether the use of a validated physiological scoring protocol to determine discharge readiness for surgical procedures proximal to the airway would decrease the time at which discharge criteria were met and postanesthesia care unit (PACU) length of stay. DESIGN: An observational pre-post design compared preimplementation recovery times to postimplementation recovery times. METHODS: PACU nurses were trained to use two physiological scoring protocols to determine when patients met discharge criteria and to document when discharge criteria were met. FINDINGS: During the postimplementation period, there was a significant decrease in the time it took patients to meet PACU discharge criteria when using the physiological scoring protocols compared with the preimplementation group (P < .001). CONCLUSIONS: These results suggest that physiological scoring protocols are safe and appropriate to determine discharge readiness for patients who have surgery proximal to the airway.

Duke Scholars

Published In

J Perianesth Nurs

DOI

EISSN

1532-8473

Publication Date

June 2019

Volume

34

Issue

3

Start / End Page

529 / 538

Location

United States

Related Subject Headings

  • Young Adult
  • Recovery Room
  • Quality Improvement
  • Postanesthesia Nursing
  • Patient Discharge
  • Otorhinolaryngologic Surgical Procedures
  • Nursing
  • Middle Aged
  • Male
  • Length of Stay
 

Citation

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ICMJE
MLA
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Revell, C. C., Rice, A. N., Gupta, D. K., & Muckler, V. C. (2019). Implementation of Physiological Scoring to Determine Discharge Readiness for Patients Undergoing Otolaryngology Head and Neck Procedures. J Perianesth Nurs, 34(3), 529–538. https://doi.org/10.1016/j.jopan.2018.07.011
Revell, Caroline C., Andi N. Rice, Dhanesh K. Gupta, and Virginia C. Muckler. “Implementation of Physiological Scoring to Determine Discharge Readiness for Patients Undergoing Otolaryngology Head and Neck Procedures.J Perianesth Nurs 34, no. 3 (June 2019): 529–38. https://doi.org/10.1016/j.jopan.2018.07.011.
Revell, Caroline C., et al. “Implementation of Physiological Scoring to Determine Discharge Readiness for Patients Undergoing Otolaryngology Head and Neck Procedures.J Perianesth Nurs, vol. 34, no. 3, June 2019, pp. 529–38. Pubmed, doi:10.1016/j.jopan.2018.07.011.
Journal cover image

Published In

J Perianesth Nurs

DOI

EISSN

1532-8473

Publication Date

June 2019

Volume

34

Issue

3

Start / End Page

529 / 538

Location

United States

Related Subject Headings

  • Young Adult
  • Recovery Room
  • Quality Improvement
  • Postanesthesia Nursing
  • Patient Discharge
  • Otorhinolaryngologic Surgical Procedures
  • Nursing
  • Middle Aged
  • Male
  • Length of Stay