Royal Inland Hospital - Enhanced Recovery...

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Royal Inland Hospital Kamloops, BC

Transcript of Royal Inland Hospital - Enhanced Recovery...

Royal Inland Hospital Kamloops, BC

Nothing to disclose

Our story began with our team

RIH ERACS Team

And continues with the people

who make it happen

RIH Division of General Surgery

Pre-Surgical

Screening

Wound/Ostomy

Nurses

Day Care Surgery

Operating Room

Nursing Anesthesia

Post Anesthetic Recovery

Surgical Unit

Surgical Unit Nursing, Dietician, Physio and Educator

NSQIP

Our program highlights

Teamwork

ERAS Collaborative Monthly Team lead calls

Monthly Data collection calls

GDFT Workshop

Pain Mgmt Workshop

ERAS Conference 5 am!!!

Bi-weekly team meetings

Article in local newspaper

Nursing COP

ERAS Advisory Council

As a team we have been involved in ….

Chamber of Commerce Presentation

Winners of the ERAS Bad Ass Poster!

Patient Education Video Working Group

What our patients

have to say

“Excellent personalized care. Had great follow up by

surgeon, surgical resident, anesthetist, recovery room

nurse and nurse in charge of ERACS”

“Excellent nursing care. They really helped me

mobilize which sped my recovery”

ERACS Interventions

were beneficial

Data highlights

Pre ERACS (Jan 1, 2013 – April 30, 2014) Post ERACS May 21, 2014 – Oct 31, 2015

137 Elective Patients 151 Elective Patients

7

5

0

2

4

6

8

Pre Post

Length of stay

31.0%

23.0%

0%

10%

20%

30%

40%

Pre Post

Morbidity

13.0%

4.6%

0%

5%

10%

15%

Pre Post

SSIs 8.7%

3.3%

0%

2%

4%

6%

8%

10%

Pre Post

Return to the OR

September 2013: First IH ERACS meeting

December 2013: Pre ERACS Audits

January 2014: 1st Interdisciplinary team meeting

March/April 2014: Staff Education

May 21, 2014: First ERACS Patient

November 2014: RIH joined BC ERAS Collaborative

October 2015: 151 Patients to date through pathway

Next up

Urology