PACU Staffing Question As a small, 1-OR ASC, we would like to know how other small centers staff their PACUs. We use only IV sedation/MAC anesthesia, and never general, so technically all our patients are Phase II. According to the ASPAN standards I read, it looks like one RN is OK for PACU with another 'competent personnel.'

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This is for phase II. Phase I requires two RN's. What are other small centers doing in this situation? What is your minimum PACU staffing? Started by: Susan Pedersen (Director, Surgical Services/Director of Nursing) at May 4, 2016 (11:52 am). Susan, we are strictly an Endoscopy Center and have 2 procedure rooms with 10 pre-op/post-op bays.

We also use only IV sedation/MAC anesthesia (no general anesthesia). We staff 1 RN for every 3-4 patients in Recovery but we have at the minimum 2 nurses present until all patients are dismissed. One nurse present must be ACLS certified. The physician must remain on the premises (in the building) until the patient leaves the area. I definitely think the staffing should depend on the type of surgery as well as the ASA score of patients you treat at your ASC and agree the physician should be on the premises until all patients are discharged.

Oct 15, 2014 - DATE: March 2, 2014. Best free photo editing for mac. STANDARDS FOR POSTANESTHESIA CARE. A Postanesthesia Care Unit (PACU) or an area which provides equivalent. Particular attention should be given to monitoring oxygenation, ventilation.

Connie Taylor (Director, Surgical Services/Director of Nursing) at May 5, 2016 (4:59 pm). Susan, we are a small, ophthalmology only ASC with 1 OR. We usually have 4-5 RNs (which I feel makes us slightly overstaffed)- 1 in Pre-Op/PACU, 1 circulating in OR, and 1-2 floating (helping in PACU, turning over OR, relieving other RNs for breaks, etc.). Like you, we are only using IV anesthesia/MAC. Minimum we can function with is 3 RNs.

I think ideally we would have 3 1/2 or 4. We have 5, but with vacations and absences for illness etc. We often only have 4.

Mean Schreyer (Administrator/Director/Manager/Owner/Executive Officer) at May 5, 2016 (5:07 pm). I agree with everyone that ASPAN standards should be followed.

Does anyone have a recommended staffing pattern as I think that may be more beneficial to Susan. I am in a hospital setting that is 70% output and 30% inpt. She have an average daily census of 40 cases in 9 ORs. Currently we staff 9 RNs in our Day Surgery for the beginning of the day and have 3 stagger in by lunch to help with post and finish out the day when the morning people leave. In the PACU we usually have 10 RNs, 1 charge and 6 RNs in the main PACU and 3 RNs in the holding area. We are in the process of building a new surgical wing in which we are combining our day surgery and PACU to be more efficient. I would love to hear from anyone that has been successful on this and how they staff their unit.

We will have 14 ORs and 52 pre/post rooms. Each room will be set up where it can accommodate admissions, phase I, and phase II with the goal being that the patient will stay in the same room with the same nurse for phase I and II. This seems to be a new trend in perianesthesia nursing that we are trying to figure out how to work successfully. If any of you are in surgery centers where your pre and post are separate, but your phase I and II are together, information on your staffing would also be helpful. Thanks, Cathy Hedrick, RN/BSN Direction of Perianesthesia Services Catherine Hedrick (Director, Surgical Services/Director of Nursing) at May 8, 2016 (5:25 pm). Cathy, I worked at a facility with that arrangement and we had each post-op RN assigned to a 3 bay section. The patient stayed in the same spot for Phase I and II.