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

KCRG TV-9 Morning News on March 4, 2008

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

 




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)

 




Non-Pharmacologic Interventions

 




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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