1. E very C hild H as O pportunities ® Radio ECHO ® Programming Reduces In-Patient Pediatric Pain Scores Richard Taylor M.Ed., Radio ECHO Coordinator Cindi LaPorte RN, Nurse Manager Kathleen Webster MD, Director PCCU Tune in to Radio ECHO ® TV channel 54 Your get-away “TROPICAL OASIS” to healing, fun and learning!!

2. Historically, the Ronald McDonald Children’s Hospital never had a tool to assess program effectiveness in reducing Pediatric patients’ pain levels. Radio ECHO ® is an in-house, fully operational, radio station providing patients, families and staff with many genres of music, event information, entertainment, as well as, a source for academic instruction within pediatric areas of the health system.

3. Studies in hospitals, located in the United Kingdom, show that music does make a difference in the healing process. Interactive game shows aired on Radio ECHO ®, are used to improve self reported VAS pain scores in pediatric patients.

4. Goal Reduce the pre-show pain scores in pediatric inpatients by 2- 4 points during the playing of these games.

5.  Collaborated with Pediatric Critical Care Quality Improvement team, regarding the study of Radio ECHO’S ® programming for the care of patients.  Designed visually interactive games to broadcast on in- patient’s televisions.  Created the tool to record and measure pediatric in- patient’s pain level before and after playing the games. solutions

6.  Reevaluated the games and even redesigned some to improve upon the educational value.  Designed and implemented a survey tool specific to the VAS pain scale. solutions (cont.)

7.  Presentation of project and goal to the PICU Medical Director, and nurse manager to enlist support and cooperation.  Five month surveillance of hospitalized in-patient Pediatric patients and in PICU patients to establish a baseline (July – November 2006).

8. Pain scores are recorded before and after each game, and the differences for all surveys are averaged. 118 Pediatric In-patients Surveyed. 20 weeks of data collected. Average number of games played per week, 2. results

9. Reduction in pain levels are reflected by scoring below zero.

10. Next Steps  Present data to PCCU QI Team.  Include total number of patients surveyed into the formula for the chart.  Indicate # of previous players verses new players with pain issues.

11.  Evaluate content of games that reduced pain with the intention of mirroring similar content with new games.  Evaluate the addition of more patient interaction with relationship to reduction of pain. Next Steps (cont. )