Prince of Wales Hospital
Department of Anaesthesia & Intensive Care
OBSTETRIC Recovery Room Record
Date:     10/12/2024    
RECOVER ROOM ORDERS
Known Drug Allergy

Case Anaesthetist Sign: Code:
Red Dot
(Allergy Alert)

(g/dL) @:

(mmol/L) @:

PRESCRIPTION (For patient in Recovery Room only)
PROTOCOL
Drug / Route / Dose
Morphine/ IV mg
Every min PRN
Max dose
Sign Time Given Checked
ONCE ONLY
Temp (°C)
SpO2 (%)
Resp Rate
O2 (L)
IVF
Urine (ml)
Leg mobile: R/L
Blood Pressure (in mmHg) & Pulse
Arrival Discharge Minimum Observations
Parameter Every 5 minutes
BP, HR, RR, SpO2

On arrival & discharge

Alertness
Pain & PONV
Aciive PPH e.g. PVB
*Temperature
*If active warming devices are used e.g. Bair hugger, temp should be measured q20 mins

For SA/EA case

Any sign of leg movement is considered as regiain of lower limb mobility e.g. flicker of toes. Check q20 mins
1. Alertness
2. Oxygenation
3. Breathing
4. Circulation
5. Heart Rate
6. Pain
7. PONV
8. Bleeding
Total Score
RR Nurse
REMINDERS FOR ANAESTHETIST & RECOVERY NURSE
Patient should be observed for minimum 20 mins
  • If patient is not discharged by 60 mins; nurse to inform anaesthestist
  • For Recovery Room case: any change in patient condition within 30 mins of anaesthetic discharge please inform anaesthetist
  • For MSCV case: any change in patient condition after anaesthetic discharge please inform obstetrician
  • For Emergency: Obstetric Anaesthetist 5569-9044

DD Discard: mg
Checked by (1):Checked by (2):
RR Nurse (Sign & Chop):

 

Time:
If Anaesthetist called to review Recovery Room case on labour ward within 30 mins after RR discharge, please state reason.
Reason:
Time:
Discharged by Anaes (Sign):

 

Time: