ANESTHESIA ALERT
2 2
O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | F E B R U A R Y 2 0 1 4
Use a consistent pain scale rating system.
Because there's no uni-
versally accepted and adapted pain rating scale, scales differ
from facility to facility. We can't control what happens in other facili-
ties, but we can control what happens here, so we make sure to use
the same pain rating scale every time for every patient visit.
Whenever patients come in, hand them a hard copy of your rating
scale, review it and remind them how you use the scale to assess their
pain. We've had patients come in and say their pain is a 10, but a 10 on
our scale means emergency care is required, so they'll then adjust
their rating to our system. Have patients use this scale to rate their
pain, function limit due to pain, anxiety and depression. By having
patients use the same rating scale each visit, we're able to identify
whether patients are actually seeing improvement in these different
areas and adjust our
care accordingly.
Employ genetic
testing.
Genetic
testing has been avail-
able for a few years
now, and we find it
very helpful in making
treatment decisions.
We swab a patient's
cheek, send that DNA
sample to a lab and
within a few days
learn how a patient
metabolizes analgesic,
ADHD and antipsy-
3
4
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DELAYS
RETURNS TO
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TRANSFER TO
HOSPITAL
POST-OP
PAIN
POST D/C
CARE
PAIN AT
HOME
PERCEIVED
EXCELLENCE
100
90
80
70
60
50
40
30
20
10
0
Complication Delays Returns Transfer Post-Op Post D/C Pain at Perceived
to Surgery to Hospital Pain Care Home Excellence
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Your Center 1.0% 0.0% 0.0% 1.0% 5.5% 100.0% 72.8% 95.2%
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