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?