The Ureteral Stent Toolkit is a multimodal perioperative approach to reducing opioids after ureteroscopy and stent placement. It consists of preoperative counseling and patient/nursing education, intraoperative anesthesia care plans, standardized discharge instructions for patients, and medication order-sets all designed to standardize non-opioid discharges after ureteroscopy.
The toolkit was designed and tested at the University of Vermont with published results showing that nearly 75% of patients can be safely discharged home without opioids after ureteroscopy. Compared to patients receiving opioids, patients receiving non-opioid therapies had similar postoperative adverse events such as emergency department visits with overall lower impact on outpatient resource utilization. The abstract demonstrating our results can be viewed here.
The toolkit is open source, covered under the Creative Common License. This means that you can Share it— copy and redistribute the material in any medium or format and Adapt it— remix, transform, and build upon the material for any purpose, even commercially. You must, however, give appropriate credit, provide a link to the license and indicate if changes are made. The legal code is available here.
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