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Enhance Recover After Surgery and Colorectal Bundles
Nichole Schmidt, MSN, RN, CNOR, CNL
November 8, 2018
Enhance Recover After Surgery and Colorectal Bundles Nichole - - PowerPoint PPT Presentation
Enhance Recover After Surgery and Colorectal Bundles Nichole - - PowerPoint PPT Presentation
Enhance Recover After Surgery and Colorectal Bundles Nichole Schmidt, MSN, RN, CNOR, CNL November 8, 2018 Enhanced Recovery After Colorectal Surgery Enhanced Recovery After Surgery (ERAS) Programs utilize a standardized, interdisciplinary
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Enhanced Recovery After Colorectal Surgery
» Enhanced Recovery After Surgery (ERAS) Programs utilize a standardized, interdisciplinary approach to integrate evidence-based interventions aimed at improving patient outcomes by focusing on: »Patient education »Optimal pain control »Fluid balance »Early nutrition »Early ambulation
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Colorectal Bundle– Closing Process
Closing process: » Double Glove—EVERYONE » Prior to fascial closure, count of as many sponges, instruments and sharps as possible » All scrubbed personnel re-glove and, if gross contamination
- n gown, re-gown
» Utilize separate closing tray for instruments, new suction and bovie tips, replace sponges. » Field is re-blocked/squared off with new sterile towels » Closing instruments counted when closure occurs
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Length of Stay (LOS) and Readmissions
ERAS and Colorectal Bundle were implemented Jan 1, 2018
- 2017 16% of all cause 30
day inpatient readmissions were surgical cases
- 2018 9.6% of all cause 30
day inpatient readmissions were surgical cases
- Elective Bowel Cases LOS:
- 2017- 3.78
- 2018- 2.01
- ERAS (Bowel Readmissions):
- 2017- 5.88% (bowel
surgery readmissions).
- 2018- Zero ERAS patients