PM11 2019: Procedures in pain medicine

List:

· Triage

· Patient prep

· Facilities

· Sedation

· Imaging

· Proceduralist

· Procedure

· Documentation

· Outcome assessment

· Post-procedural care

1.Triage:

· Timely assessment (socio-psycho-bio)

· Timely treatment (cat 1-2-3 etc)

2.Patient prep:

· Provide proper information: indication, risks, benefits, alternatives

· Obtain informed consent

3.Facilities

· According to ANZCA standards

· Suitable procedure room: lighting, infection control, electrical safety, radiation safety, communication system

· Suitable recovery room

· Equipment in case of disaster

4.Sedation/anaesthesia

· According to ANZCA standards (see elsewhere)

· Use non-pharmacological means if possible

5.Imaging

· Must be available if necessary

· i.e. ultrasound, image intensifier, fluoroscopy

6.Proceduralist

· Knows his/her stuff

· Adequately trained or supervised

· Partakes in CPD

7.Procedure

· According to best practice

8.Documentation

· Enough said

9.Outcome assessment

· Record pain intensity before/during/after

10.Post-procedural care

· Monitor in recovery

· Hand-over if remaining in hospital

· Discharge planning if going home

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