PRE-OP

• Identify patient as ERAS

• Patient Guide to ERAS Booklet

  • • Confirm they brought booklet

    • Remind importance of documenting in booklet

• Clearfast ***DOCUMENT IN DIMENSIONS***

  • • CONFIRM patient drank 3 hrs before scheduled surgery time

• PONV screening ***DOCUMENT PONV SCORE IN DIMENSIONS***

  • • Scopolamine patch (high risk only)

    • Ordered by anesthesia if needed/high risk

    • Hold for >65 years of age

    • Hold for h/o acute angle glaucoma

• Multimodal analgesia-ordered by surgeon

  • • Acetaminophen 1 g PO

    • Gabapentin 600 mg PO

      • • HOLD Gabapentin for >65 years of age: exception if already taking as home med

        • If on Gabapentin at home, patient to receive usual dose of Pregabalin or Gabapentin x1 dose

***If any of the above medications are not ordered, or not ordered correctly, contact surgeon ASAP for correction (contact anesthesia if surgeon not available)***

• Normothermia

• VTE/DVT prophylaxis

  • • Open cases: Should receive either LMWH or Heparin preoperatively

    • Robotic cases: no preop VTE prophylaxis unless determined high-risk by MD, then 1 dose Lovenox preop

• SCD

  • • usage while in bed or chair until discharge

• Hand Off

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