PACU

• Hand Off

  • • Confirm with CRNA ALL medications given intra-op for safety precautions and to ensure no double dosing occurs

• Identify patient as ERAS

• LR

  • • @ 3 ml/kg/hr

• SCDs

  • • from PACU arrival until discharge – while in bed or chair

• Diet

  • • Allow/encourage PO fluid intake while in PACU

    • NO CARBONATED BEVERAGES

• Pain Medications

  • • Oxycodone 5mg PRN pain ≤7 if tolerating PO intake

    • IV opioids only for patients not tolerating PO and/or rescue of severe pain (VPS >7)

***Ensure appropriate medication given for patient's current pain score (take "Patient's Stated Pain Goal" into account too). ERAS Goal is to limit opioids***

• PONV

  • • No standing order for Phenergan

• Patient Guide to ERAS Booklet

  • • Encourage use on Nursing Unit

    • Stress importance of documenting in Diaries on Nursing Unit

• Epidural management:

  • • Standard ERAS infusion of 0.0625% bupivacaine

    • Infusion at 8-10 ml/hr

****If patient is being held in PACU longer due to no bed placement available, you will need to release the floor orders and begin accordingly***