This customizable document, Pain Management - Pediatric Pain Assessment and Reassessment Form, is taken from MCN Healthcare’s Pain Management Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Pain Management - Pediatric Pain Assessment and Reassessment Form:

	PAIN MANAGEMENT PEDIATRIC PAIN ASSESSMENT AND REASSESSMENT FORM Patient Name: Date: Physician: Diagnosis: Location of Pain: Observation of the Child: CHILD SECTION: 1. Tell me what pain is: 2. Tell me about the hurt you have: 3. Point to the location: 4. What do you do for yourself when you are in pain? 5. What do you want other people to do for you when you hurt? 6. What helps the pain go away? 7. Is there anything you want me to know about your pain? PARENT SECTION: 1. How does your child describe pain? 2. Does your child tell you he or she is hurting? 3. How do you know when...
Second excerpt:
	...child tell you he or she is hurting? 3. How do you know when your child is in pain? 4. How does your child react to pain? 5. What do you do for your child when he or she is in pain? 6. What works best for your child's pain? 7. Is there anything special you would want the physician to know about your child and pain? Please describe. REASSESSMENT SECTION: 1. Presence of pain: 2. Location of pain: 3. Amount of pain: 4. Quality of pain: PAIN MANAGEMENT - PEDIATRIC PAIN ASSESSMENT...