Standard nausea and vomiting protocol Local teams have agreed a standardised protocol for the management of nausea and vomiting and the protocol has been followed. Patients often report post-operative nausea and vomiting can be more distressing than pain and makes it harder for them to mobilise. Staff should prescribe appropriate either to prevent nausea and vomiting or to be given at the first sign of symptoms. Yes Yes Standardised anaesthetic and analgesic regime Local teams agreed on a standardised anaesthetic and analgesic protocol for the procedure that the patient has undergone and the protocols were followed. With a standardised protocol, it is possible to monitor the effects of the local regimen on outcomes. It also supports wards in taking a clinically consistent approach to treating all patients using the agreed protocol. Yes Yes Mobilisation within 24 hours Patient is walking (active weight bearing), with appropriate walking aid, within 24 hours from the end of the operation. Early mobilisation maintains muscle mass and promotes muscle strength while maximising respiratory function, which leads to earlier recovery. Yes Yes
Appendix 5: ERAS Expert Advisory Group for total knee and hip arthroplasty and fractured neck of femur Margaret Aimer Head of Health System Improvement Ko Awatea I Health System Innovation and Improvement Dr Peter Bramley Service Director Medical Surgical Services Directorate Nelson Marlborough DHB Dr Ulrike Buehner Clinical Director for Quality and Innovation Lakes DHB Dr Owen Doran Emergency Medicine Specialist Emergency Department Auckland City Hospital Auckland DHB Diana Dowdle 20,000 Days Campaign Manager Ko Awatea I Health System Innovation and Improvement Mr Steve Earnshaw MidCentral DHB Suzanne Proudfoot Projects and Campaigns Manager Ko Awatea I Health System Innovation and Improvement Counties Manukau DHB Mr Richard Street Clinical Head of Department Consultant Orthopaedic Surgeon Counties Manukau DHB Dr Michael Thwaite General Practitioner Liaison for older persons’ health Canterbury DHB Dr Martin Thomas Anaesthetist and Clinical Director Surgical Services Lakes DHB Teresa Wingate ERAS Nurse Waitemata DHB Steve Earnshaw Clinical Director Orthopaedics Orthopaedic surgeon South Canterbury DHB Dr Roger Harris Geriatrician Older Peoples Health Auckland City Hospital Auckland DHB Dr Michal Kluger Anaesthesiologist and Pain Physician Waitemata DHB Mr Jacob Munro Consultant Orthopaedic Surgeon Auckland DHB Leighton Murray Physiotherapist Southern DHB Carrie Naylor Williams Nurse Director for Emergency Services Jodie Wood Clinical Nurse Manager, Orthopaedics Northland DHB Jackie Herkt Consumer advisor National Health Board staff Simon Duff Team Leader – Service Improvement Team Electives Dr Ros Gellatly Clinical Advisor, Service Improvement Electives Julie Palmer Senior Advisor Service Improvement, Electives Loren Shand Senior Advisor Funding and Monitoring Electives
Hutt Valley Nick Clode Physiotherapy Outpatient Team leader ERAS Co-ordinator, HVDHB Nick.Clode@huttvalleydhb.org.nz Anne Taylor Clinical Nurse Manager Orthopaedic Ward Helen Tobin Clinical Director, Orthopaedics Caroline Cooper Acting Chief Operating Officer MidCentral Erica Calvert Charge Nurse, Orthopaedics Maria Shaw Clinical Nurse Specialist Lead Orthopaedics Mr Supratim Mukherjee MOSS Orthopaedics Lynn Horgan Operations Director lyn.horgan@midcentraldhb.govt.nz Whanganui Declan Rogers Nurse Manager, Surgical Services Clinical Nurse Coordinator Surgical Ward / Trend Care Resource Nurse Shona Kirkby Mr Andreas Stadtmueller Orthopaedic Surgeon Julie Patterson Chief Executive Officer Southern region Nelson Hilary Exton Director Allied Health Service Manager Allied Health Services Clinical Leader Orthopaedics Surgeon Peter Bramley Service Director Medical Surgical Services Directorate Peter.Bramley@nmdhb.govt.nz South Canterbury Belinda Dore Service Manager Surgical Services Mr Steve Earnshaw Clinical Director, Orthopaedics Dr Russell Rarity Clinical Director, Anaesthetics Christine Nolan General Manager Secondary Services cnolan@scdhb.health.nz Canterbury Dan Coward General Manager / Older Persons, Orthopaedics & Rehabilitations Services Dan.Coward@cdhb.health.nz Kit Hoeben Canterbury & West Coast DHB -- Programme Manager | Planning & Funding David Brydon Service Manager Orthopaedics Mr Kris Dalzell Orthopaedic Consultant Dr Graham Roper Clinical Director, Anaesthetics Carolyn Gullery General Manager Planning & Funding Carolyn.Gullery@cdhb.health.nz West Coast Rosalie Waghorn Acting Nurse Manager (Strategic) Kay Bone Orthopaedic Coordinator Mr Kris Dalzell Orthopaedic Consultant Dr Graham Roper Clinical Director, Anaesthetics Carolyn Gullery General Manager Planning & Funding Carolyn.Gullery@cdhb.health.nz