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Outpatient Post-Op Pain Management
Outpatient Post-Op Pain Management
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Created by Qualaris Staff
Critical Access Hospital
Recovery Room
Table of Contents
Audit Form
Audit Form
Outpatient 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 adminstered tothe patient in the PACU?
Yes
No
Outpatient 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
