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

  • Photo

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.                                                                        



Pain Free Tool




How to Use




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




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







Ethyl Chloride




Epiture Easytouch









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







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)


Non-Pharmacologic Interventions




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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