2.50
Hdl Handle:
http://hdl.handle.net/10755/166383
Category:
Abstract
Type:
Presentation
Title:
An Interdisciplinary Multifactorial Approach to Pain Reduction
Author(s):
Garee, Stephanie; Ryder, Susan; Leonard, Johnie
Author Details:
Stephanie Garee, RN, BSN, The Methodist Hospital, Houston, TX, email: sgaree@tmhs.org; Susan Ryder, RN, BSN; Johnie Leonard, RN, MSN, CEN, CAN-BC
Abstract:
HEALTHCARE ORGANIZATION DESCRIPTION: 1352 licensed beds; non-profit, tertiary, adult care, teaching hospital, inpatient and outpatient services; affiliated with Weill Medical College of Cornell University; employs over 2,000 Registered Nurses; awarded Magnet recognition in 2002; Fortune "100 Best Companies to Work For" in 2006, 2007 and 2008; and named by U.S. News & World Report as one of "America's Best Hospitals." BACKGROUND OF PRACTICE INNOVATION: Management of pain and pain related issues in an emergency department (ED) are a critical part of a patientÆs hospital experience. Greater than one-third of all patients that come to an ED experience moderate to severe pain. Pain in the ED setting is not experienced solely because of disease processes but also from necessary, sometimes painful procedures. The Methodist Hospital (TMH) ED sees approximately 38,000 patients annually. Patients discharged receive a written survey designed to assess their experience. Survey questions include comfort with blood draws and whether pain was adequately managed. Survey results related to pain management were sub par. PRACTICE INNOVATION PURPOSE: To develop a multidisciplinary approach to effective pain management and to decrease patient reported pain levels in the Emergency Department. PRACTICE INNOVATION OBJECTIVES: (1) What are the existing barriers to effective pain management in the Emergency Department? (2) Will an interdisciplinary multifactorial approach be more effective in reducing pain levels in the Emergency Department? PRACTICE INNOVATION IMPLEMENTATION: A committee was formed to create a multidisciplinary approach to pain management. The committee has focused on using buffered lidocaine for comfort with IV insertion as well as using lidocaine spray/jelly for nasogastric tube and foley insertion. Physicians are trialing the use of buffered lodicaine for procedures such as incision and drainages and digital blocks. A social worker consults chronic pain patients and a clinical pharmacist is now present in the ED. A nurse is assigned to monitor patients in the triage area and initiate pain protocols on patients waiting for an available bed. Patient Care Assistants are participating by performing hourly rounding, including a pain assessment. Charts are audited for pain reassessment. Pain management education is being provided to all staff and physicians. PRACTICE INNOVATION OUTCOMES: Preliminary survey data indicate improvement in patient satisfaction and comfort. CONCLUSIONS: As a Magnet facility, we continually strive to provide better and more effective care to our patients. Pain management in the Emergency Department can be a challenge and involves unique issues.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
ANCC Magnet Practice Innovations
Conference Host:
American Nurses Credentialing Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host for further details regarding this item.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAn Interdisciplinary Multifactorial Approach to Pain Reductionen_GB
dc.contributor.authorGaree, Stephanieen_US
dc.contributor.authorRyder, Susanen_US
dc.contributor.authorLeonard, Johnieen_US
dc.author.detailsStephanie Garee, RN, BSN, The Methodist Hospital, Houston, TX, email: sgaree@tmhs.org; Susan Ryder, RN, BSN; Johnie Leonard, RN, MSN, CEN, CAN-BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/166383-
dc.description.abstractHEALTHCARE ORGANIZATION DESCRIPTION: 1352 licensed beds; non-profit, tertiary, adult care, teaching hospital, inpatient and outpatient services; affiliated with Weill Medical College of Cornell University; employs over 2,000 Registered Nurses; awarded Magnet recognition in 2002; Fortune "100 Best Companies to Work For" in 2006, 2007 and 2008; and named by U.S. News & World Report as one of "America's Best Hospitals." BACKGROUND OF PRACTICE INNOVATION: Management of pain and pain related issues in an emergency department (ED) are a critical part of a patientÆs hospital experience. Greater than one-third of all patients that come to an ED experience moderate to severe pain. Pain in the ED setting is not experienced solely because of disease processes but also from necessary, sometimes painful procedures. The Methodist Hospital (TMH) ED sees approximately 38,000 patients annually. Patients discharged receive a written survey designed to assess their experience. Survey questions include comfort with blood draws and whether pain was adequately managed. Survey results related to pain management were sub par. PRACTICE INNOVATION PURPOSE: To develop a multidisciplinary approach to effective pain management and to decrease patient reported pain levels in the Emergency Department. PRACTICE INNOVATION OBJECTIVES: (1) What are the existing barriers to effective pain management in the Emergency Department? (2) Will an interdisciplinary multifactorial approach be more effective in reducing pain levels in the Emergency Department? PRACTICE INNOVATION IMPLEMENTATION: A committee was formed to create a multidisciplinary approach to pain management. The committee has focused on using buffered lidocaine for comfort with IV insertion as well as using lidocaine spray/jelly for nasogastric tube and foley insertion. Physicians are trialing the use of buffered lodicaine for procedures such as incision and drainages and digital blocks. A social worker consults chronic pain patients and a clinical pharmacist is now present in the ED. A nurse is assigned to monitor patients in the triage area and initiate pain protocols on patients waiting for an available bed. Patient Care Assistants are participating by performing hourly rounding, including a pain assessment. Charts are audited for pain reassessment. Pain management education is being provided to all staff and physicians. PRACTICE INNOVATION OUTCOMES: Preliminary survey data indicate improvement in patient satisfaction and comfort. CONCLUSIONS: As a Magnet facility, we continually strive to provide better and more effective care to our patients. Pain management in the Emergency Department can be a challenge and involves unique issues.en_US
dc.date.available2011-10-27T15:32:29Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T15:32:29Z-
dc.conference.date2008en_US
dc.conference.nameANCC Magnet Practice Innovationsen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host for further details regarding this item.-
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