§ 555.24. Postoperative care.
(a) The findings and techniques of an operation shall be accurately and completely written or dictated immediately after the procedure by the practitioner medical staff member who performed the operation. If a physician assistant or certified registered nurse practitioner performed part of the operation, the findings and techniques of the procedure shall be accurately recorded and the report shall be countersigned by the medical staff member. This description shall become a part of the patient’s medical record.
(b) A patient who has received anesthesia shall be observed in the facility by a registered nurse, physician assistant or a practitioner for a period of time which is sufficient to ensure that no immediate postoperative complications are present.
(c) Patients in whom a complication is known or suspected to have occurred during or after the performance of a surgical procedure shall be informed of the condition and arrangements made for treatment of the complication. In the event of admission to an inpatient facility, a summary of care given in the ASF concerning the suspected complication shall accompany the patient.
(d) A medical professional certified in advanced cardiac life support shall be present until patients operated on that day have been discharged from the facility. If a patient receives general anesthesia, regional anesthesia or IV sedation, an anesthetist shall remain present until that patient has been discharged from the facility.
(e) Patients shall be discharged in the company of a responsible person, if one is deemed to be necessary under § 555.22(c)(5) (relating to preoperative care).
(f) Protocols approved by the medical staff shall be established for instructing patients in self-care after surgery including written instructions which, at a minimum, include the following:
(1) The symptoms of complications associated with procedures performed.
(2) An explanation of prescribed drug regime including directions for use of medications.
(3) The limitations and restrictions on activities of the patient, if necessary.
(4) A specific telephone number to be used by the patient, if a complication or question arises.
(5) A date for follow-up or return visit after the performance of the surgical procedure.
(6) Instructions on the care of dressing and wounds.
(7) Instructions on dietary limitations.
(g) Patients shall be discharged only on the written signed order of a practitioner.
Source The provisions of this § 555.24 amended October 22, 1999, effective November 22, 1999, 29 Pa.B. 5583. Immediately preceding text appears at serial page (256565).
Cross References This section cited in 28 Pa. Code § 553.21 (relating to principle).
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