Post-Anesthesia Scoring System

Vital signs

2 = within 20% of preoperative value

1 = 20% to 40% of preoperative value

0 = 40% of preoperative value

Ambulation and mental status

2 = oriented X 3* and has a steady gait

1 = oriented X 3* or has a steady gait

0 = neither

Pain or nausea and vomiting

2 = minimal

1 = moderate

0 = severe

Surgical bleeding

2 = minimal

1 = moderate

0 = severe

Intake and output

2 = has had PO fluids and has voided

1 = has had PO fluids or has voided

0 = neither

Note: Maximum total score is 10; patients scoring 9 or 10 are considered fit for discharge home.

*X 3 = patient is oriented sufficiently to know his name, his location, and what time it is.

Source: Frances Chung, MD, Toronto Hospital.

Modified Post-Anesthesia Discharge Scoring System

Vital signs

2 = within 20% of preoperative value

1 = 20% to 40% of preoperative value

0 = 40% of preoperative value

Ambulation

2 = steady gait/no dizziness

1 = with assistance

0 = none/dizziness

Nausea and vomiting

2 = minimal

1 = moderate

0 = severe

Pain

2 = minimal

1 = moderate

0 = severe

Surgical bleeding

2 = minimal

1 = moderate

0 = severe

Note: Maximum total score is 10. Patients scoring 9 or 10 are considered fit for discharge.