Introduction of a Dedicated Enhanced recovery Nurse in Pancreatic Cancer Surgery

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Kinany, Alison

LTHT Author

Kinany, Alison

LTHT Department

Abdominal Medicine & Surgery
Pancreas Unit

Non Medic

Senior Sister

Publication Date

2025

Item Type

Conference Abstract

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Abstract

Background: Patients attending for Pancreatic cancer surgery were lacking support pre and post operatively and were not given the tools or support to experience high-quality recovery from surgery. Aims: To introduce a dedicated Enhanced recovery nurse for this patient group to aid pre and post op support, care and advice. Methods: Data Analysis with the helps of the costing team at LTHT and the use of PLIC’s as allowed us to measure the Length of inpatient stay and Cost of inpatient stay. The data compared surgery undertaken in the year 2023 to the year 2024 when the Enhanced Recovery nurse was implemented. Patient Feedback questionnaire that looked at how they felt about the care and support they received from the Enhanced Recovery Nurse Service. Results: When comparing 2023 to 2024 the Median Length of stay has decreased by 1.3days this is a saving of 115.7 bed days, the cost per patient has decreased by £866 pound per patient with an efficiency saving of £77,074. The patient feedback questionnaire has reported 100% positive feedback for the service with patients being very complimentary of the care and support they received from this role. The feedback received has contributed to the Enhanced recovery Nurse receiving a National Patient experience Professional of the year award in October 2024. Conclusion: The introduction of a dedicated Enhanced Recovery Nurse has given patients the support and understanding that is required to recover from extensive surgery that comes with a high complication rate. This has contributed to positive patient experience and also seen a drop in the median length of stay for this patient group and an efficiency saving for the trust.

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