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Pain Management
Pain Management
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Created by Qualaris Staff
Inpatient Nursing
Table of Contents
Audit Form
Audit Form
Pain Management
Description
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Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Pain Management Checklist
Mark all as...
Pain goal documented?
Yes
No
N/A
Pain assessment on admission?
Yes
No
N/A
Pain assessment Q8 hours?
Yes
No
N/A
Pain assessment pre-medication?
Yes
No
N/A
Pain reassessment post-medication 1 hour?
Yes
No
N/A
If pain above 4, were additional interventions applied?
Yes
No
N/A
Pain alternatives utilized?
Yes
No
N/A
Meeting patient pain goal?
Yes
No
N/A
Plan of care initiated?
Yes
No
N/A
Patient education documented?
Yes
No
N/A
