POLICY AND PROCEDURE Original Date: 11/02 Review Date: Revision Date:3/04, 4/05, 6/05, 11/08, 8/13. LOS ALAMITOS MEDICAL CENTER Administration Manual
|
|
|
- Mark Patterson
- 8 years ago
- Views:
Transcription
1 Original Date: 11/02 Revision Date:3/04, 4/05, 6/05, 11/08, 8/13 Page 1 of 8 I. SCOPE: All Patient Care Areas II. PURPOSE: To describe and support the care of patients, as appropriate, regarding pain management, including the assessment and treatment throughout the continuum of care. III. POLICY: A. All patients will be assessed for the presence, absence and history of pain, and when identified will receive individualized treatment and support in the management of pain. B. Patients have the right to assessment of pain and timely management when identified. Pain is considered the 5 th vital sign. 1. Assessment related to pain will be done on admission 2. Reassessment will be made: A minimum of once per shift for patients who indicate that no pain is present After any o known pain-producing event o pain management intervention o change in the level of care At the time vital signs are taken or as needed 3. Assess the effectiveness of pain management interventions within 5-60 minutes depending upon the pain relief measure provided and route given. C. On admission, a pain history and an initial comprehensive pain assessment will include intensity, location, aggravating, and alleviating factors, and patient s stated pain goal. It may also include the impact on functional ability and pain management actions which have been helpful or not-helpful in the past D. Pain level for all patients except Neonatal or Premature Infants will be documented based on numerical pain scale (e.g.wong-baker, FLACC or PainAd scales. There are several pain scales available in the electronic medical record [EMR] (i.e. Cerner/ MedHost) including specific scales for patients on ventilators (e.g. RASS scale). E. Neonatal or Premature Infants pain level will be documented on a 0-7 pain scale (Neonatal/Infant Pain scale) or 0-21(Premature Infant Pain Profile).
2 Original Date: 11/02 Revision Date:3/04, 4/05, 6/05, 11/08, 8/13 Page 2 of 8 IV. PROCEDURE: F. Assessment will be based on patient report, physical or age-appropriate indicators if patient is unable to self-report. G. Patients will receive education and will participate as appropriate in the management of their pain. H. Pain management is a multidisciplinary process and includes the various health care providers involved with the patient and her/his family. A. On admission, complete and document comprehensive assessment for pain, including, but not limited to: 1. Pain History (in Cerner is part of the Adult Admission History) a. Current complaint or denial of pain b. Potential for pain during hospitalization c. Chronic pain - usual pain level (0-10) - acceptable pain intensity (0-10) - onset-numeric & duration - aggravating and alleviating factors - current pain treatment 2. Assessment (in Cerner is in I & O/INET Pain Assessment) a. Location-- noting if more than one site b. Pain score c. Observation of patient behaviors (e.g. crying, rigid) d. Acceptable pain relief goal e. Interventions (e.g. heat, medication) B. Reassess and document as indicated: 1. Reassess a minimum of once per shift for all patients and with all vital signs (exceptions for frequent VS or per unit specific guidelines). Nursing assistants shall report pain levels/complaints of pain to the nurse for assessment and intervention. The EMR currently used at LAMC includes a PRN Response Reassessment which fires as a task following prn medication administration. Completion of this tool aids in assessing the effectiveness of pain management interventions and will be completed within 5-60 minutes, depending upon the pain relief measure provided and route given. 2. Consider alternative approaches in response to reports of ineffective pain management including contacting the physician for additional orders 3. Reassess adequacy of pain management after each subsequent intervention
3 Original Date: 11/02 Revision Date:3/04, 4/05, 6/05, 11/08, 8/13 Page 3 of 8 C. Develop a pain management care plan 1. Consider patient preferences, cultural factors, methods and treatment alternatives 2. Consider patient age and cognitive function; assessments will be made using appropriate age specific and cognitive function assessment tools. 3. Provide and document pain management education to patient and family D. Document 1. Initial pain history is documented in the EMR as part of the Adult Admission History; or in Medhost. 2. Subsequent pain reassessments are documented in the EMR in the I&O/INET in Frequent Vital Signs Pain Assessment band or per unit specific documentation 3. Patient and family education is documented in the Interdisciplinary Patient/Family Education section of the EMR. 4. Document pain status on discharge from the facility in the Depart Pain Assessment section. 5. Prolonged downtime pain management shall be recorded on paper flowsheets.
4 Original Date: 11/02 Revision Date:3/04, 4/05, 6/05, 11/08, 8/13 Page 4 of 8
5 Original Date: Revision Date: Page 5 of 8 Guidelines for Using the Pain Intensity Rating Scales. Scale Wong Baker/Numerical Pain Scale (Faces) Use for children age 3 years through geriatric populations. Description Developed by Donna Wong and Connie Baker at the Hillcrest Medical Center in Tulsa, Oklahoma. Scoring Instructions Children/Non-Verbal Adults Explain to the person that each face is for a person who feels happy because he has no pain (hurt) or sad because he has some or a lot of pain. Face 0 is very happy because he doesn t hurt at all. Face 1-2 hurts just a little bit. Face 3-4 hurts a little more. Face 5-6 hurts even more. Face 7-8 hurts a whole lot. Face 9-10 hurts as much as you can imagine, although you don t have to be crying to feel this bad. Ask the person to choose (point to) the face that best describes how he is feeling. Verbal Adults Explain to the person that the number 0 represents no pain and the number 10 represents the most pain they can imagine. Ask the person to identify the pain they are experiencing using a number between 0 and 10. Interpretation Children/Non-Verbal Adults Face 0 = No Pain, Face 1-2 = Mild Pain, Faces 3-4 and 5-6 = Moderate Pain, Faces 7-8 and 9-10 = Severe Pain. Verbal Adults 0-1 = No Pain, 1-2 = Mild Pain, 3-6 = Moderate Pain, 7-10 = Severe Pain. s:\qa\polproc\policy and procedure process and format.doc
6 Premature Infant Pain Profile (PIPP) Use for premature infants. Original Date: Revision Date: Page 6 of 8 This is a behavioral pain scale developed at the Universities of Toronto and McGill in Canada. It is used when infants undergo a potentially painful event. It has also been used as a routine measurement of pain. Scoring Instructions There are seven indicators (Gestational Age, Behavioral State, Heart Rate, Oxygen Saturation, Brow Bulge, Eye Squeeze, Nasolabial Furrow). Each indicator has four defined scoring options. Score the Gestational Age before observing the infant. Score the Behavioral State by observing the infant for 15 seconds before the Scale Premature Infant Pain Profile (continued) Description potentially painful event. Record the baseline Heart Rate and Oxygen Saturation. Observe the infant for 30 seconds immediately following the painful event. Score the physiologic and facial changes (Heart Rate, Oxygen Saturation, Brow Bulge, Eye Squeeze, Nasolabial Furrow) seen during this time. The score from each of the seven indicators is added together to obtain a total score from 0-21 (for the youngest gestational age infants, the total possible score is 21, while for older infants, the total possible score may be as low as 18). Interpretation The higher the score, the greater the pain behavior. For all age groups, total scores of 6 or less generally indicate minimal or no pain and scores greater than 12 reflect moderate to severe pain. s:\qa\polproc\policy and procedure process and format.doc
7 Neonatal/Infant Pain Scale (NIPS) Use for pre-term and full-term neonates. Original Date: Revision Date: Page 7 of 8 This is a behavior pain scale developed at the Children s Hospital of Eastern Ontario in Canada. It is used to monitor a neonate before, during, and after a painful procedure. It has also been used as a routine measurement of pain. Scoring Instructions There are six parameters (Facial Expression, Cry, Breathing Patterns, Arms, Legs, State of Arousal). Each parameter has 2-3 defined scoring options. One option is selected for each parameter based on observation of the neonate. The score from each of the six parameters is added together to obtain a total score from 0-7. Interpretation A falsely low score may be seen in a neonate who is too ill to respond or who is receiving a paralyzing agent. FLACC Scale Use for children age 3 months to 7 years or individuals unable to communicate their pain. This is a behavior pain scale developed by the University of Michigan Health System. Scoring Instructions There are five categories (Face, Legs, Activity, Cry, Consolability). Each category has three defined scoring options. One option is selected for each category based on observation of the child. The score from each of the five categories is added together to obtain a total score from Interpretation Behavioral pain scores need to be considered within the context of the child s psychological status, anxiety and other environmental factors. s:\qa\polproc\policy and procedure process and format.doc
8 Original Date: Revision Date: Page 8 of 8 Include the following at the end of each policy: Author and Title: Elizabeth Piburn, RN, MSN References: Lippincott s Nursing Procedures, 5 th Edition. (2009). Philadelphia: Lippincott, Williams & Williams Facts about pain management. The Joint Commission. Lewis, S, DirksennS, Heitkemper, M, Bucher, L & Camera, I. (2011) Medical-surgical nursing, 8 th edition. St Loius: Elsevier. Final Approvals: Executive Committee Governing Board Dates to be obtained from monthly memo from Medical Staff Services For policy originator use: Required: Date sent to: Must chose one: Must send electronic copy via Renee Parlier For Administrative Manual Kristy Ballard For inclusion on S Drive Include document name / path / initials of typist s:\qa\polproc\policy and procedure process and format.doc
Effect of breast-feeding on pain relief during infant immunization injections
International Journal of Nursing Practice 2009; 15: 99 104 RESEARCH PAPER Effect of breast-feeding on pain relief during infant immunization injections Aida Abdel Razek DNsc MSN BSN Associate Professor,
ISSUED BY: TITLE: ISSUED BY: TITLE: President
CLINICAL PRACTICE GUIDELINE PROFESSIONAL PRACTICE TITLE: Stroke Care Rehabilitation Unit DATE OF ISSUE: 2005, 05 PAGE 1 OF 7 NUMBER: CPG 20-3 SUPERCEDES: New ISSUED BY: TITLE: Chief of Medical Staff ISSUED
The Fifth Vital Sign: Implementation of the Neonatal Infant Pain Scale Ana-Maria Gallo
PRINCIPLES & PRACTICE The Fifth Vital Sign: Implementation of the Neonatal Infant Pain Scale Ana-Maria Gallo Several psychometric tools are available to assess pain in the neonate. Although clinically
TITLE Code Comfort Pilot Policy DRAFT NUMBER To be assigned Last Revised/Reviewed TJC FUNCTIONS APPLIES TO
CLINICAL TITLE Code Comfort Pilot Policy DRAFT NUMBER To be assigned Last Revised/Reviewed Effective Date: TJC FUNCTIONS APPLIES TO I. SCOPE / PURPOSE: Novant Health Code Comfort: Pain, Dyspnea, Anxiety
BACCALAUREATE PROGRAM, RN to BSN & LPN to BSN. REQUIRED TEXTBOOKS Fall 2016 Spring 2017
Revised 4/8/2016 BACCALAUREATE PROGRAM, RN to BSN & LPN to BSN REQUIRED TEXTBOOKS Fall 2016 Spring 2017 General information about textbooks: Textbooks may be used for multiple courses. Do not sell your
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Sedation for diagnostic and therapeutic procedures in children and young people 1.1 Short title Sedation in children and young
Medical Center of Central Georgia Neonatal Intensive Care Unit
Medical Center of Central Georgia Neonatal Intensive Care Unit The Effect of Music Therapy as a Nursing Intervention for the Inconsolable 32-40 Week Critically Ill Infant Dr. Douglas Keith, PhD, MT-BC
Collaborative Care Plan for PAIN
1. Pain Assessment *Patient s own description of pain is the most reliable indicator for pain assessment. Pain intensity to be assessed using the ESAS (Edmonton Symptom Assessment Scale) Use 5 th Vital
CH CONSCIOUS SEDATION
Summary: CH CONSCIOUS SEDATION It is the policy of Carondelet Health that moderate conscious sedation of patients will be undertaken with appropriate evaluation and monitoring. Effective Date: 9/4/04 Revision
Palliative Performance Scale & Care Plan Reviews Resident Name: Unit/Room #: NURSING GUIDELINES FOR END-OF-LIFE CARE
Palliative Performance Scale & Care Plan Reviews Resident Name: Unit/Room #: Date Time PPS Score % Resident-Specific Care Plan Reviewed/Updated Date next review due. Signature ADMISSION REVIEWs NURSING
PAIN JEOPARDY. I ll take INTERVENTIONS for 400 points, Alex!
PAIN JEOPARDY I ll take INTERVENTIONS for 400 points, Alex! Fact/Myth Barriers Assessment Education Interventions 100 pt 100 pt 100 pt 100 pt 100 pt 200 pt 200 pt 200 pt 200 pt 200 pt 300 pt 300 pt 300
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE
UNIT: INTENSIVE CARE UNIT - ICU SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: INTENSIVE CARE UNIT-ICU STANDARD I - SAFETY 3/88
3-1 THE NERVOUS SYSTEM
C A S E S T U D Y 3 : T o d d l e r Adapted from Thomson Delmar Learning s Case Study Series: Pediatrics, by Bonita E. Broyles, RN, BSN, MA, PhD. Copyright 2006 Thomson Delmar Learning, Clifton Park, NY.
HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES
HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES (2008 Medicare Conditions of Participation for Hospice Care 418.122 (f)) Hospice Philosophy Hospice is a unique concept of care designed to provide comfort
Sample Consent. Transfusion of Prematures (TOP)
Final: October 8. 2012 Revised: February 8. 2013 Appendix A: Sample Consent ~ Penn Medicine,~. Informed Consent Form and HIPAA Authorization Protocol Title: Short Title: Principal Investigator: Emergency
Q: Rehabilitation Nursing
Q: Rehabilitation Nursing Alberta Licensed Practical Nurses Competency Profile 163 Priority: One Competency: Q-1 Apply the Rehabilitation Process Q-1-1 Q-1-2 Q-1-3 Q-1-4 Q-1-5 Q-1-6 Demonstrate knowledge
Pain Management Satisfaction. Orange City Home Health & Hospice Orange City, Iowa
Pain Management Satisfaction Orange City Home Health & Hospice Orange City, Iowa Description of Agency We are a hospital based Medicare certified home health & hospice agency located in Orange City, Iowa.
DATE DUE: RESIDENT NAME: DATE(S) OF COMPLETION: STAFF COMPLETING RESIDENT REVIEW:
483.25 QUALITY OF CARE F309 CARE AND SERVICES FOR RESIDENT WITH PAIN Based on QIS CE Pathway CMS-20076 - Pain Recognition and Management http://www.aging.ks.gov/manuals/qismanual.htm Use of this tool is
Interdisciplinary Admission Assessment and
06/20/14 - Effective Definitions Policy Licensed Independent Practioner (LIP): Any individual permitted by law and UTMB to provide care and services without direction or supervision within the scope of
www.centerforebp.case.edu
www.centerforebp.case.edu www.centerforebp.case.edu Managing the Drug-Seeking Patient in Hospital Settings Christina M. Delos Reyes, MD Medical Consultant Center for Evidence-Based Practices BHO Videoconference
Interviewable: Yes No Resident Room: Initial Admission Date: Care Area(s): Use
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Care Area(s): Interviewable: Yes No Resident Room: Use Use this protocol to determine whether the facility
Interviewing a Social Work Candidate Questions and Suggested Responses
Interviewing a Social Work Candidate Questions and Suggested Responses Selecting the best candidate for any position is important - time spent prior to hire may save time wasted on an improper hire. Asking
Bringing Brains, Heart and Courage to End-of-Life Care Using Simulation
Bringing Brains, Heart and Courage to End-of-Life Care Using Simulation PRESENTED BY: CHAVONNE WYATT MSN, APRN AND CAROLYN INSLEY MN, MS, RN FORT HAYS STATE UNIVERSITY Objectives Describe a high-fidelity
Policy & Procedures. I.D. Number: 1142
Policy & Procedures Title: CARDIAC (ECG) MONITORING I.D. Number: 1142 Authorization: [X] SHR Nursing Practice Committee Source: Date Revised: November 2012 Date Effective: October 2004 Scope: SHR - Acute
Depression: Facility Assessment Checklists
Depression: Facility Assessment Checklists A facility system assessment is a starting point for a quality improvement project. The checklists included in this booklet will be most useful if you take a
Pennsylvania Depression Quality Improvement Collaborative
Pennsylvania Depression Quality Improvement Collaborative Carol Hann, RN, MSN, CPHQ, Collaborative Manager Southeastern Pennsylvania Association for Healthcare Quality (SPAHQ) David Payne, Psy.D., Senior
Classroom: 60 hours Clinical: 180 hours (90 hours laboratory, 90 hours clinical)
CONNECTICUT COMMUNITY COLLEGE NURSING PROGRAM Capital Community College, Gateway Community College, Norwalk Community College, Naugatuck Valley Community College, Three Rivers Community College NUR*101:
Care Guide: Cancer Distress Management
Screening Tools for Measuring Distress Care Guide: Cancer Distress Management Instructions: Circle the number between [0 10] that best describes your patient s level of distress over the past week, including
Common Outcomes/Competencies for the CCN Nursing Web Page
Common Outcomes/Competencies for the CCN Nursing Web Page NURS 120: Foundations of Nursing This course introduces concepts related to the practical nurse s roles and responsibilities in today s society.
S.O.S. Neonatal Skin Risk Assessment Team Membership: Lisa Festle, MSN, RNC-NIC, APRN/CNS Barbara Hering, MSN, RNC-NIC, APRN/CNS
S.O.S. Neonatal Skin Risk Assessment Team Membership: Lisa Festle, MSN, RNC-NIC, APRN/CNS Barbara Hering, MSN, RNC-NIC, APRN/CNS Acknowledgements: NICU Staff Nurses, Wound Ostomy Nurses, Marc Weiss, MD,
Pediatric Chronic Pain. Objectives. Kathy Reid, RN, MN, NP Pediatric Chronic Pain Program Stollery Children s Hospital Edmonton AB
Pediatric Chronic Pain Kathy Reid, RN, MN, NP Pediatric Chronic Pain Program Stollery Children s Hospital Edmonton AB Objectives The importance of validating chronic pain in pediatrics Discuss pharmacological,
High Desert Medical Group Connections for Life Program Description
High Desert Medical Group Connections for Life Program Description POLICY: High Desert Medical Group ("HDMG") promotes patient health and wellbeing by actively coordinating services for members with multiple
Intro Who should read this document 2 Key Messages 2 Background 2
Classification: Policy Lead Author: Nathan Griffiths, Consultant Nurse Paediatric Emergency Medicine Additional author(s): N/A Authors Division: Salford Healthcare Unique ID: DDCPan04(14) Issue number:
TITLE: ASSESSMENT OF PATIENTS POLICY # B2-4
TITLE: ASSESSMENT OF PATIENTS POLICY # B2-4 MANUAL: ADMINISTRATIVE POLICY\PROCEDURE MANUAL Page 1 of 5 Effective Date: 1/96 Approval /s/ Reviewed/Revised: 4/98; 10/99; 08/00, 7/01, 4/02, 7/02, 12/06; 1/11;
Summary of health effects
Review of Findings on Chronic Disease Self- Management Program (CDSMP) Outcomes: Physical, Emotional & Health-Related Quality of Life, Healthcare Utilization and Costs Summary of health effects The major
1.4.4 Oxyhemoglobin desaturation
Critical Care Therapy and Respiratory Care Section Category: Clinical Section: Clinical Monitoring Title: Monitoring of Patients Undergoing Conscious Sedation Policy #: 09 Revised: 05/00 1.0 DESCRIPTION
case management controlled
The effecte ffects s of a nurse-led case management programme on patients undergoing peritoneal dialysis: a randomized controlled trial Susan Chow RN, PhD The HK Polytechnic University Frances Wong RN,
GUIDELINES FOR INTRAPROFESSIONAL COLLABORATION
GUIDELINES FOR INTRAPROFESSIONAL COLLABORATION Guidelines for Intraprofessional Collaboration: Registered Nurses and Licensed Practical Nurses Working Together October 2015 (1/19) Nurses Association of
Falls Prevention Strategy
Falls Prevention Strategy Policy of the Fall Season October-November 2011 Revised for CCTC By: Krista Shea RN, BScN, CNCC(C) Did you know In Canada: Falls are the 6th leading cause of death among older
*Reflex withdrawal from a painful stimulus is NOT considered a purposeful response.
Analgesia and Moderate Sedation This Nebraska Board of Nursing advisory opinion is issued in accordance with Nebraska Revised Statute (NRS) 71-1,132.11(2). As such, this advisory opinion is for informational
Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines
Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines (TBOS) Therapeutic behavioral on-site services are intended to prevent members under the
University of Michigan Alcohol Withdrawal Guidelines Overview
University of Michigan Alcohol Withdrawal Guidelines Overview The following document contains the University of Michigan Alcohol Withdrawal Guidelines. These guidelines were developed through an intensive
Diagnosis and Management for Chronic Back Pain: Critical for your Recovery
Diagnosis and Management for Chronic Back Pain: Critical for your Recovery Dr. Connie D Astolfo, DC, PhD (candidate) In past articles I have stressed that the causes of back pain can be very complex. This
Positive Coping with Rheumatoid Arthritis a skills workshop
Positive Coping with Rheumatoid Arthritis a skills workshop About this workshop Created by: Dan Bilsker PhD Centre for Applied Research in Mental Health & Addiction Faculty of Health Sciences, Simon Fraser
How babies' senses develop
B2 There is much growth and change that must occur in your baby s body. For babies born full-term (37-40 weeks), this growth and change occurred within the warm, dark, watery womb. For the premature baby,
Test Content Outline Effective Date: June 9, 2014. Pain Management Nursing Board Certification Examination
Pain Management Nursing Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions
Optum By United Behavioral Health. 2015 New Jersey Managed Long-Term Services and Support (MLTSS) Medicaid Level of Care Guidelines
Optum By United Behavioral Health 2015 New Jersey Managed Long-Term Services and Support (MLTSS) Medicaid Level of Care Guidelines (AMHR) AMHR provides services in/by a licensed community residence. Services
Table of Contents. 4.0 When the Procedure, Product, or Service Is Not Covered...6 4.1 General Criteria...6 4.2 Specific Criteria...
Community Alternatives Original Effective Date: November 1, 1992 Program Table of Contents 1.0 Description of the Procedure, Product, or Service...1 1.1 Community Alternatives Program for Children...1
MODERATE SEDATION RECORD (formerly termed Conscious Sedation)
(POLICY #DOC-051) Page 1 of 6 WELLSPAN HEALTH - YORK HOSPITAL NURSING POLICY AND PROCEDURE Dates: Original Issue: September 1998 Annual Review: March 2012 Revised: March 2010 Submitted by: Brenda Artz
Improving Pain Management Through Electronic Data Query and Reporting
Improving Pain Management Through Electronic Data Query and Reporting Matthew Peters, MSN Intermountain Healthcare Intermountain Healthcare Hospitals: 21 Intermountain Medical Group: 900 multi-specialty
To provide standardized Supervised Exercise Programs across the province.
TITLE ALBERTA HEALTHY LIVING PROGRAM SUPERVISED EXERCISE PROGRAM DOCUMENT # HCS-67-01 APPROVAL LEVEL Executive Director Primary Health Care SPONSOR Senior Consultant Central Zone, Primary Health Care CATEGORY
College of DuPage. Associate Degree Nursing Program
Student Name: Clinical Instructor: Clinical Site : College of DuPage Associate Degree Nursing Program Clinical Evaluation Tool: Nursing 1220 Health and Illness Concepts I Student Learning Outcome 1. SAFETY:
Does This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective. Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A
Does This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A Disclaimer: This speaker has no financial disclaimers to report.
EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE
EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE What is hospice? Hospice care focuses on improving the quality of life for persons
Solution Title: Predicting Care Using Informatics/MEWS (Modified Early Warning System)
Organization: Peninsula Regional Medical Center Solution Title: Predicting Care Using Informatics/MEWS (Modified Early Warning System) Program/Project Description, including Goals: Problem: As stated in
GUIDELINES FOR HOSPITALS WITH NEONATAL INTENSIVE CARE SERVICE : REGULATION 4 OF THE PRIVATE HOSPITALS AND MEDICAL CLINICS REGULATIONS [CAP 248, Rg 1] I Introduction 1. These Guidelines serve as a guide
MULTIDISCIPLINARY COMPETENCIES IN THE CARE OF OLDER ADULTS AT THE COMPLETION OF THE ENTRY-
ENTRY- LEVEL HEALTH PROFESSIONAL DEGREE Developed by the Partnership for Health in Aging Workgroup on Multidisciplinary Competencies in Geriatrics With Support from the American Geriatrics Society (AGS)
Mississippi Board of Nursing
Mississippi Board of Nursing Regulating Nursing Practice www.msbn.state.ms.us 713 Pear Orchard Road, Suite 300 Ridgeland, MS 39157 Administration and Management of Intravenous (IV) Moderate Sedation POSITION
Quality of Life and Illness Perception in Adult EB Clinic Patients
Quality of Life and Illness Perception in Adult EB Clinic Patients Diane Beattie, Psychologist in Clinical Training Jacinta Kennedy, Principal Clinical Psychologist Katherine Sweeney, Clinical Nurse Specialist
CENTRICITY EMR VITAL SIGNS, PAIN SCREENING HEIGHT & WEIGHT ACTIVITY RECORD. S c r i p p s C e n t e r f o r L e a r n i n g & I n n o v a t i o n
CENTRICITY EMR VITAL SIGNS, PAIN SCREENING HEIGHT & WEIGHT ACTIVITY RECORD S c r i p p s C e n t e r f o r L e a r n i n g & I n n o v a t i o n T h i s c o u r s e i s b r o u g h t t o y o u b y S c
UCare provides case management for all UCare members not affiliated with one of the above listed care systems. 2011 UCare for Seniors
Case Requirements Updated 3/16/2011 According to the Case Society of America (CMSA), Case Model Act of 2009, Case management is a collaborative process of assessment, planning, facilitation, care coordination,
Pain, Coping and Sleep in Children and Adolescents With Sickle Cell Disease J. Kelly Graves, PhD, RN Eufemia Jacob, PhD, RN
Pain, Coping and Sleep in Children and Adolescents With Sickle Cell Disease J. Kelly Graves, PhD, RN Eufemia Jacob, PhD, RN Sigma Theta Tau International 24 th International Nursing Research Congress July
CURRENT TOPICS IN CARE MANAGEMENT. Interactive and Practical Workshops for Care Managers
CURRENT TOPICS IN CARE MANAGEMENT Interactive and Practical Workshops for Care Managers TABLE OF CONTENTS Tap the title to go directly to that section. Program Overview....3 Who Should Attend Why Attend
Patient conditions to notify physician. The ALS RN or ALS RT will immediately notify the physician:
1 CURRENT EFFECTIVE DATE March 1995 REVISED DATE June 2011 MANUAL: NICU/PICU ALS TRANSPORT TRACKING # [ ] P O L I C Y/PROCEDURE [ X] STANDARDIZED PROCEDURE [ ] PLAN [ ] GUIDELINE [ ] PLAN Specialty Review
PAIN MANAGEMENT. Understanding End-of-Life Pain Management. De Anna Looper, RN, CHPN, CHPCA. Carrefour Associates L.L.C.
PAIN MANAGEMENT Understanding End-of-Life Pain Management De Anna Looper, RN, CHPN, CHPCA Senior Vice President of Clinical Operations Carrefour Associates L.L.C. PAIN MANAGEMENT The effect of uncontrolled
SUPPORT OF BREASTFEEDING FAMILIES IN NICU THE WOMEN S HOSPITAL AT JACKSON MEMORIAL
SUPPORT OF BREASTFEEDING FAMILIES IN NICU THE WOMEN S HOSPITAL AT JACKSON MEMORIAL OBJECTIVES To verbalize the benefits of breast milk for preterm and critical ill infants To recognize how to assist mother
Algorithm for Initiating Antidepressant Therapy in Depression
Algorithm for Initiating Antidepressant Therapy in Depression Refer for psychotherapy if patient preference or add cognitive behavioural office skills to antidepressant medication Moderate to Severe depression
Objective of This Lecture
Component 2: The Culture of Health Care Unit 3: Health Care Settings The Places Where Care Is Delivered Lecture 5 This material was developed by Oregon Health & Science University, funded by the Department
Stroke Rehab Across the Continuum of Care in Quinte Region
Stroke Rehab Across the Continuum of Care in Quinte Region Adrienne Bell Smith Manager of Rehab Therapies QHC Karen Brown Manger Client Services, Hospital Access South East CCAC Disclosure of Potential
Objectives. Pain Management Knowing How To Help Yourself. Patients and Family Requirements. Your Rights As A Consumer
Objectives Pain Management Knowing How To Help Yourself Jackie Carter, RN MSN CNS Become familiar with the definitions of pain Be aware of your rights to have your pain treated Become familiar with the
Respiratory Syncytial Virus (RSV)
Respiratory Syncytial Virus (RSV) What is? is a common virus that infects the linings of the airways - the nose, throat, windpipe, bronchi and bronchioles (the air passages of the lungs). RSV is found
Focus on Assessment. Teaching Pain Assessment and Management: Pearls for Caring for Patients with Pain. #1. Pain is a Universal Experience.
Teaching Pain Assessment and Management: Pearls for Caring for Patients with Pain Jennifer Parsons, FNP Duke Pain Medicine Adaptive Teaches us about our environment Demands attention Can be all consuming
DISCHARGE CRITERIA FOR PHASE I & II- POST ANESTHESIA CARE
REFERENCES: The Joint Commission Accreditation Manual for Hospitals American Society of Post Anesthesia Nurses: Standards of Post Anesthesia Nursing Practice (1991, 2002). RELATED DOCUMENTS: SHC Administrative
LESSON FIVE. The Nursing Process and Critical Thinking
Introduction LESSON FIVE The Nursing Process and Critical Thinking Registered Nurses must use organized, critical thought to make judgements, solve problems and care for clients. We no longer blindly follow
Teaching method: Lectures, and discussion.
Faculty of nursing Teaching Plan for the B.N.S. International Students, Third Year Gerontological Nursing (553311) 2 st Semester Academic Year 2006. of Students 4 persons Teacher: Dr. Tassana Choowattanapakorn
Seniors Health Services
Leading the way in care for seniors Seniors Health Services Capital Health offers a variety of services to support seniors in communities across the region. The following list highlights programs and services
Title/Subject Procedural Sedation and Analgesia Page 1 of 10
Policy Procedural Sedation and Analgesia Page 1 of 10 Scope: Providers and nurses (M.D., D.O., D.M.D., D.D.S., A.P.R.N., P.A., R.N.) with appropriate privileges and who have successfully demonstrated adequate
Effective patient education is
JOURNAL FOR NURSES IN STAFF DEVELOPMENT Volume 18, Number 3, 157-161 2002 Lippincott Williams & Wilkins, Inc. A quasiexperimental study was conducted to ascertain what nurses know about teaching patients
Service delivery interventions
Service delivery interventions S A S H A S H E P P E R D D E P A R T M E N T O F P U B L I C H E A L T H, U N I V E R S I T Y O F O X F O R D CO- C O O R D I N A T I N G E D I T O R C O C H R A N E E P
CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE
CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Obstetric Early Warning Score Guideline Implementation
Hospice Care. To Make a No Obligation No Cost Referral Contact our Admissions office at: Phone: 541-512-5049 Fax: 888-611-8233
To Make a No Obligation No Cost Referral Contact our Admissions office at: Compliments of: Phone: 541-512-5049 Fax: 888-611-8233 Office Locations 29984 Ellensburg Ave. Gold Beach, OR 97444 541-247-7084
St Vincent s Hospital Sydney Referral to Sacred Heart Rehabilitation Consultation Service Policy Section 1 Policy 32
Subject: Referral to the Sacred Heart Rehabilitation Consultation Service Area: Hospital wide Classification: Operational Relevant to: All clinical staff Implementation date: October 2003 Review Date:
Health and Behavior Assessment/Intervention
Health and Behavior Assessment/Intervention Health and behavior assessment procedures are used to identify the psychological, behavioral, emotional, cognitive, and social factors important to the prevention,
Kick off Meeting November 11 13, 2015. MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF)
Kick off Meeting November 11 13, 2015 MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF) Team Composition Justin Huynh, MD Internal Medicine, Physician Champion Mary Laubinger,
Family & Medical Leave Request and Medical Certification Form. Part 1: EMPLOYEE INFORMATION (to be completed by employee)
New Jersey's Science & Technology University Part 1: EMPLOYEE INFORMATION (to be completed by employee) Name (Please print) Address: City: State _ Zip Telephone: Home E-Mail: If Family & Medical leave
EMPLOYMENT OPPORTUNITIES October 23, 2015
EMPLOYMENT OPPORTUNITIES October 23, 2015 IF YOU ARE INTERESTED IN ONE OF THESE POSITIONS, PLEASE FORWARD YOUR RESUME/APPLICATION TO THE HUMAN RESOURCES OFFICE AT HR@CAROLWOODS.ORG. THIS JOB LISTING IS
SE5h, Sepsis Education.pdf. Surviving Sepsis
Surviving Sepsis 1 Scope and Impact of the Problem: Severe sepsis is a major healthcare problem that affects millions of people around the world each year with an extremely high mortality rate of 30 to
CERTIFICATION OF HEALTH CARE PROVIDER FAMILY AND MEDICAL LEAVE ACT
OF HEALTH CARE PROVIDER FAMILY AND MEDICAL LEAVE ACT PART A: For Completion by the EMPLOYEE: Please complete all applicable sections of Part A before giving this form to your family member or your/their
PSYCHIATRIC NURSING COMPETENCIES
PSYCHIATRIC NURSING COMPETENCIES The Registered Psychiatric Nurses Association of Manitoba 1993 INTRODUCTION The practice of psychiatric nursing, even for the new graduate, may occur in a variety of settings
EMTALA MEDICAL SCREENING
EMTALA MEDICAL SCREENING Last revision: June 2012 Review Date 3/2015 Approved by: Board of Trustees PURPOSE: To identify requirements for the emergency medical screening; To identify guidelines for providing
Ostomy Care And Management
RN.ET Ostomy Care And Management Clinical Best Practice Guidelines ET.Nurse Education 20-21 21 Nov. 2009 Pratin Chaisri Purpose and Scope Best Practice Guidelines are systematically developed statements
Claudia A. Zsigmond, Psy.D. FL. License # PY7297
Claudia A. Zsigmond, Psy.D. FL. License # PY7297 EDUCATION 9/1989- State University of New York at Buffalo, Buffalo, NY 6/1993 Bachelor of Arts, Psychology, cum laude 9/1995- Illinois School of Professional
Amendment #1. RFP #16001BB AUTOMATION OF CARE TRANSITION Vendor Questions
January 19,2015 Amendment #1 RFP #16001BB AUTOMATION OF CARE TRANSITION Vendor Questions The purpose of this addendum is to provide GHS s response to additional questions from proponents: Overview 1. In
August Is Palliative Care and Cancer Pain Awareness Month
August Is Palliative Care and Cancer Pain Awareness Month What Is Palliative Care? Palliative care is a growing research area that focuses on improving the quality of life of all people living with cancer,
Stacy McLaughlin, RN, MSN. Director of Quality & Performance Improvement
Stacy McLaughlin, RN, MSN Director of Quality & Performance Improvement 25-bed CAH 21 beds: acute / observation / swingbed 4 bed ICU ED volumes: 14,400 encounters/year 5 Clinics: Rural Health / Primary
Patient and Family Health Education Policy. Mohamed Anwar Salleh GH0005. All KHUH Health Care Providers. Date Title Name Signature
Document title: Patient and Family Health Education Policy Document control Date first issued: March 2014 Document effective date: March 2014 Author: Patient and Family Education Chapter Team Reviewed
A systematic review of focused topics for the management of spinal cord injury and impairment
A systematic review of focused topics for the management of spinal cord injury and impairment icahe, University of South Australia For the NZ Spinal Cord Impairment Strategy Introduction This was the third
Emergency Medical Transport Billing
Emergency Medical Transport Billing Program Information For Older Adults Fairfax County Fire and Rescue Department Emergency Medical Transport Billing Program 4100 Chain Bridge Road Fairfax, Virginia 22030
PROCEDURAL SEDATION/ANALGESIA NCBON Position Statement for RN Practice
PROCEDURAL SEDATION/ANALGESIA NCBON Position Statement for RN Practice P.O. BOX 2129 Raleigh, NC 27602 (919) 782-3211 FAX (919) 781-9461 Nurse Aide II Registry (919) 782-7499 www.ncbon.com Issue: Administration
Document Ratification Group Approved on 25 th June 2009 Trust Executive Board Date July 2009 Next Review Date June 2011
Verification of Adult Death by Registered Nurses Document Type: Policy Register Number: 07016 Status Public Developed in response to: Contributes to CQC Core Standard Hospital at night and Reduction in