INTERVENTIONS

Claudia Velo

Pain reassessment documentation after intervention project interventions is documented as follows: 

The first intervention would be to create an improving project team and gather information to create a hospital policy to guide nurses in documenting pain reassessment after an intervention. Hospital police for pain reassessment should manage the following information reassessment of Pain after intervention 30 minutes after Intravenous or intramuscular medication administration, reassess Pain one hour after oral medication administration, and reassess Pain every two hours for the first eight hours on IV PCA. Pain Reassessment documentation must address if Pain was decreased. To measure pain levels, there are several scales, but the most common is numeric, where the patient rates Pain from cero to ten. Nurses must document if the patient experienced any adverse reactions or side effects and the ability to function after pain medication administration (Gordon et al., 2008).  

The second intervention would be to meet with the nurses for education regarding the policy and rationale behind pain reassessment documentation after an intervention. Effective communication and providing education about the reasons for change engage nurses in the improvement process (Nilsen et al., 2020). Nursing education must include patient safety. Pain medications may cause respiratory depression and drowsiness, which may cause impairment in patients' function on ADLs or may be the cause of falls. Pain control is essential to patient satisfaction and improves the HCAHPS score. HCAHPS scores are important because reimbursement for the hospital will be better. This translates to hospital improvements and better salaries for staff working at the hospital (Batto, 2016). 

A subsequent intervention would be to implement peer chart reviews. According to  WK Pain Resource Center (2016), peer chart review improved Pain reassessment documentation by 56% to 72% in nine months. A peer chart review study was successfully implemented in a community hospital in 2010.  

The last intervention that would be implemented would be screen reminders to reassess Pain. The reminder will be set 30 minutes after IV medication administration and one hour after oral PRN medication administration. According to Fischer et al. (2013a), electronic reminders for pain reassessment improve compliance by up to 44%.  

Pain can decrease mobility in patients and affects activities of daily living. Pain can prolong hospital stays and will affect the patient experience at the hospital. These are only some of the reasons to improve pain management.  

References: 

Batto, R. (2016).  Improving Pain Reassessment and Documentation Through Nurse Education. 

Fischer, G. S., Hess, R., Landeen, B. M., Weimer, M., Zieth, C. R., Dong, X., Clark, S., & Roberts, M. S. (2013a). Electronic Reminders to Patients Within an Interactive Patient Health Record.  Telemedicine and E-Health,  19(6), 497–500.  https://doi.org/10.1089/tmj.2012.0116Links to an external site.  

Gordon, D. B., Rees, S. M., McCausland, M. P., Pellino, T. A., Sanford-Ring, S., Smith-Helmenstine, J., & Danis, D. M. (2008). Improving Reassessment and Documentation of Pain Management.  The Joint Commission Journal on Quality and Patient Safety,  34(9), 509–517.  https://doi.org/10.1016/s1553-7250(08)34065-3Links to an external site.  

Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: An interview study with physicians, registered nurses, and assistant nurses.  BMC Health Services Research,  20(1), 1–8.  https://doi.org/10.1186/s12913-020-4999-8Links to an external site.  

WK Pain Resource Center. (2016). Nursingcenter.com.  https://www.nursingcenter.com/wkpain/articles/improvingpaindocumentationwithpeerchartreviewLinks to an external site.