The C.R.A.P. Score - page 2

A fellow nurse brought this in the ED where I work and I thought it was cute. THe C.R.A.P. Score by D. Slow P., MD CRAP=(OPS+AF)(SC)(EC) OPS=Old Pain Score AF=Adjustment Factor SC=Story... Read More

  1. by   RNtigerEMT
    :roll :roll :chuckle
    I almost snorted coffee out my nose! This is absolutely great. Wonder if we all made a big enough push if our respective hospitals would adopt the CRAP scale? Most of the doc I know would gladly accept it
  2. by   CritterLover
    i saw this shortly after it was posted, earlier this week. i immediatly printed it off to share with my coworkers (but i didn't post 'cause i'm to chicken to post from work).

    to me, the best part about this score is how it "upgrades" the pain of some people. we've all taken care of them -- stereotypically the macho man with the finger half gone (circular saw accident) who claims he really isn't hurting much. gives you a "3" on our favorite scale. it also comes in the form of the a/o 95 y.o. female who has been "healhty all my life. haven't seen a doctor since i gave birth last," that has the acute diverticulitis w/perforation and abscess formation. wbc 40+. she'll put her pain at about a 2/10, "a little stomach ache, nothing some mylanta won't take care of. my granson (who is 70) is just a worrywort."

    we all get the pain scale concept. we do: what hurts you a bunch may not hurt me much at all. isn't that basically it?

    unfortunatly, the general american public seems to think that if they don't state "10" in answer to that favorite question, their pain won't be taken seriously.

    to the point that to me, as a triage nurse (when i'm the unlucky one) a pain rating of 10/10 means nothing to me anymore. you're better off telling me "my pain is a 8/10," because at least then i know you put some thought to it.

    the author's point is well-taken: as a purely subjective tool, the pain scale is practically worthless. it will remain so until we put some objectivity to it.
  3. by   teeituptom
    Quote from chip193
    This is really, really good.

    I wonder how long it will be until someone comes on here and tells us that the patient's pain is always real, no one would ever seek drug, and that we're just burned out. Then, as punishment for even reading this from the OP (because we should have know just by the title, don't you know!) we should immediately turn in our nursing licenses, be prepared to be struck down by God herself - Florence Nightingale, and be forever thrust into the wilderness (like EMS!) forever.

    Ready to be shot with that lightening!

    Chip
    When a nurse comes on to tell you this. Then you have to wonder what drugs she is on. When her last visit to the ER was. How many shots did she recieve. How many allergies she has, but of course never to Dilaudid. Also she should be turned into the Sate Board as an impaired nurse.
  4. by   oldiebutgoodie
    Thought this was hilarious, and quite applicable, and I'm not even an ER nurse! I guess my moral fiber is softening...

    Recently had a guy getting 2 mg Dilaudid q 2hours on the dot for abdominal pain (was originially bowel obstruction, but it resolved. Interestingly, the pain didn't resolve...) He was STILL getting Dilaudid q 2 hours as he was getting ready to go home. He was quite put out that we took out the PICC line, and insisted he got his last dose of Dilaudid before we pulled the PICC. 2 questions:

    1. What on earth was he going to do for his "pain" when he got home?
    2. Hmmm... did he have plans for that PICC line?

    Oldiebutgoodie
  5. by   morte
    Quote from oldiebutgoodie
    Thought this was hilarious, and quite applicable, and I'm not even an ER nurse! I guess my moral fiber is softening...

    2 questions:

    1. What on earth was he going to do for his "pain" when he got home?
    2. Hmmm... did he have plans for that PICC line?

    Oldiebutgoodie
    betcha, and if he is ever readmitted, get the PICC out before he knows he is going home, or he may bolt......

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