Hoag Orthopedic’s very own Susanne Porter, RN, MSN, FNP-C, CRNFA,
CNOR spoke at the National Association of Orthopaedic Nurses’ (NAON) 38th Annual Congress on Enhanced Recovery Program (ERP) for Total Joint Replacement.
This event aims to implement practice changes based on research, impact
patient outcomes through adoption of best practices and innovation, and
contribute to a professional environment that encourages collegiality
and networking among participants.
During her presentation, Porter emphasized that healthy patients who meet
very strict criteria for an ERP can proceed with an elective total joint
replacement surgery by using safe and effective perioperative pathway.
She discussed how an interdisciplinary team approach was utilized to initiate
the program on June 1, 2015 at Hoag Orthopedic Institute in Irvine, California
and that patient satisfaction and safety were the driving forces behind
initiating the ERP. Additionally, appropriate patient education and patient
selection with a strong multidisciplinary support system help to provide
a safe and effective pathway. Through performance improvement initiatives
in pre-operative hydration, pain management, and in surgical anesthesia,
patients can tolerate physical therapy intervention within an earlier
timeframe allowing for same day discharge for THA and overnight stay for
TKA. Decreased length of stay results in higher patient satisfaction and
an accelerated return to function post-operatively.