Improving Nursing Documentation of Surgical Site Wounds: A Collaborative Effort to Promote Safe Patient Care Between OR and PACU

When patients transition from the Operating Room (OR) to the Post Anesthesia Care Unit (PACU), the absence of complete documentation in the electronic medical record (EMR) can result in significant adverse events leading to poor patient outcomes (bleeding, infection, delay of care). Lack of proper documentation of surgical site/wounds creates gaps in the handoff communication between the phases of care, from OR to PACU, and to the inpatient units.

Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Maria Claveria, Lilibeth Agustin, Maricris Molina, Rusela DeSilva, Tesha Seabra Tags: ASPAN National Conference Abstract Source Type: research