The Joint Commission regulations state that pain is to be assessed whenever other vital signs are measured. What must the nurse include in the documentation of pain in the electronic medical record?
1 . Level of pain
2 . Description of pain
3 . Action taken to relieve pain
4 . Vital signs every 2 hours
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4
A
Feedback:
The documentation of pain includes level of pain, description of pain, action taken, and results. Vital signs are documented when taken, but not always every 2 hours.
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