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ED Pain Killer-ERS

ED Pain Killer-ERS. Eban Experience Session II June 17, 2011. Aim. "We will reduce disparities in the average time from arrival in the ED to the time of first dose of analgesia dose administered for extremity injuries across specific neighborhoods in St. Paul by 10% by 12/31/2011.".

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ED Pain Killer-ERS

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  1. ED Pain Killer-ERS Eban Experience Session II June 17, 2011

  2. Aim • "We will reduce disparities in the average time from arrival in the ED to the time of first dose of analgesia dose administered for extremity injuries across specific neighborhoods in St. Paul by 10% by 12/31/2011."

  3. Race, Language ESI-II vs III Code Red clarification No PT arrives Complete Triage & vitals by RN & ESI score assigned By Triage PT Arrived in EPIC by Medic Immed Roomed? Queue pt for assessment RN Assess Pain Score Assigned NSAIDS pain protocol Yes No Room Patient in Triage? Where to call? Yes Consistency RN may call for pain med: staff MD (Delta, Charlie, Alpha) RN Administers med Pt placed in room-hallway Enters med in EPIC (RN?) Reassess pain 15 min – 1 hr Pt placed in room Pt waits in Triage room MD Verbal OKs med Decrease in pain score? Pt to Triage No Pt. Arrives Pt Placed in room hallway By Ambulance Complete triage & vitals Assessment Arrived in EPIC by RN Immed. Roomed? RN Assessment Yes

  4. Plan-Do-Study-Act (PDSA) Cycles:

  5. Plan-Do-Study-Act (PDSA) Cycles:

  6. Plan-Do-Study-Act (PDSA) Cycles:

  7. How have you integrated your community advisor into your improvement work? • Our advisors have helped with ideas for marketing the group and with efforts to educate the Emergency Department and the community. • Having community members as part of the team helps to generate interest in involving the community we serve.

  8. Successes & Challenges • Successes • Generating discussion in the EBAN project and in improving disparities in pain control • Interest in focusing on neighborhood health and on improving pain control for specific diagnoses • Struggles • Time management • Data collection/analysis • Communication

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