Donor Patient Post Operatively I. POST ANESTHESIA CARE UNIT (PACU) will handle donor patient. Upon admission of donor patient post operatively at PACU, the OR nurse must endorse the following pertinent information: - Patient’s Information - Anesthesia used and anesthesia events intra operatively - Surgical procedure and surgical events noted - Medications given pre-operatively and intra operatively - Vital signs trends intra operatively - Blood loss noted - Allergies II. The patient will be hooked to O2 support and cardiac monitor for monitoring. Initially the patient will be monitored every 15minutes for an hour or until stable then every hour thereafter. This will also include pain score monitoring. PACU nurse will ensure all pain medications and independent nursing interventions to manage pain are being done or given on time. PACU nurse must also be equipped with the knowledge on the nursing considerations of all medications being given to the patient. III. PACU nurse will ensure that the patient receives adequate hydration as ordered post operatively. Proper recording of intake and output will also be reflected at the monitoring sheet. IV. The patient will be continuously assessed and evaluated by PACU nurse and PACU anesthesiologist on duty for any untoward events or complications post-operatively. And proper referral to the primary service once surgical complications and unstable VS were noted. V. Once anesthesia effects wear off, with stable VS and no other complains – the patient may be transferred back to ward or room for continuity of post-op care. Use of Modified Aldrete Scoring System/ VAS Scoring, and the like.) VI. Proper documentation of all transpired events post operatively must be reflected at the narrative notes and must be endorsed to the receiving nurse for continuity of care. * The following things are to be considered or monitored for the donor patient: - Even though live liver donation is considered a very safe operation, it involves major surgery and is associated with complications, which may include: Possible allergic reaction to anesthesia Pain and discomfort Nausea Wound infection Bleeding that may require transfusion Blood clots Pneumonia Bile leakage, bile duct problems Hernia and Scar tissue formation
