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AS6.1-3 | Post-anaesthesia Recovery — Assignment

Instructions

1. Review your SDL on PACU monitoring, crash cart contents, and complication management (AS6.1, AS6.2, AS6.3).
2. Choose the FIVE highest-priority PACU complications to include. Justify your selection briefly (2–3 sentences) in a short preamble before the card itself.
3. For each complication, construct a tabular entry with four columns: (a) Recognition Criteria — the clinical signs that should trigger action; (b) Immediate Interventions — stepwise, numbered actions the nurse should take in the first two minutes; (c) Drugs/Equipment — specific drugs with doses in mg/kg or mg, equipment from the crash cart; (d) Escalation Threshold — when to call the anaesthetist immediately.
4. Include a footer section titled 'Crash Cart Essentials' listing the ten most critical items that must be verified at each shift check, with a brief reason for each item's inclusion.
5. Use accurate pharmacological data only: naloxone dose must state titration (0.1–0.2 mg IV); oxygen device FiO2 ranges must match known values (nasal cannula 24–44%, Venturi = fixed FiO2, non-rebreather 60–90%); CPR must state 30:2, 100–120/min, 5–6 cm depth; shockable rhythms = VF and pVT only.
6. Proofread for clinical accuracy — a single wrong dose (e.g., 0.4 mg naloxone bolus or wrong LA max dose) constitutes a critical error.
7. Submit as a structured document (600–900 words main body, excluding the crash cart table).

Length: 600–900 words for the main protocol card body (five complication entries + preamble). The crash cart table does not count toward the word limit.

Grading Rubric — Post-anaesthesia Recovery Assignment Rubric

Criterion	Points	Full-marks descriptor
Clinical accuracy of complication recognition criteria and management steps (doses correct in mg/kg, naloxone titrated correctly, CPR parameters correct, shockable rhythms correctly identified)	30 pts	All five complications described with accurate, verifiable clinical criteria; all doses stated in mg/kg or correct fixed-dose; naloxone titration explicitly stated (0.1–0.2 mg IV q2–3 min); CPR parameters (30:2, 100–120/min, 5–6 cm) correct; VF/pVT correctly identified as only shockable rhythms; no factual errors detectable.
Practical usability of the protocol card — structured tabular format, clear escalation thresholds, stepwise numbered interventions, nurse-actionable language	20 pts	All five entries are in the required four-column format; interventions are numbered and sequential; escalation criteria are explicit and specific (not vague); language is direct and nurse-actionable; card could be printed and used at bedside.
Completeness and accuracy of the Crash Cart Essentials section — 10 items listed with correct function/reason, 20% intralipid explicitly included	20 pts	Exactly 10 crash cart items listed; each has a clear and accurate reason; 20% intralipid included with LAST as the indication; defibrillator, ETT sizes, adrenaline, atropine, amiodarone, suction, BVM all present; items reflect AS6.2 PACU-specific requirements.
Selection and prioritisation rationale — five complications chosen represent highest-priority PACU threats; preamble justifies selection with reference to clinical principles	10 pts	Preamble clearly explains why these five complications were prioritised (frequency, time-criticality, potential for missed diagnosis); at least two of the highest-acuity complications (laryngospasm, OIRD, haemorrhage) included; selection defensible from AS6.3.