Optimal Food Consumption
(NPO Violations
before surgery)
(NPO Violations
before surgery)
Surgery is at 2:00 PM. Can the patient have a burger at 5:00 AM?
9 hours before surgery; YES
What is the name of the ERAS drink?
Enroute Prepare powder packet
Early ambulation after surgery decreases postoperative complications such as DVT and ileus.
True of False.
True
Where do you document food consumption that meets ERAS goal?
Flowsheet I&O "Nourishment Given" and/or "Diet % taken"
Surgery is at 5:00 AM. Can the patient have a milkshake before midnight at 11:30 PM?
5.5 hours before surgery; NO
How many ml of water is needed to mix Enroute Prepare ERAS drink?
400ml
What time is measured for ERAS goals? Operating room (OR) out time or the PACU (Post-Anesthesia Care Unit) arrival time to your unit?
OR out time
Does beef and bone both count towards ERAS feeding goal?
No
Surgery is at 4:00 PM. Can the patient have coffee with sugar at 11:30 AM?
4.5 hours before surgery; YES
Surgery is at 12:00 noon. What time should Enroute Prepare be consumed?
10:00 AM
Patient has been sitting with the bed in chair position for 5 hours from 5 AM to 10 AM. Patient came out of surgery at 11 PM last night. Has patient met ERAS mobility goal? If not, what hour is goal time?
No; 11 AM.
PACU nurse calls at 5:00 PM. OR out time is 3:00 PM. Patient arrives to your unit at 5:30 PM. Patient had sugar-free gelatin snack and juice in recovery. Has patient met ERAS early feeding goal? If not, what hour is goal time?
No; 5:00 AM
Patient states she is going to save her morning coffee with milk and sugar to drink it before her surgery scheduled at 2:00 PM. What time does she need to finish that drink?
8:00AM
Surgery is at 12:00 AM midnight. Preop nurse called for at 6:00 PM and asks for the ERAS drink to be given before your shift ends at 7:30 PM. Per facility policy, what is the optimal time to give Enroute Prepare?
10:00 PM
OR out time is 10:00 AM. During report, PACU nurse states that patient tolerated eating a sandwich with the feet dangling out of bed while sitting on the edge of the bed. Has patient met ERAS mobility goal? What is hour is goal time after surgery?
No, 10:00 PM
You receive a patient from PACU. The charge nurse took report for you. Patient states she had gelatin, beef broth, and juice in the recovery room. Has the patient met ERAS postoperative feeding goal?
Yes, juices and gelatin counts, but please feed your patients more food to reach goal of solids (RETURN TO BASELINE ABILITY).
She fell asleep and forgot to drink it. It’s 9:00 AM. She really wants coffee. What can you offer her instead of the coffee with milk and sugar?
Coffee with sugar, but no creamer or milk
Market
100 = 2 pcs hard candy
200 = 2 pcs lollipops
300 = 2 pcs sour straws
400 = 1 pcs M&Ms or Pizza Gummi