1. Pre-Operative Instructions

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Pre-Op Nursing Slide Deck

This is the first of a 3-series set of PowerPoint presentations for each phase of the operative period. This presentation covers the core principles that are integral to ERP, as well as the interventions pertinent to the preoperative phase of nursing care, beginning with the surgeon’s office and continuing through pre-admission testing. These presentations are individual components of a comprehensive educational series to include providers across the continuum of care from the surgeon’s office through inpatient discharge. While the primary intended audience is nursing, the scope of education may be relevant to providers outside of it (i.e., ancillary nursing staff, mid-level providers, nutrition, physical therapy, etc.).

ERP Nursing Pocket Card

This synopsis of ERP nursing responsibilities for Patient education, Carbohydrate loading and Bowel prep, PONV assessment and calculator, Targeted interventions and Discharge readiness is displayed on a two-page document that can be printed two-sided for use as a pocket card resource.

Mechanical Bowel Prep with Oral Antibiotics

This nursing education tip sheet offers a concise explanation and references in support of the importance of mechanical bowel prep in colectomies, as well as nursing notes for patient education. The tip sheets are intended to provide detailed, supplemental instruction in assisting with practical application of ERP initiatives (guidelines for nursing practice and patient education) using evidence-based rationale. These are single-paged documents that may be printed individually or as a collection for easy reference.

Carbohydrate Loading and Optimizing Hydration

This one-page tip sheet outlines the appropriate loading and pre-surgical amounts for carb loading with its effects on the body, as well as optimal hydration practices. Notes are included for nursing and patient education.

Pre-Operative Resources Contributed by MSQC Member Hospitals

This portion of the toolkit represents a collection of resources and tools currently used in clinical practice that have been developed by MSQC member surgeons and hospitals. With permission from contributors, these documents have been made available for widespread use across the collaborative to facilitate the sharing of best practices with respect to ERP and its related initiatives.

St. Joseph Mercy Bowel Prep-This document offers a guide to Miralax bowel preparation for patients.

St. Joseph Mercy Intake/Output Log-The I&O log is intended for patients to track and record fluid intake and output, and includes a column for BM’s. The log also includes notes on proper hydration and signs and symptoms of dehydration.

Munson Insulin (Pre/Post-Op) Protocol-This Diabetic Pre and Post-Procedural Insulin protocol describes processes for assessing blood glucose status in all phases of surgery, as well as a guide for sliding-scale insulin coverage.

St. Joseph Mercy Patient Kit Contents – List of patient surgical care kit items

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