CPAN Phases of Perianesthesia Care and Discharge Criteria

Question 1

The Modified Aldrete score assesses activity, respiration, circulation and consciousness. What is the fifth parameter?

Accepted Answer

Oxygen saturation

Answer

The Modified Aldrete score replaced skin color with SpO2. Each of the 5 parameters is scored 0-2 for a maximum of 10, and 9 or higher typically supports Phase I discharge.

Question 2

Which scoring tool is designed to assess home-readiness after ambulatory surgery and includes pain, nausea/vomiting and surgical bleeding?

Accepted Answer

Post-Anesthesia Discharge Scoring System (PADSS)

Answer

PADSS scores vital signs, activity, nausea/vomiting, pain and surgical bleeding to decide whether an ambulatory patient is ready to go home from Phase II.

Question 3

By ASPAN definitions, what is the focus of Phase II perianesthesia care?

Accepted Answer

Preparing the patient and family for care at home or in an extended care setting

Answer

Phase I covers the immediate post-anesthesia period with intensive monitoring. Phase II prepares the patient and family for discharge to home or extended care. Extended Care covers patients who need ongoing observation.

Question 4

What is ASPAN's position on minimum mandatory PACU length of stay before discharge?

Accepted Answer

Discharge should be criteria-based, not tied to an arbitrary minimum time

Answer

ASPAN supports criteria-based discharge using objective, validated measures instead of a mandated minimum stay. Patients are still observed long enough to catch effects of recently given medications.

Question 5

For which ambulatory patient is it most important to confirm the ability to void before discharge?

Accepted Answer

A patient after inguinal hernia repair under spinal anesthesia

Answer

Voiding is not required for every patient, but those at high risk of urinary retention, such as after neuraxial anesthesia or hernia, anorectal or genitourinary surgery, should void or be assessed before discharge.

(CPAN) Certified Post Anesthesia Nurse Practice Test

(CPAN) Certified Post Anesthesia Nurse Practice Test

CPAN Phases of Perianesthesia Care and Discharge Criteria