Pain Management

Statement of Pain Management:

All patients have a Right to Pain Relief.

Health Care Providers should:

  • Inform patients at their initial assessment that relief of pain is an important part of their care
  • Respond quickly to reports of pain
  • Believe the pain described by the patient

Pain assessments, reassessments

  • Use approved pain scales to measure pain and to document.  For awake and alert adults it is usually appropriate to use a pain scale of 1-10.  Please see policy on Pain Management for more details and ask your instructor for assistance.
  • Are done on admission
  • With initial shift assessment (at least every 8 hours);
  • Patients with PCA pumps (patient controlled analgesia) pain and sedation is assessed and documented minimally every 4 hours
  • After any known pain producing event; and
  • With each new report of pain; and
  • After each pain management intervention, once sufficient time has lapsed for the treatment to reach peak effect. 
  • It is very important to “close the loop” of documentation: Assessment - then Intervention –Reassessment –Documentation of response.

Pain Medication

Range Orders:  The dose and/or dosing interval of a range order will be interpreted as thelowest dose at the shortest dosing interval.  If the desired effect has not been achieved and no adverse reactions have been observed, the dose may be increased to the highest dose.


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