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

• Diet

  • Allow/encourage PO fluid intake while in PACU

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

• Pain Medications

  • • Oxycodone 5 mg PO VPS 3-4

    • Oxycodone 10 mg PO VPS 5-7

    • Fentanyl 50 mcg IV VPS >7

    • IV opioid only if patient not tolerating PO intake and 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

  • • Vistaril 25mg/ephedrine 25mg IM PRN

    • No standing order for Phenergan

• Lidocaine infusion

  • • Assess for Lidocaine toxicity Q1 hour

    • D/C Lidocaine infusion prior to leaving PACU

    • If adverse effects occur during infusion, STOP infusion immediately, inform Anesthesiologists immediately.

• Patient Guide to ERAS Booklet

  • • Encourage use on Nursing Unit

    • Stress importance of documenting in Diaries on Nursing Unit

****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***