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  Accreditation Monthly Accreditation Monthly 
 
Sharon Courage, MPH, RN, Vice President of Hospital Services, and other Joint Commission accreditation and regulatory compliance subject matter experts share their views monthly to help accreditation professionals meet standards and compliance expectations.

October 7, 2008   (Volume 7, Issue 10)
 
Take the Pain Out of Pain Reassessments in Three Steps
The problem Most hospitals have an 80% intrinsic rate of compliance with their pain reassessment policy. This is usually good enough to meet 2008 expectations, but it will not be nearly good enough for 2009 (90% will be the minimum level of performance). The challenge is that the bedside nurse has no reason to go back to the chart when he or she determines that a pain medication has been effective. If another dose is needed, no problem: The nurse is in the chart for the follow-up dose of medications anyway. If another dose is not needed, however, the nurse is not inclined to revisit the chart just to document that all is well—it just isn’t natural.
 

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