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***

  • • Ordered by anesthesia if needed/high risk

    • Scopolamine patch (high risk only)

      • • Hold for >65 years of age

        • Hold for h/o acute angle glaucoma

• PIVs

  • • Place 2 IVs

      • • #1-on pump @ 25 ml/hr,

        • #2-Hep locked

• Multimodal analgesia-ordered by surgeon

  • • Acetaminophen 1 g PO (do not give if case length expected >4 hrs because it will be given in OR)

    • Gabapentin 600 mg PO

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

        • If patient is >65 years, reduce dose to 300 mg PO

    • Celecoxib 400 mg PO

      • • 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-ordered by surgeon

  • • Heparin 5,000 U SQ

• Hand Off

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