Enhanced Recovery Poster Submission (by 19th March) details
Introduction
The innovation sites are asked to submit the following details to for each specialty where they are implementing enhanced recovery. These details will be put into a poster for presentation at the 4th workshop on the 24th March 2010 London.
The purpose of the poster details submission is to share your progress to date with the other innovation sites on the 24th March and to be used in the market place presentations where an expert panel (those experienced in implementing ER) will be available to view progress and provide feedback on progress to date.
All costs for publication of the poster and the actual printing will be undertaken by the ERPP and a template to populate is attached but feel free to re format / shape / change.
If it is preferred to print your own locally, Trusts will be reimbursed but please present the posters ensuring the details listed below are included and submitted. Please note 2 copies must be made 1 of which will be kept by the ERPP for use at national or local events. If this option is being pursued please notify ASAP who will discuss the ERPP financial contribution (up to £20 for per poster).
The 19th is the last possible date we can print your poster for you.
Your poster should include:
Your pathway elements ( by specialty) prior to implementing changes ( see example table below).
The changes you have made to the pathway by specialty ( see example table below)
Have the changes you have made started to make a difference, please show LoS before and after implementing ER
Readmission and re operation rates and any patient experience feedback).
Your success factors in implementation and what you’re most proud of to date
Your current barriers to implementation
The members of your local community and MDT that are involved in your changes.
Any other comments you feel individualise your poster
Data to be included where available
Name of Trust
Specialties implementing ER
Please provide any data for the following where available:
· Length of stay
· Readmissions
· Re-operations
· Patient experience; examples of feedback
Poster Size: A1 x 2
You may choose to put all specialties on one or split onto separate (local choice)
Poster boards will be available with velcro sticky tape (and pins) to stick to poster boards
Example of a local ER pathway ( before and after ) at xxx Trust for elective colorectal
ER Element / 23/09/2009 – baseline before ER / 20/03/2010 – initial ER pathway introducedPre-operative visit? / YES / YES
Patient assessed as fit for surgery / YES / YES
Patient given verbal and verbal explanation of ER pathway / NO / YES
Preoperative stoma education until considered competent (colorectal only) / NO / YES
Oral bowel preparation avoided (colorectal only) / NO / NO
Patient admitted on day of surgery / NO / NO
Carbohydrate drinks given preoperatively / NO / YES
Avoidance of long acting sedative pre-medication / NO / NO
Administration of appropriate antibiotics prior to skin incision / NO / NO
Epidural or regional analgesia used / NO / NO
Individualised goal directed fluid therapy / NO / NO
Hyperthermia prevention (intra-operative warming) / NO / NO
Avoidance of post operative crystalloid overload / NO / NO
Avoidance of systemic opiates used postoperatively / NO / NO
Early post operative nutrition / solid food intake / NO / YES
Targeted individualised nausea and vomiting control / NO / YES
Early planned mobilisation within 24 hours / NO / YES
The avoidance of abdominal drains except following TME (colorectal only) / NO / NO
NG Tube removed before exit from theatre / NO / YES
Format of Innovations Sites Exchange (poster presentations):
All Sites are asked to ensure their poster is up and ready for 10am. If we are printing on your behalf we will ensure they are put up.
Session 1 1015 - 1100
These sites presenting during the first session (see agenda) will need to ensure at least 2 members of the MDT are available to talk roving delegates and members of the expert panel through their work and progress to date as they arrive during the first 45 minute session. This will be through informal discussions and demonstration of your work and progress through the posters.
Sites nominated to present in the second session will roam through the market place and look at the presentations of the other innovation sites.
Session 2 1115 – 1200
As above but those sites listed for the second set of poster presentations ( see agenda) need to ensure they have 2 members of the MDT available to present and talk through their posters.
Group work will follow this session based on the feedback you have gained or learning from others.