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The 48-hour timeframe begins at the point the patient is moved into the PACU/ICU or
other designated recovery area. The evaluation can occur in the PACU, ICU or other
designated recovery location. (§482.52(b)(3))
Except in cases where post-operative sedation is necessary for the optimum medical
care of the patient (e.g., ICU), the evaluation:
• may be done any time after the patient is sufficiently recovered from the acute
administration of the anesthesia so as to participate in the evaluation.
• generally would not be performed immediately at the point of movement from
the operative area to the designated recovery area. (§482.52(b)(3))
This CMS requirement for a post-anesthesia evaluation within 48 hours after anesthesia
services is separate from the Joint Commission Element of Performance 4 of
PC.03.01.07 that all patients need to be discharged from the recovery area or from the
hospital, and in the absence of a qualified practitioner, patients may be discharged
according to approved criteria.