ERAS
What does ERAS stand for?
Enhanced Recovery After Surgery
__________ is a safety initiative that is patterned after those used by the U.S. military and commercial aviation that combines teamwork and communication behaviors and skills with tools such as checklists and handoffs to improve and enhance safety and quality.
Crew Resource Management
What must be done in Pre-op to ensure that surgery is done on the correct site?
Site marked- physician initial and RN check
What color outlet should emergency equipment be plugged into?
Red
What is done in pre-op to prevent Surgical Site Infection?
Clipping, (prophylactic antibiotic)
True/ False: ERAS is a multimodal perioperative care pathway that encompasses all stages of the surgical process, from pre-hospital preparation to post-discharge care
True
How many time-outs are done intraoperatively
Anesthesia
Procedural
(Debrief)
What is done intraoperatively to prevent DVT?
SCD
Where is the downtime computer located in the Operating Room?
In the Dictation Room
What is equipment is used to prevent hypothermia in the Operating Room?
Bair Hugger
What is the goal of ERAS?
The goal is to help patients recover faster, reduce complications, and minimize hospital stays.
What is the word that we use if we have a concern about patient safety?
Delta
What must be reviewed before going to get patient from Pre-op
pre-op checklist
lab results
order for consent
patient history
If the power goes out during a procedure, what do we do?
Complete the procedure as soon as possible
Avoid bringing additional patients into the OR until power is restored
Use downtime forms, if needed
When are prophylactic antibiotics given?
Within 60 prior to incision
What are the benefits of ERAS?
Reduced hospital stays
Fewer complications: ERAS protocols can help prevent complications like infections and blood clots.
Improved pain management: Patients experience less pain and require less opioid medication.
Faster return to normal activities
Potential cost savings: reduce hospital stays and complications
Why is it important to give/receive proper handoff during transition of care?
minimizing the risk of errors and adverse events.
How many counts are required to prevent RFO?
At least 3:
Initial
Closing
Final
Where does the RN record information about the procedure if EPIC is down?
Downtime form: Perioperative Nursing Care and Care Plan
What do patients/ nursing staff do in order to help prevent SSI?
Shower with hibiclens
CHG bath
(the night before and morning of surgery)
What aspects of ERAS protocol is addressed in the Operating Room?
minimally invasive surgical techniques, goal-directed fluid therapy, opioid-sparing pain management (multimodal pain management strategies, including regional anesthesia (e.g., epidurals), non-opioid analgesics (e.g., NSAIDs), and nerve blocks), and maintaining normothermia
What do you do if there is an incorrect count?
Communicate to the surgeon
x-ray
What should be done every time there is a change in OR staff?
Handoff including Relief Count
If the power goes out during a procedure and tissue is caught in DaVinci forceps, what do you use to open jaw?
DaVinci Release kit
What eLearning is done annually to help staff to remember sterility indicators?
(Procedural Areas) Infection Control Must Know Concepts" Sterile instruments and procedural trays for the Sterile Processing Department