2.50
Hdl Handle:
http://hdl.handle.net/10755/162816
Type:
Presentation
Title:
Development of Standard of Care for Pain Management Among Pediatric Patients
Abstract:
Development of Standard of Care for Pain Management Among Pediatric Patients
Conference Sponsor:Emergency Nurses Association
Conference Year:1997
Author:Royce, Mary, RN, BSN, CEN
Contact Address:, USA
Co-Authors:John Soliz, RN, CEN, MICN and Tricia Soliz, RN, BSN, CEN, MICN
Clinical Topic: The intent of our improvement project was to improve pediatric pain management in trauma patients presenting to a Level I trauma center.

Process of Implementation: A retrospective review was conducted on all patients less than fourteen years of age over a one year period to assess pain management in trauma victims. Mechanism of injury and chief complaint were used as selection criteria for chart review. Charts were reviewed for subjective and objective data related to pain. Results indicated that the pediatric trauma population was inadequately medicated for pain in our emergency department. The department staff, including the medical director, recognized this as a problem and decided to develop a plan for improvement. Planning and implementation consisted of the following steps: 1) Monthly review of data discussed at staff meeting; 2) Survey conducted by the pain clinical nurse specialist to assess nurses' perceptions of pain management; 3) In-service education by the pain clinical nurse specialist; 4) Discussion between nursing staff and pain clinical nurse specialist that resulted in request for an improved pain tool to use with pediatric patients; and 5) Development of a standard of care to medicate pediatric trauma patients based on nursing assessment.

Outcome: Departmental findings included: 1) An increased level of awareness among the nurses to assess and effectively manage pediatric pain; 2) A consensus among nursing staff that pediatric trauma patients were not adequately treated for pain; 3) Development of a standard of care to administer acetaminophen to those children meeting inclusion criteria, which resulted in more appropriate pain management.

Recommendation for Clinical Practice: Recommendations from this quality improvement project include: 1) Trial two pediatric pain assessment tools, the Oucher Scale and the Poker Chip Tool; 2) Determine the tools usefulness in quantifying children's pain in our clinical setting; 3) Provide a quick and consistent way to assess pain intensity in children; 4) Help to ensure objectivity, allowing the child to self-report his or her pain; 5) In-service nursing staff on the purpose and use of these pain assessment tools; 6) Interventions; and 7) Continue to monitor charts for improved outcomes. [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.titleDevelopment of Standard of Care for Pain Management Among Pediatric Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162816-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of Standard of Care for Pain Management Among Pediatric Patients</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">1997</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Royce, Mary, RN, BSN, CEN</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">John Soliz, RN, CEN, MICN and Tricia Soliz, RN, BSN, CEN, MICN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The intent of our improvement project was to improve pediatric pain management in trauma patients presenting to a Level I trauma center.<br/><br/>Process of Implementation: A retrospective review was conducted on all patients less than fourteen years of age over a one year period to assess pain management in trauma victims. Mechanism of injury and chief complaint were used as selection criteria for chart review. Charts were reviewed for subjective and objective data related to pain. Results indicated that the pediatric trauma population was inadequately medicated for pain in our emergency department. The department staff, including the medical director, recognized this as a problem and decided to develop a plan for improvement. Planning and implementation consisted of the following steps: 1) Monthly review of data discussed at staff meeting; 2) Survey conducted by the pain clinical nurse specialist to assess nurses' perceptions of pain management; 3) In-service education by the pain clinical nurse specialist; 4) Discussion between nursing staff and pain clinical nurse specialist that resulted in request for an improved pain tool to use with pediatric patients; and 5) Development of a standard of care to medicate pediatric trauma patients based on nursing assessment.<br/><br/>Outcome: Departmental findings included: 1) An increased level of awareness among the nurses to assess and effectively manage pediatric pain; 2) A consensus among nursing staff that pediatric trauma patients were not adequately treated for pain; 3) Development of a standard of care to administer acetaminophen to those children meeting inclusion criteria, which resulted in more appropriate pain management.<br/><br/>Recommendation for Clinical Practice: Recommendations from this quality improvement project include: 1) Trial two pediatric pain assessment tools, the Oucher Scale and the Poker Chip Tool; 2) Determine the tools usefulness in quantifying children's pain in our clinical setting; 3) Provide a quick and consistent way to assess pain intensity in children; 4) Help to ensure objectivity, allowing the child to self-report his or her pain; 5) In-service nursing staff on the purpose and use of these pain assessment tools; 6) Interventions; and 7) Continue to monitor charts for improved outcomes. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:39Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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