Facilitators Manual - Emergency Care Institute

FACILITATORs’ Manual Transition to Emergency Nursing5.5 Primary Survey – PainPain Assessment Tips Yes NoProvocation andPrecipitating factors• What were you doing when the pain started?• What makes the pain worse or better?44QualityRadiation/RegionSeverity ofpain/Signs andSymptomsTime/Treatment• Description of pain (burning, stabbing, pressure, aching)– No leading questioning• Location of pain.• Does the pain radiate to another region of the body?• Does the patient have referred pain?• Pain score• Does the patient have other symptoms? (eg, shortnessof breath, diaphoresis, nausea +/- vomiting, tenderness,inflammation, deformity)• When did the pain start?• Is the pain constant or is it intermittent?• How long has the patient been in pain?• Gradual onset or sudden onset?• What treatment have you received since the onset of pain?Mastery Yes NoAssessor’s Nameand Designation:Assessor’sSignature:Comments:DateINTERVENTIONS – PAINClinical Skill• Select and use an appropriatepain assessment toolDate MasteryAchievedName, designation and signature of Assessor• Identify and discuss appropriatepharmacological interventionswith your facilitator• Initiate non pharmacologicalinterventions• Initiate appropriate nurse initiatedmedication (optional – dependenton facility requirements)