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Inpatient Post-OP Pain Management
Inpatient Post-OP Pain Management
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Created by Qualaris Staff
Critical Access Hospital
Operating Room
Table of Contents
Audit Form
Audit Form
Inpatient Post-OP Pain Management
Required
Observed Date
Type of Pain Mgmt
Pain block
No pain block
Anesthesia Provider
CRNA
Anesthesiologist
Was there a tourniquet used?
Yes
No
Was pain medication administered to the patient in the PACU?
Yes
No
Unit
ED
ICU
Med-Surg
PACU
Rehab
Inpatient Post-OP Pain Management Checklist
Mark all as...
Was the pain level assessed upon arrival to the recovery room?
Yes
No
Was the pain level decreased prior to departure from recovery room?
Yes
No
Was the pain level less than 4 upon discharge?
Yes
No
