Acute Pain Service
Referral Guide
WHO TO REFER
Rib fracturesAcute on chronic pain PCA/ketamine infusion/nerve blocks Mucositis Patients on opioid replacements/IVDU RECONSIDER chronic cancer pain MSK pain
HOW TO REFER
1. CLEAR REQUEST
4. SPECIAL STUFF
2. PATIENT INFO
3. CURRENT MEDS
ComorbitiesPain Hx + Allergies
Fasting? NBM?Home today?
Regular vs PRNDoses
Advice vs ReviewNew vs known pt
Ask your friendly pharmacist to help optimise safe but sufficient analgesia
TIPS AND TRAPS
Don't forget antiemeticsand aperients
Simple analgesia first
Is it available on PBS?
Pain trend > score
Check SafeScript for high-dependency users
Beware renal/hepaticimpairment
Monash University 2020
Acute Pain Services
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Created on April 10, 2020
Referral Guide by S Narula
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Transcript
Acute Pain Service
Referral Guide
WHO TO REFER
Rib fracturesAcute on chronic pain PCA/ketamine infusion/nerve blocks Mucositis Patients on opioid replacements/IVDU RECONSIDER chronic cancer pain MSK pain
HOW TO REFER
1. CLEAR REQUEST
4. SPECIAL STUFF
2. PATIENT INFO
3. CURRENT MEDS
ComorbitiesPain Hx + Allergies
Fasting? NBM?Home today?
Regular vs PRNDoses
Advice vs ReviewNew vs known pt
Ask your friendly pharmacist to help optimise safe but sufficient analgesia
TIPS AND TRAPS
Don't forget antiemeticsand aperients
Simple analgesia first
Is it available on PBS?
Pain trend > score
Check SafeScript for high-dependency users
Beware renal/hepaticimpairment
Monash University 2020