Royal Inland Hospital - Enhanced Recovery BC

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
Winners of the ERAS Bad Ass
Poster!
Article in local newspaper
ERAS Collaborative
Monthly Team lead calls
As a team we have been involved in ….
ERAS Advisory Council
Teamwork
Nursing COP
GDFT Workshop
Pain Mgmt Workshop
ERAS Conference
5 am!!!
Bi-weekly team meetings
Patient Education Video Working Group
Monthly Data collection calls
Chamber of Commerce
Presentation
“Excellent personalized care.
Had great follow up by
surgeon, surgical resident,
anesthetist, recovery room
nurse and nurse in charge of
ERACS”
What our patients
have to say
“Excellent nursing care.
They really helped me
mobilize which sped my
recovery”
ERACS
Interventions
were beneficial
Pre ERACS (Jan 1, 2013 – April 30, 2014) Post ERACS May 21, 2014 – Oct 31, 2015
137 Elective Patients
151 Elective Patients
Length of stay
8
Morbidity
7
40%
5
6
4
20%
2
10%
0
23.0%
0%
Pre
15%
31.0%
30%
Post
SSIs
Pre
10%
13.0%
Post
Return to the OR
8.7%
8%
10%
6%
4.6%
5%
3.3%
4%
2%
0%
0%
Pre
Post
Pre
Data highlights
Post
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