Delayed pain management before change of shift?

[kpmadden83]

Hello,

I'm wondering if there are any articles (particularly any research papers) discussing delayed pain management (or simply delayed care in general) prior to the change of shift? For instance, a patient asks for some form of analgesia at 6:30 pm and the shift ends at 7:00. Rather than doing it, the nurse leaves it for the following shift. So the patient doesn't get their treatment for another hour.

I'm writing a paper about this and am curious if anyone has any research they've seen they could point me to?

thanks,

--KP

[HiddenAngels]

2 hours ago, chare said:

You've mentioned this twice.  How exactly are you going to adjust the medication administration times without adjusting the 0800 administration time.

And which EMR are you using.

What? Because I’m smart that’s how. 

[mmc51264, BSN, MSN, RN]

On 11/25/2022 at 6:33 PM, HiddenAngels said:

So now I have to page the provider and explain the pain meds that you charted as given that the patient is saying YOU DID NOT GIVE THEM even though your charting says you did.  So here lies a big issue .  

I would never contact a provider because the pt said that they did not get pain medication. If the pt and medication were scanned and in the computer, they got it. I explain that to them. And then I write a note stating what pt said. "pt received 10mg oxycodone at 1815 (see MAR) but is c/o not getting it" 

No offense, but why would the previous nurse not be believed?  over the pt? Pt try to manipulate the system all the time. 

[HiddenAngels]

6 hours ago, mmc51264 said:

I would never contact a provider because the pt said that they did not get pain medication. If the pt and medication were scanned and in the computer, they got it. I explain that to them. And then I write a note stating what pt said. "pt received 10mg oxycodone at 1815 (see MAR) but is c/o not getting it" 

No offense, but why would the previous nurse not be believed?  over the pt? Pt try to manipulate the system all the time. 

You would have to contact the Provider if the pt is having a FIT saying they did not get their meds and there is not breakthrough pain med.  So what, you're just going to ignore them?  And yes you would write a note explaining such but you still have to treat their pain hence the reason I posted my response.  I'm not YOU.

This is not personal.  It's not that I don't want to believe you, I told you, I 
DO believe you, the Provider most likely believes you as well.  But if the patient is lying and they're writhing in pain, you have to do something.  You're making this personal and I'm uncomfortable.  I'm just stating the facts of why I don't like to give meds at cos.