T&A Triage with or without Preoperative Polysomnography Clinical Pathway – Inpatient and Outpatient Specialty Care

ASC and CHOP Day Surgery Discharge Criteria
ASC and CHOP Day Surgery patients are ambulatory patients who may be discharged home according to home readiness criteria approved by the medical staff/responsible provider and with a Recovery Score of 6 (or at baseline status).
Vital Signs
  • Temperature, HR, BP
    • Stable/within normal limits or at baseline
Consciousness
  • Awake or back to baseline level of consciousness
Airway/Respiration
  • Patent airway with protective reflexes
  • Adequate ventilation, normal respiratory rate
    • No evidence of respiratory distress, baseline respiratory status
Bleeding
  • No excessive surgical drainage or bleeding
Movement
  • Moving all extremities, back to baseline level of activity
PO
  • Adequately hydrated
  • Emesis
    • No more than 2 emetic episodes and
    • No emesis within 30 minutes of discharge
Pain
Discharge
  • Parent/legal guardian/responsible adult is present to escort the patient home, include:
    • Appropriate prescriptions
    • Discharge instructions
    • Hospital and personnel phone numbers