Nurses' opinions on appropriate administration of PRN range opioid analgesic orders for acute pain

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
Debra B GordonKathleen Murphy-Ende

Abstract

The use of "as needed" or "pro re nata" (PRN) range opioid analgesic orders is a common clinical practice in the management of acute pain, designed to provide flexibility in dosing to meet an individual's unique needs. Range orders enable necessary adjustments in doses based on individual response to treatment. However, PRN range opioid orders have recently come under scrutiny as a source of confusion and as a medication management safety issue. How nurses administer range orders may vary based on their interpretation of the intent of an order, inadequate knowledge of analgesic titration, or exaggerated concerns about opioid safety. The purpose of this study was to investigate nurses' opinions of the appropriate implementation of range orders. Six hundred two nurses from one large academic medical center and one multihospital system completed an online survey using theoretic clinical vignettes to examine their opinions of appropriate analgesic administration practices. The majority of participants chose appropriate responses to the vignettes; however, there was a great deal of variability in responses. Those who had attended pain management courses were more likely to have a higher percentage of appropriate responses than those...Continue Reading

References

Oct 7, 1997·Clinical Pharmacokinetics·R N UptonP E Macintyre
Mar 5, 1998·Anaesthesia·C BoerJ J de Lange
Sep 28, 1998·JAMA : the Journal of the American Medical Association·M R Chassin, R W Galvin
Apr 16, 2002·The American Journal of Nursing·Chris Pasero, Margo McCaffery
May 3, 2003·Palliative Medicine·J T HarrisM R Rajagopal
Nov 6, 2003·American Journal of Surgery·Shiv TaylorRobert A Kozol
Aug 7, 2004·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Debra B GordonUNKNOWN American Society for Pain Management Nursing, American Pain Society
Jan 26, 2007·The American Journal of Nursing·Chris PaseroMargo McCaffery
Mar 3, 2007·European Journal of Pain : EJP·Sebastiano Mercadante
Dec 1, 2007·The American Journal of Nursing·Margo McCafferyBetty R Ferrell
Feb 4, 2012·The Lancet Oncology·Augusto CaraceniUNKNOWN European Association for Palliative Care (EAPC)

❮ Previous
Next ❯

Citations

Jun 3, 2014·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Debra DrewUNKNOWN American Pain Society
Sep 7, 2011·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Donna JarzynaRosemary C Polomano
Sep 7, 2011·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Jacqueline EllisRégis Vaillancourt
Feb 18, 2010·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Julie BurnsArtisha R Polk
Aug 27, 2009·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Allison Theresa Nisbet, Florence Mooney-Cotter
Aug 6, 2016·Journal of Evaluation in Clinical Practice·Åsa Muntlin AthlinEva Jangland
Sep 23, 2016·International Journal of Clinical Pharmacy·Susanne SchiekThilo Bertsche
Aug 15, 2014·Korean journal of family medicine·Se Hwa OhMee Young Kim
Feb 27, 2015·The Cochrane Database of Systematic Reviews·Anna HobsonJoy A Conlon
Sep 25, 2014·British Journal of Nursing : BJN·Niamh VickersAnthony Staines
Jul 12, 2018·Current Medical Research and Opinion·Sigal KaplanXenia Hamann
Aug 31, 2018·Pharmacy : Journal of Pharmacy, Education and Practice·Mojtaba VaismoradiSue Jordan
Jun 23, 2016·Journal of Patient Safety·Kerry-Anne HoganBrian Devin
Nov 23, 2012·Nursing·Patricia Kelly Rosier
Aug 10, 2019·Nursing Research and Practice·Faisal Mahama, Jerry P K Ninnoni
Aug 5, 2019·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Carla R JungquistRosemary C Polomano

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.