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Acute Pain Management (CPMS)

Click here for pain management competencies

 

• Pain management clinical practice guidelines
• Education about pain
• Acute Pain Management

Pain management clinical practice guidelines

• Opioid Infusion
• Patient Controlled Analgesia (PCA)
• Epidural Infusion
  • Assessment of sensory block
  • Assessment of motor block
• Regional Anaesthetic  
• Ketamine Infusion
• Intermittent IV Morphine Bolus
• Subcutaneous Analgesia Infusion
• Postoperative Nausea and Vomiting (PONV)   
• Nitrous Oxide 

Education about pain

• Pain management principles (PDF)
• Assessing pain in children (PDF)
• Non-pharmacological pain management (PDF)

Pain management booklet:

• Pain, Pain, Go Away: Helping Children With Pain (Link to PDF)

Pre-Reading for competencies:

• Pre-reading about Opioid Analgesia for Children (PDF)
• Pre-reading about Epidural Analgesia for Children (PDF)
• Pre-reading about Patient Controlled Analgesia for Children (PDF)

Practical Updates

• Opioid practical questions
• Regional Anaesthesia practical questions 
• PCA practical questions 
• Assessment of sensory block
• Assessment of motor block

Acute Pain Management

• About acute pain management
• Staff
• Co-ordinator
• Clinical Nurse Consultants
• Pain Medicine Specialists
• Consultant Anaesthetists
• Referrals
• Ward rounds
• Pain Link nurses

About acute pain management

• Acute pain is defined as pain of recent (usually acute) onset and of short duration.
  It may be in response to surgery, injury or disease.

• The CPMS manages all aspects of acute pain ranging from post-operative pain management to disease related pain, procedural pain and cancer pain.

• The CPMS also assists with pain management of patients with palliative pain issues.

Staff

• CPMS is staffed by Pain Medicine Specialists and Consultant Anaesthetists from the Department of Anaesthesia & Pain Management, and by two full-time Clinical Nurse Consultants.

• Out of hours cover is provided by Anaesthesia Registrars and the on-call Anaesthesia Consultant.

 

Co-ordinator 

• Dr George Chalkiadis

Clinical Nurse Consultants:

• Sueann Penrose     sueann.penrose@rch.org.au
• Joahnne Ramos      jo.ramos@rch.org.au
• Beth Sadler             beth.sadler@rch.org.au

The Clinical Nurse Consultants primary responsibilities are day-to-day management of patients under the care of CPMS, staff education and support, clinical research and audit, development and review of pain management protocols and guidelines, and promotion of optimal pain management throughout the hospital.

 

Pain Medicine Specialists:

• Dr George Chalkiadis
• Dr Greta Palmer

Consultant Anaesthetists:

• Dr Mike Clifford
• Dr Andrew Davidson
• Dr Rob Eyres  
• Dr Geoff Frawley
• Dr Peter Howe
• Dr Dugald McAdam
• Dr Rob McDougall
• Dr Ian McKenzie
• Dr Barbara Main
• Dr Nick Martin
• Dr Liz Prentice 
• Dr Philip Ragg
• Dr Chantal McNally
• Dr Adam Skinner
• Dr Ben Turner
• Dr Rod Westhorpe

Referrals

• Patients who are prescribed analgesia infusions in theatre are automatically referred to CPMS.

• For other children requiring pain management a referral needs to be made to CPMS by paging 5773 (24 hours) and completing an inpatient consultation report (MR2). The referrer needs to ensure that the child’s primary consultant has approved of CPMS involvement.

Ward Rounds

• CPMS reviews patients twice daily on week days and once daily on weekends and public holidays.

• If analgesia is inadequate or the patient is experiencing side-effects, CPMS must be called to review the child.

• CPMS can be contacted at all times on pager 5773. 

Pain Link nurses

• The Pain Link nurse role was established in 1999 to provide a link between CPMS and wards/units throughout the hospital.

• Pain Link nurses attend additional education about pain management and are encouraged to be actively involved in ward/unit specific pain management issues.

• Pain Link nurses are responsible for local promotion of optimal pain management practices, disseminating changes to pain management protocols and guidelines, clinical audit, education and staff support.