2014 Oncology/BMT RN Action Plan

We are an amazing team that takes pride in the excellent care we provide our patients. However,
recent patient surveys have identified areas we must improve upon. With these small procedural
improvements, we can excel in customer and staff satisfaction too!

1. PAIN MANAGEMENT: GOAL=74.3% (Percent of patients who report their pain is ALWAYS well
controlled and staff ALWAYS does everything to help with pain.)
Current Score: BMT 50.0%, ONC 68.7%
o Areas that need the greatest improvement: COMMUNICATION and EDUCATION
Communication with PATIENTS: RN will discuss pain management with patients.
o EDUCATE patients about their pain options using the Patient Pain Education Tool, both upon
admission and as needed throughout the patients stay.
Discuss medication and alternative therapy options.
Discuss the Comfort-Function goal and realistic goal-setting.
A Team Approach: We want to work WITH patients to manage pain.
o Use the SCRIPTING developed by the Pain Committee for patient/RN interactions.
o If needed, discuss a pain medication schedule with your patient and update the white board so
they can anticipate their next dose of pain medication.
HOURLY ROUNDING: Pain is one of the 5 Ps of hourly rounding and should be explicitly addressed
whenever rounding on patients.
Communication with MEDICAL TEAMS: RN will communicate with the medical team to ensure pain
is well controlled for all patients.
o Ensure PRN medications are available in the MAR - advocate for your patients if you feel
adjuvant medications or alternative therapies could be useful.
o Keep the team up to date if higher or lower doses are needed to adequately control pain.


I have had the opportunity to review and understand the above information. By signing this contract, I
agree to adhere to these standards. I also agree to hold my peers to the same standards. Through
teamwork and cooperation we can greatly improve our workplace for our patients and fellow
employees. I am a proud and willing member of this team!

2014 Oncology/BMT RN Action Plan

Print Name: _____________________________________

Signature: _______________________________________ Date: ______________

Charge Nurse Signature: _________________________________