Abstract
Based on the Joint Commission Sentinel Event Alert, hospitals need to focus on safe opioid administration and vigilant monitoring of the effects of opioids. The PACU lacked a standardized policy to determine when the non-ventilated patient is ready for discharge based on pain and level of sedation. PACU staff has varying levels of experience leading to inconsistency in treating pain and the risk of opioid-induced oversedation and/or respiratory depression.
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