🏥 Post-Anesthetic Discharge Scoring System (PADSS)
UseWhen to use: day-surgery / PACU discharge readiness checks.
Strata≥9 commonly supports home discharge when escort and procedure criteria are also met.
LimitsWhen not to use: replacing institutional ambulatory pathways. · Pitfall: ignoring opioid/sedation residual. · Not a sole discharge order.
SourceChung PADSS ambulatory discharge scoring system
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Max 10; ≥9 cue.
When to use
When to use: day-surgery / PACU discharge readiness checks.
How it works
Five domains × 0–2 (vitals, activity, N/V, pain, bleeding); classic cut-off often ≥9.
Key points
- Max 10; ≥9 cue.
- Five domains.
- Next: escort / wound / Rx check.
References
- Chung PADSS ambulatory discharge scoring system
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Vital signs (vs baseline) | 1 — 20–40% of baseline |
|---|---|
| Ambulation / activity | 1 — with assistance |
| Nausea / vomiting | 1 — moderate |
| Pain | 1 — moderate |
| Surgical bleeding | 1 — moderate |
→PADSS5/10
- Max：10
- Cue：<9 — usually not ready for discharge by classic PADSS cut-off
| Vital signs (vs baseline) | 2 — within 20% of baseline |
|---|---|
| Ambulation / activity | 2 — steady gait / no dizziness |
| Nausea / vomiting | 2 — minimal / treated |
| Pain | 2 — minimal / acceptable |
| Surgical bleeding | 2 — minimal / as expected |
→PADSS10/10
- Max：10
- Cue：≥9 — often meets classic home-discharge readiness cue (local policy)
Verification & sources · governance
FAQ
Frequently asked questions
- Does Post-Anesthetic Discharge Scoring System (PADSS) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Post-Anesthetic Discharge Scoring System (PADSS) calculated in practice? Can you show a worked example?
- Inputs: Vital signs (vs baseline) 1 — 20–40% of baseline, Ambulation / activity 1 — with assistance, Nausea / vomiting 1 — moderate, Pain 1 — moderate, Surgical bleeding 1 — moderate → Result: PADSS 5 /10（Max: 10, Cue: <9 — usually not ready for discharge by classic PADSS cut-off） Inputs: Vital signs (vs baseline) 2 — within 20% of baseline, Ambulation / activity 2 — steady gait / no dizziness, Nausea / vomiting 2 — minimal / treated, Pain 2 — minimal / acceptable, Surgical bleeding 2 — minimal / as expected → Result: PADSS 10 /10（Max: 10, Cue: ≥9 — often meets classic home-discharge readiness cue (local policy)）