Erin Dale, PNP/FNP Lisa McDonough, MAS, BSN, RN

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Presentation transcript:

Erin Dale, PNP/FNP Lisa McDonough, MAS, BSN, RN Nursing Tools Erin Dale, PNP/FNP Lisa McDonough, MAS, BSN, RN

Patient and Family Educational Video

Emergency Care Plan example Hematology/Oncology: Update pain management plan after inpatient admission and conference: to be modified depending on clinical presentation Scheduled Torodol 30 mg IV Q6 (or Motrin or Celebrex if max’d out on torodol doses) + scheduled Zantac while on NSAIDS Scheduled Tylenol po 650 mg Q6 Scheduled (or PRN if pain mild) Tramadol 50-100 mg every 4-6 hours. If failed Tramadol at home, can use oxycodone 5-10 mg if admitted for acute pain control for 1-3 doses Hot packs Epsom salt baths IVF or IV+PO at 1-1.5x maint Once pain improved or stable, would continue Tramadol/Ultram 50-100 mg Q6 scheduled for another 24 hrs and then Q6 PRN breakthrough pain Once ready for discharge, can send home with Motrin 600 mg Q6, Zantac Q12, and Tylenol Q6 scheduled for 24 hrs and then PRN; and only IF opioid needed, Tramadol 50-100 mg (depending on dose needed in the hospital) Q6 PRN (would not dispense more than 20 tabs unless there is a specific reason that more is needed to be dispensed). Would avoid sending home with oxycodone if at all possible(do not dispense more than 5 tabs unless there is a specific reason that more needs to be dispensed). If discharge with >20 Tramadol 50 mg tabs or >5 oxy 5 mgs tabs, please document in discharge summary or discharge clinic note why more tabs were needed for home

POSS

Available tools Pain Education sheet with AVS Posters Brochures and Family Guide Care plan content Education available through EPIC Coming soon- MyChart Bedside to enhance education through EPIC

Pain Education Sheet with AVS

Alternatives to Opioids Phase 1 rollout- PACU & Clinics Phase 2 rollout- Inpatient

Pain Management Brochure

Interdisciplinary Approaches Integration with Child Life Specialists Healing Touch Physical Therapy Pain Service

Staff Education Opportunities LMS This symposium 