PRE-OP

• Identify patient as ERAS

• IVF at 25 ml/hr

• 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

    • Celecoxib 400 mg PO (reduce dose to 200 mg if > 65 years or < 50 kg. Do not order/give if creat >1.4)

    • 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 multimodal medications are not ordered, or not ordered correctly, contact surgeon ASAP for correction (contact anesthesiologist if surgeon not available)***

• For patients who will NOT receive Ketorolac introp: Celecoxib 400 mg PO preop

  • • If patient TOOK usual morning dose, no further administration necessary preoperatively

    • If patient MISSED usual morning dose, patient to receive their usual dose of Celecoxib x1 dose

• VTE/DVT prophylaxis

  • • SCDs

• Hand Off

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