|
|
 |
Pain Management Program - Performance Improvement Worksheet |
|
Manual: Pain Management Policy and Procedure Manual (Ver 2) External Reference: (JCAHO PI.1.10)
MCN’s customizable template, Pain Management Program - Performance Improvement Worksheet, is taken from our Pain Management Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Pain Management Program - Performance Improvement Worksheet:
| | PAIN MANAGEMENT PROGRAM
PERFORMANCE IMPROVEMENT WORKSHEET
Unit:
Medical Record #:
Age:
INSTRUCTIONS:
PI Indicators/Monitors
Yes
No
DNA
Comments
1. Patient's pain is assessed on initial evaluation
2. Patient is assessed for pain at least once per shift
3. An approved pain measurement scale is used to assess pain
4. Patient's pain is reassessed
5. If the patient's pain was not adequately relieved or controlled, further intervention is needed
6. Patient's need for continuing pain relief or control is assessed as part of the discharge plan
7. Pain assessment documented on the unresponsive... |
| Second excerpt: |
| | ...Biting
iii Blinking
iv Calling out
v Clutching/rubbing affected part
vi Crying
vii Depression
viii Fetal position
ix Flat affect
x Frowning
xi Grimacing
xii Gritting teeth
xiii Groaning
xiv Guarding
xv Hitting
xvi Hostility
xvii Irritability
xviii Loss of appetite
xix Moaning
xx Muscle tension
xxi Restlessness
xxii Rocking
xxiii Screaming
xxiv Withdrawing
Outcomes:
1. Patient verbalizes understanding of the following:
a. Diet
b. Dosage and schedule of any applicable medication
c. Activity... |
|
Back to Pain Management Policy and Procedure Manual (Ver 2) |
|
|
|
|