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Does the Role of A Rapid Triage Provider Improve Pain Control in an Academic Pediatric Emergency Department?

Jillian G Savage1,2, Andrew D DePiero1,2, Magdy W Attia1,2

  • 1From the Division of Emergency Medicine, Nemours/AI duPont Hospital for Children, Wilmington, DE.

Pediatric Emergency Care
|January 25, 2020
PubMed

Insights

Implementing a rapid triage provider (RTP) significantly reduced pediatric pain management times in the emergency department (ED). This approach improved efficiency for pain medication order placement and administration.

Area of Science:

  • Emergency Medicine
  • Pediatric Care
  • Pain Management

Background:

  • Effective pain control in pediatric emergency departments (EDs) is a persistent challenge.
  • Current triage processes may lead to delays in pain medication administration for pediatric patients.

Purpose of the Study:

  • To evaluate the impact of a rapid triage provider (RTP) on pediatric pain management efficiency in the ED.
  • To assess whether RTP utilization improves the timeliness of pain medication order placement and administration.

Main Methods:

  • A retrospective case-control study involving 114 pediatric patients requiring intravenous ketorolac or morphine for painful conditions.
  • Patients were divided into a control group (standard nursing-driven triage) and an RTP group (standard triage plus RTP).
  • Key metrics included time from arrival to pain medication order placement and time from arrival to administration.

Main Results:

  • The RTP group demonstrated a significantly shorter mean time from arrival to pain medication administration (47 minutes) compared to the control group (64 minutes; P = 0.02).
  • Mean time from arrival to IV pain medication order placement was also significantly reduced in the RTP group (15 minutes) versus the control group (43 minutes; P < 0.01).
  • These findings indicate enhanced efficiency in pain management processes with RTP implementation.

Conclusions:

  • The integration of a rapid triage provider (RTP) positively impacts pediatric pain control within the emergency department.
  • RTPs contribute to more efficient pain medication order placement and timely administration, thereby improving patient care.
  • This strategy offers a quantifiable method to enhance the management of pediatric pain in ED settings.

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