Implementation of the PEWS and NEWS protocols in the post-anesthesia care unit
DOI:
https://doi.org/10.5327/Z1414-4425202227789Keywords:
Clinical deterioration, Recovery room, Perioperative nursing, Protocols, AutomationAbstract
Objective: To describe the development and implementation of the PEWS and NEWS protocols in post-anesthesia recovery using robotic automation. Method: Experience report on the development and implementation of clinical deterioration protocols in post-anesthesia recovery in a large philanthropic hospital located in the city of São Paulo, Brazil. The work involved the determination of protocols, construction of operational rules for the system, development of the electronic system and implementation with training of the assistance team. Results: Prediction of clinical deterioration was implemented with the PEWS and NEWS protocols in an automated way, and activation was signaled through an iconogram in the panel of the post-anesthesia care unit. Conclusion: The implementation of the protocols was successfully completed; the use of robotic automation can simplify workflows and reduce the time to collect vital signs to provide a score. Clinical deterioration protocols help nurses’ decision-making in anesthesia recovery, as long as they are applied in conjunction with clinical judgment.
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