PRN Pain Scales

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to

3 posts / 0 new
Last post
Joel W Daniel
Joel W Daniel's picture
Last seen: 1 week 3 days ago
Joined: 01/25/2018 - 09:33
PRN Pain Scales

We have continued feedback from regulatory surveyors regarding pain management and providing medication for the appropriate score.

Typically a handful of one-offs where the patient in one of the two areas:

  • The patient is under-or-over dosed going strictly off the pain score (examples: met moderate criteria but received med for either mild pain or severe pain).
  • Not documenting a pain score to support the first dose of an analgesic. Surprisingly, we do the follow-up pain documentation really well as this has a reflex task of 15 or 30 minutes depending on the agent.

Any advice on how we could address this that has been applied successfully at your organization?