2.50
Hdl Handle:
http://hdl.handle.net/10755/344175
Category:
Abstract
Type:
Poster
Title:
Initiation of a Pain Protocol for Trauma Patient Care
Author(s):
Wolfred, Maggie; Cummins, Amber
Lead Author STTI Affiliation:
Non-member
Author Details:
Maggie Wolfred, BSN, RN, mlwolfre@stvincent.org; Amber Cummins, Pharm.D, BCPS
Abstract:
Research Abstract: Purpose: The purpose of this study is to determine if pain scores in trauma patients are improved at discharge with the initiation of a standardized pain protocol in the Emergency Department (ED). Research has shown that education of emergency personnel regarding better pain management practices and use of protocols can decrease the time to first dose, increase the frequency of dosing and increase both staff and patient satisfaction with pain management. Design: In this retrospective chart review, pre-protocol implementation data will be collected from non-mechanically ventilated adult trauma patients presenting to the ED from June 1, 2013 to December 31, 2013. Post-protocol implementation data will be collected from non-mechanically ventilated adult trauma patients presenting to the ED from February 1, 2014 to July 31, 2014. Patient data will be collected from electronic medical records. Setting: The setting for the project will be at an urban Level II Trauma Center teaching facility. Participants/Subjects: A query of all patients presenting to the ED as a trauma alert or trauma code 1 will be generated from June 1, 2013 to July 31, 2014. Patients under the age of 18 and pregnant patients will be excluded. Methods: To adequately address pain needs in the non-mechanically ventilated trauma patient, we developed a pain management protocol for the non-mechanically ventilated patient utilizing fentanyl weight-based dosing and low-dose ketamine. This protocol mimicked the current pain protocols used in the ED for non-trauma patients. This protocol will be orderable by the physician, but will be a nursing driven protocol and standard for all trauma patients. Results/Outcomes: In a preliminary audit of 90 trauma patients, we found that greater than 50% of trauma patients do not receive pain medication and leave the department with moderate to severe pain scores. Implications: These preliminary findings suggest that practices need to be changed and advocacy for pain treatment needs to be improved. This study will change the way we treat pain in our patients and will provide a standard for patient care. The protocol created will be useful in a variety of settings and helpful to many emergency departments across the nation.
Keywords:
Trauma Pain Protocol
Repository Posting Date:
4-Feb-2015
Date of Publication:
4-Feb-2015
Conference Date:
2014
Conference Name:
2014 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Indianapolis, Indiana, U.S.A.
Description:
2014 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at the Indiana Convention 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, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleInitiation of a Pain Protocol for Trauma Patient Careen_GB
dc.contributor.authorWolfred, Maggieen_GB
dc.contributor.authorCummins, Amberen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsMaggie Wolfred, BSN, RN, mlwolfre@stvincent.org; Amber Cummins, Pharm.D, BCPSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/344175-
dc.description.abstractResearch Abstract: Purpose: The purpose of this study is to determine if pain scores in trauma patients are improved at discharge with the initiation of a standardized pain protocol in the Emergency Department (ED). Research has shown that education of emergency personnel regarding better pain management practices and use of protocols can decrease the time to first dose, increase the frequency of dosing and increase both staff and patient satisfaction with pain management. Design: In this retrospective chart review, pre-protocol implementation data will be collected from non-mechanically ventilated adult trauma patients presenting to the ED from June 1, 2013 to December 31, 2013. Post-protocol implementation data will be collected from non-mechanically ventilated adult trauma patients presenting to the ED from February 1, 2014 to July 31, 2014. Patient data will be collected from electronic medical records. Setting: The setting for the project will be at an urban Level II Trauma Center teaching facility. Participants/Subjects: A query of all patients presenting to the ED as a trauma alert or trauma code 1 will be generated from June 1, 2013 to July 31, 2014. Patients under the age of 18 and pregnant patients will be excluded. Methods: To adequately address pain needs in the non-mechanically ventilated trauma patient, we developed a pain management protocol for the non-mechanically ventilated patient utilizing fentanyl weight-based dosing and low-dose ketamine. This protocol mimicked the current pain protocols used in the ED for non-trauma patients. This protocol will be orderable by the physician, but will be a nursing driven protocol and standard for all trauma patients. Results/Outcomes: In a preliminary audit of 90 trauma patients, we found that greater than 50% of trauma patients do not receive pain medication and leave the department with moderate to severe pain scores. Implications: These preliminary findings suggest that practices need to be changed and advocacy for pain treatment needs to be improved. This study will change the way we treat pain in our patients and will provide a standard for patient care. The protocol created will be useful in a variety of settings and helpful to many emergency departments across the nation.en_GB
dc.subjectTrauma Pain Protocolen_GB
dc.date.available2015-02-04T11:27:50Z-
dc.date.issued2015-02-04-
dc.date.accessioned2015-02-04T11:27:50Z-
dc.conference.date2014en_GB
dc.conference.name2014 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationIndianapolis, Indiana, U.S.A.en_GB
dc.description2014 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at the Indiana Convention Centeren_GB
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, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_GB
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