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Free resource · Patient-safety tools · Toolkit 33 · Clinical assessment & care planning

Pain Assessment Scale — VAS/NRS and Reassessment Log

Rate it, treat it, rate it again — pain that is not measured is not managed, and pain that is not reassessed after treatment was never treated

Free A4 · ASF-TOOL-CAP-04 · evidence for H-04 criterion 4.32

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What it is

A one-page pain assessment and reassessment record using the Numeric Rating Scale (NRS 0–10) for adult patients who can self-report, and the behavioural indicators scale for those who cannot. Includes pre-treatment score, intervention recorded, post-treatment reassessment score (within 60 minutes), and escalation trigger (score ≥7 unrelieved). Pain assessment without reassessment after intervention is clinically incomplete and accreditation-ineligible.

ASF criterion

Evidence for: Hospital Standard 4, criterion 4.32 (Core) — Pain Is Formally Assessed and Reassessed, Not Just Asked About Once.


PAIN ASSESSMENT & REASSESSMENT LOG · ASF-TOOL-CAP-04
Patient   ID  
NRS SCALE: 0 = No pain · 1–3 = Mild · 4–6 = Moderate · 7–9 = Severe · 10 = Worst possible
Date/Time Pain score (0–10) Pain location Intervention given Reassessment score (60 min) Nurse signature
           
           
           
Score ≥7 unrelieved after intervention → escalate to doctor immediately. Document escalation in notes.

ASF-TOOL-CAP-04 · Toolkit 33 · france-asf.fr/tools · ASF original © Accréditation Sans Frontières · CC BY-NC-SA 4.0

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