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Enhanced Recovery After Surgery: Identifying and Overcoming Barriers to Ordering Postoperative Non-Opioid Analgesics

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MLA citation style (9th ed.)

Jennifer Hager, DNP, MBA, CNOR, SRNA. Enhanced Recovery After Surgery: Identifying and Overcoming Barriers to Ordering Postoperative Non-opioid Analgesics. . n252. saint-francis.hykucommons.org/concern/generic_works/7bca21bc-077c-4e0c-8315-b6bfd0a0adfe?locale=es.

APA citation style (7th ed.)

J. H. D. M. C. Srna. (n252). Enhanced Recovery After Surgery: Identifying and Overcoming Barriers to Ordering Postoperative Non-Opioid Analgesics. https://saint-francis.hykucommons.org/concern/generic_works/7bca21bc-077c-4e0c-8315-b6bfd0a0adfe?locale=es

Chicago citation style (CMOS 17, author-date)

Jennifer Hager, DNP, MBA, CNOR, SRNA. Enhanced Recovery After Surgery: Identifying and Overcoming Barriers to Ordering Postoperative Non-Opioid Analgesics. n252. https://saint-francis.hykucommons.org/concern/generic_works/7bca21bc-077c-4e0c-8315-b6bfd0a0adfe?locale=es.

Note: These citations are programmatically generated and may be incomplete.

BACKGROUND AND AIMS: Although research has shown multiple benefits for colorectal
patients following the Enhanced Recovery After Surgery (ERAS) protocol, Parkview Regional
Medical Center (PRMC), Fort Wayne, Indiana showed protocol compliance regarding the use of
two or more non-opioid analgesics postoperatively at 22% in July 2019, with a monthly goal of
75%. This Doctor of Nursing Practice scholarly project was developed to assist with compliance
of the ERAS protocol. Objectives included: (1) identification of barriers to prescribing two or
more non-opioid analgesics postoperatively and (2) increase the prescribing of two or more nonopioid analgesics for scheduled colorectal surgical inpatients at PRMC.
METHODS: This project included education for colorectal surgeons in January 2020, pre- and
post-presentation surveys, and monthly aggregate data collection to track statistics three months
pre- and post-implementation.
RESULTS: Pre- and post-presentation surveys showed no change in responses except one
surgeon adding Tramadol to his post- survey as a medication to prescribe. ERAS monthly goal
was met/exceeded in December 2019 (86.36%), January 2020 (88.89%), February 2020
(88.24%), and March 2020 (89.3%).
CONCLUSIONS: Compliance numbers increased above the project’s goal one month prior to
implementation and have sustained since that time, inferring increased compliance was not
directly related to the project’s implementation in January 2020. However, the project may have
had an indirect influence on compliance by increasing awareness, solidifying ERAS knowledge,
and encouraging the continuation of non-opioid analgesics postoperatively in the future.
Continued communication and education are key to sustaining compliance of ERAS recommendations and to ensure high-quality, research-based care is delivered to colorectal
surgery patients at PRMC.

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