UNIVERSITY OF WISCONSIN
POLICY & PROCEDURE
OTHER Surgical Services
TRANSFER OF STEREOTAXIC BIOPSY PATIENTS
FROM THE INPATIENT PACU TO CT SCAN
To provide a system to follow when discharging a patient from PACU to Radiology for CT scans following
stereotaxic biopsy procedure.
A. Follow UWHC Policy #7.24 for Admission, Care and Discharge of Patients to and from the Post
Anesthesia Care Unit (PACU).
B. Scheduling of CT scan will have been made with Radiology by neurosurgical M.D. prior to stereotaxic
C. Neurosurgical resident or MD will enter orders for post biopsy CT scan. During bedside handoff, it
will be communicated to PACU RN if there is a post biopsy CT scan ordered prior to transfer to floor.
D. Notify Radiology when patient is ready for discharge to reconfirm availability of scanner.
E. Notify Neurosurgery resident or MD of patient’s transfer to Radiology.
F. If patient is unstable will require Anesthesia support for monitoring during the scan. If patient has not
met discharge criteria, CT scan might be delayed if PACU staffing does not allow.
Patients whose scan is required for concern over hemorrhage manifest by neurological changes,
hemodynamic instability, or intra-operative findings should have STAT post op CT scans and these
patients should be escorted by the neurosurgery resident and/or staff responsible for the case.
G. Neurosurgical resident and MD will review CT scan and clear patient for placement on Neurosurgery
Unit. If CT scan shows complications, resident will arrange admission to ICU for the O.R.
H. PACU RN will arrange for transport of patient to Neurosurgical unit and complete SBAR handoff. If
patient is being admitted to Neurosurgical ICU, PACU RN will accompany patient and complete
Connie Allen, Manager, Perioperative Services 12/2017
Ann Keenan, Interim Supervisor, Recovery Room 12/2017
Daniel Resnick, MD, Department of Neurological 12/2017
Anne Mork, MHCDS, MS, RN,
Director, Surgical Services Department