Role Of The Nursing Staff In SGH Pain Management Centre.ppt

7/27/2019 Role Of The Nursing Staff In SGH Pain Management Centre.ppt

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Pain ManagementRole of the Nursing Staff in SGH Pain

Management Centre

JULY 2012

Tan Choon Yen

Nurse Clinician

Pain Management Centre


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Pain Management Service in SGH

Chronic Pain ServiceAcute Pain Service


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Pain Management Nursing Over The

Years..

Dr Tracy Carol AyreDirector, Nursing

APN Lian Siew BeeAssistant Director, Nursing

ADN Kaldip KaurFirst Pain Management Nurse Clinician1992-1999

ADN Kaldip KaurFirst Pain Management Nurse Clinician1992-1999

SNM Tan Ai Muay1999 - 2008

NC Liu Hong Jie2008 onwards

NC Tan Choon Yen2004 onwards

SSN Sharifah2009 onwards

SSN Doreen Tan2006 onwards

PENSew Choy Ngor2008 onwards

SENNynasoundthri2007 onwards

Acute Pain Service Chronic Pain Service


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Diploma in Nursing

Advanced Diploma

in NursingDegree in Nursing

PEN

Certifications

SEN


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Clinical Attachments In Pain Management

NC Tan Choon Yen OctNov 2005

SSN Doreen Tan JanFeb 2008 NC Liu HongJie Jan 2010

Toronto GeneralHospital, Canada


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Oncology Chapter

Nurse Clinician Journal Club-SGH

We Belong To Professional Bodies

SSNDoreen Tan

NC Liu HongjieSSNDoreen TanNCTan Choon Yen

NC Tan Choon Yen SSN Doreen Tan

SSN Doreen Tan SENNynasoundthri

NC Tan Choon Yen SSN Sharifah

NC Liu Hongjie
http://www.facebook.com/album.php?profile=1&id=1021500776


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Patient

Caring

Competence

Patient Care

Management

Acute Care Chronic Care Community CareEpisodic Care

Care Management

Ward-based case management

Multidisciplinary

Quality & Safe CareResearch

Innovation & Improvement

Safe staffing

Resources

Professional development

Care Delivery

Standards of Practice

GovernanceEvidence-based care delivery

Core values and ethics

SGHs Model of Professional Nursing Practice


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SGH Pain Initiative: Pain As A Fifth Vital Sign

Launched April 2004

Pain measuredalongside temperature,

BP, heart rate,

respiration rate


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SGH Pain Assessment Approach

Make Pain the 5thVital Sign to be assessed for all patients

Use a systematic approach to conduct a comprehensive

assessment if patient is in pain

Educate patient about his pain and how to assess, report and

measure pain


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StaffingOutpatient Clinic Consultations

3 consultation rooms

multidisciplined

Interventional Procedures

procedure & recovery

Inpatient Referrals

ward rounds & patient and family education


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Nursing Role: Clinic

Assists and chaperones doctors

Assists in the retrieval and preparation of case notes for consultation

Assists in designated nursing procedures and treatments, ensuring

the general comfort and well-being of the patient.

Performs procedure scheduling and financial counselling to patients.

Provides patient and family education on the management and care of

patients with chronic pain conditions.


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Nursing Role: Procedure & Recovery

Participates in preparation of patients for interventional proceduresand post procedure monitoring and care.

Proficient & dexterous in circulating duties

Coordinates the availability of equipment and supplies required for

procedures to be performed safely and comfortably.


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Nursing Role: Inpatient Ward Round

Participates in developing nursing care plans and discharge planning.

Discuss with team on any changes or updates to patient care / patient-

related activities.

Provide patient and family education on the management and care of

patients with chronic pain conditions.


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Nursing Implications

Know your drugs

Opioids:

Handling and administration

Long acting and short acting

Disposal of

Patient education


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Pre-procedure preparation

Fasting

Medication

Financial counselling

Listing

Preparing patient for transfer

Consent

Documents to prepare

I/V cannula


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Post-procedure monitoring

Comfort

Complications

Neurotoxicity

Neurologic Injury

Dural Puncture

Bleeding

Infection


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Nursing Care For Patients on Intrathecal

Infusion

Monitoring

ADLs

Care of pump

Care of dressing

Discharge advice

Discharge planning


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Management Of PostOp Pain: Pharmacology

PCA

Epidural Analgesia Nerve Block

Medication


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Acute Pain Service Statistics


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Nurses as Teachers

Clinical Teaching Round

Caregiver Training Programme Advanced Pain Management Programme

Workshop On Intrathecal Infusion


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Pacing Programme

C


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CBT Programme


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Summary

Nurses are committed to delivering safe quality healthcare to thepatient in pain

Self awareness, knowledge of pain and pain assessment, and

knowledge of the standard of care for pain management enhances

nurses ability to advocate and ensure effective pain management for

each patient


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Thank you

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