Australasian Emergency Nursing Journal
Volume 10, Issue 2 , Pages 64-72 , May 2007

The effect of a triage pain management protocol for minor musculoskeletal injury patients in a Hong Kong emergency department

  • Eliza M.L. Wong, RN, MN

      Affiliations

    • The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China
    • Corresponding Author InformationCorresponding author at: Room 827, Esther Lee Building, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China. Tel.: +852 2609 6023; fax: +852 2603 5520.
  • ,
  • Holly M.S. Chan, RN, BN

      Affiliations

    • Prince of Wales Hospital, Hong Kong, China
  • ,
  • Timothy H. Rainer, MD

      Affiliations

    • Accident and Emergency Academic Unit, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China
  • ,
  • Chair Sek Ying, PhD

      Affiliations

    • The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China

Received 4 May 2006 ,Revised 21 October 2006 ,Accepted 20 February 2007.

References 

  1. Fry M, Holdgate A. Nurse-initiated intravenous morphine in the emergency department: Efficacy, rate of adverse events and impact on time to analgesia. Emerg Med. 2002;14(3):249–254
  2. Fry M, Ryan J, Alexander N. A prospective study of nurse-initiated panadeine forte: Expanding pain management in the ED. Accident Emerg Nurs. 2004;12(3):136–140
  3. C&SD . Hong Kong Annual Digest of Statistics. 2003 ed.. Hong Kong: General Statistics Section (1)B, Census and Statistics Department: Hong Kong Government Logistics Department; 2003;
  4. Lau FL, Leung KP. Waiting time in an urban accident and emergency department—A way to improve it. Emerg Med J. 1997;14(5):299–301
  5. Hospital Authority. Hospital Authority Triage Guideline: Hospital Authority, Hong Kong; 2005.
  6. Hospital Authority. Guide to Accident and Emergency service: Hospital Authority, Hong Kong; 2001.
  7. Man SY, Woo WK, Lam PKW, Rainer TH. Feasibility study comparing oral paracetamol and oral non-steroidal anti-inflammatory drugs for treating pain after musculoskeletal injury: A randomized, double blind, controlled trial. Hong Kong J Emerg Med. 2004;11(2):78–84
  8. Purcell D. Minor injuries, a clinical guide for nurses. Edinburgh: Churchill Livingstone; 2003;
  9. McCaffery M, Pasero C. Pain: Clinical Manual. 2nd ed.. St. Louis: Mosby Inc.; 1999;
  10. Huskisson EC. Visual Analogue Scales. In:  Melzack R editors. Pain Measurement and Assessment. New York: Raven Press; 1983;p. 33–37
  11. McCormack HM, Horne DJ, Sheather S. Clinical applications of visual analogue scales: a critical review. Psychol Med. 1988;18(4):1007–1019
  12. In:  Kruger L editors. Pain and touch. Handbook of perception and cognition. 2nd ed.. San Diego: Academic Press; 1996;
  13. Jantos TJ, Paris PM, Menegazzi JJ, Yealy DM. Analgesic practice for acute orthopedic trauma pain in Costa Rican emergency departments. Ann Emerg Med. 1996;28(2):145–150
  14. Ducharme J, Barber C. A prospective blinded study on emergency pain assessment and therapy. J Emerg Med. 1995;13(4):571–575
  15. Salomone JA, Price SD, Watson WA. A prospective evaluation of acute emergency department pain management. Am J Pain Manage. 1995;5(3):80–83
  16. Lewis LM, Lasater LC, Brooks CB. Are emergency physicians too stingy with analgesics?. Southern Med J. 1994;87(1):7–9
  17. Eder SC, Sloan EP, Todd K. Documentation of ED patient pain by nurses and physicians. Am J Emerg Med. 2003;21(4):253–257
  18. McCallum T. Pain management in Australian emergency departments: A critical appraisal of evidence based practice. Aust Emerg Nurs J. 2004;6(2):9–13
  19. Todd KH, Samaroo N, Hoffman JR. Ethnicity as a risk factor for inadequate emergency department analgesia. J Am Med Assoc. 1993;269(12):1537–1539
  20. Todd KH, Deaton C, D’Adamo AP, Goe L. Ethnicity and analgesic practice. Ann Emerg Med. 2000;35(1):11–16
  21. Todd KH, Lee T, Hoffman JR. The effect of ethnicity on physician estimates of pain severity in patients with isolated extremity trauma. J Am Med Assoc. 1994;271(12):925–928
  22. Blank FSJ, Mader TJ, Wolfe J, Keyes M, Kirschner R, Provost D. Adequacy of pain assessment and pain relief and correlation of patient satisfaction in 68 ED fast-tract patients. J Emerg Nurs. 2001;27(4):327–334
  23. Tcherny-Lessenot S, Karwowski-Soulié F, Lamarche-Vadel A, Ginsburg C, Brunet F, Vidal-Trecan G. Management and relief of pain in an emergency department from the adult patients’ perspective. J Pain Symptom Manage. 2003;25(6):539–546
  24. Tanabe P, Buschmann M. A prospective study of ED pain management practices and the patient's perspective. J Emerg Nurs. 1999;25(3):171–177
  25. Tanabe P, Thomas R, Paice J, Spiller M, Marcantonio R. The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma. J Emerg Nurs. 2001;27(2):124–131
  26. McNeill JA, Sherwood GD, Starck PL, Thompson CJ. Assessing clinical outcomes: Patient satisfaction with pain management. J Pain Symptom Manage. 1998;16(1):29–40
  27. Chan JNH, Chau J. Patient satisfaction with triage nursing care in Hong Kong. J Adv Nurs. 2005;50(5):498–507
  28. Seguin D. A nurse-initiated pain management advanced triage protocol for ED patients with an extremity injury at a level I trauma center. J Emerg Nurs. 2004;30(4):330–335
  29. Terndrup TE. Establishing pain policies in emergency medicine. Ann Emerg Med. 1996;27(4):408–411
  30. Eddy DM. A manual for assessing health practices and designing practice policies: the explicit approach. Philadelphia: American College of Physicians; 1992;
  31. Tingle J. Clinical guidelines: legal and clinical risk management issues. Br J Nurs. 1997;6(11):639–641
  32. Grimshaw J, Freemantle N, Wallace S, Russell I, Hurwitz B, Watt I, et al. Developing and implementing clinical practice guidelines. Q Health Care. 1995;4(1):55–64
  33. Manias E, Botti M, Bucknall T. Observation of pain assessment and management—The complexities of clinical practice. J Clin Nurs. 2002;11(6):724–733
  34. Morse JM, Field PA. Qualitative research methods for health professionals. 2nd ed.. London: Sage Publications; 1995;
  35. Lim GH, Wee FC, Seow E. Pain management in the emergency department. Hong Kong J Emerg Med. 2006;13(1):38–45
  36. Todd KH. Clinical versus statistical significance in the assessment of pain relief. Ann Emerg Med. 1996;27(4):439–441
  37. Todd KH, Funk KG, Funk JP, Bonacci R. Clinical significance of reported changes in pain severity. Ann Emerg Med. 1996;27(4):485–489
  38. Beel TL, Mitchiner JC, Frederiksen SM, McCormick J. Patient preferences regarding pain medication in the ED. Am J Emerg Med. 2000;18(4):376–380
  39. Holroyd E, Yue-Kuen C, Sau-Wai C, Fung-Shan L, Wai-Wan W. A Chinese cultural perspective of nursing care behaviours in an acute setting. J Adv Nurs. 1998;28(6):1289–1294
  40. Wong E, Chan S. Pain experience and pain management practice for Chinese patients having traumatic fracture femur and surgery. Third Pan-Pacific Nursing Conference; 2005; Hong Kong: The Nethersole School of Nursing, The Chinese University of Hong Kong; 2005.
  41. O’Connell J. The NSW Health Clinical Initiatives nurse. Aust Emerg Nurs J. 2003;6(Suppl):14
  42. Fry M, Jones K. The clinical initiative nurse: Extending the role of the emergency nurse, who benefits?. Aust Emerg Nurs J. 2005;8(1–2):9–12
  43. Cashin A, Waters CD, O’Connell J, Christofis L, Lentakis A, Rossi M, et al. Clinical initiative nurses and nurse practitioners in the emergency department: What's in a name?. Aust Emerg Nurs J. 2007;10(2):73–79
  44. Lobiondo-Wood G, Haber J. Nursing Research: Methods, Critical Appraisal, and Utilization. 5th ed.. St. Louis: Mosby; 2002;
  45. Kelly AM. Setting the benchmark for research in the management of acute pain in emergency departments. Emerg Med. 2001;13(1):57–60
  46. Garbez R, Puntillo K. Acute musculoskeletal pain in the emergency department: a review of the literature and implications for the advanced practice nurse. AACN Clin Issues. 2005;16(3):310–319

PII: S1574-6267(07)00041-9

doi: 10.1016/j.aenj.2007.02.003

Australasian Emergency Nursing Journal
Volume 10, Issue 2 , Pages 64-72 , May 2007