12.30.25 Updated PCA Infusion Presentation

PCA INFUSION

Patient Controlled Analgesia

What is a PCA?

PCA Orders

Supplies

• Medication

• Port less tubing

• Alaris pump with 1 regular channel

• PCA pump channel and key

• Carrier fluid

• Primary tubing

Assessment & Monitoring

>

Initiation of the PCA Pump

Initial PCA programming & priming using the Alaris IV pump

Initiation- PCA

Documentation

What is the first thing you always check?

Initiation - PCA Order

Documentation

Action!!!

Initiation - PCA Order

Documentation

What do you document?

Initiation - PCA Order

Documentation

Key documentation Points: Volume at start Volume Primed Volume left to count

Did you miss anything?

>

Press the PCA button!

Deliver a dose of PCA medication

Rate/Dose Verify- PCA

Documentation

What is the first thing you always check?

Rate/Dose Verify - PCA

Documentation

Action!!!

Rate/Dose Verify - PCA

Documentation

Double check parameters to pump settings

Rate/Dose Verify - Checking Counts

Documentation

Summary morphine 1mg/mL

PCA Dose:

Lockout Interval:

Cont. Dose: Max Limit:

0.5 mg

10 minutes

2 mg/h

> Press START

PRO- GRAM

BOLUS DOSE

START

Press "Channel Select" On PCA Channel

Here you can double check your parameters are entered correctly

Rate Dose/Verify- PCA Order

Documentation

What do you document?

Rate/Dose Verify - PCA Order

Documentation

Key Elements: Vol infused Total Demands Demands Delivered Vol left to Count

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>

Discontinuing the PCA infusion

Almost done....

Narcotic Waste - PCA Order

Documentation

Check Your Action!!!

Narcotic Waste- PCA Order

Documentation

What do you document?

Narcotic Waste - PCA Order

Documentation

Title 2

Key Elements: Vol Prim Wasted Vol Syringe Wasted Vol left to Count

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Questions?