The Pre-Anesthesia Testing (PAT) Unit is for patients having surgery or other interventional procedures requiring anesthesia. There are 8 PAT rooms for interview, anesthesia assessment, nursing assessment, lab, EKG, X-ray and other intervention to prepare the patient for surgery.
The PAT patient is registered and interviewed by a financial clerk, pharmacy technician, nurse and anesthesiologist. A complete system assessment and tests are performed to make sure the patient has a successful recovery.
The hours of operation are Monday-Friday, 8 am-5:30 pm. The unit is staffed with a total of 12 staff members to assure the surgical patient is prepared for the surgical procedure.
The Ambulatory Surgery Unit (ASU) is a 23-bed unit adjacent to the main operating suite on 2 North. It is open Monday-Friday, 6 am-5 pm. Pre-operative and post-operative care is provided by registered nurses for patients undergoing surgical procedures that do not require overnight hospital stay. The patient is admitted to the ASU, sent to the Operating Room, sent to the Post-Anesthesia Care Unit for recovery, and then sent to Phase II Recovery for discharge home. The family waits in the Outpatient Surgical Lounge located near the ASU.
Outpatient surgery is the way of the future for most patients because the can return to work in days rather than weeks or months. As technology improves, the surgical procedures will become less invasive, which means quicker recovery for surgical patients.
The Pre-Operative Unit (POU) is open 24 hours a day, 7 days a week. In-house patients and morning admissions are prepared here for their surgical procedures. IV lines are inserted by POU nursing staff, and invasive monitoring lines and epidural catheters for post-op pain management , when indicated, are inserted by the anesthesia staff. Preoperative lab work, EKG, or chest x-ray may be ordered if not already done. The patient will be assessed by the nursing staff that will attend him or her in the room, as well as, the Anesthesia staff.
The POC is staffed with detailed-oriented registered nurses trained to handle critical situations that may occur before surgery. This face-paced unit is a 14-bed area with curtain dividers, so each patient may be observed as their surgical preparation is begun with anesthetic medications. Family members are only allowed in unusual circumstances. This area strives to be a quiet atmosphere that respects the privacy of each patient or he or she can relax before going to surgery.
The operating room (OR) consists of 30 regularly scheduled suites for surgery Monday through Friday. On Saturday, there are three urgent rooms and one trauma room, and two urgent suites and one trauma on Sunday. Perioperative nurses work closely with surgeons and anesthesiologists. To practice perioperative nursing to its fullest extent means the nurse assesses and teaches each patient preoperatively; plans, implements and documents peri-operative care; and evaluates postoperatively. This definition makes clear that patient advocacy management of the environment, overall comprehensive planning of care and preparation for the surgical procedure belong to nursing.
The registered nurse must have a perioperative based OR program completed or equivalent experience in an operating room. The program usually takes approximately eight to nine months of classroom and clinical rotations. The surgical technologist must have completed a program from an accredited surgical school, which usually takes one year to complete. The RN supervises the room and is responsible for the patient care during the surgery along with the surgeon and anesthesia staff. The surgical technologist is responsible for the passing of the instruments and supplies handed to the surgeon during the procedure.
We are a Level I Trauma Center and the operating room staff prides itself in being a part of the hospital to serve the community in emergent and non-emergent situations.
Post Anesthesia Care Unit (PACU) is the new designation of a short-term nursing care unit, which has long been known as PAR or Recovery Room. The PACU facilitates awakening or recovery of patients from anesthesia. These units were created to closely observe post-operative patients and prevent unnecessary mortality and morbidity immediately following general anesthesia.
The PACU is staffed 24 hours per day and seven days per week. The PACU now is comprised of two united yet distinct units. Between the two units we have increased our capacity to care for 34 patients at one time. Each bed is equipped with cardiac and invasive monitoring.
The Post Anesthesia Care Unit nursing staff includes many people with more than 15 years’ experience in the field. This diverse group comes from emergency, intensive care and medical-surgical nursing backgrounds. Between the two units, approximately 75 to 95 patients are treated during a normal workday schedule. Acuity ranges from a simple procedure requiring local anesthesia and sedation to a complex major trauma patient requiring general anesthesia and close 1:1 care.
UT Day Surgery (UTDS) is an ambulatory surgery center located at the University of Tennessee Medical Center. Our center is comprised of 6 holding bays for surgery preparation, 6 operating room (OR) suites, and 10 recovery bays. Our main OR services include Orthopedics, Podiatry, General Surgery, Plastic Surgery, Ear Nose & Throat, Neurology, Urology and Gynecology and we average 25-30 OR cases per day. In addition, there is a pain procedure room and 2 pain holding suites where we perform 10-14 pain procedures a day.
We have 38 registered nurses and 12 surgical technologists who support our surgeons and provide services for our patients. UTDS also has a wonderful admitting crew and support staff to assist in our goal of patient-family-centered care. We strive to treat our patients and their family members with the upmost respect and compassion.
UTDS is open Monday-Friday, 6 am until our last patient has fulfilled recovery room requirements to go home. We are closed all major holidays.
Chief Nursing Officer & Senior Vice President
Executive Director, Perioperative Services
Nurse Manager, PAT
Nurse Manager, UTDS
Nurse Manager, OR
Nurse Manager, PACU
Nurse Manager, ASU, POU