Evidence-based Clinical Care: Enhanced Recovery After Surgery GYN/GYO Protocol

This course will provide the healthcare team with an introduction to the Baptist Health ERAS GYN/GYO section protocol – an evidence-based and multidisciplinary perioperative pathway – to achieve early recovery, reduce length of stay and reduce opioid use and morbidities associated with GYN/GYO surgeries. 

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Gynecology and Oncology Providers, Surgeons, Anesthesiologists, Physician Assistants, Advanced Practice Registered Nurses, Nurses and the Preoperative Team.

Learning Objectives

  • Utilize ERAS GYN/GYO approved protocols – an evidence-based and multidisciplinary peri-operative pathway.
  • Distinguish the role of each team member in achieving the clinical milestones in each phase of the patient’s surgical journey.
  • Reduce opioid utilization in this patient population by using the multimodal pain management approach.
  • Promote early recovery, shorten length of stay, reduce costs and encourage the patient to take an active role in his/her/their recovery.
  • Maximize use of established patient education to clarify expectations and foster patient engagement and satisfaction.
Additional information
Bibliography: 
  • Dowdy, S. ,Kalogera, E., & Nelson G., (2021) Enhanced recovery in gynecologic surgery. Journal of Gynecologic Surgery. 2021 (37:2), 122-127. 
  • Yuwei, S., Feng, L, & Gangming, W. (2021). Impact of enhanced recovery after surgery protocol compliance on patients’ outcome in benign hysterectomy and establishment of a predictive nomogram model. Shen et al. BMC Anesthesiology, 2021 (21:289). 
  • Kim, S. R., Laframboise, S., Nelson, G., McCluskey, S. A., Avery, L., Kujbid, N., ... & Bouchard-Fortier, G. (2022). Enhanced recovery after minimally invasive gynecologic oncology surgery to improve same day discharge: a quality improvement project. International Journal of Gynecologic Cancer, 32(4).
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.

Course Summary
Available credit: 
  • 1.00 ABA MOCA II
  • 1.00 ABS MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
Course opens: 
06/01/2023
Course expires: 
05/31/2025

Thomas Morrissey, M.D., FACOG, FACS
Director of Gynecologic Oncology
Eugene M. & Christine E. Lynn Cancer Institute
Boca Raton Regional Hospital 
Baptist Health South Florida 

Andrew A. Letayf, M.D.   
Chief of Anesthesiology and Pediatric Anesthesiology
Director of Obstetrical Services  
Bethesda Hospital East and West  
Baptist Health South Florida 

Cara Santos, MSN, R.N., CNML
Nurse Manager
Baptist Hospital Perioperative Services
Baptist Health South Florida

Moderators 
Erika Gonzalez MSN, R.N., CCRN, NE-BC
Assistant Vice President 
Evidence-Based Clinical Care
Baptist Health South Florida

Tara Sanchez 
Clinical Manager
Evidence-Based Clinical Care 
Baptist Health South Florida

Thomas Morrissey, M.D., FACOG, FACS, Andrew A. Letayf, M.D., and Cara Santos, MSN, R.N., CNML, faculty for this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that the presentation or discussion will not include off-label or unapproved product usage.

Erika Gonzalez, MSN, R.N., CCRN, NE-BC and Tara Sanchez, moderators of this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that the presentation or discussion will not include off-label or unapproved product usage.

Non-faculty contributors and those involved in the narration, planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

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American Board of Surgery - Maintenance of Certification (MOC) - Accredited CME -  General Surgery

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Available Credit

  • 1.00 ABA MOCA II
  • 1.00 ABS MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
Please login or register for a Baptist Health CME account to take this course.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Required Hardware/Software

PC/Mac Users
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Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.