• Marcia Boessio Dos Santos, Cristiana Maria Toscano, BatistaRuth Ester AssayagREAhttp://orcid.org/0000-0002-6416-1079Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil., and Elena Bohomol.
• Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.
• Rev Bras Enferm. 2021 Jan 1; 74 (3): e20201303.

Objectivesto assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department.Methodsa prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital's Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration).Resultsof the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level.Conclusionsdespite low protocol adherence, the intervention resulted in higher reported pain relief.

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