Quote from sweetnurse63
...Suppose the patient is alert, and tells the cna/pct that his pain is 7/10, the cna records it, then the nurse goes to patient room, lets say in 5 mins and the patient now says the pain is 10/10. I would rather write down my own pain value, because upon assessment, there may be an emergency, that is causing pain, such as, peritonitis or small bowel obstruction or anything.
Why can't you just chart that? Chart, "Pain reported as 7/10 to CNA staff. When patient was assessed by nursing staff/me, patient's pain is now 10/10. _____ Intervention done/med given. Recheck 30 minutes later pain reported as x/10."
Pain scores are just numbers, easily relayed to give quick information about the subjective pain that patient is experiencing at that moment. Pain is the fifth vital sign, and as a CNA it is
in my scope of practice to take and record vital signs, reporting anything abnormal to the nurse. It is reasonable for that number to change between reporting to the nurse and the nurse getting to assess the patient (just as pulse and BP and RR may change quickly - it doesn't mean not to record and report the abnormal value at the time it was taken!)...
To me it is no different than an abnormally high or low BP - I record it and report it to the nurse - then the nurse can reassess and treat using nursing judgment.