2.50
Hdl Handle:
http://hdl.handle.net/10755/155986
Type:
Presentation
Title:
Impact of an Advanced Practice Nurse (APRN) Led Pain Consult Service
Abstract:
Impact of an Advanced Practice Nurse (APRN) Led Pain Consult Service
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Rich, Kimberly, MS, RNC, GNP-BC
P.I. Institution Name:St. Luke's Episcopal Hospital
Title:Advanced Clinical Nurse
Co-Authors:Linda Cole, MS, MSN, RNC, CNS-CC, CCRN, CCNS; Lisa G. Foytik, MSN, RNC, GNP-BC
[Evidence-based Practice Session - Paper or Poster Presentation] After reviewing evidence-based practice guidelines and The Joint Commission standards, an advanced practice nurse (APRN) led pain management consultative service was developed at St Luke's Episcopal Hospital in 2002 in response to growing numbers of patients reporting chronic pain conditions. Because the service is APRN led, referrals are accepted from any member of the health care team or the patient/family. This empowers nurses, improves patient/family satisfaction, and facilitates nurse/physician communication/ collaboration. Special care is taken with vulnerable populations such as the elderly in which APRNs w/ geriatric training and pain management certification perform the consultation. Additionally, recommendations are made for patients with low income with consideration given to the cost of therapy and availability of resources in the community. An automated referral service is used to make most referrals and computerized daily patient census is generated. Daily computerized tracking of referral rates, referral sources, rate of recommendation acceptance by physicians, and patient pain scores is performed. The computerized nursing documentation is analyzed for response to interventions and amounts and types of medications the patient uses daily. Monthly computerized audits are done on each patient care area to analyze nursing documentation and adherence to specified pain policies. Data tracked over the past five years has shown steady increases in patient referrals with a 60% increase in 2007. Referral rates from nurses remains high and physician referral rates have increased dramatically to 49% of all referrals in 2007. Most importantly, patients consistently report an average 50% reduction in pain scores after APRN pain management involvement. References: St. Marie, B. (2002). Core Curriculum for Pain Management Nursing. Philadelphia: W.B. Saunders. McCaffery, M. & Pasero, C. (1999). Pain Clinical Manual (2nd ed.). St. Louis, MI: Mosby. The Joint Commission. Hospital Standards/Pain assessment: www.jointcommission.org/AccreditationPrograms/Hospitals/Standards
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImpact of an Advanced Practice Nurse (APRN) Led Pain Consult Serviceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155986-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of an Advanced Practice Nurse (APRN) Led Pain Consult Service</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rich, Kimberly, MS, RNC, GNP-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Luke's Episcopal Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Advanced Clinical Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">krich@sleh.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Linda Cole, MS, MSN, RNC, CNS-CC, CCRN, CCNS; Lisa G. Foytik, MSN, RNC, GNP-BC</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session - Paper or Poster Presentation] After reviewing evidence-based practice guidelines and The Joint Commission standards, an advanced practice nurse (APRN) led pain management consultative service was developed at St Luke's Episcopal Hospital in 2002 in response to growing numbers of patients reporting chronic pain conditions. Because the service is APRN led, referrals are accepted from any member of the health care team or the patient/family. This empowers nurses, improves patient/family satisfaction, and facilitates nurse/physician communication/ collaboration. Special care is taken with vulnerable populations such as the elderly in which APRNs w/ geriatric training and pain management certification perform the consultation. Additionally, recommendations are made for patients with low income with consideration given to the cost of therapy and availability of resources in the community. An automated referral service is used to make most referrals and computerized daily patient census is generated. Daily computerized tracking of referral rates, referral sources, rate of recommendation acceptance by physicians, and patient pain scores is performed. The computerized nursing documentation is analyzed for response to interventions and amounts and types of medications the patient uses daily. Monthly computerized audits are done on each patient care area to analyze nursing documentation and adherence to specified pain policies. Data tracked over the past five years has shown steady increases in patient referrals with a 60% increase in 2007. Referral rates from nurses remains high and physician referral rates have increased dramatically to 49% of all referrals in 2007. Most importantly, patients consistently report an average 50% reduction in pain scores after APRN pain management involvement. References: St. Marie, B. (2002). Core Curriculum for Pain Management Nursing. Philadelphia: W.B. Saunders. McCaffery, M. &amp; Pasero, C. (1999). Pain Clinical Manual (2nd ed.). St. Louis, MI: Mosby. The Joint Commission. Hospital Standards/Pain assessment: www.jointcommission.org/AccreditationPrograms/Hospitals/Standards</td></tr></table>en_GB
dc.date.available2011-10-26T14:20:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:20:42Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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