2.50
Hdl Handle:
http://hdl.handle.net/10755/338298
Category:
Full-text
Type:
Presentation
Title:
Pain Reassessment in the Emergency Department
Author(s):
Ullery, Diane K.
Lead Author STTI Affiliation:
Kappa Epsilon
Author Details:
Diane K. Ullery, BSN, RN, scottd@mail.gvsu.edu
Abstract:
Session presented on Friday, September 26, 2014: Abstract: Purpose and Background: Inadequate management of pain in the emergency department is a significant problem resulting in decreased patient satisfaction as well as poor patient outcomes. Reassessment of the patients pain after intervention is an essential component of successful pain management, as well as a requirement by the Joint Commission for Accreditation of Hospitals (JCAHO). Chart audits done in a Midwest trauma unit over a twelve month period revealed a lack of documentation of pain reassessment following pain intervention in an average of 45% of patients. In addition, the HCAP survey measuring satisfaction with pain management shows room for improvement. The purpose of this project was to create a protocol to improve pain reassessment documentation in the emergency department, resulting in better nursing management of pain. Literature Review: Literature supports the importance of consistent and frequent reassessment of pain as a crucial step in pain management. Evidence has also shown that providing pain education for nurses along with individual feedback can be effective in improving pain reassessment. In addition, literature suggests patient satisfaction with pain management is improved with reassessments. Protocol/Intervention: The pain documentation process within the ED was assessed, which identified varying documentation practices as well as varying methods of documentation. Based on these findings, the protocol included education for nursing staff regarding required documentation for pain reassessments and the appropriate place for documentation. Documentation guidelines and standards were reviewed and clarified. Visual reminders were placed reminding staff to complete the pain reassessment, and feedback and support was provided to staff. The protocol is currently in the process of being implemented. Chart audits will continue to be monitored, with results communicated to nursing staff. Outcomes: It is expected that this protocol will increase completion of pain reassessment by staff. As a result, it is expected that patients will experience better pain managment and will report improved satisfaction with the management of their pain.
Keywords:
pain reassessment; pain management
Repository Posting Date:
15-Jan-2015
Date of Publication:
15-Jan-2015
Other Identifiers:
LEAD14PST129
Conference Date:
2014
Conference Name:
Leadership Summit 2014
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Leadership Summit 2014 Theme: Personal. Professional. Global. Held at the Indianapolis Marriott Downtown, Indianapolis.
Note:
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titlePain Reassessment in the Emergency Departmenten_US
dc.contributor.authorUllery, Diane K.en
dc.contributor.departmentKappa Epsilonen
dc.author.detailsDiane K. Ullery, BSN, RN, scottd@mail.gvsu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/338298-
dc.description.abstractSession presented on Friday, September 26, 2014: Abstract: Purpose and Background: Inadequate management of pain in the emergency department is a significant problem resulting in decreased patient satisfaction as well as poor patient outcomes. Reassessment of the patients pain after intervention is an essential component of successful pain management, as well as a requirement by the Joint Commission for Accreditation of Hospitals (JCAHO). Chart audits done in a Midwest trauma unit over a twelve month period revealed a lack of documentation of pain reassessment following pain intervention in an average of 45% of patients. In addition, the HCAP survey measuring satisfaction with pain management shows room for improvement. The purpose of this project was to create a protocol to improve pain reassessment documentation in the emergency department, resulting in better nursing management of pain. Literature Review: Literature supports the importance of consistent and frequent reassessment of pain as a crucial step in pain management. Evidence has also shown that providing pain education for nurses along with individual feedback can be effective in improving pain reassessment. In addition, literature suggests patient satisfaction with pain management is improved with reassessments. Protocol/Intervention: The pain documentation process within the ED was assessed, which identified varying documentation practices as well as varying methods of documentation. Based on these findings, the protocol included education for nursing staff regarding required documentation for pain reassessments and the appropriate place for documentation. Documentation guidelines and standards were reviewed and clarified. Visual reminders were placed reminding staff to complete the pain reassessment, and feedback and support was provided to staff. The protocol is currently in the process of being implemented. Chart audits will continue to be monitored, with results communicated to nursing staff. Outcomes: It is expected that this protocol will increase completion of pain reassessment by staff. As a result, it is expected that patients will experience better pain managment and will report improved satisfaction with the management of their pain.en
dc.subjectpain reassessmenten
dc.subjectpain managementen
dc.date.available2015-01-15T13:34:59Z-
dc.date.issued2015-01-15-
dc.date.accessioned2015-01-15T13:34:59Z-
dc.conference.date2014en
dc.conference.nameLeadership Summit 2014en
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionLeadership Summit 2014 Theme: Personal. Professional. Global. Held at the Indianapolis Marriott Downtown, Indianapolis.en
dc.description.noteItems submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.-
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