PACU

• Identify patient as ERAS

• Hand Off

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

• SCDs

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

• Diet

  • • Allow/encourage PO fluid intake while in PACU (if patient awake and not vomiting)

    • NO CARBONATED BEVERAGES

    • Document all PO liquid and solid intake in Dimensions on "input/output" flowsheet

• Pain Medication

  • • Oxycodone 5mg PRN pain ≤6 if tolerating PO intake

    • IV opioids only for patients not tolerating PO and/or rescue of severe pain (VPS >6)

    • ***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

• Epidural management:

  • • Standard ERAS infusion of 0.0625% bupivacaine + hydromorphone 10mcg/ml

    • 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***