Pain Assessment
The frequency at which pain assessments should be performed.
What is every four hours or from 10-60 minutes post intervention
The frequency and conditions with which a RASS should be assessed.
What is every four hours of with changes in continuous infusions/boluses?
The scoring system to determine delirium in the ICU.
What is CAM-ICU?
When your placing an order for pain medication, this is the proper procedure to place the order in Cerner.
What is using your order sets?
When you’re placing an order for a sedative in Cerner, this is the proper way in which to place it.
What is use your order sets?
Pain assessment tool to be used when patient is able to speak and a reliable source for pain.
What is the Numeric scale?
Patients with ARDS, TTM, or Neuromuscular blockade will require this RASS score.
What is RASS -4 to-5?
The frequency or conditions with which a CAM-ICU should be performed.
What is each shift or with acute mental status changes?
This should always be the lower dosage order given preemptively to maintain pain at goal.
What is activity dosing?
Before treating agitation we make sure that this is at goal first.
What is pain?
The pain scale you should use if the patient is unable to speak but their answers are reliable with responsive body cues.
What is ICU Yes/No?
RASS score for a patient who is pulling/removing tube and aggressive.
What is RASS +4?
The maximum num bet of errors a patient can have while squeezing your hand during S A V E A H A A R T?
What is two?
This should be done if two 25mcg doses of Fentanyl are given within 1hr And patient is still experiencing pain while using IV pushes only.
What is use the increased dose of 50mcg of Fentanyl next?
The patient‘s RASS is -3 with an order for light sedation on a Propofol titration of 4pm green/kg/min. This would be the next step.
What is cut the dose in half?
The type of pain assessment to perform when a patient‘s answers are unreliable
CPOT
What one says after stating patient’s preferred name if they are not alert during a RASS assessment.
What is “Open Your Eyes”?
The point at which CAM-ICU cannot be assess.
What is RASS -4 to -5?
Patient’s pain has been at a CPOT score of 1 for more than 8 hours with a Fentanyl titration rate of 75mcg/hr and no pushes administered. Protocol states to do this next.
What is cut the dose down by 25mcg/hr of Fentanyl?
Versed has been started for a deep sedation goal of RASS -4 to-5. RASS is currently -2. How many pushes must you give per protocol before increasing infusion rate?
What is two within one hour?
The parameter that makes us unable to assess pain.
What is RASS -4 to -5?
RASS score if a patient has no response to voice, but movement or eye opening to PHYSICAL stimulation.
What is RASS -4?
Four interventions to reduce delirium
Turn on lights/Open blinds, Provide frequent reorientation/assurance, mobility, and review the MAR
When Fentanyl has been off for 2 hours and pain is at goal, this is what should be done in Cerner next.
What is discontinue all continuous infusion Fentanyl orders and initiate medium-dose intermittent Fentanyl orders?
Patient has Propofol 50mcg/kg/min, Fentanyl 100mcg/hr, Midazolam 8mg/hr and has had pushes in total of Fentanyl 100mcg, Midazolam 2mg, and Haloperidol 10mg within the past hour. Patient is still at a RASS +3. What is your next intervention?
What is a baseball bat?