Post procedure vitals

Posted
by roseynurse345 Member

Specializes in Tele, Dialysis, Med-Surg, ICU,GI.

Hi everyone! I am helping to set up procedure and policy for my facility. I work at an outpatient MDs office that only does EGDs and Colonoscopies, this office is under the auspices of a major medical center. How long do you document vital signs post procedure, generally how long do you keep the patient? 99% patients are receiving Propofol.

Thanks!

nurselana22

Specializes in OR and Obs and End. Has 12 years experience. 1 Post

I came to this site to ask the same thing??

Any response??

endo2006

Specializes in gi. Has 30 years experience. 5 Posts

In our endoscopy dept, we recover pts than have recieved propofol from anesthesiologists. Our policy: vitals every 5 minutes times 3. Then every 15minutes until discharge criteria is met. (same protocal after conscious sedation).

amandaxyo, BSN, MSN, RN

Specializes in Med-Surg, Tele, Outpatient Procedures, ER. Has 5 years experience. 45 Posts

On 7/12/2020 at 12:34 PM, roseynurse345 said:

Hi everyone! I am helping to set up procedure and policy for my facility. I work at an outpatient MDs office that only does EGDs and Colonoscopies, this office is under the auspices of a major medical center. How long do you document vital signs post procedure, generally how long do you keep the patient? 99% patients are receiving Propofol.

Thanks!

I do outpatient GI (endos and colonoscopies) post-procedure in an office. We do VS every 5 mins for 4 times is the minimum. So a minimum of 20 mins after the procedure before they be discharged. By that 4th VS, pts are normally awake and we give them something to drink. However, its longer for a pt having a more difficult time waking up or things may change if there’s issues.

Edited by amandaxyo

chare

3,317 Posts

For discharge to home:

  1. Alert and oriented, or return to baseline mental status if not alert oriented pre-procedure.
  2. Return to baseline SpO2 for 5 minutes off of oxygen, or at home oxygen settings.
  3. Aldrete score => 8, or baseline of >8 pre-procedure.

Chickenlady, ADN

Specializes in ER, GI, Occ Health. Has 8 years experience. 139 Posts

VS every 5 minutes (minimum of 15 minutes total) then as needed until they meet discharge criteria. Also use alderete score.

mvnRN

Specializes in Endoscopy. Has 8 years experience. 4 Posts

For our outpatients receiving propofol they get one initial set of vitals and a second set in 15 minutes. If VSS they dc home. Most spend 20ish minutes in recovery. 

roseynurse345

Specializes in Tele, Dialysis, Med-Surg, ICU,GI. 160 Posts

Thank you everyone for responding to my post. This was very helpful.

NickiLaughs, ADN, BSN, RN

Specializes in Emergency, Trauma, Critical Care. Has 13 years experience. 2,380 Posts

We use fentanyl/versed/Benadryl.  Our discharge time is 30 min from last dose and 15 min from scope out.  I do VS every 5 min during the procedure or when a med dose is given.  Then post procedure we do VS in scope out, 5 min after and then 10 min after that (discharge).