In the perianesthesia setting, it is not uncommon for nurses to work some form of off-hour call in their institution. An on-call program should give careful attention to ensure staff skill mix and to avoid staff fatigue (Olmstead et al., 2014). Regardless of time of day, it is important for facilities to follow the ASPAN Standards for Perianesthesia Nursing Practice, as they were written to ensure safe patient care. The standards are updated every 2 years to reflect changing practice and the science that supports the practice.