Perioperative medicine training resources: U4M9: Discharge from recovery

Historically, in Australia, the management of perioperative nursing services has been successfully undertaken by perioperative nurse managers. The quality of patient care as well as the efficiency and effectiveness of a service is directly related to how the service is managed. The perioperative environment should be managed by a registered nurse who has relevant postgraduate qualifications in management and is widely experienced in perioperative nursing.1–3 National and jurisdictional statutory requirements must be followed and take precedence over all recommendations contained within this guideline. This guideline should be used in conjunction with other relevant ACORN standards, and national and jurisdictional statutory requirements, standards and guidelines.

The term Post Anaesthesia Care Unit, or PACU, has been adopted in line with convention and contemporary global trends indicated in the current literature and to emphasise the notion of nursing care provided by qualified and skilled nurses while the post-operative patient is recovering from the effects of anaesthesia.

Leaders of a health service organisation set up and maintain systems and processes to support effective communication with patients, carers and families; between multidisciplinary teams and clinicians; and across health service organisations. The workforce uses these systems to effectively communicate to ensure safety.

Nursing and Medical Handover in General Surgery, Emergency Medicine and General Medicine at the Royal Hobart Hospital.

Abstract
Background: Guidelines translate best evidence into best practice. A well-crafted guideline promotes quality by reducing health-care variations, improving diagnostic accuracy, promoting effective therapy, and discouraging ineffective-or potentially harmful-interventions. Despite a plethora of published guidelines, methodology is often poorly defined and varies greatly within and among organizations.

Purpose: This manual describes the principles and practices used successfully by the American Academy of Otolaryngology-Head and Neck Surgery to produce quality-driven, evidence-based guidelines using efficient and transparent methodology for action-ready recommendations with multidisciplinary applicability. The development process, which allows moving from conception to completion in 12 months, emphasizes a logical sequence of key action statements supported by amplifying text, evidence profiles, and recommendation grades that link action to evidence.

Conclusions: As clinical practice guidelines become more prominent as a key metric of quality health care, organizations must develop efficient production strategies that balance rigor and pragmatism. Equally important, clinicians must become savvy in understanding what guidelines are-and are not-and how they are best utilized to improve care. The information in this manual should help clinicians and organizations achieve these goals.