2.50
Hdl Handle:
http://hdl.handle.net/10755/162718
Type:
Presentation
Title:
Emergency Department Pain Management Improvement Process
Abstract:
Emergency Department Pain Management Improvement Process
Conference Sponsor:Emergency Nurses Association
Conference Year:2001
Author:Watrobski, Arlene, RN, BS, CEN, CCRN
P.I. Institution Name:Columbus Regional Hospital
Contact Address:2400 E. 17th Street, Columbus, IN, 47201, USA
Contact Telephone:(812) 376-5277
Co-Authors:Mary Sitterding, RN, MSN, CNS, CRRN; Kim Swindell, RN, BSN; and Judy Maupin, RN, MSN, CNAA
Clinical Topic: Recognizing pain as a major, largely controllable health problem of the Emergency Department (ED) patient, a decision was made to implement an interdisciplinary pain management improvement process. This decision was greatly influenced by an impending Joint Commission on Accreditation of Healthcare Organizations (JCAHO) review and evaluation of current practice. Implementation: An interdisciplinary, hospital wide, task force was formed to evaluate and make recommendations for improved patient pain assessment and management. Considering evidence-based information, planning and implementation of the ED improvement process included the following steps: 1) review of pain philosophy, Patient's Rights Statement and Ed Standards of Care on Pain Management; 2) survey of ED nursing knowledge and attitudes regarding pain; 3) audit of ED records to evaluate current practice; 4) review of current assessment/reassessment policy for ED population in pain; and finally 5) develop ED specific strategies based on recommendation from JCAHO and the American Pain Society. Outcomes: Implementation and ongoing evaluation of the improvement process has resulted in: 1) improved evidence of a subjective pain assessment on initial triage; 2) decrease in time between patient presentation and time of pain management intervention; 3) improved evidence of pain management intervention based on hospital standards; 4) improved evidence of reassessment within 30-60 minutes; and finally 5) increased documentation of pain management education provided on discharge. Recommendations: In order to meet new standards, a formal institutional interdisciplinary approach to pain management is needed. A site-specific and collaborative approach to pain control is needed in the ED setting to include; nursing, physician, pharmacy, EMS and ancillary staff. Education on pharmacological and non-pharmacological agents cannot be over-emphasized for staff, patients and families. Patients need information on how to describe an accurate pain history to assist in the subjective assessment. Objective and subjective assessments must include common language throughout the organization, recognizing the patient's rights to pain management and respecting personal, cultural, spiritual and/or ethnic choices of treatment and management options. Finally, patients and families need discharge instruction, addressing their role in effective pain management strategies in the out of hospital setting. Upon completion of this poster review, the participant will be able to: 1) Develop an ED pain management program to meet JCAHO standards;
2) Identify tools to address the subjective and objective pain assessment; and 3) Implement an evaluation process to monitor the pain improvement process in the ED. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEmergency Department Pain Management Improvement Processen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162718-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Emergency Department Pain Management Improvement Process</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Watrobski, Arlene, RN, BS, CEN, CCRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Columbus Regional Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2400 E. 17th Street, Columbus, IN, 47201, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(812) 376-5277</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">awatrobski@crh.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Sitterding, RN, MSN, CNS, CRRN; Kim Swindell, RN, BSN; and Judy Maupin, RN, MSN, CNAA</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Recognizing pain as a major, largely controllable health problem of the Emergency Department (ED) patient, a decision was made to implement an interdisciplinary pain management improvement process. This decision was greatly influenced by an impending Joint Commission on Accreditation of Healthcare Organizations (JCAHO) review and evaluation of current practice. Implementation: An interdisciplinary, hospital wide, task force was formed to evaluate and make recommendations for improved patient pain assessment and management. Considering evidence-based information, planning and implementation of the ED improvement process included the following steps: 1) review of pain philosophy, Patient's Rights Statement and Ed Standards of Care on Pain Management; 2) survey of ED nursing knowledge and attitudes regarding pain; 3) audit of ED records to evaluate current practice; 4) review of current assessment/reassessment policy for ED population in pain; and finally 5) develop ED specific strategies based on recommendation from JCAHO and the American Pain Society. Outcomes: Implementation and ongoing evaluation of the improvement process has resulted in: 1) improved evidence of a subjective pain assessment on initial triage; 2) decrease in time between patient presentation and time of pain management intervention; 3) improved evidence of pain management intervention based on hospital standards; 4) improved evidence of reassessment within 30-60 minutes; and finally 5) increased documentation of pain management education provided on discharge. Recommendations: In order to meet new standards, a formal institutional interdisciplinary approach to pain management is needed. A site-specific and collaborative approach to pain control is needed in the ED setting to include; nursing, physician, pharmacy, EMS and ancillary staff. Education on pharmacological and non-pharmacological agents cannot be over-emphasized for staff, patients and families. Patients need information on how to describe an accurate pain history to assist in the subjective assessment. Objective and subjective assessments must include common language throughout the organization, recognizing the patient's rights to pain management and respecting personal, cultural, spiritual and/or ethnic choices of treatment and management options. Finally, patients and families need discharge instruction, addressing their role in effective pain management strategies in the out of hospital setting. Upon completion of this poster review, the participant will be able to: 1) Develop an ED pain management program to meet JCAHO standards;<br/>2) Identify tools to address the subjective and objective pain assessment; and 3) Implement an evaluation process to monitor the pain improvement process in the ED. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:58Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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