SECTION ONE

PROFESSIONAL COMPETENCIES

1

1

Evolution of Perianesthesia Care

3

2

Standards for Ethical Practice

13

3

Patient and Family Education

23

4

Evidence-Based Practice and Nursing Research

42

5

Legal Issues

57

SECTION TWO

ENVIRONMENT OF CARE

65

6

Practice Settings, Policies, and Procedures

67

7

Regulatory Agencies and Accreditation

73

8

Safety

82

9

Continuous Quality Improvement

90

SECTION THREE

LIFE SPAN CONSIDERATIONS

107

10

Human Growth and Development

109

11

The Pediatric Patient

133

12

The Adolescent Patient

188

13

The Adult Patient

206

14

The Geriatric Patient

221

SECTION FOUR

COMPETENCY OF PREOPERATIVE ASSESSMENT

243

15

Preoperative Assessment

245

16

History and Physical Examinations

258

17

Preexisting Medical Conditions

276

18

Complementary Therapies

298

19

The Mentally and Physically Challenged Patient

317

20

Transcultural Nursing: Care of Culturally Diverse Patients

353

SECTION FIVE

CORE COMPETENCIES OF PACU NURSING

377

21

Fluid, Electrolyte, and Acid-Base Balance

379

22

Anesthetic Agents and Adjuncts

405

23

Moderate Sedation/Analgesia

467

24

Thermoregulation

484

25

Postoperative Nausea and Vomiting

506

26

Pain and Comfort Management

521

27

Hemodynamic Monitoring

552

28

Perianesthesia Complications

571

29

Hematological Care

597

30

Phase I Discharge Criteria

615

SECTION SIX0

SURGICAL SPECIALTIES

623

31

Respiratory Care

625

32

Cardiovascular Care

694

33

Neurological Care

776

34

Endocrine Care

852

35

Gastrointestinal Care

875

36

General Care

903

37

Renal/Genitourinary Care

955

38

Gynecological and Reproductive Care

1007

39

Obstetric Care

1029

40

Ophthalmological Care

1075

41

Oral/Maxillofacial/Dental Care

1096

42

Orthopedic Care

1111

43

Otorhinolaryngological Care

1155

44

Peripheral Vascular Care

1188

45

Plastic and Reconstructive Care

1229

46

Podiatric Care

1265

47

Trauma Care

1272

48

Bariatric Care

1295

49

Special Procedures

1328

SECTION SEVEN

AMBULATORY SURGICAL NURSING COMPETENCIES

1345

50

Immediate Postoperative Assessment and Postanesthesia Assessment Phase Ii

1347

51

Patient Discharge Education in the Phase Ii Setting

1401

52

Discharge Planning: Extended Observation, Home and Follow-Up Care

1410

APPENDIXES

1417

Appendix A

Certification of Perianesthesia Nurses: the Cpan^® and Capa^® Certification Programs

1417

Appendix B

Testing Concepts and Strategies: Certified Nurse Roles: Precepting, Coaching, and Mentoring

1424