A patient is admitted to Nightingale Community Hospital to the surgical unit following an infection to a post-op wound. There were several deficiencies found on the patient’s tracer audit once the patient was admitted to the hospital. One deficiency that was found was that the patient was given medication related to pain and the patient was not reassessed properly per Joint Commission Standards (JC). The deficiency found is within the pain assessment policy of the hospital. The nurse stated that pain is assessed every four hours using the pain scale of 0-10 and that once pain medication is administered to the patient then is should be re-assessed and documented within one hour of the patient receiving the medication. In this instant, the