Pre-op consulting hospital	OR Day 1	PM of OR Day 1	OR Day2	OR Day 3 (and ongoing until d/c)
Anesthetic consult completed.Client assessed for eligibility in relation to the Nerve Block Protocol by DATC Hospital Case ManagerEligibility Criteria:•    Resident of Durham Region•    Family member available during first 24 hours of post-op period •    Client and family competent and capable to understand all education criteriaIf eligible, client admitted to DATC and nursing secured.ACU staff introduce client to Service Pathway and provide information related to the post-op period.	Nerve Block catheter placed and monitored until client’s discharge home.DATC Hospital Case Manager confirms service plan and receives completed pre-printed orders from Surgeon/Anesthesiologist. Orders are faxed to Coram and Nursing Provider.DATC Hospital Case Manager provides supplies for 1st dressing change.Discharge instructions given to client and family/significant other by Day Surgery staff.Nerve Block checklist completed by hospital staff and faxed to DATC and copy provided to client upon discharge.	Community Nurse visits client after 6 p.m. and completes assessment. Continuous infusion of Nerve Block medication initiated in the home.Education of client/family continues.2nd p.m. visit may be required.	Nursing visit in a.m.Assessment of clientEnsure client has booked ACU appointment for catheter removal as ordered. Informs DATC Case Manager of ACU appointment and client condition.Dressing change as ordered.Community Nurse contacts Anesthesiologist with update on client’s condition.	Ongoing assessment and client teaching.Client visited by nurse the day prior to expected discontinuation of block.Report for ACU visit completed by Community Nurse.Client assessed in ACU by Anesthesiologist and catheter removed if appropriate. Client to contact nursing agency with ongoing care/discharge needs. Client discharged by nursing agency and DATC when treatment completed and catheter removed.Nursing agency contacts Coram to pick up pump in client home.