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Patient response to pain

 The INS standard #14 states that nursing documentation shall include factors relating to assessment, intervention, and the patient's response to that intervention, (response to the insertion).  Is anyone willing to share how they document the patient's response to pain with insertion of both peripheral and PICC's?

response to insertion

Patient's report of pain at IV site location after IV cannula insertion.

PAIN SCALE: 0, (detail as needed.)



Nancy Rose 

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