As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Pain Management Policy and Procedure Manual includes this customizable template, Pain Management Infusion Flowsheet. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Pain Management Infusion Flowsheet:

	PAIN MANAGEMENT INFUSION FLOWSHEET Date: Type of infusion/pump: Pump settings: fill in ordered settings Drugs/concentration: Continuous/Basal rate: Loading dose nurse administered doses: PCA dose patient administered doses: Lockout: Two RNs to cosign pump settings: Setting changes date/time/change made/2 RNs cosign: 4 hour shift delivered shift Loading doses bolus Time/Initials Sedation Pain Scale Pulse Respirations 24 02 04 06 08 10 12 14 16 18 20 22 q1h or q2h circle one Vial/bag change 2 RN initials Initials Signature/Initials: 11-7 Stat RN 7-3 Stat RN 3-11 Stat RN Sedation Scale: ...
Second excerpt:
	...Scale: A = Alert Pain Scale: PATIENT/FAMILY EDUCATION: Time/Initials 11-7 Time/Initials 7-3 Time/Initials 3-11 Patient states understanding of: Use of pump Pain scale Inform RN if pain not relieved Epidural medication side effects Other: SITE TYPE: Time/Initials 11-7 Time/Initials 7-3 Time/Initials 3-11 Site care: VITAL SIGNS WHEN PAIN INFUSION STARTED AND PRN: Time Pulse Resp. B/P Sedation Scale Pain Scale Comments Initials PAIN MANAGEMENT INFUSION FLOWSHEET continued Reference #3006...