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Pain Management Policy and Procedure Manual

Pain Management Policy and Procedure Manual

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Pain Management Policy and Procedure Manual is a manual containing many of our policy and procedure templates for the medical office, hospital, and other healthcare organizations. The policies cover: Joint Commission (JCAHO or TJC) • CMS • HIPAA • CDC • AAAHC and more.
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Changes Table of Contents - TJC, NIAHO standards Copyright Disclaimer Approval/Signature Sheet Introduction

SECTION 01 - RIGHTS AND RESPONSIBILITIES OF THE INDIVIDUAL

Patient Rights and Responsibilities Patient Rights and Responsibilities for Pain Management Pain Management Policy Statement Patient Confidentiality Confidentiality of Information - General Issues Informed Consent

SECTION 02 - PATIENT ASSESSMENT

Pain Assessment, Reassessment and Management Pain Scale, Admission Pain History Pain Scale Examples Behavioral-Physiological Pain Scale for Nonverbal or Preverbal Patients Pain Assessment Form Guidelines Pain Assessment Form (Sample)Comprehensive Pain Assessment Form (Sample)The Patient Pain Flowsheet Guideline Pain Management Flowsheet Pain Assessment in Children Pediatric Pain Assessment and Reassessment Form (Sample)Process of Pain Management Flowsheets - Assessment and Reassessment in the Operative Patient Care of the Latex Sensitive Patient Latex Allergy Assessment Form Latex and Non-Latex Alternatives Patient Identification for Clinical Care and Treatment

SECTION 03 - PAIN MANAGEMENT

Admission to Pain Management Program Care Planning Pain Management Treatment Plan Invasive Procedure Site Identification (Outside of the OR)Medication and Solution Administration - Invasive Procedures Discharge from Pain Management Program Pain - Patient Controlled Analgesia (PCA)Patient Controlled Analgesia (PCA) - Sample Physician's Orders Form Postoperative Epidural Narcotic Continuous Infusion - Sample Physician's Orders Form Nursing Procedure for Intermittent, Continuous and PCA Infusions via Epidural Catheter PCA Follow-Up Visit Form Cryo-Neurolysis Monitoring and Infusion Protocols for Patients Receiving Epidural Analgesia Epidural Analgesia for Chronic Pain Management - Continuous Infusion Pain Management Infusion Flowsheet Protocol for the Administration of Epidural Anesthesia for OB Patients Postoperative Epidural Narcotic (Continuous Infusion Mode)Epidural Catheter Dressing Changes Removal of Epidural Catheter Hypertonic Saline Injection for Neurolysis Intravenous Local Anesthetic Infusion Protocol Intravenous Local Anesthetic Infusion Procedure Lumbar Sympathetic Nerve Block Phenol for Use in Nerve Blocks Trigger Point Injection Epidural Steroid Injection Radiofrequency Ablation (RFA)Pain Management in the Post Anesthesia Care Unit for Nursing Services Standard of Care - PACU Services - Postoperative Pain Management Management of Hypotension in (Post) Pain Management Patients Pain Management in Skilled Nursing Patients Guidelines for Pain Management in the Terminal Patient Pain Management in Home Health Services Pain Management Therapy for Infusion Therapy Services Intraspinal Pain Management Therapy - Infusion Therapy Services Pharmacy Plan of Care - Pain - Infusion Therapy Services Patient Pain Relief Log Pain Management Home Log Agency for Healthcare Research and Quality (AHRQ) Guidelines Analgesic Use for Pain Management Clinical Medical Tips for Prescribing Opioids

SECTION 04 - PATIENT AND FAMILY EDUCATION

Education of Patient and Family Pre-Procedure Patient Instructions Patient and Family Education Guideline - Pain Management Pain Management - Patient Education Checklist Patient and Family Education Handout - Pain Relief Patient and Family Education Handout - Pain Medication Patient and Family Education Handout - Pain Reliever Guidelines Patient and Family Education Handout - Pain Relief Without Medication Patient and Family Education Handout - Pain Relief After Surgery Patient and Family Education Handout - Management of Cancer Pain Patient and Family Education Handout - Pain Management in the Cancer Patient - Potential Questions and Answers for Patients

SECTION 05 - INFECTION PREVENTION AND CONTROL

Standard Precautions Hand Hygiene - CDC Guidelines Asepsis Gowning and Gloving Technique Surgical Hand Scrub Waterless, Scrubless, Brush-Free Surgical Hand Rub Antiseptic Event-Related Shelf Life - Sterile Storage Disposal of Sharps Sharps Injury Protection Plan Sharps Injury Log Form

SECTION 06 - INFORMATION MANAGEMENT/RECORD OF CARE, TREATMENT AND SERVICES

Legibility of Medical Record Documentation Documentation and the Use of Abbreviations, Acronyms and Symbols Unacceptable Abbreviation and Symbol List Assembly Order of Pain Management Medical Records (Sample)

SECTION 07 - PERFORMANCE IMPROVEMENT

Pain Management PI Monitoring and Evaluation Plan Pain Management PI Trending Sheet Pain Management PI Outcome Evaluation Performance Improvement Worksheet - Pain Management Program Patient Satisfaction Questionnaire - Pain Management Pain Management Services Patient Satisfaction Survey (PCA Questionnaire) - Department of Anesthesia

SECTION 08 - HUMAN RESOURCES

Position Description/Performance Evaluation - Pain Management RN Performance Evaluation - Population-Specific/Age-Related Competency - Pain Management RN Annual Competency Clinical Skills Assessment - Pain Management RN Position Description/Performance Evaluation - Pain Management Technician Performance Evaluation - Population-Specific/Age-Related Competency - Pain Management Technician Annual Competency Clinical Skills Assessment - Pain Management Technician Staff Education Pain Assessment, Reassessment and Management - Staff Handout Tips for Mitigating Painful Procedures in Children - Staff Handout