ERAS Protocol Implementation

Tracking ERAS protocol implementation across VCSQI programs:

Please take a few minutes to review the following ERAS protocols and whether they have been implemented at your site.

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* 1. Please enter your name / hospital.

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* 2. What preop ERAS Protocols have been implemented in your program?

	Implemented	Would like to implement	No implementation plans
Preoperative Measurement of Hemoglobin A1c for Risk Stratification	Preoperative Measurement of Hemoglobin A1c for Risk Stratification Implemented	Preoperative Measurement of Hemoglobin A1c for Risk Stratification Would like to implement	Preoperative Measurement of Hemoglobin A1c for Risk Stratification No implementation plans
Preoperative Measurement of Albumin for Risk Stratification	Preoperative Measurement of Albumin for Risk Stratification Implemented	Preoperative Measurement of Albumin for Risk Stratification Would like to implement	Preoperative Measurement of Albumin for Risk Stratification No implementation plans
Preoperative Correction of Nutritional Deficiency	Preoperative Correction of Nutritional Deficiency Implemented	Preoperative Correction of Nutritional Deficiency Would like to implement	Preoperative Correction of Nutritional Deficiency No implementation plans
Preoperative Carbohydrate Loading	Preoperative Carbohydrate Loading Implemented	Preoperative Carbohydrate Loading Would like to implement	Preoperative Carbohydrate Loading No implementation plans
Patient Engagement Tools	Patient Engagement Tools Implemented	Patient Engagement Tools Would like to implement	Patient Engagement Tools No implementation plans
Prehabilitation	Prehabilitation Implemented	Prehabilitation Would like to implement	Prehabilitation No implementation plans
Consumption of Clear Liquids Before General Anesthesia	Consumption of Clear Liquids Before General Anesthesia Implemented	Consumption of Clear Liquids Before General Anesthesia Would like to implement	Consumption of Clear Liquids Before General Anesthesia No implementation plans
Smoking and Hazardous Alcohol Consumption	Smoking and Hazardous Alcohol Consumption Implemented	Smoking and Hazardous Alcohol Consumption Would like to implement	Smoking and Hazardous Alcohol Consumption No implementation plans

Other (please specify)

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* 3. What intraop ERAS Protocols have been implemented in your program?

	Implemented	Would like to implement	No implementation plans
Surgical Site Infection Reduction	Surgical Site Infection Reduction Implemented	Surgical Site Infection Reduction Would like to implement	Surgical Site Infection Reduction No implementation plans
Hyperthermia	Hyperthermia Implemented	Hyperthermia Would like to implement	Hyperthermia No implementation plans
Rigid Sternal Fixation	Rigid Sternal Fixation Implemented	Rigid Sternal Fixation Would like to implement	Rigid Sternal Fixation No implementation plans
Tranexamic Acid or Epsilon Aminocaproic Acid	Tranexamic Acid or Epsilon Aminocaproic Acid Implemented	Tranexamic Acid or Epsilon Aminocaproic Acid Would like to implement	Tranexamic Acid or Epsilon Aminocaproic Acid No implementation plans

Other (please specify)

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* 4. What postop ERAS Protocols have been implemented in your program?

	Implemented	Would like to implement	No implementation plans
Perioperative Glycemic Control	Perioperative Glycemic Control Implemented	Perioperative Glycemic Control Would like to implement	Perioperative Glycemic Control No implementation plans
Insulin Infusion	Insulin Infusion Implemented	Insulin Infusion Would like to implement	Insulin Infusion No implementation plans
Pain Management	Pain Management Implemented	Pain Management Would like to implement	Pain Management No implementation plans
Postoperative Systematic Delirium Screening	Postoperative Systematic Delirium Screening Implemented	Postoperative Systematic Delirium Screening Would like to implement	Postoperative Systematic Delirium Screening No implementation plans
Chemical Thromboprophylaxis	Chemical Thromboprophylaxis Implemented	Chemical Thromboprophylaxis Would like to implement	Chemical Thromboprophylaxis No implementation plans
Persistent Hypothermia	Persistent Hypothermia Implemented	Persistent Hypothermia Would like to implement	Persistent Hypothermia No implementation plans
Chest Tube Patency	Chest Tube Patency Implemented	Chest Tube Patency Would like to implement	Chest Tube Patency No implementation plans
Extubation Strategies	Extubation Strategies Implemented	Extubation Strategies Would like to implement	Extubation Strategies No implementation plans
Kidney Stress and Acute Kidney Injury	Kidney Stress and Acute Kidney Injury Implemented	Kidney Stress and Acute Kidney Injury Would like to implement	Kidney Stress and Acute Kidney Injury No implementation plans
Goal-Directed Fluid Therapy	Goal-Directed Fluid Therapy Implemented	Goal-Directed Fluid Therapy Would like to implement	Goal-Directed Fluid Therapy No implementation plans

Other (please specify)

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* 5. What was the outcome of the ERAS protocols your program has implemented?

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* 6. What procedure(s)/process(es) are you most proud of within your program?

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* 7. What protocol(s)/process(es) would you like to make better within your program?

Please contact Eddie at 913-909-3140 or cefonner@gmail.com with any comments or questions.

Thank you!