Nurse-initiated, titrated intravenous opioid analgesia reduces time to analgesia for selected painful conditions.
Anne-Maree Kelly, Catherine Brumby, Caroline Barnes
Canadian Journal of Emergency Medicine | Published : 2005
OBJECTIVES: Traditionally, patients have to wait until assessed by a physician for opioid analgesia to be administered, which contributes to delays to analgesia. Western Hospital developed a protocol enabling nurses to initiate opioid analgesia prior to medical assessment for selected conditions. The aim of this study was to determine the impact of this protocol on time to first opioid dose in patients presenting to the emergency department (ED) with renal or biliary colic. METHODS: This was an explicit medical record review of all adult patients with an ED discharge diagnosis of renal or biliary colic presenting to a metropolitan teaching hospital ED. Patients were identified via the ED dat..View full abstract