title: Nurse-managed analgesia for renal colic pain in the emergency department.
abstract: A retrospective chart review was conducted of patients with acute renal colic for the years 1993 and 1997, in order to compare analgesia ordering and administration practices before and after implementation of a nurse-managed, titrated intravenous (i.v.) narcotic policy. The study demonstrated a significant and sustained change in analgesia administration practices away from the intramuscular (i.m.) route in favour of the i.v. route. For renal colic, in 1993, 76% of patients received i.m. narcotic analgesia compared to 3% in 1997. In contrast, i.v. narcotic (with or without adjuvant (NSAID) was used in 3% of the patients in 1993 compared to 95% in 1997.
authors.affiliation: Department of Emergency Medicine, Western Hospital, Footscray.
authors.forename: A M
authors.initials: AM
authors.lastname: Kelly
mesh_terms: D000700:Analgesics / Q000008:administration & dosage*; D003085:Colic / Q000188:drug therapy* / Q000209:etiology; D004363:Drug Utilization; D004636:Emergency Service, Hospital / Q000592:standards*; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000188:drug therapy*; D009741:Nursing Staff, Hospital; D016134:Organizational Policy; D010146:Pain / Q000188:drug therapy*; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies
chemical_list: D000700:Analgesics