A client with chronic pain reports to you, the charge nurse, that the nurse have not been responding to requests for pain medication. What is your initial action?

Check the MARs and nurses’ notes for the past several days.Ask the nurse educator to give an in-service about pain management.Perform a complete pain assessment and history on the client. Have a conference with the nurses responsible for the care of this client.

Explanation.

Have a conference with the nurses responsible for the care of this client. As charge nurse, you must assess for the performance and attitude of the staff in relation to this client. After gathering data from the nurses, additional information from the records and the client can be obtained as necessary. The educator may be of assistance if knowledge deficit or need for performance improvement is the problem.