PRE-OP

• Identify patient as ERAS

• 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

    • 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

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

• VTE/DVT prophylaxis

  • • Heparin 5000 units SC (if epidural, after epidural placement)

    • SCD usage while in bed or chair until discharge

• Epidural placement (for open procedures)

  • • Thoracic epidural placed preop at level T9

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

    • Infusion at 8-10 ml/hr

• Hand Off

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