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Adequate provision within job plans should be made for a member of the anaesthetic team to visit the following groups of patients within 24 hours following their operation:
- those graded as American Society of Anesthesiologists (ASA) physical status 3, 4 or 5
- those receiving epidural analgesia on a general ward
- those discharged from the recovery unit with cardiovascular invasive monitoring...
All patients who have received an anaesthetic affecting central nervous system function and/or a loss of protective reflexes should remain where anesthetised until recovered or be transported safely (with care and monitoring as indicated below) to a specifically designated recovery location for post-anaesthesia recovery.182
Operating theatre complexes require a dedicated recovery unit. This unit should be located in the operating theatre department and should be separate from the department’s admission area. It should have a separate access for transfer of patients to the ward.185,190
The size, design and facilities of the recovery unit must meet the Department of Health and Social Care guidelines.190
The bed spaces should allow unobstructed access for trolleys, x-ray equipment, resuscitation trolleys and clinical staff. The facility should be open plan, allowing each recovery bay to be observed but with the provision of curtains for patient privacy.172
Oxygen and suction should be present in every recovery bay and ideally delivered by pipeline.185
An emergency audible and visible call system should be in place, checked regularly to maintain functionality and understood by all staff.178
Drugs, fluid and equipment required for resuscitation and the management of postoperative complications should be available within three minutes and regularly maintained.185,187
There must be a system for ordering, storage, recording and auditing of controlled medicines in all postoperative areas in which they are used, in accordance with statutory legislation.160,162
An individualised post-anaesthesia care plan should be documented for each patient.192
