Anesthesia — Transition to Discipline

TTD3 Performing the postoperative transfer of care of healthy adult patients following anon-complex surgical procedure, including postoperative orders

Key Features:
- This EPA focuses on safe patient handover to the PACU team.
- This includes providing necessary information to the receiving nurse in PACU, such as
procedure performed, relevant comorbidities, medications used, complications, blood loss, fluids administered, analgesics and antiemetics given, and postoperative analgesia plan.
- It also includes providing clear orders for postoperative care and ensuring the patient is in stable condition for PACU care.

Form

F1: Observation

Milestones

• ME 5.1. Recognize the occurrence of a patient safety incident

• ME 5.2. Describe and demonstrate the principles of situational awareness and their implications for medical practice, among other by ensuring that the patient is stable before leaving the post anesthetic care unit

• ME 2.4. Describe the various levels of patient care available in their center (step down, remote oximetry, ICU, etc.)

• COM 5.1. Organize information in appropriate sections within an electronic or written medical record

• COM 5.1. Complete clinical documentation in a timely manner, including documenting patient status on arrival to PACU

• COM 5.1. Write orders clearly and legibly, using pre-printed order sets where appropriate

• COL 2.1. Convey information thoughtfully

• COL 2.1. Respond to requests and feedback in a respectful and timely manner

• COL 3.2. Provide information required for safe and effective handover during transitions in care, specifically, relating the necessary information to the receiving nurse

• COL 3.2. Ensure receiving nurse is comfortable with the level of care required by the patient

• HA 1.1. Analyze a given patient’s needs for health services or resources related to the scope of anesthesiology

• P 1.1. Complete assigned responsibilities in a timely fashion

Context Variables

• Type of procedure (single-choice)
  • urology
  • gynecology
  • ophthalmology
  • other surgery
  • otolaryngology
  • general surgery
  • plastic surgery
  • orthopedic surgery
• Type of anesthesia (single-choice)
  • general
  • regional
  • monitored anesthesia care (MAC)

Requirements

• Collect a minimum of 3 observations (minimum 3)
• At least 1 general anesthesia
• At least 2 different assessors