Page 29 - Part 1 Anesthesiology Common Risk Issues

SVMIC Anesthesiology: Common Risk Issues

• Intravenous fluids: type, volume, and time

• Technique(s) used

• Patient positioning and actions to reduce the chance of
adverse patient effects/complications related to positioning

• Additional Procedures performed: vessel location,
catheter type/size, specific insertion technique (e.g.,

sterile technique, use of ultrasound), actions to reduce
the chance of related complications (e.g., catheter based

infection prevention measures), stabilization technique,
and dressing

• Unusual or noteworthy events during surgery and
anesthesia care

• Patient status at transfer of care to staff in a Post-
Anesthesia Care Unit (PACU) or an area which provides

equivalent post-anesthesia care (e.g., ICU, SDS or floor

nurse)
11

Post-Anesthesia

A post-anesthesia recovery note is a time-based record

of events that reflects the patient status on admission and
discharge from the PACU, as determined by a qualified
anesthesia provider or by local departmental pre-set discharge

protocols (the post-anesthesia note is to be completed

only when a patient is sufficiently recovered from acute
administration of anesthesia and can participate in the
evaluation). If the patient is otherwise admitted directly to

the intensive care unit, there will not be a PACU or transfer

note from the OR to the PACU or the ICU. Include detailed

11 https://www.apsf.org/article/american-society-of-anesthesiologists/

Page 29