A staff nurse on a step-down unit

A staff nurse on a step-down unit for cardiac surgery patients conducts monthly pain management interviews to determine how to improve patient outcomes. One month, contrary to previous reports, almost half of the patients recalled more pain immediately after surgery and could recall their extubation experience. In seeking answers to this change in patients’ pain experiences, the nurses learned that, without prior interdisciplinary dialogue, the anesthesiologists, in an attempt to reduce the length of postoperative intubation, had changed their intraoperative and postoperative pain management protocol from fentanyl to morphine.

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