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The impact of introducing patient controlled analgesia for trauma patients admitted through accident and emergency

机译:引入患者自控镇痛对因意外和紧急情况而收治的创伤患者的影响

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摘要

An audit found pain assessment in a District General Hospital was rarely documented and the prescribing of analgesia inconsistent. Trauma patients were subsequently admitted to the hospital wards in pain and delay in the prescribing and administration of analgesia resulted. Changes in practice were introduced through multi disciplinary working, teaching and raising awareness, facilitated by the Clinical Nurse Specialist (CNS) for acute pain.A disposable PCA device, pre-filled in the aseptic unit in pharmacy was introduced for suitable trauma patients. Its use was positively evaluated by patients and hospital staff. This paper describes the changes introduced and the improvements demonstrated for the patients transferred from A&E to the hospital trauma wards.
机译:审计发现,很少有地区综合医院的疼痛评估记录在案,并且镇痛的处方不一致。随后,创伤患者因痛苦而被送往医院病房,导致镇痛药的处方和给药延迟。在临床护士专家(CNS)的协助下,通过多学科的工作,教学和提高认识来改变实践,并为药房的无菌患者引入了预装在药房无菌室中的一次性PCA设备。患者和医院工作人员对其使用进行了积极评估。本文介绍了从A&E转移到医院创伤病房的患者所进行的更改和证明的改进。

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