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Pain Management Services Patient Satisfaction Survey (PCA Questionnaire) - Department of Anesthesia |
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Manual: Pain Management Policy and Procedure Manual (Ver 2) External Reference: (JCAHO PI.1.10)
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 Services Patient Satisfaction Survey (PCA Questionnaire) - Department of Anesthesia. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. 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 Services Patient Satisfaction Survey (PCA Questionnaire) - Department of Anesthesia:
| | PAIN MANAGEMENT SERVICES PATIENT SATISFACTION SURVEY
PCA QUESTIONNAIRE
DEPARTMENT OF ANESTHESIA
Date:
We appreciate the opportunity to have assisted in your pain management and request that you take a few minutes of your time to complete the following questionnaire. If you have any questions pertaining to the PCA program, please call the Anesthesia Office and ask to speak to the PCA.
Did you receive adequate instruction to operate the PCA machine?
q Yes
Please rate the pain relief afforded by the PCA unit:
q 4 - Excellent
What features did you like most about the PCA device?
Ability... |
| Second excerpt: |
| | ...PCA device?
Ability to control pain
Greater effectiveness compared to hypodermic shots
Decreased or eliminated the wait for the nurse to give narcotic injections
Less adverse effects such as drowsiness, itching, nausea and vomiting
Would you recommend the use of PCA to your friends or family members?
q Yes
Do you recall having been seen by the PCA Physician, Coordinator and Pharmacist on their daily PCA rounds?
q Yes
Please write down any additional comments that pertain to the PCA... |
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Back to Pain Management Policy and Procedure Manual (Ver 2) |
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