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Miscellaneous Clinical Information NURSING STUDENTS 1 Assessing and Managing Pain • The following pain assessment tools are utilized at PSMH for all types of patients – Numeric Pain Intensity Scale (NPIS) – Visual Pain Analogue (VPA/faces) – Pain Assessment in Advanced Dementia(PAINAD) – FLACC (face, legs, activity, cry and consolability) for non-verbal infant and pediatrics – Neonatal Intensity Pain Scale (NIPS) for neonates 2 Pain Assessment • A comprehensive pain assessment is initiated on admission/arrival • Patients will be reassessed after administration of pain medications within a time consistent with the anticipated onset of effect of the specific medication administered. 3 Team Communication • Students and Instructors must communicate care, progress and changes in patient conditions to the primary nurse with a frequency sufficient to support the patients plan of care • The ISBARQ communication tool is utilized for communication between members of the health care team 4 ISBARQ • ISBARQ will be the format utilized in all hand off communication – I- Introduction – S- Situation – B- Background – A- Assessment – R- Recommendation – Q- Questions 5 Palliative Care • PSMH employees and students will work collaboratively to ensure respectful and responsive care of the dying patient. • Needs of the dying patient will include psychological, social, emotional and spiritual support. Students will work collaboratively with nurses and instructors to provide this need for patients, families and friends. 6 Color Coded Arm Bands • The following color coded Stickers for arm bands are utilized at PSMH – – – – WHITE- patient identification RED- allergies YELLOW- fall risk PINK-----no blood pressure, lab sticks, IVs, or injections to that extremity for any reason (lymphedema, dialysis site, mastectomy, etc.) – PURPLE- Do Not Resuscitate – GREEN- Blood Bank 7