Date of Award

Spring 5-10-2019

Document Type

DNP Project

Project Team Faculty Member

Rebecca Collier, DNP, MS, CRNA

Project Team Faculty Member

Roberta Harrison, PhD, RN, CRRN


Enhanced Recovery After Surgery, ERAS, colorectal surgery, ERAS and colonic surgery, enhanced recovery and implementation



The prevalence of colorectal surgery is increasing due to the surgical demand of an aging population with various comorbidities (Ralph & Duff, 2017). Consequences include an increased burden on clinical and financial resources from perioperative costs, length of stay (LOS), complications, and readmissions (Nelson et al., 2016). Enhanced recovery programs were created to improve patient outcomes and decrease financial strain. Objectives of this practice project included researching current evidence-based literature to determine the effectiveness of ERAS implementation in open and laparoscopic colorectal procedures, developing a customized ERAS protocol, and introducing the pathway to members of anesthesia, pharmacy, and the perioperative team. Results of the study indicated the educational module increased provider knowledge of ERAS and its application in the surgical arena. Additionally, staff members demonstrated a strong level of support for adoption of the customized ERAS protocol. Patient care may be improved by further educating anesthesia providers and staff members about the utilization of the customized ERAS protocol. Thus, implementation was directed at improving patient outcomes and reducing the financial expenditure of those requiring colorectal surgery at a rural hospital in southern Illinois.

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