When should a PACU nurse notify the physician?

A PACU nurse should notify the physician when a patient exhibits abnormal vital signs or unexpected changes in their condition because these indicators can signal potential complications or deteriorating health. The recovery phase in the Post Anesthesia Care Unit (PACU) requires close monitoring of patients, as they are still under the effects of anesthesia and may not exhibit signs or symptoms of distress clearly. Abnormal vital signs, such as elevated heart rate, low blood pressure, or changes in respiratory rates, can indicate underlying issues that need immediate medical attention. Alternatively, unexpected changes in the patient's clinical status—like altered level of consciousness or excessive bleeding—also warrant immediate notification to ensure timely intervention.

While readiness for discharge and pain management are important aspects of post-operative care, they do not typically require immediate contact with the physician unless they are causing significant concern. Pain can be managed with available protocols and does not necessitate a physician’s input unless it is severe and unresponsive to treatment. Additionally, patient requests for more medication can often be handled within the guidelines set by the institution's nursing protocols, unless the situation escalates or the nurse identifies a critical need for reevaluation by a physician. Thus, the emphasis on reporting abnormal vital signs and unexpected changes is crucial for patient safety and effective