| Bed number | Name | Gender | Age | Admission number | Diagnosis |
| Date of admission | Date of operation | Date of discharge | Name of operation | Anesthesia method | Total hospitalization expenses |
| Preoperative | ERAS-related measures | Achievement and remarks | ERAS-related measures | Achievement and remarks | Propaganda and education (ERAS, exercise, preoperative fasting, postoperative eating, pain, catheter, posture, and get out of bed activity) | | VTE prevention | | (i) Fundamentals prevention | (ii) Stretch socks | (iii) Anticoagulant drug | Functional training (affected limb and lung function). Adaptive training (antidislocation posture, crutch, or help walking device) | | Fasting 6 hours and no drinking for 2 hours before surgery | |
| Responsible nurse | | Finish date | |
| Postoperative | ERAS-related measures | Achievement and remarks | ERAS-related measures | Achievement and remarks | Day of surgery | 2-3 days after surgery | VTE prevention | | VTE prevention | | (i) Fundamentals prevention | (i) Fundamentals prevention | (ii) Stretch socks | (ii) Stretch socks | (iii) Anticoagulant drug | (iii) Anticoagulant drug | (iv) Ankle pump | | (iv) Ankle pump | | (v) Quadriceps training | (v) Lower limb massage | (vi) Knee bend training | (vii) Straight leg raise training | Water and food intake 1 h, 2 h, 3 h, and 4 h after surgery | | Walk around in the wards using | | (i) Help walking device | (ii) Crutch | Posture nursing (head and feet shaking high) | | Drainage tube at removal surgery | | Pain management | | Blood routine, electrolyte detection, liver function test, and X-ray test | | (i) Oral painkiller | (ii) Intravenous painkiller | (iii) Analgesic pump | Negative pressure performed at 6 hours after the surgical drainage tube | | Normal diet | | 1 day after surgery | 4 days after surgery | VTE prevention | | VTE prevention | | (i) Fundamentals prevention | (i) Fundamentals prevention | (ii) Stretch socks | (ii) Stretch socks | (iii) Anticoagulant drug | (iii) Anticoagulant drug | (iv) Ankle pump | | (iv) Ankle pump | | (v) Quadriceps training | (v) Quadriceps training | (vi) Knee bend training | (vi) Knee bend training | (vii) Straight leg raise training | (vii) Straight leg raise training | Get out of bed and stand using | | Walk around in the wards using | | (i) Help walking device | (i) Help walking device | (ii) Crutch | (ii) Crutch | Remove the ureter | | Normal diet | | (i) Antemeridiem | (ii) Postmeridiem | Drainage tube at removal surgery | | | | Blood routine, electrolyte detection, and liver function test | | | | Normal diet | | | |
| Responsible nurse | | Finish date | |
|
|
Fundamentals prevention: active exercise (ankle pump exercise), passive exercise (lower limb massage), lower limb elevation and warmth, turning over frequently, deep breathing exercise, avoiding lower limb puncture and infusion, and getting out of the bed as soon as possible if the condition permits. Upon admission to the hospital, patients with hip fracture should wear stretch socks on both lower limbs as instructed by the doctor, including during the traction period, during operation, and after surgery. Quadriceps training and straight leg elevation training: 20–30 times/group and 3–5 groups/d, based on the patient’s tolerance. Knee flexion training: take the supine position, slowly flex the knee 45°, hold the hip 25° for 5 seconds, then slowly straighten, 10 times/group, and 1-2 groups/d, from passive flexion to active flexion excessive flexion. The responsible nurse on the day before the operation will check and record preoperative condition and basic information, and the postoperative will be recorded by the responsible nurse on the day. Research completion: yes, “√;” no, “×” and indicate the reason.
|