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Re: ACOG Antepartum Record - Pain Scale?From: Dean Huffman . (dean@thehuffpeople.net)Wed Nov 21 14:07:36 2007
.. Patient APPEARS to be dead. - - - - From: DoctorJoe@aol.com Subject: Re: ACOG Antepartum Record - Pain Scale? Date: Nov 21, 2007 10:40 AM In a message dated 11/21/2007 10:35:06 A.M. Central Standard Time, ainsron@sbcglobal.net writes: The Board reminds RNs that pain assessment is based on patient self-report and that patient's can be asleep and still experience significant pain; appropriate charting would be to write "asleep" for the pain rating. Isn't it standard nursing practice to record "APPEARS asleep" rather than just plain "asleep"? You know, (1) you can't trust the patient not to be faking, and (2) you don't want to be embarrassed by a lawyer ("Didn't you see, Nurse Jones, that when you recorded 'asleep' the patient wasn't breathing and his tongue was lolling out to the side? The patient was DEAD, Nurse Jones, he was DEAD!!") Joe P.
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