A prospective study of nurse initiated panadeine forte: expanding pain management in the ED

Accident and Emergency Nursing
Margaret FryNerida Alexander

Abstract

This study describes an innovative pain management strategy that aimed to improve the efficiency and effectiveness of timely analgesia for those patients in moderate pain and who experienced significant delay prior to medical assessment. A 12-week prospective exploratory study was conducted to evaluate the introduction of a triage nurse initiated schedule 4 drug. A panadeine forte policy was developed and a data tool formulated to evaluate the effectiveness and frequency of nurse initiated panadeine forte. The average pre-pain score reported by patients was 68 mm and the median was 70 mm. The average post-pain score was 37 mm and the median was 35 mm. The average post-pain score reduced by 31 mm demonstrating a clinically significant change. A statistically significant (Wilcoxon signed rank test < 0.001) reduction in post-pain scores was also identified. We identified a statistically and clinically significant reduction in post-analgesic pain scores for patients. Improving pain management can have a positive impact on patients in moderate pain who experience extended waiting times prior to medical assessment.

References

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Citations

Apr 10, 2012·International Emergency Nursing·Margaret FryTherese McLaughlin
Jul 21, 2015·International Emergency Nursing·Margaret FryGlenn Arendts
Mar 26, 2011·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Ptlene MinickMonica Brown
May 15, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Cheryl L Bergman
May 10, 2011·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Margaret FrySue Huckson
Jun 1, 2010·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Erlinda WheelerBeth Sterling
Oct 18, 2008·The American Journal of Emergency Medicine·James DucharmeUNKNOWN Pain and Emergency Medicine Initiative Study Group
Mar 4, 2008·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Cynthia D EppsAbbot Packard
Mar 13, 2016·International Emergency Nursing·Jorien G J PierikCarine J M Doggen
Apr 15, 2011·Emergency Medicine Australasia : EMA·Kathy JaoJohn Chae
May 7, 2010·Scandinavian Journal of Caring Sciences·Hanna LewénJan Nilsson
Mar 24, 2016·Australasian Emergency Nursing Journal : AENJ·Nicola Smith, Kate Curtis
Sep 1, 2006·The Journal of Pain : Official Journal of the American Pain Society·Glenn Arendts, Margaret Fry
May 30, 2006·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Janet Kaye HeinsSatya Mishra
Nov 3, 2005·Accident and Emergency Nursing·Margaret Fry, Colleen Stainton
Mar 25, 2018·Emergency Medicine Australasia : EMA·Tristam BrownMargaret Murphy
Nov 9, 2010·The Journal of Vascular Access·Katarina E Göransson, Eva Johansson
Jan 12, 2008·Journal of Advanced Nursing·Katarina E GöranssonAnna Ehrenberg
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Aug 3, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Wayne VarndellDoug Elliott

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