Pain Management Nursing
Volume 8, Issue 2 , Pages 48-54 , June 2007

Registered Nurse Management and Monitoring of Analgesia by Catheter Techniques: Position Statement

  • Chris Pasero, MS, RN-BC, FAAN

      Affiliations

    • Pain Management Educator and Clinical Consultant, El Dorado Hills, California
    • Corresponding Author InformationAddress correspondence and reprint requests to Chris Pasero, MS, RN-BC, FAAN, 1252 Clearview Drive, El Dorado Hills, CA 95762.
  • ,
  • Nancy Eksterowicz, MSN, RN-BC, APN

      Affiliations

    • University of Virginia Health System, Charlottesville, Virginia
  • ,
  • Maggie Primeau, RN, MBA, MS, APRN-BC

      Affiliations

    • Morton Plant Mease Healthcare, Clearwater, Florida
  • ,
  • Charlene Cowley, MS, RN, CPNP

      Affiliations

    • Phoenix Children’s Hospital, Phoenix, Arizona.

References and Suggested Reading 

  1. Acute Pain Management Guideline Panel. The assessment and management of acute pain in infants, children, and adolescents. Acute pain management: operative or medical procedures and trauma, clinical practice guideline. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services (archived material); 1992;AHCPR Pub. No. 92-0032
  2. American Academy of Pediatrics (AAP) and American Pain Society (APS). The assessment and management of acute pain in infants, children, and adolescents. Pediatrics. 2001;3(108):793–797
  3. American Nurses Association (ANA). Position statement on the role of the registered nurse (rn) in the management of analgesia by catheter techniques (epidural, intrathecal, intrapleural, or peripheral nerve catheters). Washington, D.C: American Nurses Association; 1991;Retrieved February 1, 2006, from http://www.nursingworld.org/readroom/position/joint/jtcathet.htm
  4. American Nurses Association (ANA). Code of ethics for nurses with interpretive statements. Washington, DC: American Nurses Association; 2001;
  5. American Pain Society Quality of Care Task Force. American Pain Society recommendations for improving the quality of acute and cancer pain management. Archives of Internal Medicine. 2005;165:1574–1580
  6. American Society of Anesthesiologists (ASA). Statement on the role of registered nurses in the management of continuous regional analgesia. 2002;Retrieved February 1, 2006, from http://www.asahq.org/publicationsAndServices/standards/nurses.pdf
  7. American Society for Pain Management Nursing (ASPMN). Core curriculum for pain management nursing. Lenexa, KS: American Society for Pain Management Nursing; 2002;
  8. American Society of PeriAnesthesia Nurses (ASPAN). ASPAN pain and comfort clinical guideline. Journal of Perianesthesia Nursing. 2003;18(1):232–236
  9. Benzon HT. Taxonomy: Definitions of pain terms and chronic pain syndromes. In:  Benzon HT,  Raja SN,  Molloy RE,  Liu SS,  Fishman SM editor. Essentials of pain medicine and regional anesthesia. 2nd ed.. Philadelphia: Elsevier; 2005;p. 15–17
  10. Bird A, Wallis M. Nursing knowledge and assessment skills in the management of patients receiving analgesia via epidural infusion. Journal of Advanced Nursing. 2002;40(5):522–531
  11. Grass JA. Patient-controlled analgesia. Anesthesia and Analgesia. 2005;101:S44–S61
  12. Halpern SH, Muir H, Breen TW, Campbell DC, Barrett J, Liston R, et al. A multicenter randomized controlled trial comparing patient-controlled epidural with intravenous analgesia for pain relief in labor. Anesthesia and Analgesia. 2004;99:1532–1538
  13. Ladwig GB, Ackley BJ. Nursing diagnosis handbook. St. Louis: Mosby; 2005;
  14. Miaskowski C, Cleary J, Burney R, Coyne PJ, Finley R, Foster R, et al. APS Clinical Practice Guidelines Series, No. 3 Guideline for the management of cancer pain in adults and children. Glenview, IL: American Pain Society; 2005;
  15. Pasero C. Epidural analgesia for acute pain management (self-directed learning program). Lenexa, KS: American Society for Pain Management Nursing; 2003;
  16. Pasero C. Epidural analgesia for postoperative pain. The American Journal of Nursing. 2003;103(10):62–64
  17. Pasero C. Epidural analgesia for postoperative pain, part II. The American Journal of Nursing. 2003;103(11):43–45
  18. Pasero C. Perineural local anesthetic infusion. The American Journal of Nursing. 2004;104(7):89;91-93
  19. Pasero C, Gordon DB, McCaffery M, Ferrell BR. Building institutional commitment to improving pain management. In:  McCaffery M,  Pasero C editor. Pain: clinical manual. 2nd ed.. St. Louis: Mosby; 1999;p. 711–744
  20. Pasero C, Portenoy RK, McCaffery M. Opioid analgesics. In:  McCaffery M,  Pasero C editor. Pain: clinical manual. 2nd ed.. St. Louis: Mosby; 1999;p. 161–299
  21. Rathmell JP, Lair TR, Nauman B. The role of intrathecal drugs in the treatment of acute pain. Anesthesia and Analgesia. 2005;101:S30–S43
  22. Richardson J. Post-operative epidural analgesia: Introducing evidence-based guidelines through an education and assessment process. Journal of Clinical Nursing. 2001;10:238–245
  23. Tobias JD. Acute and postoperative pain management. In:  Tobias JD,  Deshpande JK editor. Pediatric pain management for primary care. 2nd ed.. Elk Grove Village, IL: American Academy of Pediatrics; 2005;p. 321–356
  24. Wu CL. Acute postoperative pain. In:  Miller RD editors. Miller’s anesthesia. 6th ed.. Philadelphia: Elsevier; 2005;p. 2729–2762

PII: S1524-9042(07)00039-2

doi: 10.1016/j.pmn.2007.02.003

Pain Management Nursing
Volume 8, Issue 2 , Pages 48-54 , June 2007