Pain Free Hospital Visits for Children: Healthy Life 3/4/08

KCRG TV-9 Morning News on March 4, 2008

Tools

By Ashley Hinson

St. Joseph’s Children’s Hospital in Tampa, FL has taken steps to take the pain out of a hospital visit. They have created a Pediatric Pain Free Task Force. The goal is to eliminate any unnecessary pain. All of the techniques are easily accessible for the nurse and each station is equipped with what is needed for all pain free interventions. Nurse Stephanie Pitts is one of the people who started the pain free initiative. She challenges all parents, doctors and nurses to ask themselves what can be done to lesson the pain for this procedure. Below are some of the interventions that are used at St. Joseph ’s Children’s Hospital.

Non-Pharmacologic Interventions

Pain Free Tool

Description

How to Use

Hospitalization

Child Life

Especially trained to help children and their families with pain and procedures

Ask hospital if they have anyone on staff

Mild to Moderate Pain

Acetaminophen

Used to relieve mild pain

15mg/kg (Max 1000mg) oral/rectal every 4 hours as needed (>8 weeks old)

IV’s, Venipuncture, IM’s, Port Access

Emla

Ethyl Chloride

Epiture Easytouch

Sweetease

Lidocaine and Prilocaine 2.5%

Use for STAT

Cool laser followed by

Lidocaine 4%

24% glucose solution

Apply topically to site 60 minutes prior to stick (>37 weeks)

Spray 4-10 seconds

(>4 years old)

Laser site and follow with 4% Lidocaine cream. Read to stick in 10 minutes (>37 weeks old)

Dip pacifier or parent finger into solution. Do not exceed 2mL. Discard unused portion

NG/OG tube insertion

Hurricane Spray

Xylocaine

Benzocaine 20%

2% Lidocaine HCI jelly

2 (1/2 second) sprays to the back of the throat (>4 years old)

Apply to base of tube prior to insertion

(>37 weeks old)

Urine Cath insertion

Xylocaine Urojet

2% Lidocaine HCI jelly Urojet

Using sterile technique, apply to uretha and tip of tube prior to insertion (>37 weeks old)

Family/Friend

Healthcare provider

Position for comfort, Massage, Therapeutic Touch, Distraction, Music, Pacifier, Holding/Swaddling

Utilize interventions along with pharmacologic options to optimize ‘pain-free’ effects on the child.

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