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MED-PASS:  The Fine Art of Document Design

Pain Flow Sheet - 100/pad


Availability: In stock

Price: $10.75
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This two-sided form allows staff to monitor a resident’s pain (ongoing or episodic), intensity, precipitating factors, interventions (medication and non-medication), effectiveness of interventions and any side effects.

  • Reflects April 10, 2009 revisions to F-Tag 309 regarding pain management
  • Convenient key codes provided to simplify documentation include Verbal Descriptors and Non-verbal Indicators of pain intensity
  • This form accommodates 26 episodes of pain entries and includes space for narrative notation on Side Two
  • Features 10-Point Wong-Baker Faces Pain Rating Scale
  • Complements Pain Evaluation Form (item # MP5447) - see Related Products below
Size 8-1/2 x 11
Unit Pad of 100
Other Info Handwritten
Hole Punch 5 holes left, 5 holes top

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