Certified Ambulatory Perianesthesia Nurse (CAPA) Practice Exam

What should a perianesthesia nurse do when a pediatric patient arrives earlier than planned in the phase I PACU?

1. Ask the operating room aide to assist

2. Retain the operating room nurse

3. Ask the patient's family to come to the bedside

4. Call in the anesthesia technician for assistance

The correct answer is: Retain the operating room nurse

When a pediatric patient arrives earlier than planned in the phase I Post Anesthesia Care Unit (PACU), retaining the operating room nurse is the most appropriate action. This nurse is familiar with the patient's surgical history, anesthesia details, and any potential complications that may arise due to the early transfer. Having the operating room nurse stay ensures that essential information regarding the patient's condition, care requirements, and specific needs is effectively communicated to the PACU staff, promoting continuity of care and patient safety. In high-stakes environments like the PACU, having complete and accurate information about the patient is crucial for monitoring vital signs, managing pain, and anticipating postoperative challenges. The operating room nurse's close involvement allows for a smoother transition and better preparation for any specific interventions necessary for the pediatric patient. Other options may not provide the immediacy of care and communication needed in that situation. For instance, simply asking for assistance from someone like the operating room aide or anesthesia technician might not guarantee that the required clinical background and assessment specific to the pediatric patient are effectively relayed, potentially compromising patient safety and quality of care. Inviting the family to the bedside, while valuable for emotional support, does not address the professional requirements of understanding clinical care protocols and immediate recovery needs during the transition