| Patient Name: | MRN: | Date: | Time: |
| Age: M F Wt: kg BMI: | Room/Bed: | Service: | POD: |
| Procedure/Surgery: | DOS: | ||
| Category | 0 Points | 1 Point | 2 Points | Score |
|---|---|---|---|---|
| Face | No expression / smile | Grimace / frown | Frequent grimace / clenched jaw | |
| Legs | Normal / relaxed | Uneasy, restless, tense | Kicking or legs drawn up | |
| Activity | Lying quiet, normal | Squirming, shifting | Arched, rigid, jerking | |
| Cry | No cry (awake/asleep) | Moans, whimpers | Crying steadily, screams | |
| Consolability | Content, relaxed | Reassured by touch/talk | Difficult to console | |
| TOTAL FLACC SCORE (0-10): | ||||
| BP: | mmHg |
| HR: | bpm |
| RR: | /min |
| SpO₂: | % |
| Temp: | °C |
| Mobility: |
Indep Assist Bed |
| ADL: |
No limit Limited |
| Sleep: |
Good Fair Poor |
| N/V: | None Mild Sev |
| Itch: | None Mild Sev |
| Urine: | OK Retention |
| Bowel: | BM: Const |
| Medication | Route | Dose | Freq | Last | Eff |
|---|---|---|---|---|---|
| G F P | |||||
| G F P | |||||
| G F P | |||||
| G F P |
| Pain management expectations discussed | |
| PCA/Epidural device use explained | |
| Side effects & management reviewed | |
| When to call for help explained | |
| Patient/family questions answered | |
| Patient Understanding: Good Fair Poor (Needs reinforcement) | |
| Next APS Visit: |
Tomorrow
PRN Discontinue APS |
| Monitor Freq: | Q4h Q6h Q8h Other |
|
⚠️ Notify APS if:
• Pain score > /10 • Sedation score ≥ 3 • RR < or SpO₂ < % • Uncontrolled N/V • Catheter site issues |
|
|
APS Physician/Fellow
Name: Lic#: Time: |
APS Nurse
Name: Date: Time: |
Floor Nurse
Name: Unit: Time: |