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Transcript of Pain Assessment
Crosswalk and Charting On Narcotics
Did you know?
UNMH has 11 pain scales to assess acute pain?
There are so many because they each are used for a different patient population.
Neonatal, pediatric, adult
Developmentally or cognitively impaired
Pain that is related to procedures
The numeric ranges for these scales go from 0-54
Chart the crosswalk score on the PRN response........
Chart the Numeric score on the Pain Assessment
Comperhensive Pain Assessment Charted With Your Intital Assessment
How to Chart If your Patient Rates Pain As 0
Pain Assessment Must Be Charted Every 2 hours If Patient Has Any Pain
Charting On Narcotics
Always remember to chart the medication
giving it to the patient. Charting before is considered false charting.
If giving a PRN narcotic, make sure to check the time that the previous dose was given. Only administer if within the parameters of the order. You must notify the physician and get a new order if the medication is to be given more than 30 minutes early.
Never chart medication from the PAL (Patient Access List), always pull up the MAR to chart all medications. The PAL is not always up-to-date with new orders and does not show communication orders.
Chart all medication in real time. Make sure you check the actual time the narcotic was given.
Follow the 8 Rights of medication administration: right drug, right patient, right dose, right time, right route, right indication, right device and right documentation.
The numeric ranges can lead to mis-communication between caregivers when different scales are used or the patient changes location.
Example: An ICU patient has a COMFORT scale of 9 (no pain). That same patient transfers to the floor where the Visual Analog Scale is used. A score of 9 there means that the patient has a high level of pain. That could lead to over medicating the patient.
The creation of a pain tool crosswalk translates pain scores into mild, moderate or severe
The providers have developed acute pain powerplans that categorize the pain medications into mild, moderate or severe
Select Pain instrument crosswalk then right click on the reference to open crosswalk.