Outpatient Surgery Magazine - Subscribers

OR Excellence Awards - Outpatient Surgery Magazine - September 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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"They're comforted by that," says Nina Costilla, MSN, RN-BC, the hospital's nurse manager of GI services. "They like hearing that they're going to be OK." She also points out that patients who understand pain management protocols realize they won't be pumped full of opi- oids and are therefore more like- ly to respond to other forms of non-opioid analgesia. Before Presbyterian implemented its ERAS pathway, patients com- plained about receiving inadequate pain management. They said they had no knowledge of their care plan and didn't know what to expect on the day of surgery and during the initial days of recovery. They're now active participants in their own care and show up for surgery understanding exactly about how their pain will be controlled. "They don't arrive asking for opioids," says Ms. Costilla, "because we address and discuss that long before they arrive in the OR." Patients who are more informed before surgery and more comfort- able afterward are generally more satisfied. That's borne out at Presbyterian Hospital, where patient satisfaction scores have steadily climbed from 72% to 78% in the 18 months since they began their jour- ney down the ERAS pathway. Not done yet Presbyterian Hospital recently launched a mobile phone app that sends patients reminders about the elements of the ERAS pathway S E P T E M B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 5 1 "We want to get surgical patients into and out of the hospital with a reasonable amount of pain that they'd be able to manage at home." — Nikita Preston, BSN, RN

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