Nurse‐initiated analgesia pathway for paediatric patients in the emergency department: A clinical intervention trial

摘要: Objective The study aims to evaluate the impact of a nurse-initiated analgesia pathway (NIAP) intervention for paediatric patients in ED. Methods We undertook pre- and post-intervention trial large, tertiary referral, mixed ED. The comprised development implementation comprehensive NIA Standing Order. In addition paracetamol, which nurses could initiate pre-intervention, they were authorised administer ibuprofen, paracetamol/codeine combinations topical local anaesthetics prior doctor assessing patient. All trained credentialed administering NIAP. Patients aged 5–17 years with triage pain score ≥4 (Wong–Baker or numerical rating scale) eligible enrolment. primary outcome was time analgesia. Secondary outcomes proportion who received ‘adequate analgesia’ parental satisfaction ED management (measured 48 h post-discharge). Results Fifty-one children enrolled both periods. Patient sex mean age, weight did not differ between groups (P > 0.05). At post-intervention, significantly more (3.0% vs 43.9%; P < 0.001) median reduced (58 min 23 min; 0.01). Also, (41.2% 72.5%; 0.001). follow up, parents very satisfied their child's overall trended upwards period (47.1% 66.7%; = 0.07). No adverse events observed during either period. Conclusion The NIAP It associated high levels satisfaction.