2. Pain Management
• Sandhills Endoscopy Center pain management
process is a multidisciplinary, comprehensive
approach involving the continuum of care.
• SEC will provide a standardized facility wide
approach for ALL CAREGIVERS this is a patient
center approach to pain management.
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3. The following guiding
principles define pain
management:
• 1. Commitment to pain management
that includes prevention/best level of
pain control that can be safely
provided.
• 2. Acceptance of
our ethical responsibilities as a health
care delivery team in
pain management and relief of pain.
4. 3. Recognition of the right for all patients to
• A. Have pain relief
• B. Be told how much pain to expect and how long it may last.
• C. Have pain precented when possible and controlled when it occurs.
• D. Be asked about acceptable level of pain.
• E. Be asked to rate pain according to established scales.
• F. Know the risks, benefits, and side effects of treatments
• G. Know what alternative pain treatments if pain persists.
• H. Ask for changes in treatment id pain persists
• I. Receive pain medications in a timely manner
• J. Include family and others in decision making about pain management.
• K. Receive consideration and respectful care.
• L. Receive information about pain causes and prevention
• M. Refuse, accept, or suggest, pharmacological/non-pharmacological
• interventions.
• N. Participate in the promotion of performance improvement, research,
• and innovation techniques to reduce or relieve pain.
5. Procedures:
• 1. Rights-Patient rights include receiving an assessment for pain
and the appropriate management of pain. This is addressed by
being included in the Patient Bill of Rights and education of the
patient during their care at SEC. Pain measurement tools used
for assessment and reassessment match specific patient
population needs.
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6. 1. Rights
• A. Pre-procedure the facility staff will discuss with
patients and their families
• I. That pain management is an important part of their
care
• II. How much pain to expect and how long it may
last.
• III. That pain relief measures will be provided quickly
in response to reports of pain.
• IV. The pain rating tools that will be used during their
stay to evaluate levels of pain.
• V. How and when to request interventions for
comfort/symptom relief
• VI. Identifying an acceptable level of pain that
enables the patient to perform allowable activities
after discharge
7. B. Post-procedure the facility staff
will discuss with patients and their
families:
• I. Managing pain at home, noting frequency of pain,
occurrences, intensity, times of medication, and relief from the
pain.
• II. Preventative measures to control pain and specific
management options.
• III. When to contact the doctor if measures are not controlling the
pain.
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8. 2. Assessment–All patients will be screened for pain
upon Admission, Intra procedure, and in the PACU
area. Further, patients are monitored for pain whenever
• I. An intervention or treatment to relieve pain is provided
• II. Their caregiver changes
• III. Their level or location of care changes
9. 3. Patients identified with pain
will be further assessed for
• A. Location
• B. Intensity
• C. Character of pain.
• D. Onset
• E. Treatment regimen and effectiveness
10. To facilitate rating pain
intensity, the following
tools are used:
• Adults: 0–10 adult numerical scale -
select pain with 0 as “no pain” and 10
as “worst possible pain.”
• Non English Speaking: 0–5 Wong-
Baker Faces Pain Rating
