Take time to reflect on the following with regard to pain relief strategies in your own ED:
- Are patients encouraged to report pain?
- What pain assessment tool or tools are in use?
- When and where are pain assessment tools applied?
- Where is the pain score recorded? Is this ideal?
- Are the pain assessment tools appropriate for your ED case-mix?
- When was the last time your department audited its performance regarding analgesic provision?
- What did the audit show?
- What changes were suggested and implemented?
- Was change effective?
Fig. 12 Faces pain rating scale used in paediatric cases and the pain ruler