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7/26/2014 FW: Please Review with your Managers and give Feedback! ! ! !

- Davis, Aurora
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FW: Please Review with your Managers and give Feedback!!!!
Hi, Jen.
This is the initiative I'd like to talk with you about tomorrow morning. It won't take more than 15 minutes, I
think.
Thanks!
Aurora
Aurora Davis, RN, BA, BSN, OCN
Relief Charge Nurse
Oncology and Bone Marrow Transplant Unit
University of Colorado Hospital
Aurora.Davis@uchealth.org
From: Swedhin, Amanda M
Sent: Wednesday, April 30, 2014 3:43 PM
To: Anderson, Ashleigh R; Banh, Micheal H; Bartel, Andrea M; Behrens, Melissa; Bishop, Miranda R; Brelsford,
Jennifer C; Bruce, Katherine C; Buese, Dori; Campbell, Jennifer L; Cole, Danielle; Cottrell, Tynia; Cyriacks,
Wendy; Danziger, Iris; Davis, Aurora; Deavers, Jacqueline; Dingmann, Colleen; Donovan, Katherine J; Doyle,
Emily F; Fink, Regina; Gill, Rodney; Hill, Angela; Hochhalter, Liana; Hornick, Lynn; Juelich, Katherine; Kidd,
Kenneth O; Kirchner, Nicole; Koziel, Virginia; Kral, MaryBelle; Krumbach, Barbara; Lambert, Emily R; Lenny,
Nicole; Luebbe, Lauren M; Lyda, Clark; Metz, Nora; Moberg, Rhonda R; Montgomery, Robert; Neale, Nicole D;
Page, Beverly; Paulsen, Kyle S; Petrie, Janna; Rich, Ann M; Rwubusisi, Rebecca A; Serlin, Margo; Swedhin,
Amanda M; Tuason, Chuchay; Williams, Kirsten
Subject: Please Review with your Managers and give Feedback!!!!

Hello Pain Champions!

As promised, I am sending out the suggestions we came up with from our April meeting to start working on
improving our HCAPS scores. To review:

-Aurora has produced a patient Pain Education sheet that needs to be included in the Roadmap to Care
admission packet for every patient. Please discuss these with your unit manager for them to order through
Documents on Demandthe copy I have attached is only a draft. The DOD # to order them is PED05219. They
Davis, Aurora
Wed 4/30/2014 3:51 PM
To:Zwink, Jennifer <Jennifer.Zwink@uchealth.org>;
2 attachments
Proposed white board changes.docx; Patient Pain Education Tool v6.doc;
7/26/2014 FW: Please Review with your Managers and give Feedback! ! ! ! - Davis, Aurora
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need to be printed on bright orange paper. I have discussed use of these with an Educator from the Outpatient
clinics (Maude Becker) and we should see this trickling into their Charge nurse and managers meetings in the
next month to talk about how they want to utilize this prior to coming in for procedures. Barb had mentioned
placing these in a patients chart in the PACU, however, it has been decided that the PACU will laminate these
sheets and place them at the patients bedside for use in their departmentit will be each departments job to
make sure that they get it into their Roadmap to Care starting as soon as your manager gets the sheets.

-Aurora came up with the following scripting ideas to help nurses know the right way to start discussions about
the Pain Education sheet:
1. I want to work with you to develop a plan to manage your pain.
2. Is your pain always well controlled?
3. Am I doing everything I can to help with your pain?
These would be great questions to use when talking to staff about pain assessment using the sheet. What do we
think of these? Want to make sure were all using the same verbiage when talking to our staff so that the
message is consistent house-wide.

-I have attached the suggestions for the addition to our current white boards to help aide discussions about pain
management. As Angie talked about at our last meeting, the Surgical unit was having difficult time with pain
satisfaction scores and enacted the use of a white board with similar wording/structure and increased their
satisfaction scores by approximately 40% (please correct me if Im completely wrong on those numbers, Angie).
Our proposal that we need each of you to come to your manager with is to add a laminated copy of the attached
form to your patients white boards in the room (attaching it however you see fitmy suggestion is Velcro, but
something else might work for your unit) that you could use to write down your patients comfort function
goals, the timing of their medications and alternative therapies that you discuss/the patient would like to use.
BEFORE WE START USING THIS, PLEASE TAKE IT TO YOUR MANAGERS AND SEND ANY FEEDBACK TO Katherine
Bruce AT Katherine.bruce@uchealth.org. I will send out a reminder e-mail in one week from today to give us
the go-ahead to start using this on the units.


If your managers have questions as to why these are the areas we are focusing on, we are basing this off of the
house-wide inpatient surveys Regina Fink has been leading over the past year to gain more information on our
patients perspective of pain management while they are hospitalized. The data showed that a majority of
patients are unaware of alternative therapies or that we are using them to help with pain and that they feel
communication and education are lacking regarding their pain management and side effects of pain
medications. We are hoping that the patient Pain Education sheet as well as the new white board format will
help nurses begin that communication with patients.

While I am planning on sending out an e-mail to the mangers/educators for the hospital, we want this to be
driven by YOU!!! I expect that when I send out an e-mail detailing what we have discussed through the Pain
Champions that they will have already heard about it. Please get out there and discuss with your managers and
let us know areas you need assistance with. Thank you for all the work you do!

P.S.for those of you unable to attend the last monthly meeting, we are no longer requiring monthly pain re-
assessment audits. These only need to be done quarterly. Aprils audits need to go to Janna Petrie, but after this
month, it will be the Pain Champions job to compile quarterly audits only.

Amanda Max Swedhin, RN, BSN, CMSRN
Medical/Surgical PCU Educator, Pain Champions Co-Chair
7/26/2014 FW: Please Review with your Managers and give Feedback! ! ! ! - Davis, Aurora
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Amanda.Swedhin@uchealth.org
Office: 720-848-7720
Pager: 303-266-0461
Cell: 720-339-6819

The Department of Professional Resources improves lives by empowering healthcare professionals to influence
quality care through education, discovery and navigation of change.

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