Original Article| Volume 27, ISSUE 5, P323-328, October 2012

Download started.


Obstructive Sleep Apnea: A Standard of Care That Works

      Examining the care of patients with obstructive sleep apnea (OSA) is forefront in perianesthesia nursing. The issue of how to effectively manage patients with OSA emerges as the patient presents for surgery. Evaluation of current practice demonstrates a gap in the consistency of care provided to patients with OSA. The development and implementation of a nursing standard of care has proven highly effective in improving the perioperative management of patients with OSA. With the introduction of preoperative screening, we can more readily identify and facilitate communication of the presence of OSA. Staff education and an increase in postoperative monitoring time help to ensure that all patients with OSA receive safe, consistent, quality care while recovering from anesthesia.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of PeriAnesthesia Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


      1. American Sleep Apnea Association. Sleep Apnea and Same Day Surgery. 2009. Available at: Accessed June 9, 2010.

        • Lakdawala L.
        Creating a safer perioperative environment with an Obstructive Sleep Apnea Screening Tool.
        J Perianesth Nurs. 2011; 26: 15-22
        • Ead H.
        Meeting the challenge of obstructive sleep apnea: Developing a protocol that guides perianesthesia patient care.
        J Perianesth Nurs. 2009; 24: 103-113
        • American Society of Anesthesiologists
        Practice guidelines for the perioperative management of patients with obstructive sleep apnea.
        Anesthesiology. 2006; 104: 1081
        • Ho C.
        • Liao C.
        The use of failure mode effect. Analysis to construct an effective disposal and prevention mechanism for infectious hospital waste.
        Waste Manag. 2011; 31: 2631-2637
        • Smith I.
        The Joint Commission guide to improving staff communication.
        JC Resources, Inc, Oakbrook Terrace, IL2006 (53–54)
      2. American Society for Quality. FMEA. 2011. Available at: Accessed April 20, 2012.

        • Chung F.
        STOP Questionnaire, a tool to screen patients for obstructive sleep apnea.
        Anesthesiology. 2008; 108: 812-821
      3. Thorpy, M. Improving outcomes in excessive sleepiness and obstructive sleep apnea. Medscape CME. 2009;1–37. Available at: Accessed June 10, 2011.

      4. Pennsylvania Patient Safety Authority. Patient screening and assessment in ambulatory surgical facilities. PA-PSRS Patient Safety Advisory. 2009;6(1):3–9. Available at: Accessed June 10, 2011.


      Jill Setaro, RN, MSN, CPAN, is a clinician in the Post Anesthesia Care Unit at Stony Brook Medicine in Stony Brook, NY.