Presentation Details
| Pre-Operative Medication Management: Development of Accessible and Standardized Institutional Guidelines Jacqueline A.Kelly. Upstate University Hospital, Syracuse, NY, USA |
Abstract
BACKGROUND: At our hospital’s Pre-Admission Testing (PAT) clinic, registered nurses (RNs) and advanced practice providers (APPs) provide pre-operative medication instructions to patients. A review of the prior state identified that our process and policy were limited and not frequently updated. Printed copies of the policy with personal annotations led to inconsistency. The lack of a comprehensive guideline created significant workflow inefficiency due to frequent and time-consuming communications between RNs, APPs, and anesthesiologists. The need to streamline and enhance the process was evident.
PURPOSE: A guideline was created that is accessible to all staff in our institution within our intranet. The employee can search the document for a generic drug, and they will be taken to the recommendations for that specific medication. The guideline is largely based on the 2021-2022 Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statements regarding perioperative medication management.1-8 Any recommendations that differ from or are not part of the consensus statements are annotated accordingly. The Perioperative Team Lead APP is responsible for updating the guideline in collaboration with the anesthesia director.
RESULTS: The guideline was published on the intranet on December 30th, 2024. Current users include staff from PAT, surgery, perioperative nursing, and anesthesia residents. The guideline has reduced communications regarding routine perioperative medication management. Updates to the guideline are available institutionally within 24 hours of request.
CONCLUSIONS: A standardized pre-operative medication guideline, accessible to all employees, has been successfully created. It has resulted in improved operational efficiency and accuracy. Though not yet confirmed by data, it is anticipated that this will improve perioperative quality and will likely reduce surgery cancellations related to inappropriate medication holds.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
PURPOSE: A guideline was created that is accessible to all staff in our institution within our intranet. The employee can search the document for a generic drug, and they will be taken to the recommendations for that specific medication. The guideline is largely based on the 2021-2022 Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statements regarding perioperative medication management.1-8 Any recommendations that differ from or are not part of the consensus statements are annotated accordingly. The Perioperative Team Lead APP is responsible for updating the guideline in collaboration with the anesthesia director.
RESULTS: The guideline was published on the intranet on December 30th, 2024. Current users include staff from PAT, surgery, perioperative nursing, and anesthesia residents. The guideline has reduced communications regarding routine perioperative medication management. Updates to the guideline are available institutionally within 24 hours of request.
CONCLUSIONS: A standardized pre-operative medication guideline, accessible to all employees, has been successfully created. It has resulted in improved operational efficiency and accuracy. Though not yet confirmed by data, it is anticipated that this will improve perioperative quality and will likely reduce surgery cancellations related to inappropriate medication holds.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
Content Locked. Log into a registered attendee account to access this presentation.