After documenting a pain score, a nurse may use their clinical judgement to opt for the next lower pain modifier as outlined in the CTAS guidelines. When the initially triggered pain modifier is deselected by the nurse, the next most acute pain modifier is now automatically selected by the system.
Note: When Patient is unwilling or unable to respond has been checked off in the pain vital (i.e., the nurse is unable to obtain a pain score), modifiers will not be highlighted or auto-selected by the system. See Best Practices to generate clinically appropriate CTAS scores. |
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