1. Vital signs

2 = Within 20% of preoperative value

1 = 20-40% of preoperative value

0 = > 40% preoperative value

2. Activity and mental status

2 = Oriented x3 and has a steady gait

1 = Oriented x3 or has a steady gait

0 = Neither

3. Pain, nausea, and/or vomiting

2 = Minimal

1 = Moderate, having required treatment

0 = Severe, requiring treatment

4. Surgical bleeding

2 = Minimal

1 = Moderate

0 = Severe

5. Intake and output

2 = Has had PO fluids and voided

1 = Has had PO fluids or voided

0 = Neither

Total score is 10; score ≥ 9 considered fit for discharge