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This summer, CMC’s Hepato-Pancreato-Biliary Surgery Unit (HPB) on 9B earned a national first.
HPB was awarded a certificate for implementing an Enhanced Recovery after Surgery (ERAS) program, marking it the first and only U.S. center that has implemented specific guidelines that help patients recover quicker, receive more communications from their care team, and improve pain management, among other initiatives.
“The ERAS award is an incredible source of pride for our team, considering our unit opened in June 2015,” says Garth McClune, RN, BSN, CCRN, nurse manager for the hepatobiliary specialty unit at CMC. “It will be one of those things that will push us to be better as time goes on.”
Q: What was the patient experience like for HPB patients prior to this unit opening in June 2015?
Garth: Once the patient was out of surgery, they would go to any number of surgical units in CMC. We did not have a dedicated unit for them. It was probably one of the most difficult situations for our physicians – they would say, where is my patient? And they were walking approximately six miles a day to see their patients across 10 or more units. The level of care and consistency was another challenge for reliable patient outcomes.
Q: Soon after the HPB unit opened last year, you learned about the ERAS Society through Dionisios Vrochides, MD, who is a strong advocate for Enhanced Recovery after Surgery guidelines. What did you do to meet the ERAS guidelines?
Garth: We’ve evolved our entire trajectory, from pre- to post-op:
Q: What have the results been?
Garth: We’ve had great results, including:
Q: What is one of the biggest differentiators for the HPB team?
Garth: Our team includes Kendra Tezber, RN, who is an ERAS-dedicated nurse. She ensures that not only our nurses follow the ERAS guidelines, but our physicians as well. She speaks with patients pre-operation, building that relationship prior to surgery, and goes in and checks on patients throughout the course of their stay, making sure they’re on course with the plan of care. I don’t know any other unit that has an ERAS-dedicated nurse.