Finally, not even a year ago the AMA dropped the policy of pain as the 5th vital sign. And that hasn't filtered out to the industry in general. The hospitals I'm familiar with still push pain as the 5th vital sign.

"The AMA’s new president said physicians played a key role in starting the so-called opioid epidemic by overprescribing pain medication, and now must do their part to end it.

“We have taken ownership of that, and physicians have taken ownership of being part of the solution,” AMA president Andrew Gurman, MD, told Modern Healthcare.

The AMA’s main “solution” to the opioid problem is to stop asking patients about their pain.

Pain was first recognized as the fifth vital sign in the 1990's, giving pain equal status with blood pressure, heart rate, respiratory rate and temperature as vital signs. The policy encourages healthcare providers to ask patients about their pain."

https://www.painnewsnetwork.org/stories/2016/6/16/ama-drops-pain-as-vital-sign