What level of care should a drowsy patient with a pain score of 7 who requires oxygen to maintain saturation greater than 92% receive?

A drowsy patient with a pain score of 7 who requires oxygen to maintain sufficient saturation demonstrates that they are still experiencing significant postoperative needs and potential complications. In the postoperative setting, particularly in a Post-Anesthesia Care Unit (PACU), careful monitoring and intervention are crucial to ensure patient safety and to address their pain management effectively.

Phase 1 of PACU care is specifically designed for patients who are in a more acute state postoperatively. This phase is characterized by close monitoring of vital signs, the level of consciousness, and respiratory status, especially for patients who are drowsy or require supplemental oxygen. The need for oxygen suggests potential respiratory compromise, making Phase 1 the appropriate level of care where healthcare providers can continually assess the patient's response to medications, manage pain, and provide immediate interventions if the patient’s condition worsens.

The classification of later phases (Phase 2 and Phase 3) or other care settings, such as an observation unit, are intended for patients who are more stable and require less intensive monitoring. Given the patient's current condition of drowsiness and a high pain score, they would not yet meet criteria for being transferred to a less intensive care level, as close monitoring is necessary to ensure their recovery progresses safely.