Linda Dedo, RN, 4 West Manager, posted a bulletin board in the hallway that is geared toward
patients and family members that speaks, in their language, about pain and how they can help us to
help them. Terri Moore, RN joined the improvement efforts by creating informational posters for staff,
reminding them of the requirements and expectations. Rounds to patients indicate satisfaction with pain
management; improved documentation audit scores are the next goals.
What best practices are contributing to improvement? Here are a few initiatives...
6 East and 5 West developed streamlined audit tools that target pain documentation and audited
patient chart 2 days a week for 2-weeks. Based on audit results, 6 East developed a tool to involve
patients in actively identifying and recording their own pain levels following interventions. 5 West is
implementing a multi-faceted nursing educational plan of case reviews, "refresher" pain documentation
education, and adding emphasis at change of shift team meetings.
Susan Goins-Eplee, a CNL student, developed her Capstone Leadership Project in collaboration with
Barb Trotter and 3 Central & 3 West Managers and clinical leaders, to identify barriers to pain
documentation. She then implemented a plan to improve documentation. Her efforts resulted in a
significant improvement in pain management documentation. When Susan joins the 3 West staff in the
fall, she will work with her new colleagues to continue improvement efforts. She will also join the
institutional Pain Management Task Force.
Proving the maxim that good habits are best learned from the beginning, STBICU preceptors
emphasize the importance of pain assessment and reassessment in orientation. "My preceptor taught