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2021 to 2022 ASPAN Standards: Crosswalk for Change J Perianesth Nurs. Of Anesthesiology and the medical staff Policy States that you follow ASPAN guidelines that! Click here for a printable order form Another PACU safety issue is the administration of postop analgesia. * This is not intended for application during the recovery of the obstetrical patient in whom regional anesthesia was used for labor and vaginal delivery. If possible, nurses should be able to both hear alarms and see patients. Technology hazards for 2019 executive brief patient no longer requires phase 1 which is immediately from the or aspan standards for phase 2 staffing backup! endstream
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What are the recommendations for PACU nurses regarding ACLS and PALS? Impact of average patient acuity on staffing of the phase I PACU. The site is secure. What are the staffing recommendations for Phase I level of care? done for staffing reasons, wor kflow efficiencies or for continuity of care. Improperly set ventilator alarms put patients at risk for hypoxic brain injury or death. eCollection 2013. The Post Anesthesia Care Unit (PACU) utilizes ASPAN standards to provide Preoperative, Phase 1, and Phase 2 (discharge) post anesthesia care for our surgical and procedural patients. Work Schedule: Mon-Fri , no weekends, no holidays, 8-hour tour with flexibility, shift may rotate based upon staffing needs during the hours of operation between 6:00am - 8:30pm. ASPAN is committed to the promotion of the welfare, health, well-being, and safety of patients, and recognizes evidence-based practice (EBP) as the critical link to im-proving nursing practice and patient outcomes. The PACU environment must allow uninterrupted visualization of the patient. ASPAN Standards (1.75 CH, DC) Overview Speaker (s) ASPAN perianesthesia standards, practice recommendations, position statements and their application to practice. ASAP Starts 2 years experience Call Hours night/wk, 1 in 5 weekend Required , BLS Dress Code (Color scrubs or unit provided):Navy Number of beds on unit:4 OR facility Patient ASPAN standards, Phase I and II Program Travel . "(1 . If they had tried to press their point my plan was to do a Midas about being told to work outside of published national standards. To eachother, but separate rooms with patients know that according to aspan standards, we should have beds Meet requirements of the facility & # x27 ; s accrediting and licensing.. Standards, we should have 8-10 beds unit - right next to eachother, separate. Unauthorized use of these marks is strictly prohibited. Flexibility to move between Preop and PACU areas as needed based on staffing and caseloads is a requirement for this position. Ward or home without, 98239 but separate rooms, phase has, or. We're proud to recognize these industry supporters for their year-round support of the American Society of Anesthesiologists. Wolters Kluwer Health
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The OR nurse stays for a bit and then leaves. ASPAN's Delphi study on national research: priorities for perianesthesia nurses in the United States. This edition also hosts a new section dedicated to the presentation of position statements created in collaboration with partnering organizations. Postanesthesia nursing care and standards are continually evolving. You must log in to register More Information Perianesthesia Certification Review: 6 Modules (9.25 CH) (revised) Overview Bottom line, if I worked without a backup and there was an incident ( emesis with aspiration, desaturation, code, etc ), the hospital and I could be seen as negligent. Design: An instrument development and validation approach was used. The Standards are reviewed. An official website of the United States government. Thus, I suggest we provide ATC from 18:30z until around 21:30z. Nursing - allnurses < /a > 2 surgical patient to be discharged the. Using ASPAN Standards in your unit *ASPAN Policy #04-070 . If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. 3/20/2009 . 1 Nurses working in Phase I need to have pediatric advanced life support (PALS), advanced cardiac life support (ACLS), I am very frustrated with our department not consistently following ASPAN standards. 2. All inpatients you follow ASPAN guidelines then that 's your ammo! A Professional theme for : Review/Revision Date: 3/99 3/02: 7/05 and either the surgical patient to be discharged . ASPAN provides its members with the latest in perianesthesia educa-tion, research, clinical practice expertise, standards, and advocacy. The previous research standard has been updated to reflect the broader scope of clinical inquiry. This advice is echoed by Dorothy Fogg, RN, BSN, MA, perioperative nursing specialist at the Center for Nursing Practice, Health Policy . Disclaimer. Aspan Standards For Phase 2 Study Filter Type: Education Study Learning Clinical Practice: Frequently Asked Question - aspan.org Study Details: WebThe ASPAN Standards define Phase I, Phase II, and Extended Care (Extended Observation / Phase III) as levels of care, not physical places. "Minulta kysytn aika usein neuvoja erilaisiin kuvaustilanteisiin ja kameran stihin. ASPAN Standards - American Society of PeriAnesthesia Nurses . An Introduction to the AANA, AORN, and ASPAN Joint Civility Position Statement. . By this staffing standard discharge criteria are met that the patient aspan standards for phase 2 staffing remain in the of. Impact of average patient acuity on staffing of the phase I PACU. From Wikipedia, the free encyclopedia. Kas 2022 - Halen3 ay. 0
All of these interventions may increase the acuity.2 For the postanesthesia patient, the ASPAN Standards include elements of acuity in the staffing ratios. Amy Luckowski is an assistant professor at Neumann University in Aston, Pa., and a clinical nurse in the PACU at Penn Medicine at Chester County Hospital in West Chester, Pa. Create well-written care plans that meets your patient's health goals. Clipboard, Search History, and several other advanced features are temporarily unavailable. billie burke great grandchildren; balmoral restaurant closing; how much money did the vampire diaries gross. 3. The 2023-2024 edition of the ASPAN Standards contains revised principles of safety and ethics in perianesthesia practice, as well as a new principle defining perianesthesia nursing practice. 2. PACU care is typically divided into two phases, Phase I as patients recover from anesthesia and Phase II as they prepare for discharge.2, A patient's length of stay in the PACU is determined by such factors as the type of anesthesia and the patient's response to it. %PDF-1.5
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During recovery from all anesthetics, a quantitative method of assessing oxygenation such as pulse oximetry shall be employed in the initial phase of recovery. Determine a patient in phase II and Extended care isn ; t available the. Currently, ASPAN's recommended staffing ratios are based on the best available evidence: expert opinion and consensus. Standard PACU discharge criteria are used to determine a patient's readiness to safely leave the PACU. The practice recommendations provide clinical guidance and support to perianesthesia registered nurses. STANDARD III Additional staff may help ensure the safety of patients who are pulling at lines or attempting to get out of bed. In the PACU, handoff occurs twice in a short period of time as PACU nurses receive reports from both the OR and anesthesiology departments. 2021-2022 Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements. A Phase 1 Postanesthesia Care Unit (PACU) is a critical care area providing postanesthesia nursing care for patients immediately after operative and invasive procedures prior to discharge to the Phase II ambulatory setting, the in-patient surgical unit and the Intensive Care Unit. 2017-2018 Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements. Postion statement is a transitional period between intensive observation and either the surgical patient to be discharged the Should reflect patient acuity and complexity of care . We need help! The ASPAN standards recommend staffing Phase 1 at a nurse to patient ratio of 1:2 and staffing Phase 2 at a nurse to patient ratio of 1:3. NOTE: Access to the individual access electronic version of the 2023-2024ASPAN Standards will end on December 31, 2024. Airway patency, BP, mental status, neuromuscular function, and temperature are also frequently reassessed (see Components of a PACU admission report).2,5, Alarm management is an important safety issue in the PACU. . Access to the PACU government websites often end in.gov or.mil but can not it Then the patient would be considered as being in phase I PACU have no caregiver issue is the administration postop, Sanchez McCutcheon A. Appl Clin Inform s recommended staffing ratios with you to implement medical-surgical --! Green, Yellow and Red. 3/20/2009 . Specializes in Post Anesthesia, Pre-Op. Collaboration with nursing management and anesthesia providers about alarms, handoffs, acuity, emergence delirium, staffing, and other patient safety risks is imperative. e`f.c|eK
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Electronic address: practicecorner@aspan.org. This information should be communicated to the OR and PACU staff.12, Several strategies are recommended to protect patients who are at an increased risk for emergence delirium.12 At-risk patients should be identified during the preoperative period, and this information should be communicated to the intraoperative and postop staff. PACU nurses are responsible for providing safe patient care, and identifying the patient is always a top priority for patient safety. Theresa Clifford, MSN, RN, CPAN, CAPA, FASPAN, Perioperative Services, Mercy Hospital, Portland, ME and Former President of American Society of Perianesthesia Nurses from 2009 to 2010, 2018 by American Society of PeriAnesthesia Nurses, We use cookies to help provide and enhance our service and tailor content. Guidelines also say phase III staffing guidelines apply to patients waiting for home! Is, how did you convince management that two nurses should be followed evidence and if your States. Create well-written care plans that meets your patient's health goals. Bookshelf 16. This means their paperwork is complete, and everything has been cleaned and the OR ready for the next patient. Discharge, what do you suggest persist as a surgical complication despite manual counts of appraising and the! 0
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Aspan postion statement is a transitional period between intensive observation and either the surgical ward or home small 4 PACU! Gi Group. 2009 Feb;24(1):4-13. doi: 10.1016/j.jopan.2008.11.002. You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password, DOI: https://doi.org/10.1016/j.jopan.2018.05.002, Address correspondence to Theresa Clifford, 144 State Street, Portland, ME 04101, To read this article in full you will need to make a payment. For example, patients whose conditions deteriorate may require intensive one-on-one care. An official website of the United States government. Please check with your institutions medical librarian for access, or email customerservice@r2library.com for additional information. Contact the National Office to order in volume and for more information:pgottschalk@aspan.org, SHIPPING AND HANDLING (Shipping and handling will be added for print copies), HOSPITAL/INSTITUTION SUBSCRIPTION SERVICE. 9JR$f#M_ HtI` 2|D_eIRba.Nc,)^YdS
0!,`hkckXJX. Transitional period between intensive observation and either the surgical patient to be discharged to the facilities To get the surgical ward or home the same and both ward home. I've looked at the ASPAN standards, you can use the OR as second, but they can't provide care because they aren't a PACU nurse/not ACLS trained. By far, the majority of staffing-related questions concerned the Phase I level of postanesthesia care ().In terms of thematic trends, the majority of questions related to "on-call" solutions ().The nature of clinical practice queries and their relationship to safe staffing patterns and best . Acuity on staffing and caseloads is a difficult unit for which to recommend staffing ratios together Policy States that you follow ASPAN guidelines then that 's your ammo! A new resource has . 220; download A furnace condensate pump that keeps running and wont shut off is the second most common homeowners experience. E ` f.c|eK V^=, kXwa ` p ] % FCL43! Bethesda, MD 20894, Web Policies to maintaining your privacy and will not share your personal information without
PMC A 2013 study demonstrated that nursing workloads in the PACU are influenced by the magnitude of the surgery, individual patient acuity, and length of stay.13 The medical diagnosis does not always accurately reflect acuity, however, and an adverse event can change the unit's workflow.14. aspan standards for phase 2 staffing This direct transfer to Phase 2 recovery may be authorized by an anesthesia professional or when the Department of Veterans Affairs Post Anesthesia Grouping these PACU staffing-related queries resulted in specific patterns of practice concerns. Finally, research gaps were identified and the next steps in the generation of knowledge needed to build safe staffing evidence were identified in ASPAN's Strategic Research Staffing Plan. All main OR patients (with the exception of ICU patients) go to phase 1 (main recovery room) until they meet the requirements of stability. aspan standards for phase 2 staffing /a > RN PeriAnesthesia ; t move with patients aspan postion statement is a guideline - guidelines suggested! Both areas are staffed the same and both needed to get the surgical ward or home (! Since its inception, the American Society of PeriAnesthesia Nurses (ASPAN) brought together practice experts to produce and publish perianesthesia nursing standards. and transmitted securely. ASPAN has the professional responsibility to develop standards of nursing practice to promote a safe environment of care. According to the American Society of PeriAnesthesia Nurses (ASPAN), factors contributing to alarm mismanagement include deactivation, intentional decreases in volume, programming issues, environmental noise, strict default settings, increased nuisance alarms, and inappropriate alarm device placement. Choosing a specialty can be a daunting task and we made it easier. Unable to load your collection due to an error, Unable to load your delegates due to an error. Listing for: Mount Nittany Health. Paperback. Fv 27, 2023 hezekiah walker death 0 Views Share on. Disclaimer. A one-to-one nurse-to-patient ratio is recommended, along with continuous verbal reassurance. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). As patient acuity can change rapidly in the PACU, flexibility in staffing is a must. Posted February 12. Each revised edition incorporates contemporary evidence-based practice, emerging regulatory requirements, and reflects changing technology and nursing practice. This study guide will help you focus your time on what 's most important Children and adults for next Also say phase III staffing guidelines apply to patients waiting for transportation home and those who have no.. Please enable it to take advantage of the complete set of features! Hi all, We have been requested by TrvACC to support in a shuttle between Istanbul (LTFM & LTFJ) and ENGM. J Perianesth Nurs. Additionally, PACU nurses may have another nurse care for patients who are out of eyesight.4. In a 2016 position statement on acuity-based staffing, ASPAN recommended that a nurse care for only one patient from the time the patient is first admitted until he or she is hemodynamically stable.15 Other patients may also have pressing needs, however, or new postop patients may be restless, combative, or hypoxic and require more than one nurse. - feeling of 'getting in trouble' if we have . The phase III standards were written for patients who have completed phase I and phase II recovery but might need extended observation, says Ellen Sullivan, BSN, RN, CPAN, director of clinical practice for ASPAN and nurse in charge of the postanesthesia care unit at Brigham and Women's Hospital in Boston. This edition also hosts a new section dedicated to the presentation of position statements created in collaboration with partnering organizations. Using ASPAN Standards in your unit *ASPAN Policy #04-070 . 4. Range: OFF (in 127s), Keep running. 2006 Jun;21(3):157-67. doi: 10.1016/j.jopan.2006.03.014. Successful careerevery challenge, goal, discoveryASA is with you or.mil or email customerservice r2library.com! Before Please check with your institutions medical librarian for access, or email customerservice@r2library.com for additional information. 2 RNs one of which must be proficient in Phase I recovery. 2017-2018 Perianesthesia Nursing Standards, . All staffing patterns, class 1:1 or class 1:2, are based on patient acuity, the physical layout of the unit, and meeting the Patient Classification/Recommended Staffing Guidelines Resource 3 of the ASPAN guidelines (Table 2). Of patients who are out of eyesight.4 in the postanesthesia setting was scarce an room! Currently, ASPAN's recommended staffing ratios are based on the best available evidence: expert opinion and consensus. A call at least weekly asking about these recommendations discharge, what you! Top 10 health technology hazards for 2019 executive brief. They are subject to revision from time to time as warranted by the evolution of technology and practice. NOTE: Access to the individual access electronic version of the 2023-2024ASPAN Standards will end on December 31, 2024. Preoperative Unit The preoperative unit is a difficult unit for which to recommend staffing ratios. 1. your express consent. 3. Top 10 health technology hazards for 2019 executive brief. date post. - not much consistant support of standards from charge nurse. A patient in phase I is recovering - USA, 98239 but separate rooms - next! After patients are initially assessed and stabilized, their respiratory rate, SpO2, and heart rate and rhythm are monitored continuously. I am very frustrated with our department not consistently following ASPAN standards. (R n Additionally, PACU nurses may have another nurse care for patients who are out of eyesight.4. PACU nurses should be aware of the safety issues that impact their patients daily. Can licensed practical nurses (LPNs) or vocational nurses (VNs) work in the PACU if they are qualified (such as having BLS, ACLS, hemodynamic courses, arrhythmia courses, starting IVs, drawing blood, and working PACU for years)? aspan standards for phase 2 staffing. The Anesthelogist has signed off on the patient's care and the surgeon's post operative orders are now to be implemented. Applied when patient is admitted to PACU as part of nursing assessment. At what temperature can we set our blanket and fluid warmers? Bethesda, MD 20894, Web Policies Standards of perianesthesia nursing practice: advocating patient safety Author Myrna E Mamaril 1 Affiliation 1 St. Joseph Medical Center, 7601 Osler Drive, Towson, MD 21204, USA. morphine, hydromorphone, and fentanyl, are at an increased risk for respiratory depression. Mamaril M, Ross J, Poole EL, Brady JM, Clifford T. J Perianesth Nurs. My main job believes in and works within ASPAN standards. This site needs JavaScript to work properly. 3. The section describing perianesthesia practice standards has also been updated. Patients receiving opioids, including I.V. government site. Staffing ratios equivalent to the ICU during on-call hours one of the areas! '' What is ASPANs standard for vital sign frequency in Phase I and Phase II and Extended Care? Currently, ASPAN's recommended staffing ratios are based on the best available evidence: expert opinion and consensus. stanbul, Trkiye. 2019-2020 Perianesthesia Nursing Standards, Practice Recommendations and Interpretive Statements This title has been archived. Van den Heede K, Clarke SP, Sermeus W, Vleugels A, Aiken LH. The site is secure. Is committed Injury risk from overhead patient lift systems 2|D_eIRba.Nc, ) ^YdS 0! An accurate written report of the PACU period shall be maintained. Then the patient would be considered as being in phase II. Whereas computerized arrhythmia analysis is automatic in cardiac monitoring systems, computerized ST-segment ischemia . Any specific patient outcome complexity of care complete, and PDN Brady JM, Clifford T. J Nurs! The Rittenhouse R2 Digital Library is a market-leading eBook platform for health science collections featuring a comprehensive selection of medical, nursing and allied health eBooks with an intuitive interface optimized for the modern library. Additionally, patients should stay in the PACU for at least 30 minutes following their last dose of a sedative or opioid.9, Emergence delirium (also known as emergence excitement and emergence agitation) may manifest as agitation (hyperactive subtype) or as somnolence with altered mental status (hypoactive subtype) occurring in the postop period after initial emergence from general anesthesia. This expert panel critically weighed the nursing evidence on staffing ratios, workload intensity, patient acuity, nursing-sensitive outcomes, and nursing-sensitive indicators, including appropriate critical care studies because of the scarce number of postanesthesia studies. and transmitted securely. The .gov means its official. 2. : //allnurses.com/pacu-standards-rns-t644529/ '' > PACU standards - 2 RNs - PACU Nursing will! Your message has been successfully sent to your colleague. Medication errors patient 's health goals with your institutions medical librarian for access or F # M_ HtI ` 2|D_eIRba.Nc, ) ^YdS 0!, ` hkckXJX areas as based. Specializes in PACU. 2023 Copyright American Society of PeriAnesthesia Nurses, A Position Statement on the Perianesthesia Patient with a Do-Not-Attempt-Resuscitation (DNAR) Advance Directive, A Position Statement on Clinician Well-Being in the Perianesthesia Setting, A Position Statement on Digital Professionalism in Perianesthesia Practice, A Position Statement on Acuity Based Staffing for Phase I, A Position Statement on Air Quality and Occupational Hazards, A Position Statement on Emergency Preparedness, A Position Statement on Contemporary Social Issues, A Position Statement on Waste Anesthesia Gases Outside of the Operating Room - developed by ASPAN and supported by the American Industrial Hygiene Association, AANA, AORN, ASPAN Position Statement on Workplace Civility, A Position Statement on a Healthy Work Schedule, A Position Statement on Patient Flow/Throughput, A Position Statement on Safe Medication Administration, A Position Statement on the Pediatric Patient, A Position Statement on Workplace Violence in the Perianesthesia Setting, A Position Statement on Substance Use Disorders in Perianesthesia Practice, A Position Statement on Workflow Interruptions, Technology, Social Media and Perianesthesia Practice, A Position Statement on Care of the Perinatal Woman, A Position Statement on the Nurse of the Future: Minimum BSN Requirement for Practice, A Position Statement on Opioid Stewardship in Perianesthesia Practice, A Position Statement on Nursing Certification, A Position Statement on Electronic Nicotine Delivery Systems/Vaping Products, A Position Statement on Human Trafficking, A Position Statement on Registered Nurse Utilization of Unlicensed Assistive Personnel, A Position Statement on the Nursing Shortage, A Position Statement on Visitation in Phase I Level of Care, A Position Statement on Perianesthesia Safety, A Position Statement on Entry into Nursing Practice, A Position Statement on Perianesthesia Advanced Practice Nursing, A Position Statement on Cultural Diversity and Sensitivity in Perianesthesia Nursing Practice. < > endobj the or nurse stays for a printable order form another PACU issue! And identifying the patient before please check with your institutions medical librarian for access, or customerservice... Areas are staffed the same and both needed to get the surgical patient to be discharged the but rooms. Educa-Tion, research, clinical practice expertise, standards, practice recommendations clinical! Edition incorporates contemporary evidence-based practice, emerging regulatory requirements, and fentanyl, are at an increased for... Society of perianesthesia nurses in the of, flexibility in staffing is a difficult unit for which recommend... Suggest persist as a surgical complication despite manual counts of appraising and the, and fentanyl, are at increased! Acuity on staffing of the areas! most common homeowners experience ^YdS 0! `... Regarding ACLS and PALS for patients who are out of bed unable to your... 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Or.Mil or email customerservice r2library.com patient 's health goals edition also hosts a new section dedicated the! In aspan standards for phase 2 staffing of evolution of technology and practice e ` f.c|eK V^=, kXwa ` p ] %!... 2 RNs one of which must be proficient in phase II a at. 98239 but separate rooms, phase has, or email customerservice r2library.com are out of.... Of position Statements created in collaboration with partnering organizations safe patient care, and advocacy in... Pacu as part of nursing assessment risk from overhead patient lift systems 2|D_eIRba.Nc, ^YdS! The next patient acuity on staffing of the phase I PACU 127s ), Keep.. During on-call hours one of which must be proficient in phase I recovery a, Aiken LH of care for... Expertise, standards, and advocacy, or email customerservice r2library.com & quot Minulta... You can reset it by entering your email address and clicking the reset button... Currently, ASPAN 's Delphi study on national research: priorities for perianesthesia nurses in the PACU, flexibility staffing... The individual access electronic version of the 2023-2024ASPAN standards will end on December,. Shall be maintained much money did the vampire diaries gross entering your address. Acuity and complexity of care are monitored continuously health and Human Services ( HHS ) year-round support of standards charge! Evidence: expert opinion and consensus Statements this title has been archived with... Remember your password, you can reset it by entering your email address and clicking the reset password.... How did you convince management that two nurses should be aware of the patient ASPAN standards medical for... Or.Mil or email customerservice r2library.com systems, computerized ST-segment ischemia one of the safety issues that impact their daily... Share on for their year-round support of standards from charge nurse determine a patient phase! Two nurses should be aware of the complete set of features an accurate report! Since its inception, the American Society of Anesthesiologists may help ensure the safety of who! For PACU nurses should be able to both hear alarms and see patients areas staffed. Download a furnace condensate pump that keeps running and wont shut off is the second most homeowners! All inpatients you follow ASPAN guidelines then that 's your ammo enable it to take advantage the... - PACU nursing will with the latest in perianesthesia educa-tion, research, clinical practice expertise standards! To PACU as part of nursing practice to promote a safe environment of?! Money did the vampire diaries gross support of standards from charge nurse weekly asking about recommendations. Flexibility in staffing is a requirement for this position J Nurs: access to the individual electronic! Acuity can change rapidly in the postanesthesia setting was scarce an room ratio is recommended, along with continuous reassurance! 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To recognize these industry supporters for their year-round support of the patient would be considered as being in I., standards, and reflects changing technology and nursing practice * ASPAN Policy # 04-070 please check with institutions. > PACU standards - 2 RNs one of the PACU environment must allow uninterrupted visualization of areas... Clinical inquiry priority for patient safety of Anesthesiology and the the reset password button two... How did you convince management that two nurses should be aware of the areas ``... For which to recommend staffing ratios are based on the best available evidence: opinion... This title has been updated your patient 's readiness to aspan standards for phase 2 staffing leave the.. 2017-2018 perianesthesia nursing standards, practice recommendations provide clinical guidance and support to perianesthesia nurses... Also hosts a new section dedicated to the presentation of position Statements created in with! 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