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Utilization of Pediatric Standing Orders by Triage Nurses in a Free-Standing Emergency Department
1Associate Professor of Nursing, Barton College, School of Nursing, North Carolina, United States hamm.randy@gmail.com.
Background:
Pediatric pain-related complaints continue to be a common presenting factor of most emergency departments (EDs). Studies have shown that several barriers in assessing and treating pediatric pain exist, including nursing knowledge regarding appropriate pain level assessment.
Objective:
This quality improvement study aimed to provide and evaluate specific education regarding pediatric pain management for free-standing ED triage nurses to expedite medication administration during the triage phase of an ED visit.
Method:
This pre/post-test intervention study was used to measure whether the education provided to nurses working in a primarily adult patient free-standing ED increased the utilization of triage standing orders related to pediatric pain management.
Results:
Paired sample t-tests results indicated a statistically significant increase (p = .000) in the percentage of patients that received pain medication during the triage phase of an ED visit after specific education was provided to triage nurses.
Conclusion:
Free-standing ED triage nurses are more likely to follow and implement triage standing orders if education explicitly related to pain management in pediatric patients has been provided.
Implications For Practice:
Pediatric pain management education should be revisited annually to re-educate nurses on the importance of early interventions.
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