PACU Checklist

My day Hilmi Arsyad bin RahmanMV-727152

Hilmi Arsyad bin Rahman NKA ASA I Draft In Recovery

11y · M · MV-727152 · A5041901 · Squint Surgery · Left eye (OS)

Released by the anaesthetist

Recovery room handover

20/20 PACU 20 of 20 Ward 0 of 20 Handover

Item	PACU	Ward	N/A
1. Patient identification
Patient ID band checked * Mandatory
Name and date of birth confirmed * Mandatory
Allergies verified * Mandatory
Airway patent * Mandatory
Oxygen saturation monitored * Mandatory
Respiratory rate within normal limits * Mandatory
Supplemental oxygen provided, if needed May be not applicable
2. Circulation
Blood pressure stable * Mandatory
Heart rate monitored * Mandatory
IV access patent and secure * Mandatory
Fluids administered as ordered May be not applicable
3. Neurological status
Level of consciousness assessed * Mandatory
Orientation checked (person, place, time) * Mandatory
Motor function intact * Mandatory
Pain level assessed * Mandatory
4. Surgical site and drains
Dressing clean, dry and intact * Mandatory
Drain output monitored May be not applicable
No excessive bleeding or swelling * Mandatory
5. Comfort and safety
Pain medication administered, if required May be not applicable
Position comfortable and safe * Mandatory
Side rails up * Mandatory
6. Documentation
Vital signs recorded * Mandatory
Medications charted * Mandatory
Handover completed * Mandatory

1/2 Draft

Azlan Shah bin Yusof 05/10/2026 10:51

Nurse Suria Binti Kamal Not signed

Complete the ward checklist first ISEC/OT-F13 · Rev. 02