The Recuperative Pain Medicine Service (RPM)

This new In-Patient service has been established here at HSS to work in conjunction with the Acute Pain Service (APS) and the Department of Musculoskeletal and Interventional Pain Management to provide safe and effective pain management to all patients from the time they are transitioned from their PCA (patient-controlled analgesia) pump to oral pain medication, monitoring their pain level until they are discharged from the hospital.

The RPM service is committed to reducing post-operative pain and ensuring that all patients are placed on an oral pain medication regimen that adequately controls their pain both here in the hospital and while recovering from their surgery at home. If a pain medication is not effective, or causing unwanted side-effects for the patient, the RPM service is consulted and will make the necessary changes to the medication regimen.

The RPM service consists of a specialized team of clinicians with expertise in post-operative pain management, including an anesthesiologist and a nurse practitioner. The RPM service works very closely with the surgeon, the nurses, the Acute Pain Service, the physical therapists, and the social services department to ensure that a comprehensive and patient-specific discharge plan (including pain management) is in place for each patient, both during their stay at HSS, and when they leave the hospital.

The RPM service also provides patient education about pain management and the pain medications being used. The nurse practitioner on the RPM team will see every patient on the service once or twice daily. If the patient is well controlled on pain medications after transitioning from their PCA pump, the RPM service will see that patient on the day of their discharge to provide pain education and answer any pain management questions the patient or their family may have.