Date of Award

Spring 5-3-2024

Document Type

DNP Project

Project Team Faculty Member

Linda Sharpless

Project Team Faculty Member

Lauren Douglass

Project Team Faculty Member

Joseph Grazaitis

Keywords

Enhanced recovery after surgery for orthopedic surgery, Total Knee Arthroplasty ERAS Education, ERAS, Multimodal analgesia, ERAS postoperative management

Abstract

Enhanced recovery after surgery (ERAS) utilizes a multimodal, multidisciplinary perioperative protocol to minimize hospital length of stay, surgical complications, readmissions, and patient hospital costs (Frassanito et al., 2020). The protocols were initially established for abdominal and colorectal surgical patients; however, ERAS protocols are now widely used in other areas, including orthopedic surgery (Kaye et al., 2019). To achieve the maximum benefits, ERAS protocols must contain preoperative, intraoperative, and postoperative components. A rural critical access hospital in Eastern Illinois, Crawford Memorial Hospital, serves numerous patients requiring total knee arthroplasties (TKA). While the providers utilize some aspects of ERAS protocols for these surgeries, they lack a formal ERAS protocol and full utilization in practice. To promote the future implementation of an ERAS protocol for TKAs at Crawford Memorial Hospital, staff education about ERAS protocols is imperative and the primary goal of this project. To achieve this goal, the research was reviewed to obtain current evidence-based practices regarding all aspects of ERAS protocols for TKAs. A voiceover PowerPoint was assembled with the literature review results and emailed to the appropriate providers. The providers who participated in the PowerPoint presentation were asked to complete a pre-survey and a post-survey to assess increased knowledge about ERAS protocols and their willingness to implement the protocol in the future. The results of the surveys proved there was knowledge gained by the providers.

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